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SAPPF HEALTHVIEW: October 2018 Content: Food for Thought View on Government Financial View View on Pharmaceuticals Special News View on Medical Schemes Special Notices Food for thought Will NHI be just another state-owned enterprise? A report by organisations collaborating under the umbrella of the People’s Health Movement South Africa was submitted to the International Committee on Cultural, Economic and Social Rights (ICESCR), interrogating - among other things - the flaws and pitfalls of the country’s National Health Insurance (NHI) proposal. Professor Leslie London from the School of Public Health and Family Medicine at UCT, and one of the authors of the report, said the international human rights system does not have the teeth of a legal process, but it is quite powerful if the committee recommends, for example, stronger oversight over mental health services, or greater resources. About a third of the report focused on the National Health Insurance (NHI) proposal. Areas of concern include the absence of any reference to preventative health; capacity and resource constraints, and governance. The NHI’s idea of separating the provider from the purchaser is a UK-based innovation, London said, but in the UK there are highly-skilled people, who are not directly involved in clinical care, making the system work. He said it requires overheads to make it work, and it also requires levels of skill which we are not seeing in the public sector at the moment. London said there is a real danger that at local level, people who are charged with purchasing services for their district, will not be able to actually get that done, nor be able to translate population need into the kinds of services that are required. Read more in the attachment: PHMSA Submission National Health Insurance: 'going nowhere slowly' “Finance Minister Tito Mboweni’s maiden Medium-Term Budget Policy Statement last week laid bare just how little progress the government is making on National Health Insurance (NHI).” - Editorial Comment: Business Day, 30 October 2018. “The fact that the Treasury shaved more than half a billion rand off the R2.3-bn NHI grant it allocated to the Department of Health (DoH) in the February budget signals how little faith it has in the department’s capacity to spend the money. "With good reason. The department has been going nowhere slowly for years: it is halfway through the ANC’s self-imposed deadline of implementing universal healthcare by 2025 and has precious little to show for it. "The Treasury has dug into the NHI indirect grant towards meeting President Cyril Ramaphosa’s commitment to fill 2 200 critical posts and buy extra beds and linen, because six months into the fiscal year the department has spent just 10.4% of the allocated funds. “Worse still, not a cent had been spent on priority health programmes, such as those for mental and school health. “To his credit, Ramaphosa has recognized the crisis. He has convened summits on NHI and healthcare and appointed former health director- general Olive Shisana as his special adviser. "But he now needs to act. He could do far worse than ditch the rhetoric on NHI and fix what SA already has: an enormous public health system of dubious quality and a poorly regulated private healthcare system. If both parts worked as they should, with proper government stewardship and oversight, SA would indeed be well on the way to universal healthcare.” Read more in the attachment: NHI limps along too slowly View on Government Regulator probes GEMS and Discovery The Council for Medical Schemes (CMS) is probing SA’s two biggest medical schemes - Discovery Health Medical Scheme and the Government Employees’ Medical Scheme (GEMS) - following allegations that they are not paying their members’ claims in full for prescribed minimum benefits (PMBs). The inspection of DHMS and its administrator, Discovery Health, follows allegations that members’ claims were not being paid in full. The council has also received a complaint from a pharmacy alleging it was forced to sign an acknowledgement of debt in order to have its claims paid. DHMS is SA’s biggest open medical scheme with 2.75-m beneficiaries in 2017, according to the council’s 2017-2018 annual report. GEM’s administrator, Metropolitan Health, is also under the spotlight, due to a sharp increase in consumers’ complaints in 2017 and allegations that it was not paying PMB claims in full. Government has recently proposed that all the schemes that currently cater for state employees be merged with GEMS as it implements the NHI. Investigations were also under way into two smaller open schemes, Resolution Health and Bonitas Medical Fund. SARS on medical claims The South African Revenue Service (SARS) says there has been no policy change with regards to the risk treatment of medical expense claims. Some tax practitioners have recently been caught off-guard after medical expense claims that were not paid by a taxpayer’s medical scheme were disallowed. In the past, SARS generally allowed a medical tax credit for legitimate out-of-pocket expenses on submission of the tax certificate, but this year some tax practitioners have advised that the credit was only allowed if taxpayers also submitted the relevant invoices and receipts related to the amount reflected on their medical tax certificate. This is of particular concern for some pensioners and taxpayers with disabilities. Financial View SA's three largest hospital groups battle abroad Stringent regulations, hubris and an underestimation of a difficult market, along with a language barrier in one case, have combined to make a tough year for SA’s three largest hospital groups’ adventures outside their home market and in the developed climes of places such as Switzerland, wrote Penelope Mashego in Business Times, 28 October 2018.m its London base was perhaps the biggest example of failure. The results from hospital groups Mediclinic, Netcare and Life Healthcare show that they are facing similar pressures in trying to establish themselves outside SA. The groups “clearly underestimated” the pressure they faced in the developed markets they invested in, said the deputy CEO of investment company Sentio Capital Management, Rayhaan Joosub. Nesan Nair, a senior portfolio manager at Sasfin, said that in addition to regulatory factors, the proliferation of day clinics meant that patients were spending less time in hospitals and procedures were becoming cheaper, thus hurting revenue growth for the hospital groups. Dis-Chem wants to open more new stores Pharmacy chain Dis-Chem plans to maintain its expansion pace of more than one store a month. During the first half of its 2019 financial year, the chain grew by seven stores, which added R155- m to revenue, helping its overall interim revenue grow 9.4% to R10.5-bn. Dis-Chem ended August with 136 stores; 18 more than at the end of the first half of its 2018 financial year. Aspen's R3.4-bn outlay tops SA’s pharmaceuticals Aspen Pharmacare will make SA’s “single biggest pharmaceutical investment” when it pours another R3.4-bn into its factory in Port Elizabeth. The funds will be for the production of sterile anaesthetics - “a niche, high-tech manufacturing capability that presents both domestic and export opportunities”, said Aspen senior executive, Stavros Nicolaou, at SA’s inaugural investment conference. Pharmaceutical View Pharmacists livid at 'irregular' election Drug firms must fight 'superbugs' A group of pharmacists are claiming the elections of their regulatory council were irregular. The Independent Electoral Commission (IEC) approved the elections but disgruntled pharmacists sent a letter to Health Minister Aaron Motsoaledi to complain. The group asked the Minister to ensure the outgoing pharmacy council does not accept the election results. The nine winners nominated to the SA Pharmacy Council are white, but 46 of the 72 nominees were Indian, black, or coloured. Those questioning the election results say the race of the winners is further evidence of an irregular election. Each year about 700 000 people around the world die from drug-resistant strains of common diseases. This figure could rise to 10-m by 2050 if the problem is not tackled head-on, according to a review by Goldman Sachs chief economist Jim O’Neill. One-third of those future deaths would be due to tuberculosis (TB). There is limited data on SA, but the studies conducted to date have found very high rates of antibiotic resistance. Special News Presidential Health Compact to commit all stakeholders Described as a point of no return for the country’s health system, the two-day Presidential Health Summit has resolved to come up with a social compact that will commit all stakeholders in both the private and public sector to solving the country’s dire health crisis and implement the solutions reached at the historic event as a matter of urgency. Bringing together more than 500 representatives from across the board of healthcare delivery, the summit offered for the first time a platform for all stakeholders to discuss openly and without fear the problems experienced in both the private and public sector, and offer solutions in a bid to build one unified health system as the country moves towards the implementation of universal health coverage through the implementation of NHI. Button View on Medical Schemes Low-cost medical plans now lost in legal limbo "Discovery's Primary Care plans and Agility Insurance Administrators are illegally doing the business of a medical scheme" reported Sunday Times, 28 October. Discovery's plan covers 30,000 employees who previously did not have healthcare cover. Benefits differ greatly but such products start from about R160 a month, with many around R400 to R500 a month. Primary healthcare plans now need to register as schemes with an exemption from providing the expensive prescribed minimum benefits (PMBs). Demarcation regulations under the insurance acts came into effect in April last year, but the CMS agreed that insurers' primary plans could apply for exemption from the Medical Schemes Act while it developed a standardised, low-cost medical scheme option focused on primary health care. But the acting registrar for medical schemes, Dr Sipho Kabane, told a recent press briefing on the council's annual report that the low-cost medical scheme option would not be ready for implementation by March next year, as expected. Only a draft for discussion would be ready by that date. Read more in the attachment: Medical plans in limbo Medical schemes paid out R160,6-bn during 2017 According to the latest CMS report, medical schemes were in a relatively strong position at the end of 2017, with their claims ratio down to 88.7% from 92.1% in 2016. Overall medical schemes spent R160.6-bn on healthcare benefits in 2017, up 6.04% from the R151.2-bn spent in 2016. Hospital expenditure amounted to R59-bn or 36.8%. Specialists such as anaesthetists, medical specialists, pathology services, radiology and surgical specialists were paid 23.9% of total healthcare benefits amounting to R38.5-bn. Members of medical schemes paid an extra R31.8-bn in out-of-pocket expenses for private health services; up 7% from the previous year. Broker costs increased by 9.6% to R2.2-bn in 2017. Specctramed and Resolution Health merge Spectra Medical Scheme and Resolution Health Medical Scheme have merged to form Health Squared Medical Scheme, as from 1 January 2019. Health Squared will be administered by Agility Health, which is currently the managed care provider and administrator for both Spectramed and Resolution Health. Special Notices Equipment for sale Optomed Smartscope M5 PRO Fundus Camaera (with WIFI Image Transfer, silent auto focus, retinal and anterior segment lenses) – R 80 000 Visulas 690 Plus and Visulas PTD/U with SL 130 laser (for photo dynamic treatment - PDT –) with omnifuse standard 0159-0001 (infusion pump) – R 200 000 Carl Zeiss IOL Master 861-107 with IOL Master software version 7.5 serial nr 1078674 – R 150 000 ALL PRICES ARE VAT EXCLUSIVE For more info, please call Dr Julie Conradie at 018 2972278/9 Psychiatry Practice: Locum Position Available A locum position is available at a Psychiatry Practice in the Strand/Somerset West area from January 2019 to the end of April 2019. Applicants can apply to do only a part of the 4 months. Please contact Practice Administration at: [email protected] Practice Plus: Private Practice opportunity in the KZN Midlands Opportunity for a Specialist Neurologist to set up in private practice in Hilton, KZN, just outside Pietermaritzburg. Two hospitals - Life Hilton Private Hospital and Mediclinic Howick in close vicinity. Practice PLUS is a specialist practice management company that will support you every step of the way in setting up your new practice. For more info, contact: Lisa McAllister on 083 321 7341 or [email protected] To place an advertisement or special note in the next issue of SAPPF HealthView, contact Maretha Conradie at [email protected] HealthView and Private Practice Review provide news and opinion articles as a service to our members to enhance their understanding of the health care industry. The information contained in these publications is published without warranties of any kind, either express or implied. HealthView and Private Practice Review are published solely for informational purposes and should not to be construed as advice or recommendations. Individuals should take into account their own unique and specific circumstances in acting on any news or articles published. Often these articles originate from sources outside our organization that are reported in the national press. Consequently, any information, trademarks, service marks, product names or named features are assumed to be the property of their respective owners, and are used solely for informative purposes in our publications. There is furthermore no implied endorsement of any of the products, goods or services mentioned in our publications.

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Page 1: Content - MYMEMBERSHIP...Broker costs increased by 9.6% to R2.2-bn in 2017. Specctramed and Resolution Health merge Spectra Medical Scheme and Resolution Health Medical Scheme have

SAPPFHEALTHVIEW:October2018

Content:FoodforThoughtViewonGovernmentFinancialViewViewonPharmaceuticals

SpecialNewsViewonMedicalSchemesSpecialNotices

Foodforthought

WillNHIbejustanotherstate-ownedenterprise?

AreportbyorganisationscollaboratingundertheumbrellaofthePeople’sHealthMovementSouthAfricawassubmittedtotheInternationalCommitteeonCultural,EconomicandSocialRights(ICESCR),interrogating-amongotherthings-theflawsandpitfallsofthecountry’sNationalHealthInsurance(NHI)proposal.

ProfessorLeslieLondonfromtheSchoolofPublicHealthandFamilyMedicineatUCT,andoneof

theauthorsofthereport,saidtheinternationalhumanrightssystemdoesnothavetheteethofalegal

process,butitisquitepowerfulifthecommitteerecommends,forexample,strongeroversightover

mentalhealthservices,orgreaterresources.

AboutathirdofthereportfocusedontheNationalHealthInsurance(NHI)proposal.Areasofconcern

includetheabsenceofanyreferencetopreventativehealth;capacityandresourceconstraints,and

governance.

TheNHI’sideaofseparatingtheproviderfromthepurchaserisaUK-basedinnovation,Londonsaid,

butintheUKtherearehighly-skilledpeople,whoarenotdirectlyinvolvedinclinicalcare,makingthe

systemwork.Hesaiditrequiresoverheadstomakeitwork,anditalsorequireslevelsofskillwhich

wearenotseeinginthepublicsectoratthemoment.

Londonsaidthereisarealdangerthatatlocallevel,peoplewhoarechargedwithpurchasing

servicesfortheirdistrict,willnotbeabletoactuallygetthatdone,norbeabletotranslatepopulation

needintothekindsofservicesthatarerequired.

Readmoreintheattachment:PHMSASubmission

NationalHealthInsurance:'goingnowhereslowly'

“FinanceMinisterTitoMboweni’smaiden

Medium-TermBudgetPolicyStatementlastweek

laidbarejusthowlittleprogressthegovernment

ismakingonNationalHealthInsurance(NHI).”-

EditorialComment:BusinessDay,30October2018.

“ThefactthattheTreasuryshavedmorethanhalf

abillionrandofftheR2.3-bnNHIgrantit

allocatedtotheDepartmentofHealth(DoH)in

theFebruarybudgetsignalshowlittlefaithithas

inthedepartment’scapacitytospendthemoney.

"Withgoodreason.Thedepartmenthasbeengoingnowhereslowlyforyears:itishalfwaythroughtheANC’sself-imposeddeadlineofimplementinguniversalhealthcareby2025

andhaspreciouslittletoshowforit.

"TheTreasuryhasdugintotheNHIindirectgrant

towardsmeetingPresidentCyrilRamaphosa’s

commitmenttofill2200

criticalpostsandbuyextrabedsandlinen,

becausesixmonthsintothefiscalyearthe

departmenthasspentjust10.4%oftheallocated

funds.

“Worsestill,notacenthadbeenspentonpriority

healthprogrammes,suchasthoseformental

andschoolhealth.

“Tohiscredit,Ramaphosahasrecognizedthe

crisis.HehasconvenedsummitsonNHIand

healthcareandappointedformerhealthdirector-

generalOliveShisanaashisspecialadviser.

"Buthenowneedstoact.Hecoulddofarworse

thanditchtherhetoriconNHIandfixwhatSA

alreadyhas:anenormouspublichealthsystem

ofdubiousqualityandapoorlyregulatedprivate

healthcaresystem.Ifbothpartsworkedasthey

should,withpropergovernmentstewardshipand

oversight,SAwouldindeedbewellonthewayto

universalhealthcare.”

Readmoreintheattachment:NHIlimpsalongtooslowly

ViewonGovernment

RegulatorprobesGEMSandDiscovery

TheCouncilforMedicalSchemes(CMS)isprobingSA’stwo

biggestmedicalschemes-DiscoveryHealthMedicalScheme

andtheGovernmentEmployees’MedicalScheme(GEMS)-

followingallegationsthattheyarenotpayingtheirmembers’

claimsinfullforprescribedminimumbenefits(PMBs).

TheinspectionofDHMSanditsadministrator,DiscoveryHealth,

followsallegationsthatmembers’claimswerenotbeingpaidin

full.

Thecouncilhasalsoreceivedacomplaintfromapharmacy

allegingitwasforcedtosignanacknowledgementofdebtin

ordertohaveitsclaimspaid.

DHMSisSA’sbiggestopenmedicalschemewith2.75-m

beneficiariesin2017,accordingtothecouncil’s2017-2018

annualreport.

GEM’sadministrator,MetropolitanHealth,isalsounderthe

spotlight,duetoasharpincreaseinconsumers’complaintsin

2017andallegationsthatitwasnotpayingPMBclaimsinfull.

Governmenthasrecentlyproposedthatalltheschemesthat

currentlycaterforstateemployeesbemergedwithGEMSasit

implementstheNHI.

Investigationswerealsounderwayintotwosmalleropenschemes,ResolutionHealthandBonitasMedicalFund.

SARSonmedicalclaims

TheSouthAfricanRevenue

Service(SARS)saystherehas

beennopolicychangewith

regardstotherisktreatmentof

medicalexpenseclaims.Some

taxpractitionershaverecently

beencaughtoff-guardafter

medicalexpenseclaimsthat

werenotpaidbyataxpayer’s

medicalschemewere

disallowed.

Inthepast,SARSgenerally

allowedamedicaltaxcreditfor

legitimateout-of-pocket

expensesonsubmissionofthe

taxcertificate,butthisyear

sometaxpractitionershave

advisedthatthecreditwasonly

allowediftaxpayersalso

submittedtherelevantinvoices

andreceiptsrelatedtothe

amountreflectedontheir

medicaltaxcertificate.

Thisisofparticularconcernfor

somepensionersandtaxpayers

withdisabilities.

FinancialView

SA'sthreelargesthospitalgroupsbattleabroadStringentregulations,hubrisandanunderestimationofadifficultmarket,alongwithalanguage

barrierinonecase,havecombinedtomakeatoughyearforSA’sthreelargesthospitalgroups’

adventuresoutsidetheirhomemarketandinthedevelopedclimesofplacessuchasSwitzerland,

wrotePenelopeMashegoinBusinessTimes,28October2018.mitsLondonbasewasperhapsthebiggestexampleoffailure.TheresultsfromhospitalgroupsMediclinic,NetcareandLifeHealthcare

showthattheyarefacingsimilarpressuresintryingtoestablishthemselvesoutsideSA.

Thegroups“clearlyunderestimated”thepressuretheyfacedinthedevelopedmarketsthey

investedin,saidthedeputyCEOofinvestmentcompanySentioCapitalManagement,

RayhaanJoosub.

NesanNair,aseniorportfoliomanageratSasfin,saidthatinadditiontoregulatoryfactors,the

proliferationofdayclinicsmeantthatpatientswerespendinglesstimeinhospitalsand

procedureswerebecomingcheaper,thushurtingrevenuegrowthforthehospitalgroups.

Dis-Chemwantstoopenmorenewstores

PharmacychainDis-Chemplanstomaintainits

expansionpaceofmorethanonestoreamonth.

Duringthefirsthalfofits2019financialyear,the

chaingrewbysevenstores,whichaddedR155-

mtorevenue,helpingitsoverallinterimrevenue

grow9.4%toR10.5-bn.Dis-Chemended

Augustwith136stores;18morethanattheend

ofthefirsthalfofits2018financialyear.

Aspen'sR3.4-bnoutlaytopsSA’spharmaceuticals

AspenPharmacarewillmakeSA’s“single

biggestpharmaceuticalinvestment”whenit

poursanotherR3.4-bnintoitsfactoryinPort

Elizabeth.

Thefundswillbefortheproductionofsterile

anaesthetics-“aniche,high-techmanufacturing

capabilitythatpresentsbothdomesticandexport

opportunities”,saidAspenseniorexecutive,

StavrosNicolaou,atSA’sinauguralinvestment

conference.

PharmaceuticalView

Pharmacistslividat'irregular'election

Drugfirmsmustfight'superbugs'

Agroupofpharmacistsareclaimingthe

electionsoftheirregulatorycouncilwere

irregular.TheIndependentElectoral

Commission(IEC)approvedtheelectionsbut

disgruntledpharmacistssentalettertoHealth

MinisterAaronMotsoaleditocomplain.The

groupaskedtheMinistertoensuretheoutgoing

pharmacycouncildoesnotaccepttheelection

results.TheninewinnersnominatedtotheSA

PharmacyCouncilarewhite,but46ofthe72

nomineeswereIndian,black,orcoloured.Those

questioningtheelectionresultssaytheraceof

thewinnersisfurtherevidenceofanirregular

election.

Eachyearabout700000peoplearoundthe

worlddiefromdrug-resistantstrainsofcommon

diseases.

Thisfigurecouldriseto10-mby2050ifthe

problemisnottackledhead-on,accordingtoa

reviewbyGoldmanSachschiefeconomistJim

O’Neill.

One-thirdofthosefuturedeathswouldbeduetotuberculosis(TB).

ThereislimiteddataonSA,butthestudies

conductedtodatehavefoundveryhighratesof

antibioticresistance.

SpecialNews

PresidentialHealthCompacttocommitallstakeholdersDescribedasapointofnoreturnforthecountry’shealthsystem,thetwo-dayPresidentialHealth

Summithasresolvedtocomeupwithasocialcompactthatwillcommitallstakeholdersinboththe

privateandpublicsectortosolvingthecountry’sdirehealthcrisisandimplementthesolutions

reachedatthehistoriceventasamatterofurgency.

Bringingtogethermorethan500representativesfromacrosstheboardofhealthcaredelivery,the

summitofferedforthefirsttimeaplatformforallstakeholderstodiscussopenlyandwithoutfearthe

problemsexperiencedinboththeprivateandpublicsector,andoffersolutionsinabidtobuildone

unifiedhealthsystemasthecountrymovestowardstheimplementationofuniversalhealthcoverage

throughtheimplementationofNHI.

Button

ViewonMedicalSchemes

Low-costmedicalplansnowlostinlegallimbo

"Discovery'sPrimaryCareplansandAgility

InsuranceAdministratorsareillegallydoingthe

businessofamedicalscheme"reportedSunday

Times,28October.

Discovery'splancovers30,000employeeswho

previouslydidnothavehealthcarecover.

Benefitsdiffergreatlybutsuchproductsstart

fromaboutR160amonth,withmanyaround

R400toR500amonth.

Primaryhealthcareplansnowneedtoregister

asschemeswithanexemptionfromproviding

theexpensiveprescribedminimumbenefits

(PMBs).Demarcationregulationsunderthe

insuranceactscameintoeffectinAprillastyear,

buttheCMSagreedthatinsurers'primaryplans

couldapplyforexemptionfromtheMedical

SchemesActwhileitdevelopedastandardised,

low-costmedicalschemeoptionfocusedon

primaryhealthcare.

Buttheactingregistrarformedicalschemes,Dr

SiphoKabane,toldarecentpressbriefingonthe

council'sannualreportthatthelow-costmedical

schemeoptionwouldnotbereadyfor

implementationbyMarchnextyear,asexpected.

Onlyadraftfordiscussionwouldbereadyby

thatdate.

Readmoreintheattachment:Medicalplansinlimbo

MedicalschemespaidoutR160,6-bnduring2017

AccordingtothelatestCMSreport,medical

schemeswereinarelativelystrongpositionat

theendof2017,withtheirclaimsratiodownto

88.7%from92.1%in2016.

OverallmedicalschemesspentR160.6-bnon

healthcarebenefitsin2017,up6.04%fromthe

R151.2-bnspentin2016.Hospitalexpenditure

amountedtoR59-bnor36.8%.Specialistssuch

asanaesthetists,medicalspecialists,pathology

services,radiologyandsurgicalspecialistswere

paid23.9%oftotalhealthcarebenefits

amountingtoR38.5-bn.

Membersofmedicalschemespaidanextra

R31.8-bninout-of-pocketexpensesforprivate

healthservices;up7%fromthepreviousyear.

Brokercostsincreasedby9.6%toR2.2-bnin

2017.

SpecctramedandResolutionHealthmergeSpectraMedicalSchemeandResolutionHealth

MedicalSchemehavemergedtoformHealth

SquaredMedicalScheme,asfrom1January

2019.

HealthSquaredwillbeadministeredbyAgility

Health,whichiscurrentlythemanagedcare

providerandadministratorforbothSpectramed

andResolutionHealth.

SpecialNotices

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Applicantscanapplytodoonlyapartofthe4months.

PleasecontactPracticeAdministrationat:[email protected]

PracticePlus:PrivatePracticeopportunityintheKZNMidlands

OpportunityforaSpecialistNeurologisttosetupinprivatepracticeinHilton,KZN,justoutside

Pietermaritzburg.Twohospitals-LifeHiltonPrivateHospitalandMediclinicHowickinclosevicinity.

PracticePLUSisaspecialistpracticemanagementcompanythatwillsupportyoueverystep

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ToplaceanadvertisementorspecialnoteinthenextissueofSAPPFHealthView,contactMarethaConradieat

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HealthViewandPrivatePracticeReviewprovidenewsandopinionarticlesasaservicetoourmemberstoenhance

theirunderstandingofthehealthcareindustry.Theinformationcontainedinthesepublicationsispublishedwithout

warrantiesofanykind,eitherexpressorimplied.HealthViewandPrivatePracticeReviewarepublishedsolelyfor

informationalpurposesandshouldnottobeconstruedasadviceorrecommendations.Individualsshouldtakeinto

accounttheirownuniqueandspecificcircumstancesinactingonanynewsorarticlespublished.Oftenthesearticles

originatefromsourcesoutsideourorganizationthatarereportedinthenationalpress.Consequently,anyinformation,

trademarks,servicemarks,productnamesornamedfeaturesareassumedtobethepropertyoftheirrespective

owners,andareusedsolelyforinformativepurposesinourpublications.Thereisfurthermorenoimpliedendorsement

ofanyoftheproducts,goodsorservicesmentionedinourpublications.

https://medbriefafrica.co.za/presidential-health-compact-to-commit-all-healthcare-stakeholders-to-fixing-system/

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