HPU

Policy Documents

Policy Documents Policy documents cover submissions to government on proposed legislation and regulations as well as HPU policy papers on matters relating to health care.

Private Medical Schools could solve SA’s Chronic Doctor Shortage
Author: Jasson UrbachDate: 13 January 2012

According to a Business Day news report by Edward West (SA students set to study medicine in Cuba, 6 Jan), “Students from South Africa will be allowed to study medicine in Cuba while paying their ...

A Wealthier SA will be a Healthier SA
Author: Jasson UrbachDate: 6 January 2012

The deadline for submissions on the draft National Health Insurance (NHI) Green Paper is history. South Africa’s healthcare policy is at a critical crossroad as we await government’s response to the views expressed by the ...

Property rights now to ensure a better future for all
Author: Jasson UrbachDate: 7 December 2011

For most of human history, life was nasty, brutish and short. If you wanted something from your ‘neighbour’ you simply took it – with force if necessary. With no laws to guard the fruits of ...

SADC malaria day commemorations 2011
Author: Jasson UrbachDate: 17 November 2011

SADC Ministers of Health met in Limpopo on Friday November 11th to commemorate SADC Malaria Day and raise the profile of the disease. The theme of this year’s event was, “Be free of Malaria in ...

Public Funds Perverting Market for Malaria Drugs
Author: Roger Bate and Richard TrenDate: 8 September 2011
By trying to do too much, the disease-fighting Global Fund has run into problems. It is spending public funds in a way that is perverting the market for malaria drugs and could do more harm ...
The Future of Private Health Plans under US Health Reform
Author: Source: John R GrahamDate: 26 July 2011

The new US health reform law creates incentives for state and federal politicians and bureaucrats to exert direct control over ...

Africa-India Summit: Leverage soft power to save people
Author: Barun S. Mitra & Jasson UrbachDate: 27 May 2011

The second Africa-India Forum Summit will be held in Addis Ababa, Ethiopia in a two day event between 24 and 25 May and will set the stage for ongoing co-operation between the sub continent and ...

Prescribed minimum benefits raise costs
Author: Jasson UrbachDate: 3 May 2011

A legal battle is in progress between the Board of Healthcare Funders (BHF) and the Council for Medical Schemes (CMS). At the heart of the dispute are PMBs (prescribed minimum benefits) and how medical schemes ...

FDA makes it harder for medical devices to be approved
Author: Source - Henry MillerDate: 26 April 2011

U.S. companies have led the world in the development of medical devices. According to an analysis by the consulting firm PricewaterhouseCoopers, 32 of the 46 medical technology companies with annual sales exceeding $1 billion are ...

Britain's NHS Makes Controversial Proposal
Author: Authors - Patrick Basham and John LuikDate: 15 March 2011

A few years ago, Britain's National Health Service (NHS) first considered refusing to treat obese people for lifestyle-related illnesses. In the same vein, the National Institute for Health and Clinical Excellence (NICE), the NHS's guidance ...

Failure of the British National Health Service
Author: Eustace DavieDate: 11 November 2010

In her article NHS as State Failure: Lessons from the Reality of Nationalised Health Care, published in the December 2008 issue of Economic Affairs, Helen Evans, the Director of Nurses for Reform in the UK, ...

Medical aid tax deductions are not subsidies!
Author: Jasson UrbachDate: 27 September 2010

Some people are trying to make us believe that a tax deduction is the same as a subsidy and that is why scrapping tax deductions on medical aid contributions is one of the considerations for ...

Let the free market fix our hospitals
Author: Temba A NolutshunguDate: 3 September 2010

SHOULD you ever be seized by an inexplicable moment of masochism, a visit to Cecilia Makiwane Hospital in East London will serve your ends. During a recent visit to the hospital, I was met with ...

DDT Attracts Unwarranted Criticism
Author: Jasson UrbachDate: 24 August 2010

Imagine a medicine that has saved tens of millions of lives consistently for decades. Imagine that it is still being used highly successfully – yet, many people wish to see it taken out of use ...

Incentives matter!
Author: Jasson UrbachDate: 8 June 2010

A task of economics is to explain the forces that affect human decision-making and a key element of economic theory is that incentives matter.

When incentives change, peoples’ behaviour also changes. For example: your boss ...

Capping doctors’ fees will cause a headache
Author: Jasson UrbachDate: 1 June 2010

According to recent media reports, Health Minister Aaron Motsoaledi is proposing a cap on the fees doctors and hospitals in the private healthcare sector can charge their patients. If Dr Motsoaledi has been consulting specialists ...

World Malaria Day 2010
Author: Jasson UrbachDate: 16 April 2010

April 25 is World Malaria Day. It is a day for everyone to learn more about this devastating disease, which has plagued humankind since the beginning of recorded history and continues to be a significant ...

Healthcare costs will increase and continue increasing
Author: Eustace Davie Date: 3 March 2010

Articles and speeches about rising healthcare costs are becoming more frequent. Witch-hunts to identify who among the providers of health care are the main culprits follow. Who is it that cruelly seeks to make excessive ...

America’s ‘NHI’ halted
Author: Jasson UrbachDate: 26 February 2010

An enthralling tussle recently unfolded on the other side of the Atlantic Ocean. A Republican, Scott Brown, won the Massachusetts’ Senate election, giving his party enough seats in the Senate to block President Obama’s and ...

Killer drugs
Author: Jasson Urbach and Richard TrenDate: 3 February 2010

A consignment of fake anti-malaria drugs worth an estimated N10 million (approximately R500,000) was seized recently by the Nigerian National Agency of Food and Drugs Administration and Control (NAFDAC).

Fake drugs do not cure patients’ ...

Life is about choices
Author: Jasson UrbachDate: 15 January 2010

The reality of life on our planet is that resources are limited but the wants of people virtually unlimited. Because we cannot have as much of everything as we would like, we are forced to ...

Costing the NHI
Author: Jasson UrbachDate: 26 November 2009

In a few years, South Africa is going to have a greater number of older people as a proportion of the total population. This means that there will be a much higher instance of chronic ...

Stepping carefully towards health reform
Author: Eustace DavieDate: 3 November 2009

Incremental improvements are the best route to health reform. Many positive steps have a better chance of succeeding than a single giant leap, which could prove disastrous if wrong. All the signs indicate that government ...

Malaria control in South and Southern Africa
Author: Jasson UrbachDate: 28 October 2009

Pretoria University’s Department of Urology recently released a study headed by Dr. Riana Bornman purporting that there is a link between an insecticide used for malaria control, commonly known as DDT, and urogenital birth defects ...

A free market provides what the patient wants
Author: Eustace DavieDate: 16 September 2009

In SA, individuals pay a substantial amount of the money spent on health care. They do so either directly, through medical schemes, or through their employers, a sure indication that there is a strong demand ...

Populations exposed to malaria suffer in silence
Author: Jasson UrbachDate: 1 September 2009

DDT, one of the most studied insecticides, has again come under attack. In May 2009, Environmental Health Perspectives (EHP) published The Pine River Statement: Human Health Consequences of DDT Use. This Statement, authored by 15 ...

Providing health care is complex: treating it as simple is catastrophic
Author: Eustace DavieDate: 3 July 2009

No single person has a complete understanding of the SA health care system. Anyone who believes they do, suffers from what Nobel Laureate Friedrich Hayek described as a ‘fatal conceit’.

Policy makers world-wide have made the ...

No one has the Right to Claim A ‘Right’ at Another’s Expense
Author: Eustace DavieDate: 29 June 2009

Populists gather support for unjust proposals by maintaining that everyone has a ‘right’ to benefits such as housing, food, water, clothing, education, social security, and medical treatment. But nothing is free. Every so-called ...

Medical Tourism – Destination Guatemala
Author: John GoodmanDate: 2 June 2009
  Health Alert | Avoiding Armageddon Read more...
A bitter pill to swallow
Author: Jasson UrbachDate: 26 May 2009

More and more studies are revealing the shocking trade in fake and substandard medicines across the globe. These drugs result in millions of people unwittingly consuming all manner of content from talcum powder, to sawdust ...

Ills of French health system: a lesson on reining in costs
Author: Valentin Petkantchin Date: 29 April 2009

At the centre of President Barack Obama’s budget is a $634 billion “reserve fund” to help policy-makers achieve comprehensive health care reform. But money alone can’t fix a ...

Vaccine delays in poorer nations raise health risks for infants
Author: Source - Donald G. McNeil, Jr.Date: 31 March 2009

Many infants in poor and middle-income countries get their vaccines weeks later than doctors recommend and therefore face increased risks of sickness and death, according to a new study in the Lancet.

Globally, vaccination rates have ...

Hope from Zambia on malaria control
Author: Jasson UrbachDate: 27 March 2009

Recent evidence from the Thai-Cambodia border demonstrates that the malaria parasite is becoming increasingly resistant to our most effective anti-malaria medication – artemisinin. But this is not the first time that a once highly effective ...

Coronary bypass patients have greater chance of dying in Ontario than most U.S. states
Author: Michael Walker, Maureen Hazel and Nadeem Esmail Date: 11 February 2009

Ontario patients undergoing coronary artery bypass graft surgery could have reduced their risk of dying by having it performed in any one of 27 ...

Towards quality health care for all
Author: Eustace DavieDate: 10 February 2009

Everyone in SA would like to see the entire population healthy, well nourished, well clothed, well educated, living in nice houses and with all adults earning above-average incomes. Life would be much more pleasant for ...

Zimbabwe’s inhumane economic and health care disaster
Author: Jasson UrbachDate: 29 January 2009

Zimbabwe’s economic meltdown has caused a number of preventable and curable diseases to run rampant, claiming lives needlessly. Basic services have been neglected and precautionary measures to prevent the outbreak of diseases such as cholera ...

New EU pesticide legislation threatens African malaria control initiatives
Author: Jasson UrbachDate: 19 January 2009

New European Union pesticide legislation was passed this week with the goal of protecting human health and the environment in Europe.  On first inspection one may think that this is a positive step, since there ...

SADC malaria day commemorated in KZN
Author: Jasson UrbachDate: 24 November 2008

The annual South African Development Community (SADC) malaria day was held on 14 November. Health ministers attending the commemorations descended on the small town of Jozini in northern KwaZulu-Natal to raise awareness of the risks ...

Private versus Socialised Health Care
Author: Johan BiermannDate: 21 November 2008

A well-functioning socialised (public) health system has never existed. The socialised health systems of wealthy countries such as Great Britain, Sweden and Canada battle with escalating costs, limited funding, waiting lists, ration care, and restrict ...

Making sense of the health care ‘brain drain’
Author: Jasson UrbachDate: 13 November 2008

South Africa’s chronic shortage of skilled health care professionals continues unabated and the situation worsens by the day. It is therefore unfortunate and inappropriate that the Department of Health continues to restrict the supply of ...

Individual Responsibility versus “Free” Health Care for All
Author: Eustace DavieDate: 7 November 2008

Governments can promise free health care but they cannot deliver it, nor can they ensure that the country’s people will be healthy. They cannot deliver “free” health care because there is no such thing – ...

National health insurance plan unworkable
Author: Eustace DavieDate: 7 October 2008

According to press statements, the government is being urged to adopt a radical form of national health insurance (NHI) that makes medical insurance compulsory, outlaws private medical schemes, and places the management of all health ...

Killing with Kindness
Author: Jasson Urbach & Julian HarrisDate: 30 September 2008

The UN convened last week in New York to discuss its Millennium Development Goals and the aim of "ending poverty by 2015." Delegates and a rock star ...

Singapore shuns state-dominated health care
Author: Eustace DavieDate: 22 August 2008

While SA heads determinedly towards a disastrous state-dominated health care system, Singapore heads even more determinedly in the opposite direction.
 
At independence in 1965 the port city-state of Singapore took over a health ...

Malaria kills, saps energies and harms Africa’s economies
Author: Jasson UrbachDate: 12 August 2008

In the last week of July the malaria community from the East and Southern Africa regions came together in Lusaka, Zambia for their annual planning and review meeting. This important meeting provides a forum to ...

G8 should abandon current model of aid for health - new report
Author: Campaign for Fighting DiseasesDate: 3 July 2008

As the G8 gathers in Hokkaido, leaders will pledge billions more aid for health in Africa – despite the fact that previous aid has had almost no impact.

Average cost of generic prescription drugs in Canada more than double US prices
Author: Source - Fraser Institute ReportDate: 23 June 2008

Prices for generic prescription drugs in Canada are more than twice as high as those in the United States according to a new study from ...

Patents are the wrong target
Author: Benedetto Della Vedova Date: 30 May 2008

Read more...

SA should avoid Britain’s public health mistakes
Author: Philip Stevens and Eustace DavieDate: 23 May 2008
THIS week, the government puts ...
When you might as well be taking just ‘a spoon full of sugar’
Author: Jasson UrbachDate: 9 May 2008
In many parts across the world malaria continues to be a serious public health concern. It affects over 100 countries and approximately 40 per cent of the world's population. It causes ...
The poor stand to lose from Anti-Patent Crusades
Author: Franklin Cudjoe Date: 30 April 2008

Top-notch policy experts from around the world gathered to make formal policy recommendations about patents to Third World governments struggling with disease. Many will claim that patents allow Western drug companies to keep drug prices ...

The poor stand to lose from Anti-Patent Crusades
Author: Franklin Cudjoe Date: 30 April 2008
Top-notch policy experts from around the world gathered to make formal policy recommendations about patents to Third World governments struggling with disease. Many will claim that patents allow Western drug companies to keep ...
World Malaria Day – just another PR swat at malaria?
Author: Jasson UrbachDate: 18 April 2008

April 25 has this year been declared World Malaria Day. Since 2001, April 25 has been observed as Africa Malaria Day, commemorating the signing of the historic Abuja Declaration by 44 African malaria-endemic countries at ...

Punishing the Poor
Author: Franklin Cudjoe & Alec van GelderDate: 11 April 2008

Activists have been trying for years to bring down the pharmaceutical industry.  Their “patients not patents” campaign has a simplistic appeal but will only make things worse for the poor, as well as distracting attention ...

Trade is good for your health, especially if you are poor
Author: Jasson UrbachDate: 25 March 2008

Anti-globalisation protestors were again positioned outside the recent World Economic Forum in Davos, Switzerland, supposedly acting on behalf of the world’s poor. History, though, has demonstrated that the best way to move from poverty to ...

Local pharmaceutical production in developing countries
Author: Jasson UrbachDate: 6 February 2008
According to the World Health Organisation (WHO), approximately 30 per cent of the world’s population lacks access to basic life-saving medicines. Furthermore, it is estimated that in certain countries in Asia ...
A curious tussle as private healthcare once again comes under threat
Author: Jasson UrbachDate: 18 January 2008

There is a curious tussle currently unfolding between the South African government and the private sector regarding private hospitals’ proposed price increases for 2008. Recently, SA’s minister of health Manto Tshabalala-Msimang said ...

Malaria control on Zanzibar Island
Author: Jasson UrbachDate: 27 November 2007

Earlier this month, the Southern African Development Community (SADC) commemorated the annual SADC malaria day, which occurs on the ...

Universal neglect from so-called universal health care
Author: Source - EditorialDate: 13 November 2007
The universal health care model those on the left have been trying to force on the U.S. will establish a system in which the state takes over medical treatments and makes ...
Bureaucracy burdens SA’s private health care
Author: Jasson UrbachDate: 23 October 2007

Health care policy in South Africa emphasises the role of the public sector in providing healthcare almost to the detriment and exclusion of the private sector. The Minister of Health in ...

The Zimbabwean healthcare crisis
Author: Jasson UrbachDate: 26 September 2007

The crisis in Zimbabwe has long since reached epic proportions and the situation worsens by the day. Millions of Zimbabweans have fled their country, seeking asylum in neighbouring countries but are ...

On whom shall South Africans depend for their health care
Author: Date: 15 June 2007
Adam Smith wrote in The Wealth of Nations, published in 1776,  "It is not from the benevolence of the butcher, the brewer, or the baker, that we can expect our dinner, but ...
Respect the Constitution and apply economics in the pricing of medicines
Author: Eustace Davie Date: 17 April 2007

While closed pharmacies, and especially community pharmacies, are the first visible casualties of government intervention in healthcare pricing, costly consequences of other healthcare regulations are no less harmful to the long-term interests of patients.

The underlying ...

Privatise SA’s tertiary medical education facilities
Author: Jasson UrbachDate: 3 April 2007

SA continues to suffer from a chronic shortage of skilled health care professionals. This threatens the ability of health ...

Canada’s national health system gives lower level of care to the poor
Author: Source - Amy RidenourDate: 20 February 2007

A theme among left-of-centre polemicists, when writing on health care, seems to assume that the poor get better health care when they live in nations with government-run systems, says Amy Ridenour, president of the National ...

No pharmaceutical pricing crisis to cure
Author: Source - EditorialDate: 14 February 2007

When allowed to work, the market is a powerful tool. It brings lower prices and innovation. But that will be disrupted should Washington "negotiate" price controls for Medicare patients, says Investor's Business Daily (IBD).

According to ...

Public health insurance costs continue to grow in Canada
Author: Source - Brett J. SkinnerDate: 14 February 2007

The Canadian government's spending on health care has grown faster than its ability to pay, says a new report from the Fraser Institute.

"Since virtually day one, public health insurance costs have grown at an unsustainable ...

Pricing regulations
Author: Date: 31 December 2006

to be ...

Comments on an increase in the Single Exit Price of medicines in terms of Regulation 8(1)
Author: Free Market FoundationDate: 11 November 2005
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Determination of a maximum logistics fee
Author: Free Market FoundationDate: 11 November 2005
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Methodology for conforming with international benchmarks for determining the prices of medicines
Author: Free Market FoundationDate: 11 November 2005
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