In this opinion piece, Stephen Grootes argues that despite recent talk of compromise, there is still “no truce in sight” in South Africa’s National Health Insurance debate. He suggests reports of a truce are overstated and that the dispute remains firmly rooted in politics, while unpacking what the continued legal and policy uncertainty could mean for the future of healthcare funding and access. The piece also mentions Craig Comrie, noting his openness to constructive engagement and dialogue as the legal and policy uncertainty continues.