Living longer isn’t enough, it’s time to live better
Good news: South Africans are living longer. According to Statistics South Africa’s 2025 Mid-Year Population Estimates, life expectancy has climbed to 64 years for men and 69.6 years for women. This marks a remarkable recovery from the devastating lows of the early 2000s, when the HIV epidemic cut lives tragically short. Expanded access to antiretroviral treatment deserves enormous credit for that turnaround. But here is the number that should stop us in our tracks: our healthy life expectancy sits at just 52.8 years. That means the average South African spends roughly a decade, sometimes more, living with illness, disability, or diminished quality of life before they die. We are adding years to life, but we are not yet adding enough life to years. This World Health Day, on 7 April, that is the conversation we need to be having. A nation under double pressure South Africa’s health landscape is uniquely complex. We carry a double burden of disease that few countries face at the same scale. On one side are communicable diseases: an estimated 8.15 million South Africans are currently living with HIV, representing 12.9% of the total population. On the other, non-communicable diseases (NCDs) are rising at an alarming rate and they are increasingly becoming the silent drivers of preventable death. Diabetes is perhaps the starkest example. Its prevalence has nearly tripled over a decade, from 4.5% in 2010 to 12.7%. By 2019, an estimated 4.58 million South Africans between the ages of 20 and 79 were living with the condition. More troubling still? Over half of them (52.4%) were undiagnosed. High blood pressure and heart disease follow a similarly concerning trajectory, steadily eroding the life expectancy gains we have worked so hard to achieve. The root of this problem is not only a lack of healthcare access though that inequality remains real and urgent. A significant part of the challenge is a lack of health literacy: people not knowing their numbers, not understanding their risk, and not knowing when or where to seek help. Information is healthcare World Health Day is not just about healthcare systems. It is about ensuring that every person, regardless of income, geography, or education level has the knowledge they need to protect their own health. That is health literacy. And it is one of the most powerful, and underused, tools we have. At Bonitas, we believe that a medical scheme’s role extends far beyond paying claims, we are a healthcare partner. That means meeting our members where they are: helping them understand their conditions, navigate the system, and make informed decisions before a health crisis forces their hand. Our Be Better Benefit is a direct expression of that philosophy. It is designed to empower members to take a proactive approach to their health, offering access to wellness screenings, tests, vaccines and preventative care measures – helping with early detection of health issues, and allowing for timely intervention. Because the best claim is the one that never needs to be submitted. Part of health literacy is understanding your medical aid, not just having it. Too many South Africans are either underinsured, enrolled on benefits that do not match their actual health needs, or simply uncertain about what their plan covers. With NCDs now affecting South Africans across every age group and income bracket, having the right cover is not a luxury. It is a necessity. Choosing the right medical scheme benefit option means understanding your family’s health profile: your age, chronic conditions, preventative care needs, and anticipated healthcare use. It means asking the right questions. And it means having a scheme that gives you the tools, and the transparency, to make those decisions confidently. A shared responsibility South Africa has made genuine, hard-won progress in public health. Infant mortality has dropped to approximately 23 deaths per 1,000 live births. Under-five mortality has fallen to around 26 per 1,000. But the next frontier of progress will not be won in hospitals alone. It will be won in the daily decisions people make about their health: whether it is getting screened, managing a chronic condition, or seeking care early rather than later. For that to happen, people need information, support, and a healthcare partner they can trust. This World Health Day, we at Bonitas reaffirm our commitment to being exactly that, not just a funder, but an educator, an advocate, and an ally in every South African’s journey towards a longer, healthier life. For more information on the Bonitas Be Better Benefit and to find the right benefit option for you and your family, visit www.bonitas.co.za.
