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The portfolio committee on health will be briefed by the state attorney on the constitutionality of the National Health Insurance (NHI) Bill, committee chairperson Sibongiseni Dhlomo said on Thursday.
On Tuesday, DA leader Mmusi Maimane questioned the constitutionality of the bill. He wrote to National Assembly Speaker Thandi Modise to urgently request that she instructs the parliamentary legal services to obtain a legal opinion on the bill before it appeared before the portfolio committee on health. He had also asked the DA’s legal team for an opinion on whether the bill is constitutional.
The party is questioning its constitutionality as it will seemingly take away the provinces’ constitutionally enshrined right to handle health services.
In a statement, Dhlomo said as the committee started its work on the bill, it would be important to get a presentation from the state attorney on the legal advice it gave to Health Minister Zweli Mkhize on the constitutionality of the NHI Bill.
“As the committee starts this process, we want to address the concerns raised by various people, including those who think they will find space to challenge the constitutionality of the NHI Bill.
“This should be done speedily, so that as we start with the NHI Bill we can set aside concerns and know the contribution of legal experts on the matter.
“The committee does not want anything untoward to delay public participation on the bill. However, we still want to address concerns, hence the importance of starting with the state attorney,” said Dhlomo.
Since the introduction of the bill to Parliament last week, the DA and ANC’s war of words about it has intensified.
Following Dlomo’s announcement, DA MP and spokesperson on health Siviwe Gwarube claimed he had buckled under pressure from the DA to investigate the bill’s constitutionality.
“The DA and indeed the public have serious concerns about the constitutionality of this bill and the ramifications it would pose to our already ailing economy,” Gwarube said in a statement.
“The NHI will disempower provinces and centralise health care in the national government – effectively creating another state-owned entity. The Constitution and the National Health Act have purposefully divided legislative powers between the two spheres of government in order to ensure checks and balances.
“The truth is that the NHI is doomed to fail because the ANC is attempting to use this bill to disguise its failure in providing quality public health care over the past 25 years.”
Gwarube said the DA had also noticed “what seems to be a co-ordinated attack from the ANC and its allies to spread misinformation about the DA’s position on universal health care”.
“We will not be detracted by their lies,” she added.
“The DA unequivocally supports universal health care. We will, however, not support a fundamentally problematic piece of legislation that will destroy the health sector and push the economy over the precipice.
“We are ready to debate the merits of the DA’s Sizani health plan, and the faults of the NHI. Ultimately, we want universal health care that fixes a broken system and puts the people first.”
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Cape Town – CSA acting director of cricket, Corrie van Zyl admitted that they will not be judging interim team director Enoch Nkwe on the Proteas performance in just India and that he will be given time in the position.
The Proteas play the first of three T20Is on September 15 in Dharamsala, while their Test series gets underway on October 2 in Visakhapatnam.
CSA have thrown Nkwe in the deep end, as he will be the first occupant of the new team director role and manage a new-look Proteas dressing room.
Van Zyl revealed that it would be unfair for them to judge Nkwe’s performance as team director after one tour.
“We are aware that this is an interim position and one cannot we judged on one tour only, it would be very unfair,” Van Zyl told reporters on Thursday.
“Although there is process that needs to be followed to appoint the team director going forward, I don’t think one performance can ultimately influence the decision of appointing the full-time team director.”
READ | Proteas: Enoch faces early brain-teaser
The 36-year-old Nkwe has won two trophies – CSA 4-Day Challenge and T20 Challenge – with the Highveld Lions in his maiden season as their coach last season. He also coached the Jozi Stars to the inaugural Mzansi Super League title.
Van Zyl reiterated that Nkwe is the right man for the job.
“CSA believes he has the characteristics and that can bring the best out of the team,” said Van Zyl.
“Yes, he has inexperience at franchise level but if you look at his history, he has a lot of experience. He has a lot of success that came in coaching roles.
“Just listening to him this morning, I know Cricket South Africa has made the right decision in selecting him for the interim position.”
Autopsies have uncovered new insight into how the illegal drug methamphetamine harms the heart.
Preliminary findings presented at an American Heart Association meeting, in Boston, suggest that meth triggers a build-up of tough protein fibres known as collagen in the heart muscle.
Collagen build-up
Previous autopsy studies have noted injury to heart cells, scarring and enlargement of the heart muscle in meth users.
In this study, Louisiana State University (LSU) researchers compared autopsy results from meth users and non-users in order to learn how the drug causes heart enlargement and heart failure.
The study included 32 chronic users, average age 38, who died from a meth overdose, gunshot or stab wounds, hanging, blunt force injury, or sudden heart or lung problems. Their autopsies were compared with five non-users who died suddenly from gunshot, hanging, blunt force injury or blood clots in the lungs.
Besides noting the collagen build-up in meth users, researchers found similar levels in mice exposed to meth. They also saw indications that meth may cause structural changes in heart muscle by inhibiting a specific receptor in the heart. This suggests a possible way to prevent meth-caused heart damage, they noted.
“We found methamphetamine has profound harmful effects on the cardiovascular system and results in irreversible damage to the heart, raising the risk of a heart attack, sudden cardiac arrest and heart failure,” study co-lead author Chowdhury Abdullah said in a heart association news release. Abdullah is a postdoctoral fellow at LSU’s Health Sciences Center in Shreveport.
Further studies needed
“Rehabilitation centres for methamphetamine users should routinely monitor heart function and look for signs of heart failure, since early detection of heart problems could prevent further deterioration of the heart muscle. Monitoring should continue even after people have quit using the drug,” Abdullah said.
Researchers couldn’t determine how structural changes in the users’ hearts might affect blood tests and heart function.
Study senior author Shenuarin Bhuiyan, an assistant professor of pathology and translational pathobiology at LSU, added that researchers “need to further study cardiac function and biochemical blood parameters in methamphetamine users, and compare them to those in other substance users and in non-substance users.”
Research presented at meetings is typically considered preliminary until published in a peer-reviewed journal.
About 1.6 million Americans reported using methamphetamine in 2017.
Image credit: iStock
Zephany Nurse, raised as Miché Solomon after being snatched from Groote Schuur Hospital in 1997, says she knows the convicted kidnapper, who raised her, had indeed removed her from her biological mother’s arms.
Nevertheless, she still sees Levona and Michael Solomon as her parents.
“I know she took me,” Solomon said in an interview on CapeTalk on Thursday about Zephany, a book that tells her story.
“I know it’s wrong what Levona did. I want to make it clear that I am not justifying that it’s OK if I lost my babies or had a miscarriage to go [take someone else’s] baby.”
In 2016, Levona was sentenced to 10 years in jail for the kidnapping. This despite maintaining that she got the baby from a woman called Sylvia who had been giving her fertility treatment in 1997 after she had miscarried.
The baby had, according to her, been given to her at Wynberg train station without her prior knowledge.
Solomon said in the letters she had written to her “mommy” in prison, she told her that if she had indeed committed the crime for which she was convicted, “I don’t care; I still love you”.
“I had my share of anger and resentment and pain toward her. And then I would tell her … it’s not going to change anything, but it would bring some closure to me to actually know what happened that day because, mommy, there is no evidence of Sylvia. I am forced to believe the evidence that there is.”
ALSO READ: Zephany Nurse mom betrayal will sting, says judge
She refers to Levona and Michael as “my mom and daddy”, and to her biological parents as Celeste and Morné.
“A lot of people say, ‘you need to go back to your parents, and you need to give them a chance’. Well, chances were given,” Solomon said.
“There were boundaries that were crossed. There are reasons to why there was space put between us. It’s not like I didn’t want to get to know them. There were many chances.”
Celeste had dreamed she was pregnant with her first child, Solomon said, adding they had developed a better relationship than the one they had prior to that period.
“That’s where I could see I could start trusting her. Because there was that lack in my life, and that was a mother that I needed.
“But then something happened. It’s in the book. It’s something personal and that broke a lot. It kept happening.”
Her biological mother was not reliable, she said.
“There were a lot of issues that were going on that put a lot of strain on our relationship. I don’t want to badmouth her but there are certain things … it’s not normal for a mom to … I am not saying she is a bad mother.”
She was raised in a home where her mother wore the pants, Solomon said.
She added Levona was a strong person and helped her find the strength to deal with what transpired after it was confirmed that she was missing Baby Zephany.
Levona was arrested in February 2015 after the then-teenager’s true identity came to light when the girl’s biological sister, Cassidy who is four years younger, told her parents that a girl in matric at her school bore a striking resemblance to her and her parents.
Before DNA tests confirmed she was indeed Zephany, Solomon said she had asked to see a photo of the kidnapped baby and was certain that it did not look like her.
Solomon was sent to a place of safety after her kidnapper’s arrest. She, however, opted to move back to the home in which she had lived with Levona and Michael.
She described the man who raised her as “my hero”. Morné, she said, was “different” and in some situations she wished he would be sensitive and understanding like Michael was.
She and Celeste might never have the relationship her biological mother dreamed they would have, Solomon said.
“I am not saying that I am closing the door to that. I am not saying that it’s impossible for us because I am leaving the door open. There are just things that we’re struggling with. I’m not shutting the door. That was my thought in the beginning – I want nothing to do [with them] but there are reasons for that.
“I accept she is my mom. We had our intimate conversations; there was a time that we really bonded. That’s why there was so much anger from me, so much distance from me because of that trust I had built and then it’s broken once again.”
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Posted on 15 Aug 16:24
Remuneration: | Market related |
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Location: | Cape Town, Milnerton, Century City |
Education level: | Honours |
Job level: | Mid/Senior |
Own transport required: | Yes |
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Type: | Contract |
Reference: | #ACCMANCT |
Company: | Insight Survey |
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Insight Survey is a South African B2B market research company with more than 10 years of heritage, focusing on B2B and industry research to ensure smarter, more-profitable business decisions are made with reduced investment risk.
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Posted on 15 Aug 16:14
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