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IFP MEDIA
STATEMENT BY:
DR RUTH RABINOWITZ MP
IFP SPOKESPERSON ON HEALTH
13 March 2008
The IFP
agrees that health costs must be as low as possible while
access, quality and medical scheme membership must be as high as
possible.
We believe
that the Health Minister is working against her own goals
through over regulating the private sector, subjecting it to
contradictory regulations and not regulating some aspects at
all.
Take medical
devices. For ten years she has refused to regulate medical
devices. Yet she accuses hospitals of taking kick backs on
medical devices.
Medical
Schemes accept the practice. WHY? The Minister is complaining
about her own inaction.
Medical
Schemes are tightly regulated. The DOH nobly argues that schemes
may not be profit making entities. But their administrators are
and who puts a clear line between the two? Not our DOH.
According to
STATS SA for 2002 to 2007 specialist doctors were the highest
contributors to medical inflation, followed by medical schemes.
Hospitals account for 35% of schemes expenditure. What about
administrator and broker fees?
The Minister
complains about hospital monopolies. There has been a moratorium
on new licenses since 1996 and regulations would inhibit
newcomers. The Board of Health Care Funders and the Competition
Commission work against each other. We're in a royal regulatory
conundrum.
The IFP has
a short and a long list of solutions.
In short, we
recommend the following:
Negotiate
good prices for large volume services for the private sector to
operate for the state - hospitals, clinics, mobiles in rural
areas, medical distribution everywhere, nurse training. That
will bring prices down and quality up.
Regulate
medicines to have maximum exit prices only and minimum standards
for safety, quality and efficacy.
Regulate
medical devices to ban kick backs and for minimum standards.
Regulate
complementary and traditional medicines for minimum standards.
Ensure all
standards are maintained by health ombudspersons, not health
charters and policed by independent bodies.
Demand
transparency along the entire chain of medicine supplies AND
between Medical Schemes and Administrators AND from hospitals on
tariff increases.
Introduce
universal health care so that all who earn must pay on a sliding
scale and the state covers the rest.
Foster
choice, competition and incentives.
The question
we must ask is whether the Minister wants to reduce prices only
or quality as well. We believe that her actions will reduce
quality and access in the private and public sectors.
FOR FURTHER INFORMATION CONTACT:
Dr Ruth Rabinowitz M.P(MB BCh)
JHB: Tel: 011 802 1826
Fax: 011 804 4221
C.T: Tel: 021 403 3061
Fax: 021 403 3334
Cell: 082 579 3698 |