Beyond binaries — why NHI success depends on design, not ideology
Daily Maverick | 20.04.2026 04:57
There is a tendency in public policy debates to collapse complex questions into binary choices. In South Africa’s current discourse on National Health Insurance (NHI), this tendency is particularly pronounced. One is either for universal healthcare or against it. One either supports the NHI Act or opposes it. The space in between, where the real work of policy design lives, is often neglected. But universal healthcare is not, and has never been, the real question.
