Private health inquiry a cynical ploy for state intervention
9 October 2019
There are so many questions about the Competition Commission’s dubious and ridiculously expensive private healthcare market inquiry that it is difficult to know where to start analysing and criticising it.
It reportedly cost over R200 million and took five years to complete. There is nothing wrong with thoroughness, but the cost of this report seems excessive and the money could be better used. Moreover, its scope is myopic in view of how long it took to compile, its findings and its lack of completeness.
The report basically accuses Netcare, Mediclinic and Life of monopolistic behaviour in the private hospital sector. It is true that they own the lion’s share of private hospitals in South Africa, but to excoriate them for their success is risible and wrong-headed.
According to the report, these players monopolise the market and keep out smaller players whilst keeping prices inflated. My own research this year showed that whilst bigger players are not allowed to expand or build extra facilities in towns and cities across the country, smaller players are not picking up the slack either. CEOs of private hospitals in different parts of the country told me that they submitted applications for extra beds and facilities (in order to deliver more specialist services) as far back as 2016 and 2017. The state is simply not forthcoming in approving them. Thus, there is a growing demand for more quality healthcare services in many places across the country, land is available, the hospital groups take all the risks and yet government refuses to grant the licences.