Article Sidebar
Published:
Dec 13, 2005Keywords:
healthcare medical schemes social solidarity community rating minimum benefits social health
Article Details
Issue
Section
Articles
Copyright for articles published in this journal is retained by the Actuarial Society of South Africa
Actuarial Society of South Africa 2020
Content on this site is licensed under a Creative Commons Attribution 4.0 Licence.
For details see: http://creativecommons.org/licenses/by/4.0
The views and opinions of this journal are, unless otherwise stated, those of the authors.
Editorial opinion or comment is, unless otherwise stated, that of the Editor and publication
thereof does not indicate the agreement of the Actuarial Society of South Africa.
Main Article Content
Mutuality and solidarity in healthcare in South Africa
Abstract
This paper uses Wilkie's definitions of mutuality and solidarity to review the history of private healthcare in South Africa. The vision for a future unified national healthcare system is given and the phases of reform are outlined. The first phase of reforms has been completed and these are contextualised in terms of a return to solidarity principles. The elements of a planned social healthinsurance system are described and it is shown how income cross-subsidies will further entrench the principles of solidarity. In the past, healthcare actuaries largely supported mutuality principles. The implications for the actuarial profession are suggested.
Keywords: healthcare, medical schemes, social solidarity, community rating, minimum benefits, social health insurance, risk equalisation
South African Actuarial Journal Vol. 5 2005: 135–167
Keywords: healthcare, medical schemes, social solidarity, community rating, minimum benefits, social health insurance, risk equalisation
South African Actuarial Journal Vol. 5 2005: 135–167
