Development, Part 9c
Revolutionary Doctor, Mass
Communication
The National Planning Commission: Draft National Development Plan
NDP Chapter 10 on Health
NDP Chapter 10 on Health
Attached is a PDF file, formatted for printing as an A5
booklet, made up of extracts from Chapter 10, Promoting Health, from the draft
National Development plan. It has been formatted in this way for use as a short
discussion text in the "Development" course of the Communist
University.
This NDP chapter on Health seems to be more concrete (in the Hegelian and Marxist sense) than other chapters we have looked at from the NDP. The parts of this chapter make up an organic whole. It appears to be more of a plan and less of a wish-list.
This NDP chapter on Health seems to be more concrete (in the Hegelian and Marxist sense) than other chapters we have looked at from the NDP. The parts of this chapter make up an organic whole. It appears to be more of a plan and less of a wish-list.
This may be because of the
considerable amount of serious research that has been done in government, in
the ANC, in the SACP, and by unions such as NEHAWU, with a view to creating a
National Health Insurance scheme, to which the ANC is committed, as is the
current minister of Health, Cde Aaron Motsoaledi.
This post is an edited
version of the previous iteration, and is still a discussion of the draft.
The full chapter in the published (not draft) NDP, 2.5 MB in size, can be downloaded by clicking here.
The NDP, Overall
What did the National
Development Plan drafting process achieve, overall? It is not revolutionary and
it can barely be called “progressive”. It is incremental and gradualist. It is
a linear extrapolation from the present, and it is not a dialectical or
concrete conception. In that way, we can say that it is not even scientific.
But South Africa’s draft
National Development Plan is at least an attempt to look forward. So to that
extent it represents a rejection of laissez-faire
(let-it-be), and it embraces dirigisme
(steering, or “intervention”). For this much, and it is not a small thing, we
should be grateful.
The NPC had an advantageous
position within the Presidency, and it had the presumed support of its 26
members, who were prominent people in many walks of life. But the NPC had no
big battalions. It also lacked the practice of public dialogue, which
deficiency was apparent when it tried to communicate. So it was never likely to
be able to do very much more than what it did; and in 2015, it was stood down.
In 2015, we continue to await its replacement, which the SACP has said should
be a permanent planning commission.
“Policy” will in practice be driven
by the kind of action that NEHAWU and other agents have undertaken over the
years, which produced the body of thought in the field of health that the NPC was
obliged to take into consideration. The NPC then acted as an aggregator, and
not as an initiator; and this may be how things will proceed all around, i.e.
that the NPC, or its future equivalent, will endorse and sanctify initiatives
that come from outside of itself. These include the Industrial Policy Action
Plan, The New Growth Path, and the Infrastructure Development Plan, all
initiated and led by the ANC government.
Thus, the living democracy of
the mass democratic movement, within the framework of the National Democratic
Revolution, will continue to have priority in determining the country’s future.
Initiative is Dialogue?
The leaders of the NPC were
not very good communicators. The documents that they sent out were extremely
difficult to handle, and continued to be difficult to handle even after many
complaints.
Their attempts to communicate
using innovative (so-called “social”) media did not take them towards dialogue,
but towards proselytising and indoctrination.
In the world of popular
communications, the NPC was unable to improve on the patronising, condescending
tone of “tips for Trevor”.
Whereas the ANC’s Policy
Conference, for example, is the apex of a dialogic pyramid that goes, via ANC
branches and sub-Branches, all the way down to localities all over the country;
while on the other side it has a majority in parliament and a firm hold on the
executive government.
The ANC is closely linked to
other dialogical agents, including the SACP, and with other trade unions apart
from NEHAWU and SADTU, which we have already mentioned.
This combined alliance mechanism
can, and does, produce real dialogue, and it is incomparably larger than any
other organised public mass in South Africa. It is by itself a medium of mass
communication, and a larger one by far than any other in the country.
·
The above is to
introduce the original reading-text: National Plan, C10, Promoting
Health – extract.