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Motsoaledi concerned by racial discrimination against black healthcare providers by medical schemes

Motsoaledi concerned by racial discrimination against black healthcare providers by medical schemes

Eyewitness News08-07-2025
JOHANNESBURG - Minister of Health Aaron Motsoaledi said he's shocked at the dramatic change in how medical aid schemes and administrators treat black healthcare providers after a report confirmed allegations of racial discrimination and unfair practices.
Motsoaledi received the long-awaited Section 59 panel report on Monday.
The report exposes procedural unfairness and a power imbalance that disproportionately impacts black medical professionals.
Motsoaledi said the complaints filed in 2019 opened his eyes to some of the injustices.
READ: Panel finds some medical aid schemes racially discriminated against black service providers
'We didn't know that black doctors are being cheated. As I told you, it's a relationship between a doctor and the scheme - we only knew when they came to lodge a claim with the Council of Medical Schemes.
"Me, during our time, these things did not happen because in our time, I told you patients didn't have to sign anything. It just shows that as the system advances, we start to see problems.'
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Survey finds low - or no
Survey finds low - or no

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time5 days ago

  • The South African

Survey finds low - or no

A report by medical aid provider Profmed reveals that while healthcare professionals acknowledge the high cost of private healthcare in South Africa, the vast majority fear that the newly implemented National Health Insurance (NHI) will worsen, rather than improve, the quality of healthcare delivery. The 2025 State of Health Report, based on responses from approximately 1 800 medical professionals, found that 70% of participants are satisfied with the general standard of healthcare – largely due to private sector performance – but 75% have no confidence that the NHI will enhance the system. Profmed CEO Craig Comrie said the high cost of medical aid schemes was highlighted as a major concern, with suggestions that making medical aid mandatory for all formally employed South Africans could reduce costs by up to 30%. However, respondents were also clear that price regulation and broader access must be accompanied by better governance and public sector improvements. Further findings revealed that 60% of respondents had no trust in the public healthcare system, citing understaffing, poor infrastructure, and a lack of accountability. Despite the concerns, Health Minister Aaron Motsoaledi reaffirmed during his budget vote last week that the government is proceeding with NHI implementation. He said significant funds are being allocated to upgrade public health infrastructure to meet NHI standards. While the government insists that NHI will ensure universal, equitable healthcare access, many healthcare professionals believe that meaningful reform must be coupled with better oversight, financial transparency, and public-private cooperation to be effective. Let us know by leaving a comment below, or send a WhatsApp to 060 011 021 1 Subscribe to The South African website's newsletters and follow us on WhatsApp, Facebook, X and Bluesky for the latest news.

GEMS outlines plans to address discrimination against black healthcare providers
GEMS outlines plans to address discrimination against black healthcare providers

IOL News

time14-07-2025

  • IOL News

GEMS outlines plans to address discrimination against black healthcare providers

Section 59 Report finds black health professionals more likely targeted by medical schemes fraud, waste, and abuse processes. Image: AI / Ron The Government Employees Medical Scheme (GEMS) maintains that, since the release of the Interim Section 59 Panel Investigations Report three years ago, it has taken significant steps to strengthen its Fraud, Waste, and Abuse (FWA) management framework in an effort to 'eliminate any potential for disparate outcomes.' This follows damning findings against the country's largest medical schemes, which were found to have applied discriminatory risk ratios to Black health professionals. These providers were disproportionately flagged, audited, or penalised through opaque fraud, waste, and abuse (FWA) systems. The investigation, commissioned in 2019, examined allegations of racial discrimination and procedural unfairness in the application of FWA processes by major schemes and administrators, including Discovery Health, Medscheme and Gems. Health Minister Aaron Motsoaledi received the final report from the Section 59 Investigation Panel last week. 'The final Section 59 Panel Investigation Report makes several recommendations, many of which align with reforms Gems has already implemented. These include the revision of FWA policies to prevent bias and improve oversight, along with extensive stakeholder engagement and awareness programmes aimed at preventing rather than remediating FWA. "Gems has also revised its standard operating procedures to support greater flexibility this includes accommodating reasonable timeframes for information provision, conducting affordability assessments during debt collection processes, and allowing cooling-off periods for Acknowledgement of Debt (AOD) agreements. In addition, the scheme has undertaken independent audits to ensure that race is not a factor in any system parameters. Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Advertisement Video Player is loading. Play Video Play Unmute Current Time 0:00 / Duration -:- Loaded : 0% Stream Type LIVE Seek to live, currently behind live LIVE Remaining Time - 0:00 This is a modal window. Beginning of dialog window. Escape will cancel and close the window. Text Color White Black Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Background Color Black White Red Green Blue Yellow Magenta Cyan Transparency Opaque Semi-Transparent Transparent Window Color Black White Red Green Blue Yellow Magenta Cyan Transparency Transparent Semi-Transparent Opaque Font Size 50% 75% 100% 125% 150% 175% 200% 300% 400% Text Edge Style None Raised Depressed Uniform Dropshadow Font Family Proportional Sans-Serif Monospace Sans-Serif Proportional Serif Monospace Serif Casual Script Small Caps Reset restore all settings to the default values Done Close Modal Dialog End of dialog window. Next Stay Close ✕ 'It is reassuring that the Panel has found no evidence that GEMS acted with racist intent. This distinction is critical - structural outcomes must not be confused with deliberate discrimination. We are committed to continuous improvement, guided by independent oversight of the Council for Medical Schemes (CMS) and shaped by trust," said Gems Principal Officer, Dr Stanley Moloabi. Meanwhile, IOL reported that Discovery Health disagreed with the findings. Discovery Health CEO, Dr Ron Whelan, said the conclusions from the investigation are 'based on flawed methodology, unscientific assumptions, and misinterpretation of complex data'. Healthcare workers union, Health & Other Services Personnel Trade Union of South Africa (Hospersa), condemned the findings, adding that the report had confirmed the suspicions and personal experiences of many black healthcare professionals, IOL reported. The union called for remuneration and class action litigation against the medical schemes found to have applied such racial profiling, resulting in financial and reputational harm to individuals. 'As a union steadfastly committed to justice, equality, and transformation, Hospersa cannot allow this moment to pass without demanding full accountability, restitution, and long-overdue structural reform. 'To ensure that this injustice is never repeated, Hospersa calls for systemic changes across the private healthcare sector. All race-based profiling algorithms must be immediately discontinued and outlawed,' Hospersa spokesperson, Lindelwa Mdlalose said. Cape Times

Will forcing MPs to use public healthcare make it better?
Will forcing MPs to use public healthcare make it better?

The Citizen

time13-07-2025

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Will forcing MPs to use public healthcare make it better?

If somebody important gets rushed into a government hospital, throwing somebody out of ICU to make way for them wouldn't be an issue. Another day, and yet another suggestion from ActionSA that public officials should be forced to use public services, as if that will somehow make those services better. If it's not public officials being forced to use public transport, it's that they must send their kids to public schools. The latest from the Herman Mashaba camp is that public servants should use public healthcare services. One can nearly hear the internal laughter of Health Minister Aaron Motsoaledi at the idea (one that he has publicly supported). Presumably, he has no problem supporting it, given that he's doubling down on the National Health Insurance (NHI). It would be pretty silly to advocate for the eventual blending of private and public healthcare, but demand that his ilk continue to be allowed to use private healthcare. Perhaps that was the strategy of ActionSA all along: getting Motsoaledi to admit a personal lust toward private healthcare. If that was the reason, it's gone down as well as a quirky Helen Zille tweet. ALSO READ: Bara hospital: The good, bad and ugly However, the actual idea of forcing public officials to use public services to create some sort of political investment incentive is not just stupid, it's divorced from any South African context. Maybe that would work in a country where there's some sort of honour, even if it's among thieves, but this is South Africa. This is the country where we dare not even introduce self-service checkouts at grocers because we know how disastrous that would be. So not only do we have to embrace the imposed moniker of 'Plastique?' but we also have to accept that for the right people, the public purse will get them anything from a fire pool to a trip to the Cannes Film Festival. How is it that despite the Department of Health never having any money, there are still so many awesome doctors in public hospitals? There may be no medicine for the plebeians, but the lights are still on, and if somebody important or a friend of a friend gets rushed in, throwing somebody out of the ICU to make way for them wouldn't be an issue. The problem has never been that we don't have the facilities to deal with sick people. The problem has always been that we don't have enough facilities to deal with all the sick people who are not politically important. ALSO READ: 'I could die before surgery': Cancer patient lost in Gauteng hospitals backlog I don't think Motsoaledi cares which hospital he ends up in. He could be in a rural clinic in Limpopo, but if they had to fly in the best medical team and equipment, best believe they'll do it. Whether they'd do that for Sam Nje is less likely. You're dealing with a class of people who can walk into any school and bump their kids straight into the classroom on the day school starts, while the rest of us have to apply in utero just to get on the waiting list. This is why forcing them to use public services is hardly going to make the public services any better. Remember that strange aunty in your family? The one whose house had a great lounge that nobody was allowed in because it had to be preserved in case the Queen, Nelson Mandela and the Pope decided to come visit — simultaneously. That's all you'll create when you force public servants to use public services: the white elephant room that will remain vacant in case the deputy minister of transport gets hit by a taxi nearby. It's a sad state of affairs that one feels the need to incentivise public servants to serve the public. It's an even sadder state of affairs when trying to create those incentives is a losing battle. Maybe the answer should be to appoint public servants who are enthusiastic about public service in the first place. I wonder if they thought about that. NOW READ: Tshwane mayor faces outrage for Weskoppies Hospital power cut

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