Should a provincial MEC responsible for health registered with the HPCSA, who publicly humiliates a vulnerable undocumented foreigner who has received urgent medical attention for childbirth from an understaffed government hospital, be disciplined for unp
Keywords:
MEC for health; Limpopo; humiliation of patient; laws violated; unethical conduct; need for disciplineAbstract
The Limpopo MEC for Health, during a hospital visit, was recently shown in a video to have humiliated a vulnerable undocumented Zimbabwean woman patient, resulting in the hospital workers present laughing at the unfortunate patient. The patient had arrived at a hospital in the province that was short-staffed and under-resourced because of failings on the part of the Department of Health. She wished to give birth to her child in a safe environment, because the shortage of proper facilities in Zimbabwe posed a threat to her and her unborn child. The conduct of the MEC is measured against the patient’s rights under the Constitution of South Africa and the National Health Act 61 of 2003, and her conduct is discussed in the light of the Health Professions Act 56 of 1974 and the Ethical Rules of Conduct of the Health Professions Council of South Africa (HPCSA). The conclusion reached is that the MEC had breached the Constitution, the National Health Act, the Health Professions Act and the Ethical Rules of Conduct of the HPCSA, and should be disciplined by the HPCSA, as required by the Health Professions Act.
References
Van der Waal A. Limpopo health MEC’s berating of Zimbabwean patient is appalling and shameful. Daily Maverick, 28 August 2022. https://www.dailymaverick.co.za/article/2022-08-28-limpopo- health-mecs-berating-of-zimbabwean-patient-is-appalling-and-shameful/ (accessed 7 September 2022).
South Africa. Constitution of the Republic of South Africa, 1996. http://justice.gov.za/legislation/ constitution/SAConstitution-web-eng.pdf (accessed 7 September 2022).
South Africa. National Health Act 61 of 2003. www.gov.za/documents/national-health-act (accessed 7 September 2022).
South Africa. Health Professions Act 56 of 1974. https://www.gov.za/documents/health-professions- act-ethical-rules-conduct (accessed 8 September 2022).
Health Professions Council of South Africa. Ethical Rules of Conduct for Practitioners Registered Under the Health Professions Act, 1974. http://www.saflii.org/za/legis/consol_reg/erocfpruthpa1974803/ (accessed 13 February 2023).
National Department of Health, South Africa. Revenue Directive – Refugees/asylum seekers with or without a permit. 19 September 2007. BI 4/29 REFUG/ASYL 8 2007. https://www.passop.co.za/wp- content/uploads/2012/07/revenue-directive_refugees-and-asylum-seekers-with-or-without-permit. pdf (accessed 7 September 2022).
South Africa. Choice on Termination of Pregnancy Act 92 of 1996. https://www.westerncape.gov.za/ other/2004/4/a92-96.htm (accessed on 7 September 2022).
Health Professions Council of South Africa. Ethical Guidelines for Good Practice in the Healthcare Professions. Confidentiality: Protecting and providing information. Booklet 5. https://www.hpcsa. co.za/Uploads/Professional_Practice/Ethics_Booklet.pdf (accessed 9 September 2022).
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