You'll do anything to avoid being treated in a State hospital, but you think that private hospitals are only after your money. You speak English fluently, or you want to. At any rate, you can speak at least two languages. If you're black you can most probably speak Zulu, even if ...
However, this is not universal practice; also writing on Botswana, Pansiri (2008) has shown the difficulties that arise when teachers neither speak nor understand the languages of the children they teach. This especially happens in the remote areas of Botswana, contributing among others to low ...