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P 7239 南アフリカ:2012年から国民皆保険

ISSA経由情報。

treatment abroad

現在は、64%が加入

GDP対比医療費は8%だが、その多くは民間保険によるもの。

サービスの拡充に当たっては、イギリスのNHSを参照している。
財源は税によっている。

South Africa’s ruling party, the African National Congress (ANC) has finalized the plan to mandate universal access to healthcare through a National Health Insurance Scheme. It has to be debated in parliament, and although details may be altered, the principle is unlikely to have enough opposition to stop it happening.

The ANC’s National Health Insurance plan aims to ensure access to healthcare is based on need rather than the ability to pay, with the intention of doing this through a single payer health insurance system. The initiative will focus on local primary care networks rather than large-sized hospitals. South Africa currently spends just over 8% of GDP on healthcare every year, almost all on the private healthcare system, even though 64% of the South African population relies upon the public system. The scheme will be funded by general taxation, while additional financing may be sought through a surcharge on taxable income; an increased value-added tax dedicated to the scheme, and payroll taxes for employers and employees.
by jpflege | 2010-11-08 15:54 | 501 health
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