Much has been written about the age at which employees should retire and whether with increasing longevity, the retirement age should increase commensurately. In countries with ageing populations resulting in many living over two decades after retirement, an increasing burden on pension funds has increased the urgency of this debate. A survey from the United States indicated that while there are many factors supporting an increase in the age at which citizens become eligible for Social Security payments that a proposal of this nature is unpopular with voters. It must be stressed however that retirement is a luxury reserved for those with permanent employment and employment is a luxury which…
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Management decisions right or wrong must have consequences.
Recent experience with almost month-long power cuts in South Africa due to inadequate generation capacity have highlighted a State-owned entity has been unable to ensure a reliable source of electricity to the country for over a decade. When this first occurred in 2008, I was heading the Western Cape Department of Health and as management we had urgent meetings with officials from the power utility to decide how to manage what was envisaged then to be a short-term problem. At that time many health facilities had inadequate or no back-up generators and a decision was taken and actioned urgently to acquire and install generators at as many facilities as fast…
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A personal reflection …
I have not posted anything since July 2022. This is not because there has been nothing worthy of comment in the health sector but rather that I have felt a deep sense of despair with what has transpired in the preceding months and years. Since my retirement in 2015 I have been involved in various initiatives to address challenges in the South African public health service as a member of nationally appointed task teams and most recently as a consultant requested to address financial management in a South African provincial health service. Whilst I accept that as an outsider and consultant not directly responsible for the management of health services,…