The impact of corruption on public health services

ONE topic that continues to dominate in social circles is the medical aid industry. Most people, and even service providers in the industry, are constantly complaining about funds running out long before year-end.

- CORRIE KRUGER

The top-end medical aid costs are only for the very wealthy, and most families can only afford the most basic plans.

In this context, it is important to consider the role of the CMS (Council for Medical Schemes). One of the main objectives of the CMS is: "Serve beneficiaries of medical schemes and the public in general by reviewing and approving changes to contributions paid by members and benefits offered by schemes. The programme analyses and approves all scheme rules to ensure consistency with the MSA (Medical Schemes Act). This ensures that the beneficiaries have access to affordable and appropriate-quality health care. By doing this, we help the CMS ensure that the rules of medical schemes are fair to beneficiaries and are consistent with the MSA. There is a total of 71 medical schemes that are regulated by CMS." However, concerns remain about how the organisation operates. More than 70% of all revenue is spent on salaries. This organisation exists to pay salaries rather than focus on their objectives.

This misalignment stands in stark contrast to broader national goals.

According to one of the objectives of the National Development Plan ('Vision 2030'), the strategic intent of the National Development Plan (NDP) 2030 for the health sector is the achievement of a health system that is accessible, works for everyone, and produces positive health outcomes.

According to the World Health Organization, a well-functioning and effective health system is the bedrock for attaining the envisaged health outcomes.