In a similar vein to the land reform debate in South Africa, health reform is also filled with populist rhetoric, seemingly in the lead up to the 2019 national elections. In February 2018, President Ramaphosa singled out the urgency of National Health Insurance (NHI) in his first State of Nation address. Publication of the draft National Health Insurance Bill (NHI Bill) followed shortly, with the simultaneous release of the Medical Schemes Amendment Bill (MSA Bill).