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Profmed’s 2025 State of Health Report: the difference between NHI and universal healthcare, and why does this distinction matter?

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The National Health Insurance (NHI) represents the most significant and far-reaching official policy proposal contemplated during South Africa’s democratic era. Its specifications involve simultaneously amalgamating the private and public health sectors – collectively constituting 8.5% of the country’s GDP – into a state-managed monopoly, called the NHI Fund. We are in conversation with CEO of Profmed, Craig Comrie on  Profmed’s 2025 State of Health Report reveals that 75% of South Africans believe NHI will worsen healthcare, and more than 60% lack confidence in the public system.

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