Constitutional Hill

Death comes to the Free State

We are living in the silly season in the run-up to the election, so reports in today’s Cape Times about the collapse of the ARV roll-out in the Free State should be big news. Here we have an ANC government who in November last year decided to kill off some of the poorest of the poor members of our society by placing a moratorium on the roll-out of ARV’s in the Free State until the next financial year.

The ANC government has in effect told the poorest of the poor HIV positive people of the Free State who need to get access to ARVs: “Oops, we have run out of money so you are going to die”.

Surely other political parties should make a big stink about such a thing? After all, its rather damaging to the image of the governing party that it has decided to let some mostly poor black South Africans die because of poor planning or turf wars between various ANC factions in government or perhaps because of Aids denialism? What can be more important for a government than to protect its citizens from illness that will cause death?

As Mark Heywood reports: “Somewhere around November 1 last year, the death penalty was reintroduced in the Free State.” This is because those who depend on the states ARV programme are the poorest members of our society who do not have medical aid and cannot afford the R600 a month to buy the life saving medicine. Many of them need to go on ARVs immediately to save their lives. But now the Free State government has decided that there is no money and that these people must wait until 1 April 2009 – by which time many of them will be dead.

Several questions arise. First, why is the Free State government so criminally callous? Is it because those people who are HIV positive are poor and black? Or is it because they are HIV positive and therefore in the eyes of the Aids denialists in the ANC government in the Free State do not deserve the same concern and respect as, oh, say a convicted crook and fraudster like Schabir Shaik?

Or maybe the Free State government officials just do not care because these people are going to be dead and won’t be voting for the ANC in any case? Or are these people going to die “merely” because of corruption and nepotism in the ANC government in the Free State? Or are they going to die because the ANC government officials and politicians do not care because they know they will win the election in any case – no matter whether they allow HIV positive people to live or die?

Second, what is the national Minister and the national government doing to try and change this situation? Are they at least trying to save the lifes of the people who rely on the government for life saving treatment? Have the relevant ANC officials and politicians who are killing people in the Free State been fired? Have they been disciplined by the ANC? If not, why is nothing being done?

Is it because the ANC does not respect poor people? Or is the ANC racist and more worried about freeing a convicted fraudster like Shaik from prison because he happens to be a friend of Jacob Zuma than saving the lives of mostly poor and black South Africans? Would these unfortunate HIV positive people in the Free State now dying have been saved if they were friends with Jacob Zuma or knew someone else who style themselves as an important politician in the ANC?

And why is the opposition parties not all over this? Are they scared to speak up for HIV positive people because of the deeply entrenched prejudices amongst all classes and races of South Africans about HIV? Are they keeping quiet because they do not want to be seen to champion the rights and needs of a vulnerable and marginalised group in our society? Or do they also not mind that these people are going to die because they would not have voted for the opposition in any case?

Pardon me if I sound bitter, but this callous and deeply criminal actions of the Free State government shocks me. Section 27 of our Constitution states that everyone has a right of access to health care and that the state has a duty progressively to realise this right. The Constitutional Court has said this means the state cannot be rigid in implementing health policies and that they have a duty to act reasonably to ensure that the policy is also implemented in an effective manner to deal with the needs of especially the most vulnerable members of society.

This clearly has not happened in the Free State.

Why would one trust a government who cannot even do the basics right, who cannot even manage their resources in such a way to ensure that they will save the lives of as many people as possible? No wonder many people are cynical about politicians. Why would one trust people who seem to care more about their right to speed about in 20 car blue light motorcades and who would rather sip champagne and eat caviar than actually do the work that would save the lives of ordinary citizens?

40 Comments

  1. DA Mal says:

    The DA has been aware of this for a while, and is trying to force the issue politically and legally:

    http://www.da.org.za/newsroom.htm?action=view-news-item&id=6174

    http://www.da.org.za/newsroom.htm?action=view-news-item&id=6293

    We want an official enquiry, and for the irresponsible people in the FS Department of Health to be dealt with. More might be done: any further suggestions than the ones in your post?

  2. Mike Atkins says:

    The question that unlocks this issue is how budget overruns are handled in other departments, and how they are handled in other provinces.

    It would then be interesting to see who took what decisions, and at what point. When was it known that funds would run out and what mechanisms exist to secure additional funding? Were budget cuts considered in any other areas of spending?

    For that matter, was it just the ARV funds that ran dry, or did the provincial Health Dept run out of money? Or the provincial govt itself?

  3. George Gildenhuys says:

    Prof, as a Vrystaatse boerseun with a family member working for the FS Dept of Health, just also need to add that the current crisis in the Dept’s finances is not limited to ARV’s, entire hospitals are without food as suppliers are refusing delivery because of non-payment.

    They are 100% dependant on local donations, as local farmers are donating food etc just to keep the patients fed…

    All non-emergency surgeries have been cancelled and non critical patients are not being admitted.

    I was hoping with the “sacking” of Dr Beetroot and the appointment of Barbara Hogan, this is going to change, this is not the first year that the FS Dept of Health has run out of money, in fact this is a yearly occurrence. Might explain why the opposition parties are quiet, this is nothing new.

    BUT, rest assured, the ANC will “romp to victory” once more, despite this despicable failure in service delivery.

  4. khosi says:

    Sad indeed!

    Especially for the people who were already on ARV’s and now their bodies would have to deal with the deadly withdrawal effects of the missing drugs.

    What a sorry occurrence!

  5. Vuyo says:

    Sad indeed!

    Particularly for those people who will have to live with a virus that has gained resistance because of the reprieve resulting from the unavailability of medication.

  6. Vuyo says:

    Hope the TAC will also take responsibility for having insisted that a government that is struggling with delivering basic health care services to its citizens should distribute ARVs with all the additional burdens implied by such a policy. I hope they will travel to the FS and inform the poor infected individuals that the drugs are unlikely to work because of the resistance that the virus has developed (i.e. that the virus in their system is of a greater strength).

  7. Vuyo says:

    …I also hope Pierre de Vos will take responsibility for having demanded government (which at the time pointed out that they were not ready to deliver ARVs) to deliver ARVs with abandon without equally demanding that the infrastructure required (accessible clinics, sufficient counselors, sufficient funding, food coupons and/or vouchers, clean water, etc) be delivered.

  8. ozoneblue says:

    GG

    “Might explain why the opposition parties are quiet, this is nothing new.”

    They are quite because “fiscal discipline” and the accompanying disinvestment in government and social services is part of their “business friendly” neoliberal economical policies.

  9. Vuyo, your lack of ambition to save peoples lives is tragic.

    Blaming TAC because this particular government struggles to deliver is preposterous. If they can’t, give the money to others who will have the drive to do it.

  10. Tony in Virginia says:

    ozoneblue,

    you are becoming very predictable. it ain’t funny.

  11. ozoneblue says:

    “After all, its rather damaging to the image of the governing party that it has decided to let some mostly poor black South Africans die because of poor planning or turf wars between various ANC factions in government or perhaps because of Aids denialism? What can be more important for a government than to protect its citizens from illness that will cause death?”

    Who tells PdV it is becasue of poor planning or “turf wars”? That is just another bullshit assumption he sucked out of his thumb. Who says this cannot be because there is really not enough money because of our “fiscal discipline” that pleases the markets and the foreign investors so much?

  12. Clara says:

    Khosi and Vuyo – no NEW patients are being put on ARV treatment before April 1. This does not apply to patients currently receiving ARVs.

  13. Mili says:

    ozoneblue // Mar 11, 2009 at 2:34 pm

    Stop attacking with your neoliberal BS and start providing credible answers to the poor performance of the ANC. This death sentence is a crime against humanity and driven by your incompetent ANC government.

    Vuyo // Mar 11, 2009 at 2:01 pm

    ONLY the ANC led GVT is to blame.

    Isn’t it brilliant how neither the ANC’s leadership nor their electorate is never responsible when their lack of governance becomes known. Always something/someone else.

  14. Chris Mcdaniel says:

    WTF??

    thats actually shocking but i got a question who is actually at fault here?

    is it the Free State health department? or is it the Treasury.

    what im picking up Free State Health Department recieved R63m short fall.

    but then again judging by some of the attitudes regarding aids its really not an “epidemic” or as deadly as the black plague. aids is invented by the States to feed our “markets” with foreign investments with our new package of deseases, sucks being a Neo Libiral a Neo imperalist….

  15. ozoneblue says:

    Mili @ 2:55 pm

    Perhaps it is a crime against humanity driven by fiscal discipline ?

    No problem I can see : besides no health care, no education, no infrastructure. After all Mbeki’s “macro-economic” policies and our “economical growth” have been lauded by the opposition, the markets and the investors. And that is what is really important.

  16. ozoneblue says:

    brain damaged troll @ 3:06 pm

    “sucks being a Neo Libiral a Neo imperalist….”

    That is spelled neoliberal. The latest manifestations of imperialism and coercive neoliberalism is in fact closely related to that psychotic super power that you hail from.

  17. Chris Mcdaniel says:

    ozoneblue // Mar 11, 2009 at 3:24 pm
    sorry monkey nuts how dare I, clearly you are such an expert in Aids.

    Yes its amazing how our psychotic super power of country is supporting your aids program you ungrateful bitch :)

  18. Pierre De Vos says:

    ozoneblue, the article in the Cape Times by Anso Tom referred to possible turf wars. Thing is, when one is paid to manage, well, one must manage. That is one must do what is reasonably possible with the money available (and special amounts have been budgeted for ARV’s so substantial money was available – at least for this). And “Vuyo”, your response is so callous and monstrous, I am going to assume that this is not you real name and that you are in fact a white racist, bigot who wants to see black people die.

  19. George Gildenhuys says:

    Ozoneblue,

    You are confusing marker orientated economic policies with an inept provincial government department that did not budget correctly and ran out of money AGAIN.

    Perhaps if the FS government applied “neo-liberal” economic policies (lowest bidder winds etc) instead of awarding tenders to ANC buddies, this might not have happened.

    I wonder if the principled ANC MEC’s would actually consider a pay cut to pay to ARV’s. I very much doubt it! Human life just doesn’t stack up against the latest ‘official’ Mercedes.

  20. khosi says:

    Well, Clara, is Pierre smoking ARV laced zol when he said this: –

    “Here we have an ANC government who in November last year decided to kill off some of the poorest of the poor members of our society by placing a moratorium on the roll-out of ARV’s in the Free State until the next financial year.”

    Or am I just misunderstanding the meaning of the phrase “roll-out”? Which will mean I am the one on Pierre’s zol.

  21. Thomas says:

    Health ministry to help with Free State ARV roll-out programme February 10 2009 , 9:23:00

    Health Minister, Barbara Hogan, has vowed to do whatever it takes to rescue the collapsing Free State anti-retroviral roll-out programme. “I have already taken and will continue to take urgent steps to ensure that any delay where it is the result of financial pressures is immediately addressed,” she said in a statement.

    The province’s health department late last year stopped initiating new patients on the medication with the exception of pregnant women, due to lack of funds.

    “I can assure you that it is the intention of the government, the National Department of Health and the MECs for health to ensure that all reasonable steps are urgently taken to ensure that priority is given to resuming patient initiation in the Free State,” she said.

    Hogan added that similar steps were also being taken in other provinces. She said additional funding was also being sought through donors and that she was in discussions with the National Treasury in this regard. “Initiating new adult patients is of course an urgent matter. For this reason and because of the exceptional circumstances, the National Department of Health has been working tirelessly since late 2008 to secure further funding,” she said.

    Hogan would do whatever she could to ensure that all patients in the country had reasonable access to health care services, including life saving medicines. However, she also called on stakeholders to immediately share with her information where the care of a patient had been compromised due to financial pressures.

    Her call was extended to places where the alleged stock of any essential drugs had been depleted. “This information is important so that I can take all necessary steps to investigate the allegations and do what I can to ensure that problems are effectively and promptly remedied,” she said. – Sapa

  22. Thomas says:

    ARVs: Hogan acts

    Mail & Guardian Online – November 17, 2008
    Belinda Beresford And Linn Davis

    ——————————————————————————–
    The news that the Free State health department could run out of anti-retroviral drugs by January is significant, not for the apparent lack of management it reveals, but because of the response by the National Department of Health.
    Insiders say that once informed that the HIV-positive patients in the Free State could be enduring a life-endangering halt to their treatment in a few weeks, Minister of Health Barbara Hogan immediately told her department to sort out the problem. The Free State had decided that no new patients would be put on the ARV programme.

    In the context of the new ministerial regime this meant identifying the problem and solving it. Hogan ordered that a high-level department of health “fix-it” squad be dispatched to the Free State.

    Meanwhile, insiders say that the antiretrovirals (ARVs) needed by Free State are likely to be supplied from a buffer stock kept by USAid to alleviate any shortages that might occur in programmes it funds. This could not be confirmed.

    There are two particularly pressing questions. Why did the province run out of money despite apparently being under budget? And why did the health department decide on the extreme response of refusing to take on new patients?

    At the beginning of this month the head of Free State’s HIV programme, Dr Mvula Tshabalala, sent out an email saying the province had “an acute shortage of ARVs. This will lead to patients on treatment defaulting though no fault of their own. The only way to avoid this is by keeping the remaining ARVs for the exclusive use of those on treatment already.” He said that pregnant women were excepted from the ban on new patients, as were children.

    Following this announcement Palesa Santho, head of pharmacy for the Free State ARV programme, informed Free State health officials: “You are the sites faced with an even worse situation whereby you have to turn patients away because of the present circumstances. The same patients who look at you as their last hope of life.”

    National treasury spokesperson Thoraya Pandy says the Free State was allocated R189-million for its ARV programme. So far R94,6-million has been transferred to the province, of which R90,8-million has been spent.

    Pandy said that the Free State ARV programme was slightly under budget at mid-year and no more than marginal overspend was expected. The money is a conditional grant, which means that it can be spent only on the ARV programme and may not be used elsewhere.

    Whatever the cause of the Free State’s draconian behaviour, a problem across all the provinces seems to be lack of funding for the ARV treatment programmes. In part this may be due to the success of the programmes, many of which appear to be outstripping their targets. Above-expected demand for treatment could lead to a shortage in the amount of drugs either budgeted for or available.

    Such a scenario, however, could be alleviated by responsive planning. Some of the problems appear to be the result of bad budgeting, management or the lack of monitoring and evaluation. Budget planning needs to accommodate not only the first-line treatment regimen used for adults, but also the more expensive costs of second-line and paediatric treatment.

    Ian Sanne, professor of infectious diseases at the University of the Witwatersrand, said: “These situations happen all over Africa and this demonstrates a ramp-up of activity and the need for a buffer stock to be available to provinces.”

    An extra R300-million was allocated by treasury in October for antiretroviral treatment, including prevention of mother-to-child transmission of HIV during pregnancy. This money was allocated to the four provinces that appeared to have budget shortfalls for these areas — and did not include Free State.

    The Free State department of health has requested money from the United States President’s Emergency Plan for Aids Relief (Pepfar). And the national department has allocated an extra R9,5-million to the Free State for the ARV programme.

    Dr Francesca Conradie, deputy director of the clinical HIV research unit at the University of the Witwatersrand, described the move by Free State as “a travesty”.

    “By even considering a treatment interruption we run the risk of undoing much of the excellent gains that have been made in the ARV programme,” she said. “Unlike most other medications, a missed dose or missed doses can render the treatment ineffective. This is caused by the development of resistance in the virus. Not only does this affect the individual concerned but it may allow a resistant virus to be spread.”

    Drug-resistant virus has serious implications for the individual — who would have to change to a different cocktail of drugs, possibly with more side effects — and the health system which would face higher medicine costs.

    Around the country…

    * KwaZulu-Natal has about 191 000 patients on ARVs and has been allocated R700-million. This funding is insufficient and the province has applied for more.

    * More than 60 000 people are on ARVs in the Eastern Cape and the province aims to have 100 000 people on treatment by the end of next year. The province has been allocated R181-million, but says that it expects financial constraints in the future.

    * The Northern Cape has more than 11 000 patients on ARVs and expects to add about 4 000 people during the next year. It has received more than R50-million and does not expect to face financial constraints that would affect its provision of ARVs.

    The North West province has about 54 000 patients on ARVs and expects to add another 10 000 in the next financial year. In a statement the province said it had “had some short falls in respect to providing medicines and conducting laboratory services”, but had requested additional funding.

    * As of April this year 28 787 people in the Free State were receiving ARV treatment.

  23. Pierre De Vos says:

    Khosi, a “roll-out” means to put more and more people on ARV’s.

  24. Chris Mcdaniel says:

    “The Free State department of health has requested money from the United States President’s Emergency Plan for Aids Relief (Pepfar).”

    Oh no thomas this is going to upset monkey nuts ozoneblue requesting money from my psychotic super power of a country called the USA, how degrading Ozoneblue.

    But seriously im getting sick of ozoneblues racist remarks and insults to be honest

    but i got a question here this was reported in Nov 2008 this is now 2009 has anything happend from the Health department was an audit report done?

  25. George Gildenhuys says:

    “But seriously im getting sick of ozoneblues racist remarks and insults to be honest”

    As I have commented before, this is quite normal for most ANC supporters.

  26. ozoneblue says:

    George Gildenhuys @ 4:16 pm

    I invite you to point out any comment that I have made on this blog that can be interpreted as racist. The troll I’m referring to is always hurling insults at everybody in here, screaming and shouting by TYPING IN UPPERCASE LETTERS, consistently spouting rubbish without ever attempting to substantiating anything he SHOUTS at you, either by fact or through logical argumentation and in general adding very little value except for confirming again for all to see what a woefully inferior educational system the capitalist system in the USA has produced.

    BTW – I’m not the first one who is getting irritated by his presence many other good folks who post here feels the same.

  27. Anonymouse says:

    Khosi – perhaps one should add the following of Prof de Vos’ remark above in a little more perspective. His line: ” Khosi, a “roll-out” means to put more and more people on ARV’s.” In the public service, a “roll out” actually means that once aprogramme has been started, it is being “rolled-out to the public”, indefinitely until the programme ends. Sad thing however, is that it is not only the roll-out of ARV’s that have been stopped due to a lack of funds (apparently there was no proper budget or the funds have been misappropriated), but also the roll-out of food and other medicines. (See George Gildenhuys’ first remark above.) Farmers now have to make donations to keep patients (HIV/AIDS sufferers or otherwise) fed. Now, due to this sad lack of funds, there is’t even any money to provide HIV/AIDS sufferers with the beetroot and garlick they so desperately need in terms of the Dr Beetroot paradigm. This ghastly thing, in which your beloved Thabo Mbeki (and other aids-denialists like you) had no small role to play, is yet amounting to a genocide like I suggested earlier in other blogs below.

  28. Mpho says:

    How can this problem be getting progresively worse when Hogan has intervened? Where does the problem lie? Has she managed to uncover the root cause?

  29. Heidi says:

    You mean the (beet)root cause?

  30. The Big Slipper says:

    The ANC keeps on telling us that it takes time to fix the past, that it cannot be done overnight. Given the monumental cock-up of the health department under Manto, I would expect the situation to rectify itself within the next 14 – 20 years, based on current experience of “fixing” the past by the ANC.

    The issue is not one of lack of funding, it is one of mismangement of funds. I have first hand knowledge of a function thrown by the KZN department of health costing R800k, which wasn’t really approved and didn’t acheive anything. I also have first hand knowledge of ‘emergency’ aeromedical transfers being authorised for ministers’ family members – the ‘patients’ were so sick that they walked on to the plane themselves (seen it – my own eyes).

    The people in charge of spending the money allocated are all ex-nurses at best (some of whom were fired from their previous hospitals actually, now that I think about it). These people are situated at district level, buried beneath layers and layers of beauracracy. By the time anybody realises things have gone awry, it’s too late…simply redeploy. Finance departments are viewed as disbursement offices, not as control authority for expenditure. Then again, it is difficult to attract competent finance officers to positions with low pay and ridiculous politics.

    And yet again, it is the poor that pay…please somebody explain to me how corruption, nepotism, and poor appointment policies (i.e based along party and race lines only) do not impact the poor?

    I still like Ms Hogan (given her predecessor, it’s not hard), but I do hope she doesn’t disappoint…lets hope she rises to the challenge here and makes a plan.

  31. The Big Slipper says:

    Note – I have nothing against nurses, I just think that asking people with no financial training to manage huge budgets is a little bit silly.

  32. Vuyo says:

    Pierre I am as black as they come and see daily fellow black South African citizens die of AIDS. I have interacted with family and friends, who were HIV positive and who died of AIDS. Some rejected ARVs and died of opportunistic diseases, primarily TB and pneumonia and many died as soon as the started using ARVs. A recent friend deteriorated as soon as she started using ARVs and died of anaemia. All of this has convinced me that well-meaning Pierre and company have it wrong, ARVs are not the sole answer to combating HIV and AIDS. Behavioral changes, transformation of gender relations and particularly disempowerment of women in sexual relations, improving primary health care and eradicating diseases of poverty, improving living conditions, increasing knowledge of health, HIV/AIDS, STI, etc to better enable individuals to exercise their rights vis-à-vis national health system etc, i.e. a comprehensive and focused socio-economic strategy. Fact of the matter Pierre is that a roll-out of ARVs cannot, from a cost perspective, be viewed solely in terms of the cost of drugs but also from a perspective of the costs of the infrastructure for the optimal roll-out of these drugs (which UNAIDS has estimated at a minimum of SEVEN times the cost of the drugs!). It is ludicrous to develop a delivery system focused on ARV distribution in isolation of the general health care strategy of the country as a whole, which is what has happened in RSA. The ARV rollout was motivated by a court judgment and the our health system were not ready and government knew it. The TAC and you, Pierre, continued insisting on a blanket rollout regardless and the early negative consequences are manifesting themselves. In addition to the theft of ARVs (to use as an ingredient in bomb-zols, amongst other reasons) and resistance issues (which are manifesting themselves, therefore necessitating the use of more and more expensive drugs), we have health professionals who do not have the capacity to implement a basic health policy, let alone HIV/AIDS policy and the rollout of ARVs! But then again, who cares, all these problems will be faced by black Africans (some of them being my family and not merely acquaintances, Pierre). Well meaning Pierre, who knows more about HIV/AIDS than any other person but for his friends in the TAC, is therefore entitled to ignore any alternative policy to fighting AIDS because even the thought thereof constitutes “denialism”! Hack, rollout the drugs and we will be a success story like Botswana (with an approximate HIV/AIDS prevalence of 24% – 2nd only to Swaziland – of the working population, and facing a problem of infected individuals on ARVs using their extended time on dear Earth to infect! If you don’t believe talk to the health professionals in Serowe, I have). Pierre you are a religious zealot and there’s no other way to describe you.
    Lastly, this puerile attempt to act as the champion of the down-and-out black African (victims, whose own fellow black Africans are intent on deceiving him and taking advantage of his superstitions and his ignorance of the ways of polite society) is, frankly, both insulting and patronizing. It may work in your dinner parties with Mark Heywood and the TAC bunch, and their “enlightened” darkie friends, but it will certainly not work with some of us. It’s just another notorious and tired tactic of South Africa’s white liberals and their useful lackeys.

  33. spidey says:

    Why is it that “the ANC government” is held responsible when people die of Aids, when people are doing it to themselves and each other, and the message “unprotected sex causes Aids” goes largely unheeded? Why isn’t it the ANC government’s fault when smokers die of lung cancer? Why isn’t the ANC government to blame when heavy drinkers don’t get a state-sponsored liver transplant so as to save their lives? Why are smokers treated like criminals who deserve to die a lingering, painful death, yet people living with HIV and Aids are folk heroes who deserve everybody’s love and compassion?

    If it costs R600 a month to save the life of just one Aids sufferer, what if the TAC had their way and forced the (ANC) government to roll out ARVs to all ten million of them? At the going rate (assuming this won’t change) it will cost taxpayers 72 billion Rands, every year, just for the drugs. ARVs will have to become ever more sophisticated and therefore more expensive. Meanwhile, the infection rate is still rising, and budget will have to be curtailed because of the global economic meltdown. How long do we have until this country is bankrupt?

  34. ozoneblue says:

    Vuyo // Mar 11, 2009 at 7:34 pm

    “Lastly, this puerile attempt to act as the champion of the down-and-out black African (victims, whose own fellow black Africans are intent on deceiving him and taking advantage of his superstitions and his ignorance of the ways of polite society) is, frankly, both insulting and patronizing. It may work in your dinner parties with Mark Heywood and the TAC bunch, and their “enlightened” darkie friends, but it will certainly not work with some of us. It’s just another notorious and tired tactic of South Africa’s white liberals and their useful lackeys.”

    LOL

    Excellent post there Vuyo. You know at one time almost every white South African had almost miraculously transformed into an AIDS activist including but not limited to even that humanistic liberal bunch in the AWB and the HNP.

  35. Peter says:

    Vuyo – not all 10m HIV+ will need ARVs – only some proportion ie those who have progressed to AIDS at some stage.

    In any event, you haven’t told us your plan for the already HIV+. What is your plan? Let them all die? With some inspired leadership I would hope us South Africans could make a better plan than that .

  36. Spuy says:

    Having had a meeting with the HOD of Health in the FS MYSELF, I must say that, truely, heads ought to have rolled on this one. Being in Free State as we speak, I can confirm that not even a simple paracetamol tablets are available at our clinics here, thanks to the technocrats that were in power when TM was still in command. Thank God, thats all gona change when Dr J. Zuma takes over next month-what a saviour!

  37. Chris Mcdaniel says:

    To MOnkeyNUts (Ozoneblue)

    “I invite you to point out any comment that I have made on this blog that can be interpreted as racist”

    well thats easy

    “except for confirming again for all to see what a woefully inferior educational system the capitalist system in the USA has produced.”

    you are racist, STOP your xenophobia attacks on me and my country, I have never said one bad thing about this country infact ive rather fell inlove with this country.

    The only troll here is you, your a complete attention seeker, hi-jaking every single post on this blog, with utter crap like Neo Liberal, Imperialist BS. You have attacked not only myself but actually everyone who doesnt agree with you and esp alot of your attacks is on Pierre himself, you have not only called myself a troll but I see you did the same to another person, which is really funny cos the real troll here is actually you.

    Stop being such a little attention seeker, I dont like you, no one likes you here, infact go through all the posts here and see how many people you have actually pissed off

    Myself and everyone here has posted legal arguments towards you….I have posted tons of questions towards yoyu and you cant even answer them….I back all my arguments with your law.

    Youve made a complete ass out of yourself when it come to Zuma, to the ANC to Shaik to Selebi to Hlophe.

    Your an extremely arrigont little whinning ladyboy who seems to wear his G-string either to tight or drops his lipstick way to often…you have more PMS in a day than what a woman goes through in a month….The only reason why your on here is your thinking you know MORE than what a professor of Law does because no one could be bothered to entertain the crap you write on your website.

    Now you seem to claim you know more about Aids and my personnal favourite Medical Parole is based on medical aid???

    My friend you live in a complete different dimension to what the rest of humanity does.

    You have a such a chip on your shoulder, grow up!, the world owes you nothing, you make your own fortunes….and ive told you a number of times you need to go to theropy…I actually find you to be sick…and you exactly what seems to be wrong with society just this sick element of being an asshole.

  38. Mili says:

    spidey // Mar 11, 2009 at 8:13 pm

    ‘…Why is it that “the ANC government” is held responsible when people die of Aids, when people are doing it to themselves and each other, and the message “unprotected sex causes Aids” goes largely unheeded? …’

    Your ANC leader, my friend, is the vision of the future. Unprotected sex, shower remedies, multiple sexual partners. The Kangaman is leading the infection of the nation from the front spidey. So you might be right; its not the ANC that is to blame, it’s the poor moral standards of its leadership.

    Vuyo // Mar 11, 2009 at 7:34 pm
    ozoneblue // Mar 11, 2009 at 8:40 pm

    Even in a blog concerned about the rollout of ARV’s, HIV/AIDS you somehow find a way to bring in, blame and shame the white man. Ridiculous and cowardly!

  39. William says:

    ozoneblue // Mar 11, 2009 at 2:34 pm
    “They are quite because “fiscal discipline” and the accompanying disinvestment in government and social services is part of their “business friendly” neoliberal economical policies”

    If it is becuase of financial discipline, it is even sadder because it puts into perpective what the ANC think about the poor.

  40. nausea says:

    @Vuyo

    Excellent comments, Vuyo. I agree with you wholeheartedly: let’s not roll out ARVs and let the buggers die. In that way they can’t infect others and will end up costing the state less!

    I think that you, me, Thabo and tannie Manto have the same idea in terms of dealing with these sub-humans who allowed themselves to get infected with AIDS: let them die, wallah, no problem! Beetroot indeed!

    Also, as you say, these white liberals who fight for the rights of the poor are only doing so to have something interesting to say at dinner parties. If those poor and uneducated bastards can’t stand up for themselves, they deserve to die.

    A luta continua!

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