Should you believe Motsoaledi’s hype about the ‘foreign threat’?

Last week, Health Minister Aaron Motsoaledi claimed in a speech that undocumented immigrants are flooding South Africa and overburdening clinics and hospitals.

When immigrants “get admitted in large numbers, they cause overcrowding, infection control starts failing”, he said.

Motsoaledi argued that South Africa must re-evaluate its immigration policy to prevent illegal immigration. But he offered no data or evidence to substantiate claims about immigrants being such a burden on the healthcare system.

How many foreigners are in South Africa?

According to the most recent census, there were 2.2-million foreignborn people living in South Africa in 2011. This figure includes both documented and undocumented immigrants.

Statistics South Africa estimates that one-million people immigrated between 2011 and 2016. Add that to the census’ total, subtracting the almost 400 000 foreigners that the 2017 White Paper on International Migration says home affairs deported during roughly the same time, then about 2.8-million immigrants called South Africa home in 2016.

What does that mean? Immigrants comprised about 5% of the total population of 55.9-million.

Reliable data shows the country is not overwhelmed with immigrants. But that clearly hasn’t stopped claims by politicians and Motsoaledi is not alone.

In 2015, former Gauteng health MEC Qedani Mahlangu told Eyewitness News that often “nine out of 10” patients in provincial health facilities were immigrants and blamed them for straining the system. She was unable to substantiate that claim.

Then, like today, there was no evidence that foreigners were flooding clinics and hospitals.

Francois Venter from the Reproductive Health and HIV Institute at Wits University responded to Mahlangu, telling Health-e News Service that “blaming foreigners for the failure to organise the public health services properly is the worst kind of xenophobia”.

“I’ve worked in the public sector for over 10 years [as a doctor], and the problems we see [at the hospital] are largely due to poor human resource and supply line management, and the disease burden related to the local failure of poverty relief programmes and poor organisation of services — not a handful of foreigners who are here for jobs, not for healthcare,” he said.

Public clinics and hospitals are stretched to the limit. This is not because of immigrants; the crisis in the healthcare sector is due to years of mismanagement, understaffing, poor planning and corruption.

But, as Nelson Mandela University researcher Savo Heleta recently wrote on the online media outlet Africa is a Country: “Why would politicians choose to face the rightful anger of millions of poor and hopeless South Africans when they can revert to anti-immigrant rhetoric and shift blame to those who have no voice?”

Meanwhile, the government has already approved antipoor and anti-African immigration plans as part of the 2017 White Paper on International Migration, which proposes building detention centres for African migrants and asylum-seekers.

Building walls and using arrest, detention and deportation as tools to manage migration will force people underground and into situations in which undocumented people may shun healthcare services for fear of being reported. This will make it impossible to ensure comprehensive screening and treatment, which are critical for the eradication of communicable diseases such as TB.

Motsoaledi’s anti-immigrant rhetoric is in line with similar recent bigoted and baseless claims by some of his colleagues in government as well as opposition politicians.

Earlier this year, News24 reported that Democratic Alliance leader Mmusi Maimane blamed immigrants for high crime rates in the country, claiming that securing border posts would reduce crime in South Africa.

Congress of the People leader Mosiuoa Lekota took his turn deriding foreigners, accusing them of robbing South Africans of housing and job opportunities in Johannesburg, News24 also reported. He vowed an opposition coalition government would confine refugees to camps within the country.

None of this anti-immigrant rhetoric is based on evidence.

A 2018 World Bank study shows that between 1996 and 2011, every immigrant worker generated two jobs for South Africans, mostly because their diverse skill sets led to productivity gains and multiplier effects.

There is also no evidence that foreigners are responsible for high levels of crime. In 2017, the country’s prison inmate population stood at 161 054, according to the correctional services’ 2016-2017 annual report. Minister of Justice and Correctional Services Michael Masutha told Parliament that foreign prisoners comprised about 12 000 or less than 8% of the total incarcerated population in July 2017.

Through blatant xenophobic lies, othering and scaremongering, foreigners are blamed for many of South Africa’s social ills. This will only get uglier as we get closer to the 2019 national elections.

South Africans need to see this for what it is: scapegoating of immigrants in order to hide government’s massive failure to improve the lives of millions of destitute South Africans.