The Health Market Inquiry report has been published at a rare moment of opportunity for a new dawn in health reform in South Africa. In the context of a crisis in the public and private health systems, it is the time for active citizenship – or forever hold your peace.

Every month I pay R9,568 for myself and my three dependants for medical aid coverage – insurance, for want of a better word – to cover the costs of access to private healthcare services should we need them. That amount is almost three times the government’s annual per capita expenditure on public health, currently R4,300. It’s my personal contribution to an ever-widening inequality in health, an issue that our Constitution has defined as a human right: everyone’s right of “access to health care services”. ….more