Briefly News Explains National Health Insurance Act and What It Means for South Africans
- Surrounded by various high-ranking health officials, South Africa's President Cyril Ramaphosa signed the NHI Bill into law earlier this month
- A week after signing it, South Africans still have many questions about what impact this law will have on them
- Briefly News' current affairs journalist Tebogo Mokwena created a video explaining the NHI and how it affects South Africans
- The CEO of First Care Group, Dr Steven Holt, also weighed in on the National Health Insurance
- Expert Jayshri Rangasamy shared her views with Briefly News about its implementation
Tebogo Mokwena, a dedicated Briefly News current affairs journalist, contributed coverage of international and local social issues like health, corruption, education, service delivery protests and heritage in South Africa during his seven years at Daily Sun and Vutivi Business News.

Source: UGC
JOHANNESBURG— South Africans have had mixed reactions since President Cyril Ramaphosa signed the National Health Insurance (NHI) bill and enacted it as a law. Some welcomed it, and others spoke out against it. Briefly News' senior current affairs writer Tebogo Mokwena unpacked the NHI and its impact on South Africans.
NHI explained in a simple video
Mokwena posted his explainer video on his X account, @TebogoTheScribe. In the video, Mokwena uses whiteboard animation to give an overview of the NHI Act, which Ramaphosa signed into law on 15 May.
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Mokwena explains that contrary to popular belief, registered NHI users would not be allowed to walk into any private hospital and demand healthcare. He also cautioned against cancelling medical aid before the NHI is fully implemented.
He said:
"The NHI doesn't give South Africans the license to slide in and out of private healthcare. You have to follow the referral pathway. In the public healthcare system, you start at clinics, which is the first step and part of the primary healthcare level. If they aren't equipped to help, they send you to a community healthcare centre. If they can't help, they refer you to a district hospital. So private hospitals can chuck you out if you decide to wing it."

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View the video here:
First Care Group CEO on NHI
The CEO of First Care Group, Dr Steven Holt, spoke to Briefly News about the NHI.
"Many long-standing laws will need to be changed to give effect to the NHI fund. Whilst this is not impossible, affected parties seeking to prevent these changes will challenge them on all fronts. Already, political parties, the council for medical schemes, and the South African Medical Association (to mention a few) are saying they will oppose various aspects of the fund and the proposed law changes," he said.
"Perhaps most concerning is that South Africa already has a shortage of doctors and nurses. The implementation of NHI will likely worsen this situation, as many healthcare professionals will choose not to join the fund and leave South Africa for less regulated pastures."
Jayshri Rangasamy speaks to Briefly News
Speaking to Briefly News, Jayshri Rangasamy weighed in on the impact the NHI could have on taxes.

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"In order to standardize healthcare costs across South Africa, the NHI bill was passed. While its aims are admirable, it will result in an increase in taxes to its citizens which could further destabilize the economy. It may also threaten the financial security of individuals able to contribute to it. Of we look at other countries where the NHI model is successful, they rely on multiple sources to fund it achieving more desirable outcomes and less impact on its citizens," she pointed out.
Mmusi Maimane challenges Ramaphosa to cancel medical aid before signing NHI Bill
Similarly, Briefly News reported that BOSA president Mmusi Maimane challenged Ramaphosa to cancel his medical aid.
Maimane issued the challenge before Ramaphosa signed the bill into law and said the president should use public healthcare facilities if he had such faith in them.
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Source: Briefly News

Tebogo Mokwena (Current Affairs editor) Tebogo Mokwena joined Briefly News in 2023 and is a Current Affairs writer. He has a Diploma in Journalism from ALISON. He joined Daily Sun, where he worked for 4 years covering politics, crime, entertainment, current affairs, policy, governance and art. He was also a sub-editor and journalist for Capricorn Post before joining Vutivi Business News in 2020, where he covered small business news policy and governance, analysis and profiles. Tebogo passed a set of trainings by Google News Initiative Email: tebogo.mokwena@briefly.co.za

Jayshri Rangasamy (Medical Scientist - Pharmacologist - Clinical Team Lead) Jayshri Rangasamy leads Fortrea's Clinical Team, managing Clinical Operations Delivery. Her expertise spans non-infectious (cardiovascular, endocrinology, gastroenterology) and infectious diseases (tuberculosis, Ebola, COVID-19) plus oncology (lung cancer, hematologic malignancies). She holds MS and BS degrees in Pharmacology and Human Physiology from the University of Pretoria and promotes empathetic leadership. She is also a ballroom dancer and animal activist.