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11 October 2016

 

 

Doctors Bleed Cash and Patients Lose Lifesaving Skills to Medical
Malpractice

 

 

Medical malpractice lawsuits are wreaking havoc in South African healthcare
system; doctors are bleeding cash in indemnity cover, as they are forced to
pay astronomical fees of around R65 000 per month. As a result, specialists
in high-risk fields such as obstetrics, neurosurgery, spinal surgery and
neonatology are abandoning their professions. This creates a serious
shortage of experienced and much-needed skills in the system to the
detriment of patients.

 

The current system is a total rip off for doctors, especially state doctors,
who do not get full cover despite paying huge premiums. The insurers wash
off their hands on claims in the public sector, and demand that the state
should take care of the estimated total claim of about R25 billion. The
claims have been sharply increasing in numbers and value; the biggest claim
settled in 2006 was R6 million, R14 million in 2008, and R33m in 2013. The
highest claim was made in 2014 for R80m. There is no budget for these
claims. Medicine, just like driving motor vehicles will always have
accidents and adverse events, some beyond health professionals or the health
system. The high burden of diseases and trauma in South Africa combined with
limited human and infrastructure resources make the situation even direr.

 

It is an axiom none dare contest that victims of health shortcomings deserve
recourse and compensation. But the current system is unsustainable,
unaffordable, and threatens the future of healthcare in South Africa. The
time to seek new and better ways is now, we should consider establishing a
fund similar to The Road Accident Fund in health. This fund should be
managed by competent, honest and qualified people life former chief justices
or judges, civil society, labour, government and health professions. A
person in the mould of outgoing Public Protector Adv Thuli Madonsela will
ensure justice to victims, and sustainability of the healthcare system. We
should find ways to capitalize this fund through contributions from health
professionals, the state through taxes or levies of health
products/services, private and public health services providers. The same
way we fund Road Accident Fund through petrol levies.

 

Failure to address this critical problem has a potential to cause serious
instability or catastrophe; resources meant for health services will be
diverted to settle court orders, and our already strained health services
will simply collapse. There will be no obstetricians to deliver babies or
neurosurgeons to save critically injured patients. The time for action is
now, health professions around the country need to lead this process, in
full consultation and collaboration with government, civil society and the
general population.

 

Enquiries:

Dr Mahlane Phalane, General Secretary of South African Medical Association
Trade Union, 071 505 2326

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



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