Reforming the South African health care system.

South Africa's success in reforming its health care delivery system will depend very largely on its success in reforming its shattered political and economic structure. In this article, the author describes the social, political, and economic factors that dominate the South African scene and suggests the alternative courses that are available to bring the country out of its apartheid past. Both South Africa and its internal and external critics will have to approach the task with patient understanding and flexibility to achieve lasting and satisfactory results.