I drafted this as a LETTER TO THE EDITOR of one of the South African newspapers quite some time ago and then, as with other projects I started at the time, life (and death) again intervened and I never submitted it.
I came across the draft some days ago and, having often been served by the kind of ineptitude that leaves South Africa and most of Africa in the state it finds itself today, I though brushing it off and posting it might not be a bad idea.
While it points to a specific area it is also a chilling example of what has happened throughout Africa. Rather like a truculent child with a new toy, they – the new dispensations – will not be advised and will not ask for or accept help to look after the asset.
Anyway, here is my delayed comment on something I feel very strongly about.
Comments on healthcare and effectively the nation.
Some years ago a visiting professor from Australia, made a few good points but he should have been aware that apartheid in health care as he called it has recently been visited on the country NOT by whites or wealthy people as he implied but by the very government that, given the opportunity, could not arrange a decent booze-up in a well-stocked brewery.
Why does he think that the private healthcare industry has flourished? Bear in mind that this is the very same PRIVATE healthcare that the country’s leaders [I use the term advisedly] subscribe to for their own health issues. It has flourished in the almost COMPLETE ABSENCE of adequate public healthcare. It has flourished because of the government’s lack of vision and its inability to maintain and build on what they inherited which was not dysfunctional and was, in fact, WORLD CLASS.
Private healthcare is a BUSINESS and is run on BUSINESS principles and that business saw a gap in the market and it ruthlessly exploited it.
While it is unequivocally accepted that apartheid was wrong and should not be defended there are a few truths that seem to be conveniently overlooked when discussing the “legacy” of apartheid.
Why do African LIBERATION movements deem it necessary to FIX what is not broken when they take over?
Using the analogy of a motor vehicle let us say that one is given a perfectly good, well looked after, motor car.
Instead of taking the same care of the vehicle as the previous owner and maintaining it with a view to its value for a later transport upgrade YOU JUST USE IT.
Not only do you use it but you allow friends and acquaintances (the masses) to rip the seats to pieces, dump rubbish on the floor, let water enter through broken windows – that THEY have broken. You neglect to top up the oil and water or budget for regular servicing – MAINTENANCE. You decide to upgrade but you can’t get for the car what you should REASONABLY HAVE BEEN ABLE TO EXPECT had it been maintained.
You are now stuck with no savings and in need of transport. Your cash went on using the car to run your erstwhile friends around Those same friends who trashed the seats and left the windows open and allowed their fast-f0od to spill over the floor and upholstery. They, who bashed the doors into things and scratched the paint. Those same friends who never had any money for petrol, or a few bucks to help fix the car but expected, no, they took it as a RIGHT, to call for lifts here, there and everywhere and at any time. Those same non-contributing friends who were annoyed with you, were actually quite offended, when the car was in one of its increasingly frequent down times with some backyard mechanic.
And you came to dislike the traffic cops because you felt they were targeting your car just because it looked A BIT dilapidated and smoked, A BIT, from the very noisy exhaust.
The current government is like that neglectful car owner and the ever-observant media like the traffic cops, always finding the faults. …..and the friends? The friends are the MASSES, truculently RIOTING and DEMANDING but never contributing a damned thing.
A large part of the infrastructure the current rulers had handed to them over twenty-plus years ago may have been skewed towards one part of the population but it ALLWORKED. It was all run and maintained by competent and experienced people who knew how to manage, maintain, budget and generally look after the assets entrusted to their care – and if they did not do their jobs they knew they would be fired and replaced.
A simple example of carelessness and neglect? The toilets in many hospitals are today frequently found with walls and floors smeared with faeces and vomit with no paper, broken seats and filthy toilet bowls – if they work at all.
So why did they not retain and maintain the best of the best and build on it? Are they so blind that they are unable to see what incompetence and an almost total lack of management skills has done elsewhere on the continent, in southern Africa in particular? Why not build systems with those aforementioned excellent examples in mind.
We, the diaspora of white Africa can answer these questions. However, the uncomfortable truth of our answers is not convenient to those invested in the lie and certainly not to those with their snouts firmly in the trough of corruption and nepotism.
Why not work towards the HIGHEST common denominator you might ask in bewilderment?
The highest common denominators are in the private sector where people are expected to EARN their income.
God forbid that government should stoop so low as to look for good examples to emulate – that would endanger the cadres, the loyal lackeys in the highly paid status positions. Well paid positions that ensure that they say and do the right things (read – do what they are told – as and when they are required to do so). They become experts at obfuscation and denial but not at doing the work required of their exalted positions.
As a struggling wage-earner I would have loved to see the public sector thrive in excellence enabling me to pay lower medical aid fees but, truth be told, I paid a small fortune that I could ill-afford because the thought of relying on the state for any serious care filled me – and many others – with dread.
Of course all of the above, perhaps with a bit of editing, could be applied to pretty much the entire government of the country – as well as much of the rest of Africa
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