A recently circulated factsheet on South Africa’s planned National Health Insurance has partly answered the billion rand question on how the scheme will be funded, suggesting that both a payroll tax and a surcharge on personal income will be imposed. News24 reports that the sheet does not say at what level these taxes would be applied. However, it sets high ambitions for the NHI – implying the need for a higher level of financing. It clearly states that all goods and services – except for cosmetic surgery, unnecessary dentistry, and some costly medicines – will eventually be provided by the NHI. It also states that all NHI services will be provided without charge.
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