Africans actually had health care during the revolutions of the 1960s when the former colonies of Europe threw off their yokes of oppression and decided that Socialism was the way to go. Forty years into the future and all those countries are bankrupt due to their over extension of services to the people. Then of course those revolutionary socialist governments have turned into governments afraid of change so they dug themselves in getting rid of any opposition against corrupt rule by the few where the agents of the governments get everything and the people get none. Due to this distrust of government when the government now tries to help the people in terms of health care especially in terms of explaining how AIDS is transmitted they don't believe the crooks thus making the health care problem worse for the whole continent. Note: North Africa doesn't really count in this post since their Islamic traditions have actually held governments and populace together.