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REFLECTION

The cancer of corruption has metastasised at Gauteng Department of Health

Wits Professor Alex van den Heever and I calculate that close to R20bn has been stolen from the Gauteng Department of Health in the last 10 years. The scale of this theft makes former President Jacob Zuma look like a clumsy shoplifter.
The cancer of corruption has metastasised at Gauteng Department of Health Illustrative image | Investigative journalist Jeff Wicks. (Photo: News24) | Babita Deokaran. (Photo: Facebook) | Tembisa Hospital. (Photo: Papi Morake / Gallo Images) | Banknotes. (Photo: Adobe Stock)

There is a scene in Shakespeare’s tragedy Macbeth where Macbeth, experiencing a flickering moment of conscience, laments, “I am in blood / Stepped in so far, that, should I wade no more, / Returning were as tedious as go o’er.”

(Translation: I’ve caused so much harm that even if I wanted to stop now, turning back from this course would be as difficult as continuing.)

As I turned page after page of “

Shadow State: Why Babita Deokaran had to die”, by News24 journalist Jeff Wicks, Macbeth’s words seemed a fitting way to describe the ANC leadership in Gauteng. These leaders, who run a government that is supposed to provide essential health services to 16 million people, come from a party that has a noble lineage. However, once in power, ANC leaders assumed they had a divine right to rule.

Tempted by the proximity of vast sums of easy money, many of its leaders evolved into a sovereign mafia that has robbed the Gauteng government blind — at an inestimable cost in human life and dignity.

They behave as if they are accountable only to themselves. No amount of protest seems to shame them.

“The Shadow State” is an anti-monument to this party.

It’s a masterclass in investigative journalism that should be taught to future generations of journalists. But its subject is a forensic analysis of the cancer of corruption that, untreated, has metastasised across the Gauteng government, its Department of Health in particular.

Finally, it’s an indictment, hopefully a curse from the grave, by those who have been killed and harmed by corruption.

“J’accuse!” say the dead. “You may not be in prison, but you must all be assumed guilty until proven innocent.”

“The Shadow State” reignited my anger, as it should yours.

Murdered whistle-blower Babita Deokaran. (Photo: Supplied)
Murdered whistle-blower Babita Deokaran. (Photo: Supplied | Image sharpened with AI)

I found the description of Babita Deokaran’s shooting, her last minutes on a life-support machine with her daughter and brother by her side, painful to read.

But even harder is the story of her six-month suspension from her job in 2019 — something she didn’t even tell her family about. Two years before her murder, Deokaran was sent home on false charges because her bosses rightly presumed her incorruptible and needed her out of the way.

“The Shadow State” made me angry at the treatment of Deokaran and the callousness with which her assassination was planned and executed.

It made me angry at Lerato Madyo, the former CFO of the Gauteng Department of Health, who Wicks says now goes under the name Daniella Molapo. The book strongly suggests Madyo may have allegedly tipped off the looters that Deokaran was on to them. Madyo was the only person who knew Deokaran had compiled a report about the suspicious activities at Tembisa Hospital.

Wicks writes:

“Babita told them where to look, but instead of implementing her recommendations, her boss, Madyo, decided to launch the unguided compliance audit. That’s like the trauma surgeon who sees that his patient has been shot in the face but starts by examining another patient’s feet.”

It made me angry about the way our state fails us at every level, including the basics of policing, safety and security. Acts of malicious omission characterised the Hawks’ misinvestigation into the Tembisa Hospital skulduggery, so the looters got away with murder. Literally.

I’m angry that a government that so many dreamed of and fought for has been infiltrated by cold-blooded, greedy, cynical thieves.

How to steal a provincial health department  

I’m angry about the masquerade of decency and the outrageous pretence of concern for the poor affected by Gauteng Premier Panyaza Lesufi; I’m angry at the pro-poor populism he and his comrades spout to cover his tracks.

We see you.

Wits Professor Alex Van Den Heever and I estimate that close to R20-billion has been stolen from the Gauteng Department of Health in the last 1o years. It’s an informed calculation.

That scale of theft makes Jacob Zuma look like a clumsy shoplifter.

I’m angry about that.

I’m angry about the R2-billion spent on alternative building technology (ABT) hospitals, the “fogging” scandals, the R500-million wasted on “revamping” a hospital in Carltonville, and the other Covid-19 PPE heists.

I’m angry about the at least R77-million spent on legal fees for former health MEC Qedani Mahlangu to defend herself in the arbitration and then the inquest into the Life Esidimeni deaths.

I wonder if they’ll be paying for her in her probable criminal prosecution?

I’m angry about the rampant robbery going on at the Gauteng Department of Social Development (DSD), which Wendy Orr and I projected at up to R2-billion, based on documents and internal investigations given to us by a whistleblower. I’m angry that 13 senior DSD officials suspended by former MEC Mbali Hlophe were all reinstated by her successor as MEC for social development, Faith Mazibuko.

I’m still angry about the R450-million that was stolen from the Department of Basic Education in the school fogging scandal.

I’m angry about the small number of politicians who suffer temporary career setbacks — Sello Sekhokho, Khusela Diko, Bandile Masuku, Zweli Mkhize — when their misdemeanours are uncovered, but who are all making a comeback to future positions of leadership in our government.

Former Gauteng Health MEC Dr Bandile Masuku. (Photo:  Gallo Images / Sharon Seretlo)
Former Gauteng Health MEC Dr Bandile Masuku. (Photo: Gallo Images / Sharon Seretlo)

I’m angry that alleged thieves, whose names we now know — Stefan Govindraju,  Hangwani Morgan Maumela and others — may yet get away with most of this.

I’m angry that — DESPITE ALL THIS — the looting and maladministration at the Gauteng Department of Health continues, with Lesufi last year appointing a head of department, Arnold Malotana, who is himself the subject of a Special Investigating Unit investigation into corruption at the department.

I’m angry that thieves prey on the public and private health system, secure in the knowledge that with the police, intelligence and criminal justice system in disarray, they can continue their plunder with aplomb.

I’m angry that the children of these crooks, ensconced in private schools, amass millions through their parents’ misdeeds.

Christine Nxumalo at Life Esidimeni in 2017. Her sister Virginia Macapelah was one of those who lost their lives. (Photo: Joyrene Kramer)
Christine Nxumalo at the Life Esidimeni hearings in 2017. Her sister Virginia Macapelah was one of those who lost their lives. (Photo: Joyrene Kramer)

Finally, I’m angry for Babita Deokaran, Shonisani Lethole (who starved to death while being cared for at Tembisa Hospital), Thato Moncho (now dying of cancer because treatment came too late), Christine Nxumalo, the sister of Virginia Machpelah, and the family members of the 143 other patients who died in the Life Esidimeni tragedy.

I hope that citizens will rise against this, that the recently published National Anti-Corruption Advisory Council recommendations on how to prevent systemic corruption will be implemented with urgency, and that one day this will end.

I know that writing truths like this could earn me an inkabi’s bullet, but I refuse to be silent. If we surrender our right to express our anger and point fingers at the thieves, assassins and their enablers, we might as well be dead anyway. DM

This article is an Op-Ed, short for “opposite the editorial page”. Op-Eds allow authors who are not part of Daily Maverick’s team of journalists to express opinions, perspectives and arguments on various issues of public interest. The views expressed are those of the author/authors and do not necessarily represent the views supported by Daily Maverick.

This article was updated on 12 September to correct that the current MEC for social development is Faith Mazibuko and not Faith Muthambi.

Comments (10)

Su BIRCH Sep 11, 2025, 10:39 AM

I too am angry. But what to do with that anger?

Gazeley Walker Sep 11, 2025, 10:46 AM

Excellent article on this governments involvement and complicity in all the corruption issues raised, and a very accurate portrayal of every honest and disillusioned South African citizen feelings, across the racial divide. Why were the questionable payments, placed on hold, released after Babita Deokaran's murder - on whose authority? Was Lesufi not the person who authorised School fogging? Anger is not a strong enough word to express how the people feel about this never ending corruption.

Gregory Scott Sep 11, 2025, 11:16 AM

Thank you for a hard hitting article and the summary of some of the state looting that has taken place and continues to take place. The state looters that drive around in fancy cars and miraculously live opulent lives must be identified and charged with crimes against humanity. Hard labour prisons should be built, lots of them, where these looters can be confined to for the rest of their lives breaking rocks every day for all to see. All this once the ANC becomes a less than 20% party.

keith.ciorovich Sep 11, 2025, 02:05 PM

I am also angry but not nearly as brave as you. I think there is a lot more eating going on in most provinces.

Una West Sep 11, 2025, 02:11 PM

I wish this article could be read out loud in Parliament. Thank you for your courage, I wish you well.

Robinson Crusoe Sep 11, 2025, 02:45 PM

Well said, Mark Heywood! And thanks to Jeff Wicks and all the other investigative journalists. Surely, surely, at some juncture, this corrupt neo-ANC must fall like a house of cards. And surely at some point we will see justice done.

Marie Venn Venn Sep 11, 2025, 09:59 PM

We are angry and sad alongside you. Thank you for writing.

Lawrence Sisitka Sep 12, 2025, 06:21 AM

Yes Mark, red-hot searing anger is the only response to the despicable behaviour of so many entrusted with the care of our communities. How to we channel it in a way that does have the desired effect of removing, charging, and convicting every last one of them, and replacing them with people who know their jobs and care about others? The ANC are clearly not going to do it, and the justice system has been so undermined that it is incapable of providing justice. Where to now?

Hilary Morris Sep 12, 2025, 09:11 AM

What a heartbreaking article. And sadly "our people" about whom so much insincere pity is expressed, will largely be unaware of what is going on, despite being on the (non)receiving end of health and other (non) services. The extent of the corruption, theft, illicit dealing and more is horrific. The ANC seems totally devoid of any decency, honour or integrity. Complete disaster.

Sue Grant-Marshall Sep 12, 2025, 06:22 PM

I'm halfway through Jeff Wicks' ' The Shadow State' and am angry, dispirited and frustrated by his brave words on the widespread plunder of our taxes, of rampant, crooked tenders and of course the on-going murders of whistleblowers. I hope thousands read his book.