{"id":67733,"date":"2024-06-04T07:03:48","date_gmt":"2024-06-04T07:03:48","guid":{"rendered":"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000"},"modified":"2024-06-04T08:44:40","modified_gmt":"2024-06-04T08:44:40","slug":"nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000","title":{"rendered":"NHI tax warning \u2013 where every taxpayer must pay an extra R27,000"},"content":{"rendered":"

Africa-Press – South-Africa. <\/strong><\/span>The government\u2019s National Health Insurance (NHI) scheme will need an estimated R200 billion in additional funding, meaning South Africa\u2019s 7.41 million personal income taxpayers could pay an additional R26,992 in taxes each year.<\/p>\n

In mid-May this year, President Cyril Ramaphosa signed the NHI Bill into law. The scheme aims to achieve universal coverage for health services and, through this, overcome critical socio-economic imbalances and inequities of the past.<\/p>\n

The legislation provides a framework for the provision of universal care through a state-run fund and will ban the private sector from financing treatment covered under the plan.<\/p>\n

While the government has promised that the signing of the NHI into law will result in universal healthcare free at the point of delivery, this ambition is far from reality.<\/p>\n

Apart from challenges relating to whether it will pass Constitutional muster, business leaders and experts are concerned that the scheme has no clear funding mechanism.<\/p>\n

The Department of Health has confirmed that tax increases and other tax changes are planned to fund the NHI. However, it has not been clear which taxes will be raised or if a new tax will be introduced.<\/p>\n

NHI Deputy Director General Nicholas Crisp said the only way to move medical aid money into the NHI fund is through taxes.<\/p>\n

\u201cWhether that is through VAT or other taxes is a matter for the National Treasury and the Money Bill, which will come later,\u201d he said.<\/p>\n

South Africa\u2019s largest medical aid provider, Discovery, revealed during its interim results presentation earlier this year just how much the government would have to raise taxes to fund the NHI.<\/p>\n

It urged the government to work with the private sector to make universal healthcare work in South Africa.<\/p>\n

The company laid out the tax increases that would be needed to fund the NHI, which would require around R200 billion in additional funding each year, according to the Department of Health \u2013<\/p>\n

A 31% increase in personal income tax or<\/p>\n

A 6.5% increase in VAT or<\/p>\n

A ten times increase in payroll tax<\/p>\n

Health Minister Joe Phaahla has also confirmed that the funding will likely include tax increases and other tax changes.<\/p>\n

In a parliamentary response, he said that clause 49 of the NHI Bill deals with the scheme\u2019s funding.<\/p>\n

\u201cPossible tax amendments will be introduced through a Money Bill by the Minister of Finance as and when appropriate and earmarked for use by the fund,\u201d he said.<\/p>\n

The Health Minister added that NHI funding is subject to the \u201ctransitional arrangements\u201d provided in Section 57 of the Bill.<\/p>\n

In its February 2024 Budget, the National Treasury reported that the country had 7.41 million personal income taxpayers.<\/p>\n

<\/p>\n

If the additional R200 billion in funding is split evenly amongst them, every taxpayer would pay an additional R26,992 in taxes.<\/p>\n

In its concerns for the implications of the NHI, medical scheme Bonitas said detail is lacking in terms of the funding of the NHI.<\/p>\n

\u201cThe most likely option is additional taxes. However, until the NHI implementation plan is finalised, it is difficult to know what the actual costs will be,\u201d it said.<\/p>\n

\u201cA fact, though, which needs to be taken into account, is that taxpayers, including private medical scheme members, already fund 75% of the public health budget.\u201d<\/p>\n

Health insurance agency Affinity Health also said the NHI\u2019s financial implications are profound, with initial estimates suggesting substantial fiscal requirements.<\/p>\n

\u201cThe NHI Bill specifies that the scheme\u2019s financing \u2013 though not yet officially priced, is estimated to require over R700 billion annually \u2013 will be sourced from tax revenues,\u201d the company said.<\/p>\n

This is far higher than the R200 billion estimates other schemes have projected.<\/p>\n

Tax Consulting SA said the signing of the NHI has sparked a wave of concern among various South Africans, especially among medical professionals, medically high-risk individuals, and cautious taxpayers.<\/p>\n

\u201cThis healthcare reform initiative promises to provide universal healthcare coverage to all citizens, but its implementation has raised many unanswered questions,\u201d it said.<\/p>\n

\u201cThis may be the final straw that leads South Africans to emigrate.\u201d<\/p>\n

The organisation said medical professionals have them to assist with their potential emigration because they do not want to work for the government.<\/p>\n

\u201cFamilies with medically at-risk members fearing for their loved one\u2019s future in South Africa. As well as numerous taxpayers uncertain about the tax burden for the funding of these healthcare provisions and the potential burden on the economy,\u201d it said.<\/p>\n

\u201cIn response to the initial warnings about the potential challenges associated with the NHI, including uncertainties about funding, taxation and healthcare provisions, many individuals and families have sought professional assistance in emigration and externalising their financials and assets.\u201d<\/p>\n

\u201cThis involves legally structuring their assets, investments, and income streams in a way that minimises tax exposure on exit.\u201d<\/p>\n

For More News And Analysis About South-Africa<\/a> Follow Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – South-Africa. The government\u2019s National Health Insurance (NHI) scheme will need an estimated R200 billion in additional funding, meaning South Africa\u2019s 7.41 million personal income taxpayers could pay an additional R26,992 in taxes each year. In mid-May this year, President Cyril Ramaphosa signed the NHI Bill into law. The scheme aims to achieve universal […]<\/p>\n","protected":false},"author":84,"featured_media":67732,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,5],"tags":[274,315,275],"class_list":["post-67733","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-economy","tag-africa-press","tag-africa-press-south-africa","tag-south-africa-2"],"yoast_head":"\nNHI tax warning \u2013 where every taxpayer must pay an extra R27,000 - South Africa<\/title>\n<meta name=\"description\" content=\"The government\u2019s National Health Insurance (NHI) scheme will need an estimated R200 billion in additional funding, meani ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NHI tax warning \u2013 where every taxpayer must pay an extra R27,000\" \/>\n<meta property=\"og:description\" content=\"The government\u2019s National Health Insurance (NHI) scheme will need an estimated R200 billion in additional funding, meani ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000\" \/>\n<meta property=\"og:site_name\" content=\"South Africa\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AfricaPressTunisiaa\" \/>\n<meta property=\"article:published_time\" content=\"2024-06-04T07:03:48+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-04T08:44:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/south-africa\/sites\/31\/2024\/06\/sm_1717477859.753973.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"768\" \/>\n\t<meta property=\"og:image:height\" content=\"432\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditoren\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditoren\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"NHI tax warning \u2013 where every taxpayer must pay an extra R27,000\",\"datePublished\":\"2024-06-04T07:03:48+00:00\",\"dateModified\":\"2024-06-04T08:44:40+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000\"},\"wordCount\":808,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/south-africa\/sites\/31\/2024\/06\/sm_1717477859.753973.jpg\",\"keywords\":[\"Africa Press\",\"Africa Press-South-Africa\",\"South-Africa\"],\"articleSection\":[\"all news\",\"economy\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000\",\"url\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/nhi-tax-warning-where-every-taxpayer-must-pay-an-extra-r27000\",\"name\":\"NHI tax warning \u2013 where every taxpayer must pay an extra R27,000 - 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