Business organisation Sakeliga, the latest group to file a court challenge against the NHI Act, sets the cost of the NHI conservatively at R1 trillion, which would be economically and fiscally paralysing. – Moneyweb (1 September (2025)
“The NHI Act is a disastrous proposal and must be opposed until it is either undone or rendered practically impotent.
“There are currently 17 different legal challenges against the NHI, including nine in the High Court and 8 in the Constitutional Court (ConCourt). The state is attempting to consolidate all the high court cases into one and put them on hold until the ConCourt has ruled on the cases before it.
According to economic research commissioned by PriceMetrics, private health and medical insurers served about 15% of the population in 2023 and accounted for 42% of total expenditure on healthcare in SA.
“One of the anomalies highlighted in the Sakeliga case is the large amount spent on Department of Health employees in the 2024/5 budget – amounting to 64% of the total health budget – versus just 36.1% spent on health professionals in the private sector, which is in line with international norms.”