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The Republic of South Africa is a parliamentary representative democratic republic. The President of South Africa serves both as head of state and as head of government. The President is elected by the National Assembly and must retain the confidence of the Assembly in order to remain in office. South Africans also elect provincial legislatures which govern each of the country's nine provinces. Since the end of apartheid in 1994 the African National Congress has dominated South Africa's politics
However, the South African government is responding with a far-reaching reform plan to revitalise and restructure the South African health care system, including: 1  Fast-tracking the implementation of a National Health Insurance scheme, which will eventually cover all South Africans.egislation. The National Health Act, 61 of 2003, provides a framework for a single health system for South Africa. The Act provides for a number of basic health care rights, including the right to emergency treatment and the right to participate in decisions regarding one's health.