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Economic Research Southern Africa

Will the NHI integrate our healthcare system 30 years on?

28 Apr 2025

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South Africa’s transition to democracy in 1994 placed a fragmented, racially divided health system in the hands of the new ANC-led government. It quickly moved to transform the health administrations of 10 homelands and four provinces into a single national department and nine provincial departments, in line with the new constitution. However, thirty years later, South Africa still has a health system driven by inequalities; it is as if the income inequality has mapped its way into the duality of the health system. One of the latest approaches to addressing this issue, culminated in the formation of the 2024 National […]

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