The missing MDG: inequality  Privatising health care cannot be discussed without raising concern over inequality. The privatisation of health care promotes exclusive health care, and is failing to bridge the gap between accessible care for low-income groups and the elite. The model remains unaffordable for many, and therefore ineffective. Even where affordable options are available the quality of care deteriorates. Quality assurance, and affordable care, is needed.  For example, taking the case of South Africa. Health care is provided through both public and private systems. However, the pricing of private health care: whereby better facilities and speed of treatment are found, leaves a majority out-of-pocket and excluded (All Africa, 2013). Prices need to be controlled and affordable options made available. Although formal employers have been involved in supporting access and coverage to health insurance schemes, to prevent a two-tier health system, a majority work within formal employment. If everyone has a ‘right’ to adequate health care, privatisation neglects their rights to health [1] .  [1] See further readings: War on Want (2013).