As Botswana moves toward National Health Insurance under what I have termed Duma Care, global lessons especially from the United States’ Affordable Care Act suggest a simple but critical truth: financing reform cannot succeed without a strong primary health care foundation. This builds directly on my 29 March 2026 article, “Duma Care: Can National Health Insurance Deliver Without Strong Primary Health Care in Botswana,” which raised the foundational question of system readiness. In the weeks ahead, this forms part of a broader series examining comparative NHI pathways drawing on Rwanda and Thailand, while engaging critically with South Africa and Ghana.
There's more to this story
But to keep reading, we need you to subscribe.
Investigative journalism is an indispensable part of a healthy society, but it's also expensive to produce. We are reliant on subscriptions to fund our work, and while you can enjoy most of our stories for free, a small number of premium features are reserved for subscribers.
You can subscribe for one week, a month or a full year - the choice is yours.
Save 77% on an annual subscription. Click here to find out how.
Existing subscribers can log in to keep reading here.
