Klopper J M
S Afr Med J. 1986 Aug 30;70(5):293-5.
Circumstances are propitious for a new look at the Gluckman Report of 1942-1944 with a view to introducing a national health service for South Africa, including the homelands and national states. The circumstances relate to the ethical question of the patient's medical care, without economic disadvantage, being paramount in a health care system. Other issues concern doctors in a salaried service; a burgeoning population; the high cost of health care to the individual patient and to the State as a result of a proliferation of health bureaucracies. The issues are compounded by economic decline, unemployment and adverse socio-economic factors, which militate against the privatization of health care.
当前形势有利于重新审视1942 - 1944年的格卢克曼报告，以期为南非（包括各家园和民族国家）引入国家医疗服务体系。这些形势涉及到在医疗体系中，患者医疗护理的伦理问题至关重要，且不应存在经济劣势。其他问题包括受薪服务的医生；人口迅速增长；由于卫生官僚机构激增，个人患者和国家的医疗成本高昂。经济衰退、失业和不利的社会经济因素使这些问题更加复杂，不利于医疗保健的私有化。
