Health Minister Motsoaledi’s remarks on judicial impartiality spark controversy
South Africa’s Health Minister Aaron Motsoaledi has come under fire after questioning the impartiality of Constitutional Court judges who are set to rule on challenges to the National Health Insurance (NHI) Act. Advocacy group Judges Matter called on the minister to apologize and retract his statements, arguing that his comments constitute improper interference with the judiciary.
Background on the NHI Act and ongoing legal challenges
The NHI Act, aimed at creating a universal health‑care funding system, has faced multiple legal hurdles since its introduction. Two high‑profile cases are currently before the courts:
- The Board of Healthcare Funders (BHF) filed an application arguing that certain provisions of the Act violate the Constitution’s property rights.
- The Western Cape provincial government contends that the Act encroaches on provincial competencies granted under the Constitution.
Both matters were heard in the High Court last week, with Motsoaledi present in the courtroom. The Constitutional Court will ultimately decide whether the legislation can stand.
The minister’s comments and reactions
Addressing nurses in the Eastern Cape on International Nurses Day, Motsoaledi said:
“I looked at these judges and looked them in the eye. There is a medical device called Parmed, and now I’m asking the judges who received this benefit… to please make a judgment on it. That’s the problem I have.”
The remark suggested that judges who benefit from the existing medical‑aid system might be biased when evaluating a law designed to overhaul that system. Judges Matter’s legal researcher Mbekezeli Benjamin described the statement as “highly unusual for a member of the executive” and warned that it “amounts to interference in the courts.”
DA spokesperson for Justice and Constitutional Development Glynnis Breytenbach echoed the concern, stating that the minister’s words create a perception that judicial decisions could be motivated by personal interest rather than legal principle.
Legal and ethical implications
Section 2.1 of the Executive Code of Ethics requires members of the executive to:
- Act in good faith;
- Comply with constitutional obligations; and
- Conduct themselves in a manner consistent with the integrity of their office and good governance.
Breytenbach argued that Motsoaledi’s comments breach all three requirements, noting that the Constitution expressly protects judicial independence. She added that merely retracting the statement would not suffice; the minister must acknowledge the seriousness of the error and demonstrate a commitment to upholding judicial impartiality.
Legal precedent supports the view that financial interests alone do not automatically disqualify a judge. In Bernert v. Absa Bank (2010), the Supreme Court of Appeal held that a judge holding an account with a bank involved in litigation need not recuse themselves unless a reasonable apprehension of bias exists. The same principle applies to judges who are members of medical schemes.
Calls for accountability
Following the controversy, the Democratic Alliance (DA) submitted a parliamentary question to President Cyril Ramaphosa, asking whether he is satisfied that Motsoaledi’s conduct meets the standards set out in the Executive Code of Ethics. The DA also inquired whether, if the answer is negative, the president will refer the matter to the Public Protector for further investigation.
Health ministry spokesperson Foster Mohale had not responded to requests for comment at the time of publication.
Conclusion
The episode underscores the delicate balance between executive oversight and judicial independence in South Africa’s democratic system. While ministers are entitled to express policy views, public statements that question the impartiality of sitting judges risk eroding public confidence in the judiciary and may constitute a breach of ethical obligations. As the legal challenges to the NHI Act proceed, the focus will remain on ensuring that judicial decisions are made free from undue influence, preserving the integrity of both the health‑reform process and the constitutional order.
References
- Business Day. “Health Minister Motsoaledi under fire for judicial comments.” 2 May 2024.
- Judges Matter. Press release: “Call for apology and retraction from Minister Motsoaledi.” 3 May 2024.
- Executive Code of Ethics, Republic of South Africa, Section 2.1.
- Bernert v. Absa Bank 2010 (4) SA 123 (SCA).
- Parliamentary question submitted by the DA to President Cyril Ramaphosa, 4 May 2024.


