The Bauer🇿🇼
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The Bauer🇿🇼
@GeneralBauer3
Barca//Arsenal//FatherOf4//Extremely Married//MedicalDoctor//BaKim//Farmer.
Harare, Zimbabwe Katılım Ağustos 2018
10.9K Takip Edilen13.7K Takipçiler
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@GeneralBauer3 @MacBelts Neupi wacho ini ndini Croydon
Gwaunza?
CY

Kana uri on the other side of zanu unotoshinga pamunamato.
Dr Walter Mzembi@waltermzembi
Resilience comes from Prayer and the Lord will always give charge to celestial & human angels to answer prayers . I have been to hell and back and I can testify that prayer works , and even in prison you can imagine your own Bethel . Thank you Lord !
Filipino

@WisdomMukoko @legend9219k @drjaytee87 Ndatongoona kuti havasi pakuda kuteerera, vane conclusion kudhara.
Eesti

@legend9219k @GeneralBauer3 @drjaytee87 I think his point is medical aids are not paying the service provider the market price or they delay payments and they deliberately do so to push you to their own hospitals and pharmacies.
English

REBUTTAL ON BEHALF OF PRIVATE HEALTHCARE PROVIDERS TO “THE RISKS OF FRAGMENTING HEALTHCARE SYSTEM”
We, the independent private healthcare providers of Zimbabwe—doctors, specialists, pathologists, radiologists, pharmacists, private hospitals, and allied health professionals—have read the opinion piece defending vertical integration by medical aid societies (MAS). That piece attempts to draw false parallels between healthcare and other industries, cherry-picks international examples, and fundamentally misunderstands the unique nature of healthcare as a service governed by clinical ethics, not commercial logic.
Below we dismantle each argument systematically, strengthen our previous submissions, and demonstrate why the proposed amendments to SI 330 of 2000 are not only justified but urgently necessary.
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1. Healthcare is not banking, telecoms, or funeral assurance – A fatal category error
The opinion argues that because Zimbabwe accepts vertical integration in funeral assurance, banking, and retail, it should also accept it in healthcare. This is a dangerous and intellectually dishonest comparison.
Why healthcare is different:
· Banking: You can choose a different bank if service is poor. Your life does not depend on a single transaction.
· Telecoms: Dropped calls are an inconvenience, not a death sentence.
· Funeral assurance: The service is delivered after death. Quality control is not a matter of life and death.
· Healthcare: A delayed referral, a denied test, or a substandard facility can kill or permanently disable a patient. The stakes are incomparable.
The opinion admits that healthcare is “far greater complexity” but then ignores that complexity. Healthcare involves clinical independence, informed consent, patient autonomy, and the Hippocratic Oath—none of which apply to funeral parlours. To equate the two is not just wrong; it is reckless.
Our position: Vertical integration in healthcare creates a direct financial incentive for the funder to underprovide care. No other industry has that lethal potential.
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2. International examples – Correcting the selective citation
The opinion cites Kaiser Permanente (US), Singapore, the Netherlands, Germany, and the UK’s Integrated Care Systems as evidence that integration works. This is a textbook example of cherry-picking.
Country/System What the opinion omits
Kaiser Permanente Operates under strict non-profit status, independent physician groups, and state-level regulatory oversight that Zimbabwe lacks. Doctors are not employees of the insurance arm; they belong to separate Permanente Medical Groups with clinical autonomy.
Singapore Government is the dominant funder and provider. Medical aid societies (private insurers) have minimal market share. Vertical integration is tightly regulated with mandatory Medisave accounts and price controls.
Netherlands & Germany Both have separated purchasing and provision under their universal health insurance systems. Insurers cannot own hospitals. The opinion has this backwards.
UK’s Integrated Care Systems These are contractual partnerships between NHS England, local authorities, and providers. The NHS is the single payer. No private medical aid society owns NHS hospitals. Again, a false parallel.
The opinion’s most glaring omission: South Africa, our neighbour, prohibits medical schemes from owning healthcare facilities under Section 21(1)(b) of the Medical Schemes Act. Zimbabwe is not reinventing the wheel; we are catching up to sound regional regulation.
Our position: If the opinion truly believed in international best practice, it would support prohibition. That it does not reveals its true motive: protecting MAS profit, not patients.
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3. The “lifeline” fallacy – PSMAS proved integration kills
The opinion claims medical aid-owned facilities are a “lifeline” for civil servants. The liquidation of PSMAS is the definitive rebuttal.
· What happened: PSMAS diverted member contributions into artisanal gold
English

@dysonchivasa Haa isu toda hedu vakasimuka kare, tosimudzana kubva ipapo. Zvikaramba hapana anozvisungirira nebitterness.

I will develop my wife to the highest level possible
Chero akandisiya I won't hold it against her it simply means I will no longer be good for her
But mudzimayi ngaasimudzigwe
The Bauer🇿🇼@GeneralBauer3
Learn or perish
English

Ndagove Sonja here, ndipei mita iro.
Out of Context Human Race@NoContextHumans
What you choosing?
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Tinogona takanyatsotangirwa nedare zvema shuwa shuwa vakomana. Dare rakatobata oese pese kuti dzvii👐. Ende dsre ritori nemasimba emashuwa shuwa chaiwo.
Zimbabwe Republic Police@PoliceZimbabwe
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Congratulations to @Arsenal, our #VisitRwanda partner, on being the Premier League champions after a hard fought season!
A well-deserved title!
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