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Commercialisation and extreme inequality in health: the policy challenges in South Africa

Author

Listed:
  • Di McIntyre

    (Health Economics Unit, University of Cape Town, South Africa)

  • Lucy Gilson
  • Haroon Wadee

    (Centre for Health Policy, University of Witwatersrand, South Africa)

  • Michael Thiede

    (Health Economics Unit, University of Cape Town, South Africa)

  • Okore Okarafor

    (Health Economics Unit, University of Cape Town, South Africa)

Abstract

This paper presents a South African case study as a contribution to international debates about the policy challenges posed by health sector commercialisation. It shows that the South African health system was highly commercialised before 1994, and fragmented between the private sector, serving the high-income white population and the public sector, serving the low-income, black population. By 2005 little had changed despite efforts to regulate the private sector and strengthen the public sector. Brave leadership and a stronger vision of the relative roles of public and private sectors is required to develop an integrated health system built on income-related cross-subsidies. Copyright © 2006 John Wiley & Sons, Ltd.

Suggested Citation

  • Di McIntyre & Lucy Gilson & Haroon Wadee & Michael Thiede & Okore Okarafor, 2006. "Commercialisation and extreme inequality in health: the policy challenges in South Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 18(3), pages 435-446.
    • Handle: RePEc:wly:jintdv:v:18:y:2006:i:3:p:435-446
    DOI: 10.1002/jid.1293
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    References listed on IDEAS

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    1. McIntyre, Di & Gilson, Lucy, 2002. "Putting equity in health back onto the social policy agenda: experience from South Africa," Social Science & Medicine, Elsevier, vol. 54(11), pages 1637-1656, June.
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    Cited by:

    1. Pillay, Timesh D. & Skordis-Worrall, Jolene, 2013. "South African health financing reform 2000–2010: Understanding the agenda-setting process," Health Policy, Elsevier, vol. 109(3), pages 321-331.

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