For many in South African healthcare decisions are shaped as much by habit and hearsay as they are by facts. Whether it’s putting off a doctor’s visit, relying on a quick pharmacy stop, or assuming medical aid will cover everything, these choices often stem from long-held beliefs.

But with healthcare costs on the rise and unequal access, some of these beliefs may be doing more harm than good.

According to Lance Blumeris of Unu Health, understanding how and when to access care has never been more important. “We’re seeing a pattern where people delay care or make decisions based on outdated assumptions, and that often leads to more serious — and more expensive — health issues down the line,” he says.

Here are five common healthcare myths many South Africans still believe — and the reality behind them.

Myth 1: “I only need to see a doctor when I’m really sick.”

For many, a doctor’s visit is seen as a last resort — something reserved for when symptoms become severe.

Reality:
Waiting until you’re “really sick” can turn minor, manageable conditions into more serious problems. Early intervention is often simpler, more effective, and significantly cheaper.

“By the time many people seek help, their condition has already worsened,” says Blumeris. “Accessing care earlier — even for something that seems minor — can prevent complications and reduce long-term costs.”

Myth 2: “Medical aid means I’m fully covered.”

There’s a common assumption that having medical aid equals complete peace of mind.

Reality:
Many South Africans are discovering that medical aid doesn’t always cover everything — especially when it comes to day-to-day benefits, GP visits, or specific treatments. As costs increase, more people are either downgrading plans or running out of savings earlier in the year.

“People are often surprised by what isn’t covered,” Blumeris explains. “Understanding your benefits — and having alternative ways to access care — is becoming essential.”

Myth 3: “I can just ask the pharmacist instead of seeing a doctor.”

 

Pharmacies have become a convenient first stop for quick advice and over-the-counter solutions.

Reality:
While pharmacists play an important role in primary care, they are not a replacement for a full medical consultation — especially when symptoms persist or worsen.

Relying solely on pharmacy advice can sometimes delay proper diagnosis and treatment.

“Pharmacists are an important part of the healthcare system,” says Blumeris, “but there’s a point where a proper medical consultation is necessary to fully understand what’s going on.”

Myth 4: “Online doctor consultations aren’t reliable.”

Despite the growth of digital health, some people still question whether a virtual consultation can be trusted.

Reality:
Digital consultations have become a widely accepted and effective way to access healthcare — particularly for common conditions, follow-ups, and early advice. They also offer a more affordable and accessible option for many South Africans.

“There’s been a significant shift in trust,” says Blumeris. “For many everyday health concerns, digital consultations are not only convenient but also clinically appropriate.”

Myth 5: “If it’s not serious, I’ll just wait it out.”

It’s a mindset many people adopt — especially when trying to avoid medical costs.

Reality:
Delaying care can often lead to longer recovery times, more complex treatment, and higher costs in the long run. This approach is particularly risky when it comes to chronic conditions, which often develop gradually and without obvious symptoms.

“We often see people who hoped something would resolve on its own, only to find they need more intensive treatment later,” Blumeris notes. “Early action almost always leads to better outcomes. The key is not just access to healthcare, but knowing how to use it effectively. Small decisions — like when to seek advice — can make a significant difference to both health outcomes and financial wellbeing.”

For more information, please visit www.unuhealth.org