The Drivers of Universal Health Care in South Africa: The Role of Ideas, Actors and Institutions

Author(s):  
Rebecca Surender
2020 ◽  
Vol 119 (818) ◽  
pp. 210-216
Author(s):  
Joseph Wong

South Korea and Taiwan effectively suppressed the coronavirus without the authoritarian measures imposed in China or the lockdowns used elsewhere. They responded quickly, communicated clearly and consistently about the threat. Both governments had prior experiences with contagions to prepare for an epidemic. And both states had introduced universal health care during their periods of democratization, shaping a consensus among citizens about equity, solidarity, and the role of government in protecting public health. Their strategies provide replicable and repeatable models.


2020 ◽  
Vol 50 (2) ◽  
pp. 234-245
Author(s):  
Salimah Valiani

Intervening in debates around universal health care in South Africa, this article draws on class-based analytical tools from social medicine, political economy, and historical sociology. It is argued there are 3 keys to achieving sustainable universal health care in South Africa: addressing the socioeconomic roots of ill health; establishing a fully public, nonprofit health care system; and adequate investment in undervalued female workers who are the backbone of public health care. Each key is discussed with accompanying recommendations, using evidence from South Africa and other countries. Principal constraints are also identified through an analysis demonstrating the links between inequality, health care financing, and the monopoly structure of the South African health care industry.


Science ◽  
2018 ◽  
Vol 361 (6404) ◽  
pp. eaat9644 ◽  
Author(s):  
David E. Bloom ◽  
Alexander Khoury ◽  
Ramnath Subbaraman

Universal health care (UHC) is garnering growing support throughout the world, a reflection of social and economic progress and of the recognition that population health is both an indicator and an instrument of national development. Substantial human and financial resources will be required to achieve UHC in any of the various ways it has been conceived and defined. Progress toward achieving UHC will be aided by new technologies, a willingness to shift medical tasks from highly trained to appropriately well-trained personnel, a judicious balance between the quantity and quality of health care services, and resource allocation decisions that acknowledge the important role of public health interventions and nonmedical influences on population health.


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