24/06/2026
Parliament Must Get SI 330 Right — For Patients, Jobs and Zimbabwe
Few policy decisions before Parliament this year will have consequences as far-reaching as the proposed amendments to Statutory Instrument 330 of 2000.
This debate has outgrown the medical aid sector.
It is now about whether Zimbabwe can strengthen regulation without weakening healthcare, putting jobs at risk, discouraging investment and undermining confidence in Brand Zimbabwe.
As Parliament’s Portfolio Committee on Health and Child Care considers the proposed amendments, lawmakers should ask one simple but fundamental question:
Will these reforms leave Zimbabwe better than it is today?
If that question cannot be answered with evidence, Parliament should proceed with caution.
No one disputes the need for effective regulation. Every healthcare system requires transparency, accountability and good governance. Where legitimate concerns exist, they should be addressed.
But regulation must also be proportionate.
It should solve problems, not create bigger ones.
The proposed amendments would require medical aid societies to divest hospitals, clinics and specialist healthcare facilities that have become an integral part of Zimbabwe’s healthcare system over many years.
Such a far-reaching intervention demands more than good intentions.
It demands compelling evidence that patients, workers and the country will be better served.
Has that evidence been presented?
That is the question Parliament must answer before recommending reforms with long-term consequences.
Zimbabwe’s healthcare system is already under pressure. Public hospitals continue to face capacity constraints, while thousands of Zimbabweans rely on medical aid-supported private healthcare to access timely treatment.
If existing healthcare infrastructure is dismantled, what replaces it?
Will public hospitals absorb the additional demand?
Will healthcare become more affordable?
Will waiting times fall?
Will patient outcomes improve?
If those questions cannot be answered convincingly, caution is not opposition to reform.
It is responsible lawmaking.
Parliament must also consider the economic consequences.
Over the years, substantial private investment has gone into hospitals, clinics, pharmacies, laboratories and specialist healthcare facilities. Those investments support healthcare delivery, sustain employment and contribute to economic growth.
Behind every healthcare institution are doctors, nurses, pharmacists, laboratory scientists, administrators, cleaners, security personnel and thousands of other Zimbabweans whose livelihoods depend on a stable healthcare sector.
These are not just numbers.
They are families.
They are jobs.
They are livelihoods.
They are constituents represented by Members of Parliament.
Legislation should not place those livelihoods at unnecessary risk unless there is clear evidence that the public interest will be better served.
At a time when Zimbabwe is actively seeking domestic and foreign investment, policy certainty has become an economic asset in its own right.
Investors understand that regulations evolve.
What they seek is certainty, consistency and evidence-based policymaking.
A regulatory environment perceived as unpredictable can weaken confidence far beyond the healthcare sector.
Parliament’s constitutional responsibility is therefore clear.
Its role is to scrutinise proposed laws and regulations thoroughly and ensure they advance the national interest.
If governance weaknesses exist, Parliament should encourage reforms that address those weaknesses without dismantling healthcare capacity that patients already depend on.
Strengthen oversight.
Improve corporate governance.
Demand greater transparency.
Require independent audits.
Enforce competition laws.
Protect patients.
Those are meaningful reforms.
The burden rests with those advocating the amendments.
They should demonstrate—with evidence, not expectation—that the proposed changes will lower healthcare costs, improve access, strengthen patient protection, preserve healthcare capacity and deliver better outcomes.
If that case cannot be made, Parliament should think carefully before endorsing structural reforms of this magnitude.
History rarely remembers lawmakers for the number of laws they pass.
It remembers them for the quality of the decisions they make.
Parliament now has an opportunity to demonstrate that effective regulation is not about dismantling what works, but about improving what can work better.
It can protect patients without sacrificing jobs.
Preserve investment without compromising accountability.
Strengthen regulation without weakening healthcare.
And reinforce confidence in Brand Zimbabwe.
Zimbabwe deserves nothing less.