South Africa’s two-tier health system is under the microscope again – and in the latest instalment of Who Owns South Africa, Open Secrets peels back the curtain on private medical aids and hospital groups. From lucrative investments to monopolised care, this investigation exposes who’s cashing in on our country’s sick – and how that’s deepening the divide in access to quality healthcare. As the country debates the NHI Bill, this exposé couldn’t be more timely. Phemelo Motene speaks to Open Secrets’ Head of Investigations, Michael Marchant, about the money, the monopolies, and the future of our health system.