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[Correspondence] The proposed health bill in South Africa

I read with interest the World Report by Andrew Green (July 7, p 18)1 about the proposed health bill in South Africa. Green avoids discussion of some important factors. For example, South Africa already has a comprehensive public health system. This system delivers all kinds of treatment based on that deemed necessary by the doctor, rather than working off a tightly prescribed list. Those people who are least able to pay for their treatment get it for free, the wealthy people pay as much as they would in the private sector, and a sliding scale operates for those who are in between.