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Health care financing in South Africa: Key issues. Overview. Where do funds for health care come from and how do they flow through the health system? Where does government get its money from? What might change in terms of health care funding in future?. Important context.
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Overview • Where do funds for health care come from and how do they flow through the health system? • Where does government get its money from? • What might change in terms of health care funding in future?
Flow of money in health systems Households Insurance Government tax Firms Providers
Resources and benefits in SA 44% Private insurance 16% Richer households 13% 84% Private providers 43% Government tax Less rich households Public providers
Richest households Free for all! Firms Providers Less rich households Possible changes to health financing Private insurance * * Public funds [NHI]
Group work • Consider questions to understand what you (as a citizen) think about: • Who should fund health services • How they should contribute to health care funding • Want to know what you (as a citizen) prefers and why you prefer this
Group work • Question 1 - Raise extra funds for improved health services by: • Increasing VAT • Increasing personal income tax • Getting companies/ businesses to pay extra tax • Which type of tax would your community prefer and why, or would you prefer a combination of these taxes and why?
Group work • Question 2 – Are there other ways that government could raise extra funds for improved health services? Why would your community prefer these funding options? • Question 3 – Are there any groups in society who your community would think should not have to contribute to funding improved health services? If so, which groups and why these groups?