This dissertation is a histo-graphic account of the origins and evolution of private health funding in South Africa. It commences with a history of medicine within the context of the provision of health care and health funding. The arrival of the Dutch and the influence of the different rulers are highlighted throughout the different eras, up to the formation of the first private medical scheme in 1889. From this point onward, the historical development of private health funding is recorded with due consideration of the appointed commissions of enquiry and legislative developments. The dissertation concludes with a review of the study.