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How Adam and Eve have evolved
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National Health Insurance: ‘Nothing to fear, lots to gain’ BY CLAIRE MATHIESON
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A pilgrim uses an iPad to photograph Pope Benedict as the Holy Father leads the Angelus prayer in Castel Gandolfo, the pontiff’s summer residence south of Rome. See page 11 for a story about the pope’s farm near the town which provides the papal table with eggs, milk and virgin olive oil. (Photo: Paul Haring, CNS)
HE Department of Health has proposed a National Health Insurance (NHI) that has left many concerned about how the medical industry will be structured, who will benefit and who will pay for it. Dominican Father Mike Deeb of the Southern African Catholic Bishops’ Conference’s Justice and Peace Department said that in principle the health scheme is an important initiative because “the poor struggle to afford good medical care”. He said the fact that other first world countries have similar schemes adds value to South Africa’s social welfare endeavours. “We should therefore welcome the idea and engage with what is necessary to make it a reality.” Kenny Pasensie of the Catholic Parliamentary Liaison Office, an associated body of the SACBC, said the proposed system is about achieving a universal health system. This would mean that everyone benefits and therefore is positive for all in South Africa. “Currently, just more than 16% of the population is covered by private medical aid schemes, while the rest is dependent on services by public health facilities,” the researcher said. The difference between what has been proposed and that which is currently in place has not yet been defined. So far, the working document, or “Green Paper”, plans to revamp the medical industry in the country to focus mainly on health promotion, prevention care and quality curative and rehabilitative services. The paper states that everyone will have access to a “defined comprehensive package of healthcare services”. Fr Deeb said the first and biggest challenge would be upgrading the current state of the country’s existing health institutions. “Unless the service in [health care facilities] can be drastically improved, pumping more money into the system will have little effect. This system has to become good enough to entice the contributors to private medical schemes to see a value in dropping them in favour of the NHI. This will be a difficult challenge unless the current system improves.”
Taizé Brothers set to visit South Africa BY CLAIRE MATHIESON
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WO Brothers from the Taizé community will be in South Africa from September 22 to October 6 to take part in the 25th anniversary celebrations of the Centre for Christian Spirituality in Cape Town before going on to Johannesburg, Durban and Pretoria. Sister of Mercy Jean Evans said the Brothers will be visiting the country to renew friendships and meet some of the many South Africans who pass through Taizé, the popular place of pilgrimage in France where the interdenominational monastic community is based. Sr Evans said the community has a special relationship with South Africa. “Brother Roger, the late founder, first came with Brothers to the Cape in 1978, to pray and
be in solidarity with those suffering under apartheid. In the 1970s a group of 144 young South Africans travelled to Taizé with then-Bishop Desmond Tutu who was inspired by the biblical vision of the 144 000 round the throne of the Lamb. They came from all races and to worship in Taizé, to laugh, to love, to rough it together at the community’s centre in the Burgundy hills of France,” she said. The community is an ecumenical order with Brothers from both Protestant and Catholic traditions. Taizé Brothers visited again in 1995 and 2007. “The meetings were a part of the ecumenical community’s on-going work of reconciliation and trust-building throughout the world,” Sr Evans said, adding that central to the Brothers’ message is the hope
that Christ brings to all people and that Christians are witnesses and sharers of that hope. “The meetings are usually animated with some text from the prior. Thereafter, there is some reflection and sharing. Then there is participation in the prayer in the style of Taizé. It is chanted and meditative; an opportunity to deepen our inner lives as well as our commitment to solidarity with those who are suffering,” said Sr Evans This year the Taizé Brothers will visit Stellastraatgemeente in Pretoria on September 28, and Regina Mundi church in Moroka, Soweto, on September 29 for prayer and reflection. Further events are to be planned in Durban and Cape Town. n For more information, contact jeanmercy @ymail.com or 012 703 3110.
Mr Pasensie said the aim will be to offer good quality healthcare that is on par with what the private sector is offering. “In order for this to happen the NHI must ensure that the quality of service at our public health facilities are radically improved, that all public institutions adhere to defined standards and that the management of state hospitals is improved,” he said. Government has already published a draft policy on the management of hospitals and will set up a watchdog body to ensure health standards are met. While the Green Paper is clear in some areas, it is “not very clear on the exact funding mode”, Mr Pasensie said. “It is widely expected that it will be funded from taxes, mandatory contributions from individuals and employers as well as partnerships with the private sector. It has been stated by government that additional taxes on individuals would be the last resort,” he said. All employed individuals will be required to contribute. However, no decision has been taken on what the income threshold should be above which NHI contributions would be mandatory. Mr Pasensie said it was unlikely that any contributions from the public to the NHI will be required for the first phase—five years of its implementation as the first phase will be funded from existing public finances. It is also unclear what effect the proposed NHI will have on the current medical industry—particularly on private hospitals and medical aid schemes. Mr Pasensie said the Green Paper has already slammed the pricing regime of private hospitals. It described the increase of rates in private hospitals of 121% over the past decade as unacceptable. “There might be a knock-on effect on the private medical aids. Because thousands of employees are obliged to contribute to the NHI, large numbers may allow their private sector medical aids contributions to lapse. This in turn, together with pressure from government, might force the private sector Continued on page 3
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