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Healthcare in South Africa: how inequity is contributing to inefficiency

By Russell Rensburg, Programme Manager Health Systems and Policy, University of the Witwatersrand
South Africa has a two-tiered, and highly unequal, healthcare system. The public sector is state-funded and caters to the majority – 71% – of the population. The private sector is largely funded through individual contributions to medical aid schemes or health insurance, and serves around 27% of the population. The public sector is underfunded while most South Africans can’t afford the exorbitant


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