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The health department’s ambitions for controlling where doctors work have been dealt a massive blow by the high court in Pretoria, after it declared the National Health Act’s provisions for issuing health establishments with a “certificate of need” unconstitutional and invalid.

The ruling has “serious implications” for the implementation of National Health Insurance (NHI) and the health department would seek a recission of the judgment and challenge the matter in the Constitutional Court said its spokesperson Foster Mohale...

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