Aaron Motsoaledi

Motsoaledi was born on 7 August 1958 in Phokwane, a village in the Sekhukhuneland region of the former Northern Transvaal (present-day Limpopo Province).{{cite web |title=Minister of Health: Dr Pakishe Aaron Motsoaledi |url=http://www.sbah.org.za/index.php/home/minister-of-health |archive-url=https://web.archive.org/web/20160303230917/http://www.sbah.org.za/index.php/home/minister-of-health |archive-date=3 March 2016 |access-date=2017-08-29 |website=Steve Biko Academic Hospital |publisher=}} He was one of nine children – seven boys and two girls – born to Kgokolo Michael Motsoaledi, a school principal, and Sina Sekeku Maile. As a child during apartheid, he was influenced by the arrest of a neighbour on a pass law offence, and later by the Soweto uprising of 1976. In addition, his paternal uncle was Elias Motsoaledi, a Rivonia Trialist and stalwart of the African National Congress (ANC).

After matriculating at the Setotolwane High School, Motsoaledi completed a pre-medical course at the University of the North at Turfloop, where he was involved in anti-apartheid student politics. He went on to study medicine at the University of Natal, where he served on the medical school's student representative council from 1980, succeeding Zweli Mkhize as its president in 1982. He was also a founding member of the Azanian Students' Organisation (AZASO) and was elected as its national correspondence secretary, serving under president Joe Phaahla. He attended the launch of the United Democratic Front (UDF) in Mitchells Plain in 1983 and helped establish UDF structures at the University of Natal.{{Cite web |title=Meet Minister Aaron Motsoaledi |url=https://www.vukuzenzele.gov.za/meet-minister-aaron-motsoaledi |access-date=2023-08-02 |website=Vuk'uzenzele}} Later that year, he graduated with a Bachelor of Medicine, Bachelor of Surgery.

Motsoaledi practiced as a doctor in the Northern Transvaal, including through his own surgery in Jane Furse. At the same time, from 1986 to 1994, he was chairperson of the Sekhukhune Advice Office, which provided legal advice to anti-apartheid activists; in this capacity he worked with Nelson Diale and others.{{Cite web |date=27 June 2014 |title=Nelson Diale, a national activist, passed away |url=https://issuu.com/cornelbotha/docs/16_jan_2015 |access-date=2023-08-02 |website=Sekhukhune Dispatch |page=7 |language=en}} He was also chairperson of the Hlahlolanang Health and Nutrition Education Project in 1989.{{Cite web |title=Pakishe Aaron Motsoaledi, Dr |url=https://www.gov.za/about-government/contact-directory/pakishe-aaron-motsoaledi-dr |access-date=2023-08-02 |website=South African Government}} In addition, he maintained links to the outlawed ANC, including to an underground Umkhonto we Sizwe unit in Sekhukhuneland.

When the ANC was unbanned in 1990 during the negotiations to end apartheid, Motsoaledi became involved in running the party's overt structures in the Northern Transvaal. He was deputy chairperson of the Northern Transvaal branch from 1991 to 1992, and in 1994, ahead of the upcoming democratic elections, he was a member of the party's elections task team in the province.

In the first post-apartheid elections in April 1994, Motsoaledi was elected to represent the ANC in the newly established Limpopo Provincial Legislature (then still named after the Northern Transvaal). He was also appointed to the Executive Council of Ngoako Ramatlhodi, the Premier of Limpopo, who named him as the province's inaugural Member of the Executive Council (MEC) for Education.{{Cite book |url=https://www.yumpu.com/en/document/read/13429370/south-africa-campaign-and-election-report-april-26- |title=South Africa: Campaign and Election Report April 26–29, 1994 |publisher=International Republican Institute |year=1994 |access-date=13 April 2023 |via=Yumpu}} He remained in the portfolio until 1 July 1997, when Ramatlhodi announced that Motsoaledi had been sacked and replaced by Joe Phaahla, his former AZASO colleague.{{Cite web |date=1997-07-01 |title=Northern Province executive reshuffled |url=https://mg.co.za/article/1997-07-01-northern-province-executive-reshuffled/ |access-date=2023-07-28 |website=The Mail & Guardian |language=en-ZA}} He retreated briefly from the provincial executive, serving as an ordinary Member of the Provincial Legislature.

However, he returned to the Executive Council on 24 August 1998, when Ramatlhodi appointed him to succeed Benny Boshielo as MEC for Transport;{{Cite news |date=25 August 1998 |title=Axed MEC back in N Province cabinet |work=Sowetan |url=https://allafrica.com/stories/199808250165.html |access-date=2 August 2023 |via=allAfrica}} his reappointment reportedly followed an intervention by ANC deputy president Jacob Zuma.{{Cite news |date=2 June 1998 |title=Zuma wants Ramatlhodi to rehire MEC |work=Business Day |url=https://allafrica.com/stories/199806020152.html |access-date=2 August 2023}} After the 1999 general election, he swopped portfolios with Tshenuwani Farisani,{{Cite web |date=22 June 1999 |title=Zero tolerence for vigilantes |url=http://www.iol.co.za/index.php?set_id=1&click_id=6&art_id=ct19990622210007140N16121599 |url-status=dead |archive-url=https://web.archive.org/web/20110606144224/http://www.iol.co.za/news/politics/zero-tolerence-for-vigilantes-1.3132 |archive-date=6 June 2011 |access-date=2009-05-10 |website=Independent Online |publisher=}} becoming MEC for Agriculture, Land and Environment until 2004.{{Cite web |title=Aaron Motsoaledi |url=https://www.weforum.org/people/aaron-motsoaledi/ |access-date=2023-08-02 |website=World Economic Forum |language=en}} Thereafter, from 2004 to 2009 under Premier Sello Moloto, he returned to his former office as MEC for Education.{{Cite web |date=2008-06-13 |title=Challenges rather than obstacles |url=https://mg.co.za/article/2008-06-13-challenges-rather-than-obstacles/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

Throughout this period, he was a member of the Provincial Executive Committee of the ANC's Limpopo branch. Indeed, he was viewed as a possible candidate to run against Ramatlhodi for the position of ANC Provincial Chairperson.{{Cite web |date=2002-10-25 |title=Ramatlhodi faces challenge |url=https://mg.co.za/article/2002-10-25-ramatlhodi-faces-challenge/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} In December 2007, he graduated from the Provincial Executive Committee at the ANC's 52nd National Conference in Polokwane, where he was elected for the first time to the ANC's National Executive Committee. He received 1,591 votes across roughly 3,600 ballots, making him the 56th-most popular member of the 80 candidates elected.{{Cite web |date=2007-12-20 |title=Shake-up in ANC national executive |url=https://mg.co.za/article/2007-12-20-shakeup-in-anc-national-executive/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

File:Dr Pakishe Aaron Motsoaledi, Minister of Health, South Africa.jpg in September 2011]]

In the 2009 general election, Motsoaledi did not seek re-election to the Limpopo Provincial Legislature but instead won a seat in the National Assembly, the lower house of the South African Parliament. After the election, he was appointed to succeed Barbara Hogan as Minister of Health in the cabinet of newly elected President Jacob Zuma.{{Cite news |last=Smith |first=David |date=2009-05-10 |title=South African health minister sacked as Jacob Zuma names first cabinet |language=en-GB |work=The Guardian |url=https://www.theguardian.com/world/2009/may/10/jacob-zuma-barbara-hogan |access-date=2023-08-02 |issn=0261-3077}} His appointment was viewed as surprising, given that he was a relative "unknown" in national politics.{{Cite web |date=2011-08-26 |title=Healthcare is minister's most critical patient |url=https://mg.co.za/article/2011-08-26-healthcare-is-ministers-most-critical-patient/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} However, he went on to hold the office for the next decade.

During his first fortnight in office, Motsoaledi was faced with the threat of a national doctors' strike.{{Cite web |date=2009-05-22 |title=A bitter pill to swallow |url=https://mg.co.za/article/2009-05-22-a-bitter-pill-to-swallow/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} In later years, and in addition to regular programmes and new policy initiatives of the Department of Health, he presided over the national government's response to the 2014 Ebola outbreak in West Africa,{{Cite web |date=2014-08-21 |title=Ebola: SA 'erring on the side of caution', says Motsoaledi |url=https://mg.co.za/article/2014-08-21-ebola-sa-erring-on-the-side-of-caution-says-motsoaledi/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} the 2017 listeriosis outbreak in South Africa,{{Cite web |date=3 September 2018 |title=Listeriosis outbreak officially over, says Aaron Motsoaledi |url=https://www.businesslive.co.za/bd/national/2018-09-03-listeriosis-outbreak-officially-over-says-aaron-motsoaledi/ |access-date=2023-08-02 |website=Business Day |language=en-ZA}} and the Life Esidimeni scandal in Gauteng.{{Cite web |date=17 May 2017 |title=Motsoaledi has closed 14 of 27 Life Esidimeni NGOs |url=https://www.sowetanlive.co.za/news/2017-05-17-motsoaledi-has-closed-14-of-27-life-esidimeni-ngos/ |access-date=2023-08-02 |website=Sowetan |language=en-ZA}} He also appointed a ministerial task team to investigate maladministration at the Health Professions Council of South Africa, leading in 2016 to several high-level dismissals.{{Cite web |date=2016-04-26 |title=HPCSA axes top officials |url=https://mg.co.za/article/2016-04-26-hpcsa-axes-top-officials/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

The Mail & Guardian said that Motsoaledi was "a tour de force internationally", in particular commending him for "raising the international profile" of the campaign against tuberculosis, including during a September 2018 high-level meeting at the United Nations.{{Cite web |date=2018 |title=South African Cabinet Report Cards: Aaron Motsoaledi |url=https://cabinet.mg.co.za/aaron-motsoaledi-9/ |access-date=2023-08-02 |website=Mail & Guardian |language=en-US}} He was also a member of the UNAIDS–Lancet Commission on Defeating AIDS, which ran from 2013 to 2015, and led one of its working groups with Mark Dybul.{{Cite journal |last1=Piot |first1=Peter |last2=Abdool Karim |first2=Salim S. |last3=Hecht |first3=Robert |last4=Legido-Quigley |first4=Helena |last5=Buse |first5=Kent |last6=Stover |first6=John |last7=Resch |first7=Stephen |last8=Ryckman |first8=Theresa |last9=Møgedal |first9=Sigrun |last10=Dybul |first10=Mark |last11=Goosby |first11=Eric |last12=Watts |first12=Charlotte |last13=Kilonzo |first13=Nduku |last14=McManus |first14=Joanne |last15=Sidibé |first15=Michel |date=2015-07-11 |title=Defeating AIDS – advancing global health |url=https://pubmed.ncbi.nlm.nih.gov/26117719/ |journal=Lancet |volume=386 |issue=9989 |pages=171–218 |doi=10.1016/S0140-6736(15)60658-4 |issn=1474-547X |pmid=26117719}} In domestic politics, however, towards the end of his tenure, critics accused him of hostility towards non-citizen residents,{{Cite web |date=2018-11-20 |title=Are foreigners stealing your jobs and healthcare? Find out. |url=https://mg.co.za/article/2018-11-20-00-immigrant-blame-game-motsoaledi-remarks-immigrants-strain-on-health-system/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}{{Cite web |last=Green |first=Amy |date=2019-03-09 |title=Health department accused of xenophobia |url=https://health-e.org.za/2019/03/09/health-department-accused-of-xenophobia/ |access-date=2023-08-02 |website=Health-e News |language=en-ZA}}{{Cite web |date=6 March 2019 |title=Aaron Motsoaledi's toxic xenophobia |url=https://www.businesslive.co.za/bd/opinion/editorials/2019-03-06-editorial--aaron-motsoaledis-toxic-xenophobia/ |access-date=2023-08-02 |website=Business Day |language=en-ZA}} with a Sunday Times editorial remarking in March 2019 that he had "earned something of a reputation in the foreigner-bashing department".{{Cite web |date=3 March 2019 |title=Health Minister Aaron Motsoaledi's diagnosis will keep our health system sick |url=https://www.timeslive.co.za/sunday-times/opinion-and-analysis/2019-03-03-health-minister-aaron-motsoaledis-diagnosis-will-keep-our-health-system-sick/ |access-date=2023-08-02 |website=Sunday Times |language=en-ZA}}

Many observers, even those who were critical of the broader functioning of the healthcare system during Motsoaledi's tenure, praised him for his impact on HIV/AIDS policy, which they labelled his greatest achievement and legacy.{{Cite web |last=Cullinan |first=Kerry |date=2019-05-05 |title=Should Aaron Motsoaledi stay on as health minister? |url=https://www.dailymaverick.co.za/article/2019-05-05-should-aaron-motsoaledi-stay-on-as-health-minister/ |access-date=2023-08-02 |website=Daily Maverick |language=en}}{{Cite web |last=Low |first=Marcus |date=2019-05-29 |title=Assessing the Motsoaledi years |url=https://www.dailymaverick.co.za/article/2019-05-30-assessing-the-motsoaledi-years/ |access-date=2023-08-02 |website=Daily Maverick |language=en}} Continuing the work of his predecessor, Motsoaledi set about "undoing the damage"{{Cite web |date=2011-08-18 |title=Aaron Motsoaledi: A man on a mission |url=https://mg.co.za/article/2011-08-18-aaron-motsoaledi-a-man-on-mission/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} wrought by Thabo Mbeki's health minister, Manto Tshabalala-Msimang, who was frequently accused of HIV/AIDS denialism. By August 2011, the Treatment Action Campaign said of Motsoaledi, "We've seen a massive change since the Manto years – he listens and he understands the challenges we face in HIV/Aids. I’d say he’s one of the best deployments the ANC has ever made".

Motsoaledi's ministry launched a R1.4-billion HIV testing and counselling programme in March 2010, hailed by the South African National Aids Council as the largest programme of its kind "in the history of the Aids pandemic around the world".{{Cite web |date=2010-03-25 |title=Groundbreaking Aids campaign gets under way |url=https://mg.co.za/article/2010-03-25-groundbreaking-aids-campaign-gets-under-way/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} Other projects included the provision of flavoured, multicoloured condoms at tertiary institutions, which Motsoaledi said would help address "condom fatigue" caused partly by the perception that "the standard-issued choice condoms just aren't cool enough".{{Cite news |date=2014-04-02 |title=South Africa to use flavoured condoms to tackle HIV |language=en-GB |work=BBC News |url=https://www.bbc.com/news/world-africa-26853788 |access-date=2023-08-02}}{{Cite web |date=2014-04-02 |title=HIV programme welcomes Motsoaledi's flavoured condoms plan |url=https://mg.co.za/article/2014-04-02-hiv-programme-welcomes-motsoaledis-flavoured-condoms-plan/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} He was praised by civil rights groups in 2011 for agreeing to be the keynote speaker at a conference on the sexual health of men who have sex with men.{{Cite web |date=2011-05-27 |title=Make sexual minorities mainstream |url=https://mg.co.za/article/2011-05-27-make-sexual-minorities-mainstream/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

Above all, however, Motsoaledi was commended for expanding access to antiretroviral (ARV) treatment. The number of people on ARVs in South Africa almost doubled between 2008 and 2012, and South Africa's was the largest ARV programme in the world by 2013.{{Cite web |date=2014-04-11 |title=From critical condition to stable |url=https://mg.co.za/article/2014-04-11-from-critical-condition-to-stable/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}{{Cite web |date=2012 |title=South African Cabinet Report Cards: Aaron Motsoaledi |url=https://cabinet.mg.co.za/aaron-motsoaledi-4/ |access-date=2023-08-02 |website=Mail & Guardian |language=en-US}} The ministry achieved this in part through cost reduction: beginning with a tender renegotiation in 2010,{{Cite web |date=2010-12-14 |title=Govt announces reduction in cost of ARVs |url=https://mg.co.za/article/2010-12-14-govt-announces-reduction-in-arv-prices/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}{{Cite web |date=2010-12-23 |title=Cabinet report cards 2010: Part 2 |url=https://mg.co.za/article/2010-12-23-cabinet-report-cards-2010-part-2/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} the health ministry and National Treasury together attained the cheapest ARV supply in the world by 2019, along with continued American support through the President's Emergency Plan for Aids Relief. His department announced a switch to a fixed-dose combination ARV, efavirenz/emtricitabine/tenofovir, in 2012,{{Cite web |date=2012-11-29 |title=Finally, SA announces single pill for HIV |url=https://health-e.org.za/2012/11/29/finally-sa-announces-single-pill-for-hiv/ |access-date=2023-08-02 |website=Health-e News |language=en-ZA}} and Motsoaledi launched the new treatment regimen in April 2013 in Ga-Rankuwa.{{Cite web |last=Bateman |first=Barry |date=8 April 2013 |title=Single ARV pill launched |url=https://ewn.co.za/2013/04/08/Motsoaledi-launches-one-a-day-ARV-pill |access-date=2023-08-02 |website=EWN |language=en-US}} In January 2015, ARV access was expanded to meet World Health Organisation treatment guidelines for the first time,{{Cite web |date=2014-07-24 |title=Motsoaledi reveals 'progressive' HIV treatment plans |url=https://mg.co.za/article/2014-07-24-motsoaledi-reveals-progressive-hiv-treatment-plans/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} and from September 2016, free ARVs were rolled out to all HIV-positive residents, regardless of their immune status.{{Cite web |date=2016 |title=South African Cabinet Report Cards: Aaron Motsoaledi |url=https://cabinet.mg.co.za/aaron-motsoaledi-7/ |access-date=2023-08-02 |website=Mail & Guardian |language=en-US}} Also in 2016, South Africa became one of the first countries to roll out an ARV (Truvada) as pre-exposure prophylaxis to HIV-negative sex workers.{{Cite web |last=Gonzalez |first=Laura Lopez |date=2016-03-10 |title=One pill a day to keep HIV at bay for thousands of sex workers |url=https://health-e.org.za/2016/03/11/sex-workers-to-recieve-prep/ |access-date=2023-08-02 |website=Health-e News |language=en-ZA}}

Although South Africa faced significant ARV shortages near the end of Motsoaledi's term in 2018, in all, during his tenure, the Department of Health provided ARV access to an addition 4 million people, with the programme expanding from 792,000 patients in 2009 to an estimated 4.7 million in 2019. Between 2008 and 2018, largely owing to improved access to ARVs, annual AIDS-related deaths halved and average life expectancy improved by eight years for women and six years for men.

File:The Union Minister for Health and Family Welfare, Dr. Harsh Vardhan meeting the Health Minister of South Africa, Mr. Aaron Motsoaledi, at Barcelona, in Spain on October 28, 2014.jpg in Barcelona, October 2014]]

Apart from HIV/AIDS, the central policy initiative of Motsoaledi's term was the new National Health Insurance (NHI) proposal, which would aim to provide universal healthcare to all legal residents. He linked the initiative to his critique of the private healthcare sector, which he said was a "brutal system" that had brought about "rampant commercialisation" in healthcare.{{Cite web |date=2011-10-09 |title=Motsoaledi speaks of 'brutal' private health system |url=https://mg.co.za/article/2011-10-09-motsoaledi-speaks-of-brutal-private-health-system/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} Upon taking office in 2009, he appointed a 25-member advisory committee on the initiative,{{Cite web |date=2011-07-22 |title=NHI: Behind the proposals |url=https://mg.co.za/article/2011-07-22-behind-the-proposals/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} culminating in a green paper on NHI which was approved by the cabinet in August 2011 and which suggested a 14-year implementation timeframe.{{Cite web |date=2011-08-12 |title=National Health Insurance: A dummy's guide |url=https://mg.co.za/article/2011-08-12-national-health-insurance-a-dummys-guide/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}{{Cite web |date=2011-08-11 |title=Motsoaledi unveils 'radical' NHI plan |url=https://mg.co.za/article/2011-08-11-motsoaledi-unveils-radical-nhi-plan/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} An audit of all health facilities began in the same year,{{Cite web |date=2011-11-03 |title=Health minister's audit to usher in new NHI pilot era |url=https://mg.co.za/article/2011-11-03-nhi-audit-will-set-the-tone-for-rollout/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} and a pilot programme was rolled out in ten districts on 1 April 2012.{{Cite web |date=2012-03-22 |title=Motsoaledi launches NHI pilot programme |url=https://mg.co.za/article/2012-03-22-national-health-insurance-coming-to-a-district-near-you/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

Finally, Motsoaledi introduced the draft Medical Schemes Amendment Bill and NHI Bill in Parliament in June 2018.{{Cite web |date=2018-06-27 |title=At a glance: What the National Health Insurance means for you & your pocket |url=https://mg.co.za/article/2018-06-27-at-a-glance-what-the-national-health-insurance-means-for-you-your-pocket/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} However, the legislation was not processed before he left the ministry, and the Sunday Times commented in May 2019 that, although Motsoaledi had frequently entered into conflict with the private healthcare sector over the policy, "As the years pass, the NHI has remained a blur, and Motsoaledi has done little to clarify the outlines of this grandiose project."

In his public appearances, Motsoaledi emphasised the importance of preventive healthcare and therefore of primary healthcare.{{Cite web |date=2011-04-29 |title=Motsoaledi calls for more emphasis on disease prevention |url=https://mg.co.za/article/2011-04-29-motsoaledi-calls-for-more-emphasis-on-disease-prevention/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} In early 2012, he warned that his department would "be making a lot of noise" about smoking, alcohol consumption, diet, and exercise, which he said were key factors in South Africa's high burden of non-communicable diseases.{{Cite web |date=2012-02-11 |title=Expect fat and salt content restrictions |url=https://mg.co.za/article/2012-02-11-expect-fat-and-salt-content-restrictions/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} He said that he had declared war on trans fatty acids and that not even his cabinet colleagues were exempt from his campaign: according to Motsoaledi, he used "every available opportunity" in cabinet meetings to lecture about healthy diets.{{Cite web |date=2012-02-17 |title=Motsoaledi gets to the fats of the matter |url=https://mg.co.za/article/2012-02-17-motsoaledi-get-to-the-fats-of-matter/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} The following year, he signed an amendment to the Foodstuffs, Cosmetics and Disinfectants Act of 1976 which instituted limits on the sodium content of several processed foodstuffs, including bread.{{Cite web |date=2013-04-05 |title=Salt sellers shaken by Motsoaledi's rules |url=https://mg.co.za/article/2013-04-05-00-salt-sellers-shaken-by-rules/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} He also said that he would support bans on electronic cigarettes{{Cite web |date=2014-11-20 |title=E-cigarettes the enemy of the health system – Motsoaledi |url=https://mg.co.za/article/2014-11-20-e-cigarettes-the-enemy-of-the-health-system-motsoaledi/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} and on alcohol advertising.{{Cite web |date=23 October 2013 |title=Motsoaledi defends alcohol advert ban |url=https://www.businesslive.co.za/bd/national/health/2013-10-23-motsoaledi-defends-alcohol-advert-ban/ |access-date=2023-08-02 |website=Business Day |language=en-ZA}}

In May 2013, he announced that, in consultation with the Minister of Finance and Minister of Basic Education, his ministry would administer free HPV vaccines to public school children;{{Cite web |date=2013-05-15 |title=Schoolgirls to get cervical cancer vaccines from 2014 |url=https://mg.co.za/article/2013-05-15-schoolgirls-to-get-cervical-cancer-vaccines-in-2014/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} the programme rolled out to grade-four girls in 2014.{{Cite web |date=2014-03-12 |title=Motsoaledi launches free HPV vaccine for schoolgirls |url=https://mg.co.za/article/2014-03-12-motsoaledi-launches-free-hpv-vaccine-for-school-girls/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} In the realm of infant and maternal mortality, his department launched MomConnect in August 2014,{{Cite web |date=21 August 2014 |title=US-sponsored MomConnect app provides free antenatal information |url=https://www.businesslive.co.za/bd/national/health/2014-08-21-us-sponsored-momconnect-app-provides-free-antenatal-information/ |access-date=2023-08-02 |website=Business Day |language=en-ZA}} and he said that he would support regulation of access to baby formula as a means to improving infant nutrition.{{Cite web |date=2011-08-22 |title=Motsoaledi: Promote breast-feeding by restricting formula |url=https://mg.co.za/article/2011-08-22-motsoaledi-promote-breastfeeding-by-restricting-formula/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

Motsoaledi was re-elected to the ANC National Executive Committee in December 2012, ranked 18th of 80 by popularity.{{Cite web |date=20 December 2012 |title=Results of the elections for the ANC NEC 2012 – party |url=https://www.politicsweb.co.za/party/results-of-the-elections-for-the-anc-nec-2012 |access-date=2023-08-02 |website=Politicsweb |language=en}} He was also appointed as the committee's chief representative in the troubled provincial branch of the Western Cape,{{Cite web |date=15 January 2013 |title=Jackson Mthembu reappointed as ANC national spokesman |url=https://www.timeslive.co.za/politics/2013-01-15-jackson-mthembu-reappointed-as-anc-national-spokesman/ |access-date=2023-08-02 |website=Sunday Times |language=en-ZA}} and he was elected to a five-year term on the influential 20-member National Working Committee.{{Cite web |date=18 January 2013 |title=Motshekga dropped from ANC national working committee |url=https://www.businesslive.co.za/archive/2013-01-18-motshekga-dropped-from-anc-national-working-committee/ |access-date=2023-08-02 |website=Business Day |language=en-ZA}} During the committee's term, he became a critic of President Zuma; he reportedly spoke in favour of both of two motions of no confidence – one in late 2016 and one in mid-2017 – that were tabled against Zuma during the committee's meetings.{{Cite web |date=2017-05-27 |title=Report: Zuma faces the axe yet again at ANC NEC |url=https://mg.co.za/article/2017-05-27-motion-of-no-confidence-tabled-against-zuma-at-anc-nec/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}{{Cite web |date=2016-11-30 |title=Jacob Zuma lives to fight another day though fallout from latest revolt will live on |url=https://mg.co.za/article/2016-11-30-jacob-zuma-lives-to-fight-another-day-though-fallout-from-latest-revolt-will-live-on/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}{{Cite web |last=Malan |first=Mia |author-link=Mia Malan |date=2017-05-29 |title=How to defy Zuma – and survive to tell the tale |url=https://mg.co.za/article/2017-05-29-00-why-motsoaledi-backed-a-vote-of-no-confidence-against-zuma/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} In November 2016, when opposition parties pursued a no-confidence motion against Zuma in Parliament, Motsoaledi did not arrive to vote in Zuma's favour, thus defying a three-line whip.{{Cite news |date=11 November 2016 |title=Gordhan, Motsoaledi, Motshekga among 32 ANC MPs who did not vote |language=en |work=CityPress |url=http://city-press.news24.com/News/no-confidence-motion-gordhan-motsoaledi-motshekga-among-32-anc-mps-who-did-not-vote-20161111 |access-date=2017-08-11}}

Ahead of the ANC's 54th National Conference, held at Nasrec in December 2017, Motsoaledi supported Deputy President Cyril Ramaphosa's successful campaign to succeed Zuma as ANC president.{{Cite web |last=Brandt |first=Kevin |date=14 September 2017 |title=Motsoaledi: State resources used in Ramaphosa smear campaign |url=https://ewn.co.za/2017/09/14/motsoaledi-state-resources-used-in-ramaphosa-smear-campaign |access-date=2023-08-02 |website=EWN |language=en}} The same conference elected Motsoaledi to a third term on the ANC National Executive Committee; he was ranked 28th of 80 by popularity.{{Cite web |date=21 December 2017 |title=Meet the new ANC NEC |url=https://www.news24.com/news24/meet-the-new-anc-nec-20171221 |access-date=2023-08-02 |website=News24 |language=en-US}} He was retained as Minister of Health in Ramaphosa's cabinet when Ramaphosa replaced Zuma as President of South Africa in February 2018.{{Cite web |date=2018-03-04 |title=Motsoaledi energised by Ramaphosa's public fitness campaign |url=https://www.dailymaverick.co.za/article/2018-03-04-health-e-news-motsoaledi-energised-by-ramaphosas-public-fitness-campaign/ |access-date=2023-08-02 |website=Daily Maverick |language=en}}File:South Africa Health Minister Aaron Motsoaledi.jpg rally in Durban during the 21st International AIDS Conference, July 2016]]

In November 2019, Motsoaledi was named as a person of interest in the investigation into the murder of Bloemfontein businessman Louis Siemens.{{Cite web |last=Masondo |first=Sipho |date=3 November 2019 |title=Ace Magashule, Aaron Motsoaledi named in murder trial |url=https://www.news24.com/citypress/news/ace-motsoaledi-named-in-murder-trial-20191103-2 |access-date=2023-08-02 |website=City Press |language=en-US}} Stanley Bakili, who was standing trial for the murder, claimed in an affidavit that, on Siemens's behalf, he had bribed Motsoaledi and Ace Magashule to expedite the approval of a hospital license for CityMed Hospital. He said that Motsoaledi had received R150,000. Motsoaledi strongly denied the allegation, saying that he had never met or spoken to Bakili. He repeated his denial on the stand when called to testify in the case in the Free State High Court.{{Cite web |last= |date=2019-11-20 |title=Motsoaledi testifies in businessman's murder case |url=https://www.medicalbrief.co.za/motsoaledi-testifies-in-businessmans-murder-case/ |access-date=2023-08-02 |website=Juta MedicalBrief |language=en-US}}

In the 2019 general election, Motsoaledi was re-elected to the National Assembly, ranked 25th on the ANC's national party list.{{Cite web |title=Aaron Motsoaledi |url=http://www.pa.org.za/person/pakishe-aaron-motsoaledi/ |access-date=2023-08-02 |website=People's Assembly |language=en}} After the election, he was appointed to a new portfolio as Minister of Home Affairs in Ramaphosa's second cabinet.{{Cite web |date=30 May 2019 |title=Who's in and who's out of SA's 2019 cabinet |url=https://www.timeslive.co.za/politics/2019-05-30-a-listicle-of-who-is-in-and-who-is-out-of-sa-cabinet-2019/ |access-date=2023-08-02 |website=Sunday Times |language=en-ZA}} Njabulo Nzuza was appointed as his deputy.{{Cite web |last=Nicolson |first=Greg |date=2019-05-29 |title=Ramaphosa cuts Cabinet from 36 to 28 ministers, half of whom are women |url=https://www.dailymaverick.co.za/article/2019-05-29-ramaphosa-cuts-cabinet-from-36-to-28-ministers-half-of-whom-are-women/ |access-date=2023-08-02 |website=Daily Maverick |language=en}}

Motsoaledi was a prominent figure in the state's response to the 2022 prison break of Thabo Bester,{{Cite web |last=Dolley |first=Caryn |date=2023-04-14 |title='He simply didn't exist' — Aaron Motsoaledi explains how Thabo Bester slipped through Home Affairs cracks |url=https://www.dailymaverick.co.za/article/2023-04-14-he-simply-didnt-exist-aaron-motsoaledi-explains-how-thabo-bester-slipped-through-home-affairs-cracks/ |access-date=2023-08-02 |website=Daily Maverick |language=en}} as well as in the development and passage of the Electoral Amendment Act of 2023, which, on the instruction of the Constitutional Court, introduced electoral reforms to allow independent candidacies.{{Cite web |last=Dentlinger |first=Lindsay |date=21 October 2022 |title=Motsoaledi: Electoral Amendment Bill not aimed at complete electoral reform |url=https://ewn.co.za/2022/10/21/motsoaledi-electoral-amendment-bill-not-aimed-at-complete-electoral-reform |access-date=2023-08-02 |website=EWN |language=en}} In late 2021, he announced the Department of Home Affairs's highly controversial decision to terminate the Zimbabwean Exemption Permit, which since 2009 had allowed tens of thousands of Zimbabwean refugees to live and work in South Africa.{{Cite web |date=2022-03-31 |title=Editorial: There's a crisis coming |url=https://mg.co.za/editorial/2022-03-31-editorial-theres-a-crisis-coming/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} However, at the end of 2022, the Mail & Guardian criticised him for inaction on his plan to effect a "complete overhaul of the immigration system", which he had announced at the beginning of the year.{{Cite web |date=2022-12-20 |title=Aaron Motsoaledi (Grade E) |url=https://mg.co.za/cabinet-cards/report-card-2022/2022-12-20-aaron-motsoaledi-grade-e/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} His critics also accused him of fuelling xenophobia in South Africa.{{Cite web |date=2019-10-06 |title=Xenophobia fuelled by Minister Motsoaledi's scapegoating |url=https://www.dailymaverick.co.za/article/2019-10-06-xenophobia-fuelled-by-minister-motsoaledis-scapegoating/ |access-date=2023-08-02 |website=Daily Maverick |language=en}}{{Cite web |date=2022-06-27 |title=The rise of xenophobia: the road to ruin |url=https://issafrica.org/iss-today/the-rise-of-xenophobia-the-road-to-ruin |access-date=2023-08-02 |website=ISS Africa |language=en}}{{Cite web |date=2022-02-02 |title=How politicians stoke fires of xenophobic resentment |url=https://www.newframe.com/why-politicians-stoke-fires-of-xenophobic-resentment/ |access-date=2023-08-02 |website=New Frame}}

The ANC's 55th National Conference was held in December 2022, and Motsoaledi was re-elected to the National Executive Committee; he received 1,448 votes across roughly 4,000 ballots, making him the 27th-most popular member of the committee.{{Cite web |date=22 December 2022 |title=Full list: ANC NEC members |url=https://www.enca.com/news/full-list-anc-nec-members |access-date=2023-08-02 |website=eNCA |language=en}} He was appointed as the committee's chief representative in the Eastern Cape and as deputy chairperson of the subcommittee on education, health, science and technology, under chairperson Peggy Nkonyeni.{{Cite web |date=26 February 2023 |title=Members of deployment committee and other committees appointed – ANC NEC |url=https://www.politicsweb.co.za/documents/members-of-deployment-committee-and-other-committe |access-date=2023-08-02 |website=Politicsweb |language=en}}

Motsoaledi is married to Thelma Dikeledi, who is a businesswoman.{{Cite web |date=25 November 2012 |title=Motsoaledi orders wife to halt government business |url=https://www.timeslive.co.za/sunday-times/lifestyle/2012-11-25-motsoaledi-orders-wife-to-halt-government-business/ |access-date=2023-08-02 |website=Sunday Times |language=en-ZA}} They have two sons and three daughters, one of whom also studied to become a doctor and another of whom owns an Amsterdam-based start-up that gained her entry to the European Forbes 30 Under 30.{{Cite book |last=Bishop |first=Chris |url=https://books.google.com/books?id=TMmsEAAAQBAJ |title=The BEE Billionaires: Redressing the imbalances of the past, or creating new ones? |date=2023-02-08 |publisher=Penguin Random House South Africa |isbn=978-1-77639-039-7 |language=en}}{{Cite web |title=Lethabo Motsoaledi |url=https://www.forbes.com/profile/lethabo-motsoaledi/ |access-date=2023-08-02 |website=Forbes |language=en}} Two of his siblings are on the medical faculty at Medunsa.

In August 2013, while Motsoaledi was Minister of Health, he was commended by the Economic Freedom Fighters and Democratic Alliance for undergoing surgery at Steve Biko Hospital, a public hospital in Pretoria.{{Cite web |date=2013-08-14 |title=EFF and DA commend Motsoaledi for using public hospital |url=https://mg.co.za/article/2013-08-14-parties-commend-motsoaledi-for-using-public-hospital/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}} He said that he insisted his family attend public school and use public health facilities.{{Cite web |date=2013-09-06 |title=Motsoaledi: Why I use government hospitals |url=https://mg.co.za/article/2013-09-06-00-why-i-use-government-hospitals/ |access-date=2023-08-02 |website=The Mail & Guardian |language=en-ZA}}

{{reflist}}

• {{People's Assembly (South Africa)|pakishe-aaron-motsoaledi|Dr Aaron Motsoaledi}}
• [https://www.parliament.gov.za/person-details/252 Dr Pakishe Aaron Motsoaledi] at Parliament of South Africa
• [https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61580-4/fulltext Profile] in the Lancet (2009)
• [https://www.thenewhumanitarian.org/news/2010/05/14 Interview] with IRIN News (2010)

{{SAHealthMinisters}}

{{Jacob Zuma cabinet 1}}

{{Jacob Zuma cabinet 2}}

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{{Current MPs of South Africa}}

{{DEFAULTSORT:Motsoaledi, Aaron}}

Category:1958 births

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