A scenario that could see anyone earning over R60,000 a month in South Africa being forced to pay for medical aid

• Compulsory medical aid membership for higher-income South Africans could be one way to reduce the cost of private healthcare in the country.
• The proposal is not the only solution to making medical aid more affordable, but it is argued that South Africa's failure to introduce mandatory membership for employed people has contributed to higher costs for existing members.
• HFA modelling suggests that expanding medical scheme membership could reduce expected benefit costs by between 10% and 13% under conservative assumptions, with other models suggesting potential reductions of between 18% and 30%.