The Democratic Alliance (DA) appears to be reconsidering its earlier commitment to challenge the National Health Insurance (NHI) Bill in the Constitutional Court, following its recent participation in the Government of National Unity (GNU). This shift comes after DA leader John Steenhuisen had previously condemned President Cyril Ramaphosa’s decision to sign the NHI Bill into law on May 15, 2024, shortly before the upcoming elections.

Steenhuisen had been outspoken in his opposition, accusing Ramaphosa of a populist ploy to address the failures of three decades of African National Congress (ANC) governance. He had pledged to take the matter to the Constitutional Court, criticizing the move as a desperate attempt to garner electoral support.

At the time, Steenhuisen argued that Ramaphosa’s announcement had sparked widespread anxiety among South Africans, with many fearing the implications for their access to healthcare. He claimed that the DA had received numerous queries from concerned citizens worried about the continuity of critical care, the status of their medical aids, and the prospect of steep tax increases.

However, with the DA now a member of the GNU—a coalition of ten parties, including the ANC—Steenhuisen has signaled a more conciliatory approach. In an interview with City Press, he suggested that the DA is working to find common ground within the GNU framework on the issue of healthcare reform.

Steenhuisen emphasized that while all parties share the goal of universal access to basic healthcare, there are differences in how to achieve it. He expressed hope that through consensus and collaboration within the GNU, they could move closer to realizing universal healthcare within their lifetime.

Acknowledging that any legal challenge would have been pursued before the formation of the GNU, Steenhuisen indicated that the DA is now focused on leveraging its position within the coalition. He noted that concerns about the NHI are not unique to the DA, hinting that other GNU members might also be persuaded to explore alternative approaches.

Steenhuisen stressed the importance of fully utilizing the GNU’s internal processes before resorting to legal action. He also pointed out that both the private and public healthcare sectors have raised concerns about the NHI, labeling it "unaffordable, impractical, and, in its current form, unconstitutional." He suggested that these sectors could serve as valuable allies in convincing other GNU members to reconsider the NHI’s current design.

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