{"id":316760,"date":"2026-04-16T11:32:40","date_gmt":"2026-04-16T09:32:40","guid":{"rendered":"https:\/\/novanews.co.za\/tygerburger\/?p=316760"},"modified":"2026-04-16T12:26:57","modified_gmt":"2026-04-16T10:26:57","slug":"stygende-nalatigheidseise-bedreig-gesondheidsorgtoegang-en-staatsbronne-in-sa","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/tygerburger\/stygende-nalatigheidseise-bedreig-gesondheidsorgtoegang-en-staatsbronne-in-sa\/","title":{"rendered":"Stygende nalatigheidseise bedreig gesondheidsorgtoegang en staatsbronne in SA"},"content":{"rendered":"\n

Die aantal eise vir skadevergoeding teen die staat vir skade wat deur mediese nalatigheid veroorsaak is, asook die waardes van hierdie eise het die afgelope aantal jare aansienlik toegeneem. D\u00edt plaas finansi\u00eble druk op Suid-Afrika se openbare gesondheidsorgstelsel en laat kommer ontstaan oor of die staat toeganklike gesondheidsorg aan diegene wat daarvan afhanklik is, sal kan bied.<\/p>\n\n\n\n

\u201cDie huidige regstelsel wat die berekening en betaling van toekomstige mediese uitgawes en vergoeding vir pyn en lyding aan slagoffers in sake oor mediese nalatigheid teen die staat reguleer, is onbevredigend. Daar is ‘n gebrek aan betekenisvolle politieke en regulatoriese ingrypings om hierdie kwessie aan te spreek,\u201d s\u00ea die Kaapse regspraktisyn dr Robyn Conradie. Conradie het twee alternatiewe metodes ge\u00efdentifiseer om vergoeding aan slagoffers van mediese nalatigheid te bereken en te betaal, naamlik die verbintenis om vir toekomstige mediese uitgawes te betaal en ‘n plafon vir pyn en lyding.<\/p>\n\n\n\n

Toenemende eise teen die staat<\/h2>\n\n\n\n

Sy s\u00ea ‘n toename in eise teen die staat beteken die staatskas word gebruik om te litigeer en vergoeding aan suksesvolle eisers te betaal, wat beteken daar is minder geld vir openbare gesondheidsorg beskikbaar. Dit word ‘n bose kringloop.<\/p>\n\n\n\n

\u201cOmdat openbare gesondheidsorgfasiliteite hierdie vergoeding uit ‘n krimpende gesondheidsbegroting betaal, en al het die staat dalk \u2018diep sakke\u2019, kan die staat homself in ‘n posisie bevind waar hy nie kan aanhou om vergoedingseise vir mediese nalatigheid te betaal \u00e9n terselfdertyd gesondheidsorg te verskaf nie. Dit kan slagoffers van mediese nalatigheid aan die risiko blootstel dat hulle nie vergoeding vir skade wat hulle gely het, ontvang nie.\u201d<\/p>\n\n\n\n

Conradie wys ter illustrasie van die finansi\u00eble las op data van die Suid-Afrikaanse Regshervormingskommissie wat toon dat byna R2 miljard in skadevergoeding in die finansi\u00eble jaar 2020\/21 uitbetaal is, met voorwaardelike verpligtinge wat R120 miljard in dieselfde jaar oorskry het.<\/p>\n\n\n\n

Volgens haar is die toename in mediese nalatigheid te wyte aan verskeie redes, insluitende pasi\u00ebnte wat meer van hulle regte bewus word, korrupsie en die wanbestuur van geld en hulpbronne.<\/p>\n\n\n\n

Sy s\u00ea die verbintenis om toekomstige mediese uitgawes te betaal en ‘n plafon vir pyn en lyding kan help om billikheid vir slagoffers met die langtermyn-volhoubaarheid van die openbare gesondheidsorgstelsel te balanseer.<\/p>\n\n\n\n

\n

D\u00edt sal die departement se kontantvloeiprobleme oorkom en ook litigasiekoste verminder.<\/p>\n<\/blockquote>\n\n\n\n

\u201cEerder as om slagoffers ‘n eenmalige enkelbedrag bedrag vir toekomstige mediese uitgawes te betaal, kan die Departement van Gesondheid onderneem om kragtens ‘n onderneming-om-te-betaal-sertifikaat enige toekomstige mediese uitgawes te dek sodra en wanneer dit ontstaan.<\/p>\n\n\n\n

\u201cD\u00edt sal die departement se kontantvloeiprobleme oorkom en ook litigasiekoste verminder wanneer toekomstige mediese uitgawes bereken word, omdat die waarde van hierdie uitgawes nie aan die einde van die litigasie bereken hoef te word nie, wat dus die moontlikheid van oor- of ondervergoeding van eisers verminder.\u201d <\/p>\n\n\n\n

\u201cDie feit dat daar nie meer eenmalige enkelbedrae betaal hoef te word nie, kan kompenseer vir die toename in koste (om die moontlik verhoogde administratiewe las van die bekendstelling van ‘n onderneming-om-te-betaal te dek). Waar geen enkelbedrag betaal word nie, kan die geld bel\u00ea en vir gesondheidsorgdienste geoormerk word.<\/p>\n\n\n\n

\u201cDit kan transaksiekoste soos regskoste en die ho\u00eb koste om deskundige menings in te win verminder, aangesien hierdie dienste dalk nie meer nodig sal wees nie omdat hierdie toekomstige mediese uitgawes nie meer vooraf bereken hoef te word nie.\u201d<\/p>\n\n\n\n

LEES OOK:<\/strong> Flu season hits early as health officials sound vaccination alarm<\/a><\/p>\n\n\n\n

Waardes verhoog<\/h2>\n\n\n\n

Conradie wys daarop dat dit duur en tydrowend is om toekomstige mediese uitgawes te bereken en dat eisers volgens die huidige wetgewing waarskynlik oor- of onderbetaal sal word.<\/p>\n\n\n\n

\u201cDie staat betaal vergoeding aan eisers wat ‘n meevaller ontvang, waar die finansi\u00eble hulpbronne vir openbare gesondheidsorg gebruik kon word. Aan die ander kant lei onderkompensaie tot onvoldoende vergoeding vir eisers.<\/p>\n\n\n\n

\u201cDie oor- en onderkompensasie van eisers vererger albei die mediese nalatigheidskrisis. Die waardes wat vir toekomstige mediese uitgawes betaal word, is hoog en put die finansi\u00eble hulpbronne van die staat uit. Dit veroorsaak ook kontantvloeiprobleme vir die staat.\u201d<\/p>\n\n\n\n

Conradie s\u00ea omdat haar alternatiewe benadering die potensiaal vir ondervergoeding verminder, sal ‘n eiser nie hulle uitbetaling vir toekomstige mediese uitgawes oorleef nie. Soos dit nou staan, kan die eiser ondergekompenseer word en kan hulle ‘n tekort aan geld ondervind indien die toekenning te laag blyk te wees, soos dikwels die geval is.<\/p>\n\n\n\n

\n

Dit sou ook redelik wees om die vergoeding vir pyn en lyding te beperk en nie-patrimoniale skadevergoeding op grond die algehele omvang van ‘n persoon se gestremdheid te bereken.<\/p>\n<\/blockquote>\n\n\n\n

\u201cDie Departement van Gesondheid <\/a>hoef nie groot enkelbedrae op een slag aan individuele litigante te betaal nie, wat beteken daar is ‘n toename in kontantvloei wat weer in die gesondheidsorgsektor teruggeploeg kan word.<\/p>\n\n\n\n

\u201cDit sou ook redelik wees om die vergoeding vir pyn en lyding te beperk en nie-patrimoniale skadevergoeding op grond die algehele omvang van ‘n persoon se gestremdheid te bereken.\u201d<\/p>\n\n\n\n

Conradie s\u00ea dit sal moontlik wees om die voorgestelde alternatiewe sonder enige groot finansi\u00eble implikasies vir die staat te implementeer.<\/p>\n\n\n\n

\u201cOns is nog nie by ‘n keerpunt nie en met die regte ingrypings kan ons werklike verbetering in openbare gesondheidsorg sien terwyl ons verseker dat slagoffers van mediese nalatigheid regverdig vergoed word.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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