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18 July 2023 | Story André Damons and Samkelo Fetile | Photo Stephen Collett
UFS Thought-Leader Series
The 2023 Thought-Leader Panel. From left: Prof Bonang Mohale, Dr Lindie Koorts, Prof Francis Petersen, Dr Sipho Pityana and Prof Piet Croucamp.

Panelists at the University of the Free State’s (UFS) Thought-Leader Panel discussion disagreed whether South Africa has a culture of acceptance, with one panelist claiming “it is absolute nonsense”.

Prof Piet Croucamp, who teaches politics at the North-West University (NWU), answered the question whether South Africans just accept things as if they were normal because they do not know anything different with a frank: “It is absolute nonsense”. 

Prof Croucamp was one of four panelists who took part in the panel discussion titled: “A Culture of Acceptance – South Africa’s Greatest Threat?” as part of the 2023 Thought-Leader Series on Thursday (13 July 2023). The other panelists were Prof Bonang Mohale, President: Business Unity South Africa and UFS Chancellor; Dr Sipho Pityana, Founder and Chairman: Izingwe Capital; and Dr Lindie Koorts, Research Fellow: International Studies Group (ISG), UFS.

Prof Francis Petersen, UFS Vice-Chancellor and Principal, was the facilitator. 

Biggest motion of no confidence 

Prof Croucamp said only 47% of registered voters turned up to vote during the 2021 elections and only 12% of eligible voters voted for the ANC, while 88% voted for other political parties or stayed away.

“The reason why the ANC dipped below 50% is because people stayed away and by staying away, they were saying something. They were saying ‘we have lost confidence in this particular system’, but more so in this political party. It is the biggest motion of no confidence that I have seen in this country.

“Only 12% could identify with that narrative. So do not tell me people are passive and have nothing to say and that they have just accepted things. It is simply not true,” Prof Croucamp said.

According to him, black entrepreneurs who have benefited from black economic empowerment and who operate mostly in the informal economy, are responsible for the recent burning of trucks. They are now seeking to enter the value chain of the formal economy, in this case, the logistics economy.

“They compete with each other through the use of violence. Bheki Cele (minister of police) said the burning of trucks is business-related and I agree with him. It spilled over from the mining industry in Mpumalanga. These are economically empowered entrepreneurs who use violence and crime as a way to establish themselves in the value chain. Do not for one moment believe it has something to do with the violence of July 2021.”

Culture of acceptance 

Prof Mohale said the timing of the recent truck burnings is interesting because it happened on the second anniversary of the violence that occurred in July 2021. These attacks on the trucks are clearly coordinated. By Thursday morning (13 July this week) 21 trucks had been burned. There is no way this was spontaneous, he said. 

“The timing is important. Look at the data; from 9 July 2021 – two weeks which are referred loosely to as a failed insurrection with rampant looting – Minister Bheki Cele at that time talked about the “Dirty Dozen” because 12 people were identified as responsible and he said they would be arrested soon. 

“Yesterday (Wednesday 12 July) he tells us about the Dirty Dozen again. Look how easily we accept this number. The same way that we accepted a report in 2003 from the Truth and Reconciliation Commission which said those people who did not get full amnesty because they did not disclose must be charged. Twenty years later nobody has been charged,” said Prof Mohale.

According to him, there is a culture of acceptance of everything we are promised. We are told they were going to do “A”. Nothing is done and there are no consequences.

The two weeks in July 2021 are important, he said. There were two components, part of it was highly organised and orchestrated via WhatsApp messages. Then the other half was spontaneous.

“Look at the economic consequences.” They were not helping black people but were plunging them further into poverty. More than 350 people were killed and 200 malls burned and 5 000 businesses destroyed. Some 40 000 jobs were put at risk, eight warehouses and 11 factories were gutted and 1 400 ATMs were destroyed and R160 million was stolen. More than 1.5 million rounds of ammunition were stolen which later found their way to cash-in-transit robberies, Prof Mohale said. 

Constitution an empowering tool in the hands of citizens

Dr Pityana said the most urgent threat facing this country today, is that of becoming a failed state and the acceleration towards that failure. The questions that citizens have to ask is what can be done to stem that acceleration?

“My reference point when I think about this nation is the constitution because the constitution is a fantastic tool in the hands of each and every citizen. It is a very empowering tool. There are two things we did when we adopted the constitution; two very important pieces of legislation were passed. The first was the Promotion of Administrative Justice Act. The next is the Promotion of Access to Information Act (PAIA).

“The constitution enjoins us to drive a value-based society. A value-based society as distinct from a majoritarian society. The importance of that, is that it is a tool that is about saying to each and every one of us as South Africans what is the vision of the country that we want to build. The value of the constitution is that we must build an inclusive society and it does not matter what our station is. For as long as there is a poor person somewhere, we are exclusive. For as long as there is somebody somewhere who feels they do not belong, they do not have access to health, education, they do not have access to a range of things, it is not good enough to say that at least I get it,” said Dr Pityana. 

Elites feeding off the people 

Dr Koorts, who often writes on the links between current affairs and history, agreed with Prof Croucamp that the stay-away vote was a huge vote of no confidence in the ANC. But, she continued, it is keeping the country where it is. The ANC suffers from what she calls the “broad-church disease”. 

 “We need transition. Does the answer lie with our opposition parties? I would say they suffer from the same ‘broad-church disease’, unfortunately, because you trying to find as many votes as possible and you accommodate as many as possible, which is very laudable. But again, contradictory forces mean you are not getting anywhere. Unfortunately, if there's one party that does not suffer from broad-church disease, I would say it’s EFF who really know what they stand for,” Dr Koorts said. 

She also said elites are feeding off the people because people are doing things for themselves. 

“If people are doing things for themselves, for example, fixing potholes themselves – great, that money can be pocketed. Getting refuse to the dumps by ourselves, more money to be pocketed, solar panels, water tanks, etc. But tax collection does not stop. You have an elite feeding off people. ‘Do-it-yourself’ cannot go without accountability. Because otherwise you will just be doing more and more for yourself”.

Watch the series below:

                                                 

 

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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