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Motsoaledi was born in Limpopo and trained as a medical doctor at the University of Natal, where he was active in the anti-apartheid student movement. In subsequent decades, he practiced as a doctor in Sekhukhuneland while remaining involved in political activism. After the end of apartheid, he represented the ANC in the Limpopo Provincial Legislature for three terms from 1994 to 2009. During that time, he served near-continuously in the Executive Council of Limpopo, hold