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The national health dialogue: an ethical evaluation of the national health insurance bill.
Thesis (PhD)--Stellenbosch University, 2025.
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613974200057856 |
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| access_status_str | Open Access |
| author | Lotz, Jan Willem |
| author2 | Hall, Susan |
| author_browse | Hall, Susan Lotz, Jan Willem |
| author_facet | Hall, Susan Lotz, Jan Willem |
| author_sort | Lotz, Jan Willem |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (PhD)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/134678 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:44:39.798Z |
| 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 |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/134678 The national health dialogue: an ethical evaluation of the national health insurance bill. Lotz, Jan Willem Hall, Susan Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Philosophy. Applied Ethics. Right to health -- South Africa Health care reform -- South Africa National health insurance -- South Africa Medical policy -- South Africa Thesis (PhD)--Stellenbosch University, 2025. Lotz, J. W. 2025. The National Health Dialogue: An Ethical Evaluation of the National Health Insurance Bill. Unpublished doctoral dissertation. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/9b5e09b4-df22-46cc-9eac-8134e74768a7 The just allocation of scarce healthcare resources and the social determinants of health in society requires an acceptable theory of distributive justice. John Rawls is well-known for his theory of justice as fairness, but never considered the application of his theory to the realm of healthcare provision. Norman Daniels took on this task, and made use of Rawlsian theory to justify the special moral value of health. He insists that meeting the health needs of individuals makes an essential contribution to ensuring that fair equality of opportunity is secured, but that the right to healthcare must be conceptualised within the context of resource limitations. South Africans face unique challenges in reforming the healthcare system. Health demands outstrip available resources, and access to healthcare is highly unequal. In response to this, the government intends to introduce a National Health Insurance [NHI], which is one of the most consequential and wide-ranging policy propositions of the South African democratic era. The proposal is that the NHI will merge the private and public healthcare systems, and will, through the health minister’s office, decide which public and private providers will be contracted to deliver services to all citizens. The claim is that this will uphold an unfettered positive right to health, based on the notion of universal human dignity. The call for universal access to the maximum level healthcare as a human right is, however, unattainable in a developing nation’s resource-restricted environment. Reality dictates that universal healthcare access will remain, for the foreseeable future, a distant ideal. In seeking a pragmatic alternative, this dissertation will argue that a moderate egalitarian alternative which promotes equal access to a basic minimum of healthcare, and based on the work of Rawls and Daniels, is preferable to the NHI proposal. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Doctoral 2025-12-23T08:45:52Z 2025-12-23T08:45:52Z 2025-12 Thesis https://scholar.sun.ac.za/handle/10019.1/134678 en Stellenbosch University 294 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Right to health -- South Africa Health care reform -- South Africa National health insurance -- South Africa Medical policy -- South Africa Lotz, Jan Willem The national health dialogue: an ethical evaluation of the national health insurance bill. |
| title | The national health dialogue: an ethical evaluation of the national health insurance bill. |
| title_full | The national health dialogue: an ethical evaluation of the national health insurance bill. |
| title_fullStr | The national health dialogue: an ethical evaluation of the national health insurance bill. |
| title_full_unstemmed | The national health dialogue: an ethical evaluation of the national health insurance bill. |
| title_short | The national health dialogue: an ethical evaluation of the national health insurance bill. |
| title_sort | national health dialogue an ethical evaluation of the national health insurance bill |
| topic | Right to health -- South Africa Health care reform -- South Africa National health insurance -- South Africa Medical policy -- South Africa |
| url | https://scholar.sun.ac.za/handle/10019.1/134678 |
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