The South African Ministry of Transport, has an Agency called the South African National Roads Agency Limited “SANRAL” This agency is in charge of everything and anything that have to do with roads construction, management thereof, including entering into contracts with private sector investors in roads.
The majority of the highways are tolled, which is a system that guarantees return on investments for private sector investors. This is one of the reasons South Africa has one of the best roads networks in the world. The availability of road infrastructure in any economy is vital for the desired economic development, which results in growth, prosperity and everything good for its citizens.
You can only imagine what would happen should there be need for emergency medical services in the absence of good roads networks in any country. Death, and crippling of productive citizens of course, including the rich and the poor.