caa a22 4500 475841883 CHVBK 20180406123903.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1023/A:1009483700049 doi (NATIONALLICENCE)springer-10.1023/A:1009483700049 Redressing Dis-advantage: Promoting Vertical Equity within South Africa [Elektronische Daten] [Di McIntyre, Lucy Gilson] This paper represents the first attempt to applyvertical equity principles to the South African healthsector. A vertical equity approach, which recognisesthat different groups have different starting pointsand therefore require differential treatment, appearsto offer an appropriate basis for considering how bestto redress the vast inequities which exist inpost-Apartheid South Africa. Vertical equityprinciples are applied in critically analysing twoareas of recent policy action which are particularlyrelevant to health sector equity in South Africa,namely public-private sector cross-subsidies and theallocation of government resources between provinces.Despite a strong political commitment to redressinghistorical inequities, recent government policyactions in these two areas appear to fall short ofdesirable goals when viewed through a vertical equitylens. In particular, policies since the firstdemocratic elections in 1994 have done little toreduce the extent of government subsidies to theprivate health sector, which serves a minority of thepopulation. In addition, recent proposals for a SocialHealth Insurance will allow minimal cross-subsidiesbetween high- and low-income earners and would notadequately redress the currently inequitablepublic-private cross-subsidies. With respect to theallocation of government resources between provinces,a vertical equity approach would suggest that the mosthistorically dis-advantaged provinces have an evengreater claim on government resources than reflectedin the current formula, as developed by the Departmentof Finance. This paper also considers the potentialbenefits of engaging with societal views indetermining what constitutes dis-advantage in theSouth African context, in order to identify those whoshould receive priority in resource allocationdecisions. It concludes with a review of a number ofpractical steps that can be taken to draw verticalequity principles into policy action. Kluwer Academic Publishers, 2000 vertical equity nationallicence resource allocation nationallicence McIntyre Di Health Economics Unit, Department of Public Health, Health Sciences Faculty, University of Cape Town, South Africa aut Gilson Lucy Centre for Health Policy, University of the Witwatersrand, UK aut Health Care Analysis Kluwer Academic Publishers 8/3(2000-09-01), 235-258 1065-3058 8:3<235 2000 8 10728 https://doi.org/10.1023/A:1009483700049 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1009483700049 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- McIntyre Di Health Economics Unit, Department of Public Health, Health Sciences Faculty, University of Cape Town, South Africa aut NATIONALLICENCE 700 1- Gilson Lucy Centre for Health Policy, University of the Witwatersrand, UK aut NATIONALLICENCE 773 0- Health Care Analysis Kluwer Academic Publishers 8/3(2000-09-01), 235-258 1065-3058 8:3<235 2000 8 10728 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer