Trade union
involvement in health care in South Africa
The Food and Canning Workers
Union in Western Cape, South Africa, established a medical benefit
fund to provide members with limited access to services provided
by private practitioners. The fund, which is self financing and
administered by a joint management-workers committee, was reasonably
successful in providing a basic level of health benefits, but
with relatively high administrative costs. Over time private
practitioners were less willing to accept the payment levels
provided by the fund, making the fund turn to direct provision.
The fund established a clinic in 1981 which offers direct services
to its members and to disadvantaged members of the community.
Costs are lower then comparative services in the private sector
and the quality and range of services are better, reflected in
shorter waiting times, the improved treatment of chronic illness,
intervention in work related disease and the initiation of health
programmes. The scheme has not been more widely replicated, mainly
because of weaknesses in trade union structures in other sectors
and countries.
Source: Robinson
& White, 1997 |