A journey starts with the destination, and then we plan how to get there. The route we choose, using the means available, particularly in city traffic or South African health care, determines when we can expect to arrive at our intended destination.
As South Africans, we have set our destination as a future of healthcare equality, but the route mapped out for us in the National Health Insurance Act is potholed, long, and winding.
As the health minister points out, structural imbalances between private and public health care must be addressed.
However, the fork in the road ahead could put us on the highway to equalising health care, to the detriment of scarce healthcare resources, which may result in more rationalisation of services for those who need them most.
The…