There is no question that harm caused by the public health system requires redress. But every rand the government spends on compensation for medical negligence is a rand that could have been spent on services, and the current trajectory is unsustainable.

The government’s provision for future medical claims stood at an eye-watering R104.5bn by the end of March 2019, almost half the consolidated health budget for the 2019-2020 financial year, which stands at R222.6bn...

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