FEDUSA and COSATU are pushing back against a 9.5% increase in GEMS contributions, calling it unaffordable for public servants. Labour unions say the hike deepens financial strain amid a cost-of-living crisis. GEMS has proceeded with the increase despite union objections. FEDUSA says the issue reflects a broader national concern about the affordability of healthcare, as many South Africans are increasingly forced to downgrade or abandon medical cover altogether. Elvis Presslin spoke to Joseph Mashigo, FEDUSA Chief Negotiator at the Public Service Co-ordinating Bargaining Council (PSCBC)