Last time I went to the ER, the wait was 10h for kidney stones. Thankfully I passed out for 4h in the waiting room from the pain and the stones passed by the time I saw a doctor, so all they did was send me home.
My family doctor died 10 years ago and I'm still on a list.
I remember contrasting that with my US experience at the same time, where a 10 minute consult with a doctor cost 600USD. I had a really obvious ear infection, just needed some antibiotics, but he must have seen me as a cash-cow and ordered a ton of unrelated blood tests that were pointless since I was flying out the next day. I walked away feeling like I'd been scammed.
(In Australia a doctor's visit is under 30USD, blood tests don't cost much either)
Your brother was very lucky, or this is fake.
Of course, as with most things, government in South Africa is basically jealous of private medical insurance here and is trying to destroy it because public healthcare is a failure here. We really need to add a third item to this list: Nothing in life is certain, except for death, taxes and the government fucking up everything it touches.
Sometimes there are information gaps between their capacity and the provincial bureaucracy.