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- W2099042018 abstract "As South Africa moves increasingly away from its system of apartheid toward a more egalitarian democratic sociopolitical structure consideration must be given to reforming the nations health system. Currently a 2-tier system exists in which the public sector provides for the needs of the black majority and the private sector cares for those who can afford to pay. Blacks want more and better services while whites strive to retain their present services. A new postapartheid government however will not accept such biases in the provision of health care. In addition to this need for structural change rising health care costs/capita must also be addressed. The private sector especially is expected to be hard hit by rising insurance premiums. This essay reviews options available to the country in meeting these objectives and considers greater involvement from both the private and public sectors. Sections discuss the pros and cons of privatization government policy prospects for the private sector a national health service the efficiency of a national health service equity of finance and delivery and AIDS and the health care system. In sum the 2-tier system is likely to continue. Scarce resources will however force the government and nation to make difficult choices on the equitable and efficient delivery of health and what degree of non-health-care resources will be shifted to health services. Additional research is called for to assess what each South African may expect as entitlement to health." @default.
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- W2099042018 date "1991-06-01" @default.
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- W2099042018 title "Health Economics: Issues for South Africa" @default.
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- W2099042018 doi "https://doi.org/10.1111/j.1813-6982.1991.tb00972.x" @default.
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