1. The case for Private Primary Healthcare Insurance in South Africa

2. DEMARCATION REGULATIONS

3. MEDICAL SCHEMES

4. MEDICAL SCHEMES: GROWTH Reference: General Household Survey, 2014 as published by Statistics South Africa and CMS Annual Reports

5. In addition, the number of people not covered by medical schemes increased by 5.25 million people over the same 12 year period. Reference: General Household Survey, 2014 as published by Statistics South Africa

6. 20022014Increase White 68.2%76.9%8.7% Indian/ Asian 29.0%48.7%19.7% Coloured 18.8%20.3%1.5% Black8.0%10.6% 2.6% MEDICAL SCHEMES: MEMBERSHIP Reference: General Household Survey, 2014 as published by Statistics South Africa

7. Black R 69 632 Coloured R 139 190 Indian / Asian R 252 724 White R 387 011 MEDICAL SCHEMES: UNAFFORDABILITY Reference: Income and Expenditure of Households, 2010/2011 as published by Statistics South Africa

8. MEDICAL SCHEMES: COMMUNITY RATING Age GroupMid-pointBlackColouredAsianWhite 20-29 258 288810227604 30-39 356 899744238567 40-49 454 634668192652 50-59 552 983467148680 60-69 651 73224997545 70+ 751 06113555416 Total 25 5973 0739573 464 Avg Age 39.641.843.148.6 Reference: General Household Survey, 2014 as published by Statistics South Africa

9. THE NEED FOR PRIMARY CARE

10. MEDICAL SCHEMES: INEFFICIENT

12. MEDICAL SCHEMES: UNSUSTAINABLE

13. MEDICAL SCHEMES: SUMMARY

14. PRIVATE PRIMARY HEALTHCARE INSURANCE GP consultations Acute & chronic medication Basic & emergency dentistry Basic radiology & pathology Optometry Maternity

15. TARGET MARKET Reference: Quarterly Labour Force Survey, Quarter 3, 2015 as published by Statistics South Africa and CMS AR 2014-2015

16. SOCIO ECONOMIC BENEFITS

17. Level of satisfaction with the healthcare institution Very satisfied Public healthcare57.5% Private healthcare92.9% Reference: General Household Survey, 2014 as published by Statistics South Africa

18. SOCIO ECONOMIC BENEFITS

19. COMPETITION & QUALITY OF CARE

21. SUMMARY

22. SUMMARY (Cont.)

23. NATIONAL HEALTH INSURANCE

24. Numbers in 1000's Percentages Employed 15 82843.8% Unemployed 5 41815.0% Discouraged work seekers 2 2266.2% Others (not economically active) 12 64135.0% Total working age population 36 113100.0% NATIONAL HEALTH INSURANCE Reference: Quarterly Labour Force Survey, Quarter 3, 2015 as published by Statistics South Africa

25. NHI – EMPLOYMENT RATES Country Name2014 Australia 61.20 Canada 61.50 Denmark 58.30 Finland 54.30 France 50.20 Iceland 70.10 Japan 56.90 New Zealand 63.90 Norway 62.60 Sweden 58.90 United Kingdom 58.20 Average59.60 South Africa 39.40 Reference: Employment to population ratio, 15+, total (%) (modelled ILO estimate)as published by World Bank

26. NATIONAL HEALTH INSURANCE

27. NHI: TAX INCREASES

28. NHI: TAX INCREASES (Cont.)

29. NHI CONSEQUENCES

30. CONCLUSIONS