Stark Warning Against NHI: Lessons from Gauteng

Original Article by Editorial | Financial Mail | 9 October 2025

Gauteng's Department of Health provides a stark warning against NHI, highlighting its history of failures and accountability issues.

Gauteng’s Department of Health provides a stark warning against NHI, highlighting its history of failures and accountability issues.

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Dr Thembisile Xulu is the new health Director-General, inheriting a strained department, healthcare-worker shortages and NHI litigation.

Gauteng is losing 100 nurses a month and needs R5.7bn to fill a 16,000-post gap. This shortage now flagged as a key risk to the NHI rollout.

Regulation, not demand, blocks affordable cover: medical schemes should be allowed to offer low-cost benefit options (LCBOs) now.