South Africa remains confronted with challenges to the realization of the right to healthcare services, shaped by both national and global dynamics. The proliferation of exclusivity regimes in intellectual property (IP) rule-making poses a threat to affordable healthcare services. Although South Africa is not a signatory to any of these enhanced IP norms, it may still be at risk through transposition, given that the current norm-setting constitutes the future direction of rule-making. These global dynamics are compounded by overly protective measures in South Africa's patent law as well as non-IP factors, particularly the prevalent weak health infrastructure. Although South Africa's IP Policy Phase I incorporates a raft of changes to address the situation, capacity constraints could thwart effective outcomes. Consequently, beyond the current patent law reform, there should be a roadmap for how to manage global IP norm-setting as well as non-IP factors, to foster universal healthcare coverage in South Africa.

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南非的市场排他性和健康权：解决悖论的入门

受国家和全球动态影响，南非在实现医疗保健服务权方面仍然面临挑战。知识产权 (IP) 规则制定中排他性制度的激增对负担得起的医疗保健服务构成了威胁。尽管南非不是任何这些增强的知识产权规范的签署国，但鉴于当前的规范制定构成了规则制定的未来方向，南非仍可能因转换而面临风险。南非专利法中的过度保护措施以及非知识产权因素，尤其是普遍薄弱的卫生基础设施，加剧了这些全球动态。尽管南非的知识产权政策第一阶段进行了大量变革以应对这种情况，但能力限制可能会阻碍有效结果。最后，