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Healthcare professionals in South Africa (SA) are facing challenging times. As the clinical negligence claims environment in SA deteriorates, the effect is being felt not only by healthcare professionals but also by the wider public as a result of the strain that costs place on the public purse. We look at the current claims environment, and explain why a debate about reform is so important.doi:10.7196/samj.2016.v106i2.10408 pmid:26821892 fatcat:ddxlsch4g5fdnflr4cijrwrdgq