Politics

Private healthcare prices in South Africa have to be regulated, Health Minister Aaron Motsoaledi said.

Speaking at the Board of Healthcare Funders conference at Sun City, Motsoaledi called for a pricing negotiation forum, saying healthcare in South Africa was "predatory".

He said the health structure was worse now than during apartheid.

"There is a tendency to believe that a long and healthy life is the right of those that can afford it and that is totally wrong," he said.

"The reality is that our people are dying in large numbers. We are running a healthcare system in this country that is not working."

The solution lay in re-engineering the primary healthcare system.

Motsoaledi announced a plan to introduce three streams of care, which would have a particular impact in rural areas.

Board spokesman Heidi Kruger welcomed Motsoaledi's comments, saying: "I think it's brilliant. The sooner it comes through the better. We can't have a situation where there is no containment on costs."

Kruger said private healthcare providers charged whatever they wanted, "pushing up" medical aid premiums.

The current system was an "open-ended liability for funders" so medical schemes could not budget properly.

Regulating healthcare costs would be "very constructive" and "provide certainty", Kruger said.

Motsoaledi is hoping to begin setting up the pricing forum by the end of the year.

However, he told delegates at the conference that hospitals were creating a stumbling block in the process because that sector did not want to have its prices regulated.

Motsoaledi accused the public and private health sectors of "engaging in destructive, unsustainable practices". He was particularly outspoken about the high cost of private hospital treatment and called for a stronger emphasis on primary care, rather than the present curative system with its "rapidly escalating" costs.

"The public health system is in a crisis of quality and I am going to deal with it head on, but it is not an excuse for profiteering," he said.

"Our country is going in the wrong direction . all of us, public and private," he said. "We have a predatory healthcare system where the sick and the vulnerable are the ones who get attacked."

My grandfather, an immigrant, barely made ends meet with farm work when he arrived in South Africa around the start of the 20th century. He was lured into swapping the open fields for underground life as a worker on the gold mines.

There is no doubt that mine workers with occupationally acquired lung diseases get a raw deal in South Africa. Their counterparts in other industries receive monthly pensions for life.

Thandile Qwalela died in the tuberculosis ward of his Eastern Cape district hospital at the age of 48. He was an underground miner from age 20 who served 17 years as a stoper and winch driver on the gold mines.

Health Minister, Barbara Hogan and the Pharmacy Stakeholders Forum (PSF) have agreed to settle their dispensing fees issue amicably, the organisation announced on Tuesday. According to a statement issued by PSF, Hogan met PSF representatives on Monday. It was decided it was in the interests all concerned to solve the matter amicably. All parties agreed that medicines must be affordable and accessible to consumers, the PSF said.

AIDS activists are hoping that the country's new administration will make good on promises to urgently improve access to affordable HIV/AIDS treatment and services at state hospitals. The country's three political parties - ZANU-PF and the two factions of the majority Movement for Democratic Change (MDC) - signed a power-sharing deal on 15 September, ending one of the worst periods of inter-party political violence since Zimbabwe gained independence in 1980. Despite scepticism that the three parties will be able to work together, the deal has brought hope to many ordinary Zimbabweans, particularly those living with HIV, who have been battling to cope in the current harsh economic and political environment. Of the estimated 320,000 people in need of antiretroviral (ARV) treatment, only about 100,000 are accessing the medication at public health facilities. Besides the treatment gap, government hospitals are struggling to deliver services in the face of shortages of drugs, medical staff and foreign currency.

The good news on medical schemes is that the industry is turning around from huge losses. The bad news is that nobody's tracking how much medical costs consumers are carrying. On average, the industry performed pretty well, according to acting registrar of medical schemes Patrick Matshidze.

Health Minister Manto Tshabalala-Msimang has upped the ante in her battle with the private healthcare sector to control the spiralling costs of health and medicines by rejecting suggestions that she was the minister of public health and should only focus on that sector.