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The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice

Thesis (LLD)--Stellenbosch University, 2025.

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Main Author: Conradie, Robyn
Other Authors: Wessels, Albertus Bernardus
Format: Thesis
Language:English
Published: Stellenbosch : Stellenbosch University 2025
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access_status_str Open Access
author Conradie, Robyn
author2 Wessels, Albertus Bernardus
author_browse Conradie, Robyn
Wessels, Albertus Bernardus
author_facet Wessels, Albertus Bernardus
Conradie, Robyn
author_sort Conradie, Robyn
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (LLD)--Stellenbosch University, 2025.
format Thesis
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institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:43:29.289Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher Stellenbosch : Stellenbosch University
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spelling oai:scholar.sun.ac.za:10019.1/134576 The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice Conradie, Robyn Wessels, Albertus Bernardus Stellenbosch University. Faculty of Law. Dept. of Private Law. Medical laws and legislation -- South Africa Malpractice -- South Africa Government liability -- South Africa Damages -- South Africa Compensation (Law) -- South Africa UCTD Thesis (LLD)--Stellenbosch University, 2025. Conradie, R. 2025. The public healthcare crisis: reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice. Unpublished doctoral dissertation. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/6050e3e4-88b3-4659-9433-268ac720c6b5 ENGLISH ABSTRACT: The dissertation evaluates the patrimonial and non-patrimonial damages that victims may claim for harm suffered from medical malpractice in the public healthcare sector. To claim patrimonial and non-patrimonial damages for the harm arising from medical malpractice in the public healthcare sector, a victim of medical malpractice may institute a common-law delictual claim against the state on the basis of vicarious liability. In recent years, there has been an increase in the number of delictual claims instituted against the state for harm arising from medical malpractice which has led to a significant expansion of the state’s delictual liability in this context. The values of these claims have also increased significantly. This situation is placing financial pressure on the state and concerns relating to its ability to continue providing access to healthcare to the public have been raised. The dissertation argues that the current manner in which patrimonial and non-patrimonial damages for harm arising from medical malpractice is unsatisfactory and worsening this current situation. The dissertation considers whether there are alternative methods to quantify and pay patrimonial damages and to quantify non-patrimonial damages for harm arising from medical malpractice in the public healthcare sector. The dissertation identifies two alternative methods, namely the undertaking-to-pay in the context of patrimonial harm and a ceiling cap in the context of non-patrimonial damages. The dissertation thereafter examines whether the two identified alternative methods may be justifiably introduced into the legal landscape. To do so, the dissertation relies on an established framework of legal and public policy considerations and applies these considerations to the medical malpractice context. It is concluded that the two alternative methods are justifiable. However, to successfully assist in abating the current medical malpractice crisis, the two alternatives need to be practically workable. Once the dissertation establishes that the two alternative methods may be justifiably introduced into the law, the dissertation evaluates how these alternatives could be practically implemented. The dissertation therefore concludes by focusing on various practical questions relating to how the undertaking-to-pay and the ceiling cap on non-patrimonial damages may be implemented. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Doctoral 2025-12-15T07:18:13Z 2025-12-15T07:18:13Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134576 en Stellenbosch University 282 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle Medical laws and legislation -- South Africa
Malpractice -- South Africa
Government liability -- South Africa
Damages -- South Africa
Compensation (Law) -- South Africa
UCTD
Conradie, Robyn
The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
title The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
title_full The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
title_fullStr The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
title_full_unstemmed The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
title_short The public healthcare crisis : reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
title_sort public healthcare crisis reconsidering the quantification and payment of damages where delictual liability has been imposed against the state for harm arising from medical malpractice
topic Medical laws and legislation -- South Africa
Malpractice -- South Africa
Government liability -- South Africa
Damages -- South Africa
Compensation (Law) -- South Africa
UCTD
url https://scholar.sun.ac.za/handle/10019.1/134576
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