According to the South African Institute of Race
Relations, the life expectancy in 2009 was 71 years for a white South African
and 48 years for a black South African.The healthcare spending in the country
is about 9% of GDP.
Only 16% of the population is covered by medical
schemes.About 20% use private healthcare.The rest pay "out of pocket"
or through hospital cash plans.The three dominant hospital groups, Mediclinic,
Life Healthcare and Netcare, together control 75% of the market.About 84% of
the population depend on the public healthcare system,which is beset with
chronic human resource shortages and limited resources.
HIV/AIDS
According to the 2011 UNAIDS Report, South Africa has
an estimated 5.6 million people living with HIV – more than any other country
in the world.A 2008 study revealed that HIV/AIDS infection in South Africa is
distinctly divided along racial lines: 13.6% of blacks are HIV-positive,
whereas only 0.3% of whites have the disease.[169] Most deaths are experienced
by economically active individuals, resulting in many AIDS orphans who in many
cases depend on the state for care and financial support. It is estimated that
there are 1,200,000 orphans in South Africa.
The link between HIV, a virus spread primarily by
sexual contact, and AIDS was long denied by prior president Thabo Mbeki and
then health minister Manto Tshabalala-Msimang, who insisted that the many
deaths in the country are due to malnutrition, and hence poverty, and not HIV.
In 2007, in response to international pressure, the government made efforts to
fight AIDS. After the 2009 General Elections, President Jacob Zuma appointed Dr
Aaron Motsoaledi as the new minister and committed his government to increasing
funding for and widening the scope of AIDS treatment.


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