Ideas and interests in a neoliberal model  The ideas driving private health need to be deconstructed. 65% of expenditure received for health care was from the for-profit sector (USAID, 2012). Health care is not a business or market - patients become customers and needs become sidelined by competition when in the private sector. Private health care involves adopting a neoliberal approach to care; competition is central and markets volatile. The market logic focuses on what is a good investment, will the elderly be included when they are a high risk population? This is why even in private systems like in the United States the elderly need public funding.  The privatisation of basic services, across Sub-Saharan Africa, has been shown to be a failure [1] . Access to health care should be based on need, rather than ability to pay.  [1] See further readings: UNDP (2007).