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Ongelyke kanalisering van gesondheidsorg

Die stand van siekteversekering in Suid-Afrika

Bibliographic Data

ID20455151
AuthorsM J Gaigher, H C J Van Rensburg
Year1984
Volume15
Issue3
Pages105-114
Publication date1984-08-01
Open AccessNo
TypeARTICLE
VenueSouth African Journal of Sociology (JOURNAL)
Journal identifiersISSN: 0258-0144 • E-ISSN: 1999-9135
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/02580144.1984.10428991
OpenAlexW2077969877
LanguageEN
References cited3

The unequal distribution of health care: the condition of health insurance in South Africa. This article's point of departure is that the health care system was, and to a great extend still is, influenced and in some aspects even determined by the evolution of health insurance in South Africa. It is submitted that health insurance can be used as indicator to trace the stance of the provision of medical services in the present-day situation. A prominent feature of the pluralistic South African society is the reflection thereof in a similar pluralistic health care system. This plurality of opposing interest groups in the health insurance market is of course a direct consequence of the predominantly free-market-orientated society in which we live. This situation can lead and has led to an unproductive complexity and scattering of the health insurance system with a corresponding lack of cooperation and uniformity in this field. Contributing to this problem is the colour-differentiated basis on which most of the medical schemes function — resulting in the majority (mostly Non-Whites) of South Africans being deprived of sufficient coverage by the present system of health insurance. Statistical data are employed to illustrate this train of thought as well as to substantiate the basic assumptions. The article concludes with the suggestion that medical schemes should redefine their present-day role — that of merely a money-supplier for medical expenditure —to one much more influencial in the total policy-making process of the health care system in South Africa. S. Afr. J. Sociol. 1984, 15(3): 105–114

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