[LISTEN] Private healthcare: Are you getting your money's worth?

Twelve percent of South Africans have medical aid cover while 23% use private healthcare at some point, even if you are on the lower end of earnings, says Bhekisisa Centre for Health Journalism deputy editor Laura Lopez Gonzalez.

Are you getting your money's worth with the high cost of private health in the country?

Eusebius McKaiser and health journalist Laura Lopez Gonzalez, Discovery Health CEO Jonathan Broomberg and Wits School of Governance's Prof. Alex van den Heever, discuss the issue of private healthcare.

Citing the competition commission, Lopez Gonzalez says South Africans are paying more for premiums.

What the Competition Commission did find was that we are paying more for premiums and we are not getting a sort of expanded care for that. What they also found is that in some ways your medical aid is covering things - so while you're in a hospital, the cover was pretty much covered, for but when you look at the care that needed to happen outside the hospital, then medical aids fell a little short.

Laura Lopez Gonzalez, Deputy Editor - Bhekisisa Centre for Health Journalism

CEO, Discovery Health Jonathan Broomberg says those who can afford private health insurance have access to some of the best care in the world and much more quickly. Without dismissing the high cost, he says this is often taken for granted.

He admits that there are structural problems in the design of the private healthcare system that is fundamentally a function of the regulatory and legislative environment.

Some of those are that medical schemes in this country by law have to accept all applicants, at the same time they can't charge premiums based on risk, they only charge premiums based on your plan...

Jonathan Broomberg, CEO - Discovery Health

Open enrollment and a community rating are key elements of social solidarity but there is no system in the world that has those two elements without also making it compulsory to belong to health insurance if you earn above a certain environment. So in the absence of that last leg, what you get is young healthy people staying out of the system and older or sick people jumping in and that drives up premiums in a significant way.

Jonathan Broomberg, CEO - Discovery Health

Van den Heever says part of the problem is that the private health system effectively has no competition.

It is important to point out that the health market inquiry concluded that essentially the private health system effectively doesn't compete, it is not a competitive system. Part of that is because the structural model itself needs to be created so that you have efficient competition.

Alex van den Heever, Professor - Wits School of Governance

You have got to look at a complete set of structural interventions and one of the key ones is for instance risk equalisation, social reinsurance....you want to make sure that when any scheme takes on a member that they don't feel that they want to exclude somebody who is a bad risk.

Alex van den Heever, Professor - Wits School of Governance

Click on the link below to hear more....


Recommended

by NEWSROOM AI
Read More
'Every rand that we don't collect should make us upset' - Sars commissioner

'Every rand that we don't collect should make us upset' - Sars commissioner

Edward Kieswetter gives an update of how the revenue service is doing ever since he took office in May.

Emotional 702 caller shares suicidal thoughts on air

Emotional 702 caller shares suicidal thoughts on air

Eusebius McKaiser extended a helping hand to the caller and other listeners offered to help him go for counselling.

How you can make your career fit for fourth industrial revolution

How you can make your career fit for fourth industrial revolution

21st Century Humans and Creator of the Innovator Gap Year Academy's Zuki Mzozoyana gives advice on new skills for the future.

Investors need to understand redress and sensitivities, says Eusebius

Investors need to understand redress and sensitivities, says Eusebius

Eusebius engages callers on the Richard Branson tweet that has been widely criticised for lacking diversity.

'Race shouldn't matter when picking DA leader,' says John Steenhuisen

'Race shouldn't matter when picking DA leader,' says John Steenhuisen

The Democratic Alliance parliamentary leader gives reasons why he could lead the party successfully.

[LISTEN] It is advisable to express your anger in a healthy way

[LISTEN] It is advisable to express your anger in a healthy way

Psychiatrist Dr Mashadi Motlana says when anger is not expressed people can get ill and that will require a psychiatrist.

Popular articles
Can’t find your phone? Drop everything – thieves can get into your banking app!

Can’t find your phone? Drop everything – thieves can get into your banking app!

Did someone steal your phone? Contact your bank without hesitation warns consumer journalist Wendy Knowler.

'Unions are making a mistake. SAA is dying. It’s not Eskom – we don’t need it'

'Unions are making a mistake. SAA is dying. It’s not Eskom – we don’t need it'

SAA is on its knees, cap in hand, asking taxpayers for R2 billion this month. Unions must be careful, warns Guy Leitch (SA Flyer).

[WATCH] Jozi motorist avoids hailstorm with inventive way to cover car

[WATCH] Jozi motorist avoids hailstorm with inventive way to cover car

Khabazela shares tweets and Facebook posts that have gone viral.

Unions and SAA get ready for fight that threatens to break the ailing airline

Unions and SAA get ready for fight that threatens to break the ailing airline

Joanne Joseph plays audio from the media briefing over the impending strike.

White pupils at posh Kingswood College refer to black scholars as 'snoobab'

White pupils at posh Kingswood College refer to black scholars as 'snoobab'

"This problem is bigger than just a Kingswood problem. The relevant processes will unfold," says College Head Colleen Vassiliou.

Investors need to understand redress and sensitivities, says Eusebius

Investors need to understand redress and sensitivities, says Eusebius

Eusebius engages callers on the Richard Branson tweet that has been widely criticised for lacking diversity.

[WATCH] Pre-school class erupts as boy returns from RWC, goes viral

[WATCH] Pre-school class erupts as boy returns from RWC, goes viral

Khabazela shares tweets and Facebook posts that have gone viral.

We’ll shut you down! – unions to SAA ('overstaffed by any measure globally’)

We’ll shut you down! – unions to SAA ('overstaffed by any measure globally’)

The money-pit airline is fighting for its life. Bruce Whitfield interviews Theto Mahlakoana, a senior political reporter at EWN.

'I don’t need millions. All I want on my tombstone is... Best Dad Ever'

'I don’t need millions. All I want on my tombstone is... Best Dad Ever'

The Money Show’s Bruce Whitfield interviews Pilgrim about his attitude to money (hopes and fears, successes and failures, etc.).