February's explosive report from the OECD on the unaffordability of South African private hospitals may have political repercussions. Health Minister Aaron Motsoaledi told the South African press the study proves the market is broken – something he has “been telling South Africans all along, but no one wants to listen”. Here we look at the report and talk to the head of health at the OECD about its findings and also to Jonathan Broomberg, CEO of Discovery Health, the largest administrator of medical schemes in the country.