Although the National Health Insurance (NHI) is a hot issue and the state of public health care is a burning one, it could be many months before the future size and shape of the NHI is decided.
NHI Act not yet in effect
The first important time stamp to note is that although President Cyril Ramaphosa signed the National Health Insurance (NHI) Bill, making it law three months ago, no part of the Act has yet been promulgated. This means that while it is law, it is not yet in force.
What was the significance of the recent court ruling?
Last month's high court case, which struck down the requirement that medical practitioners require a certificate of need – essentially a licence — from the Department of Health to set up a health business, was not a ruling against the NHI Act. The ruling struck down certain sections of the National Health Act, passed in 2003, but not fully promulgated. The Gauteng High Court in Pretoria ruled...