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"id": 1496682,
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"text_counter": 644,
"type": "speech",
"speaker_name": "Seme, ODM",
"speaker_title": "Hon. (Dr) James Nyikal",
"speaker": null,
"content": "and not a thatch. It may be a tin shack mabati. We have to do that and that is where we have a problem. It is exactly the same problem we have with university funding model. We have to go for proxy means-testing and do it the way it should be done. We can use the Community Health Promoters (CHPs) and even the chiefs and assistant chiefs. So far, at least, in my constituency, I have really not seen this thing working. That is exactly where the problem is. So, what has happened now is that because we have gone up in terms of payment, employees who are paying a lot more are covering up. What about those who are self-employed and have not enrolled and we do not know how much they enrolled for? When we tested this in Eldoret... One can be registered, yet has not paid. However, if one is in a hurry, we are saying that one can go and get the service. So, if one is registered and gets the service, but has not paid, what will encourage such a person to pay? We have problems and the system we have put in place affects everything from registration, premium determination, payment of premiums and the benefit package which went up because we are expecting more money. In the Primary Care Fund and the Emergency Fund, we were expecting Ksh75 billion. We have done Ksh4 billion and Ksh2 billion as my colleague said. The benefit package we provided for was based on that. If that has not come and we are giving services, where is the money coming from? If we do not do it and it is working efficiently, what is going to happen is that, very soon, we are going to run short of money because we have not got that Fund and we have not enrolled self-employed people. We have not even identified the indigents. But, because we want things to look good, we have…"
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{
"id": 1496683,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496683/?format=api",
"text_counter": 645,
"type": "speech",
"speaker_name": "Hon. Peter Kaluma",
"speaker_title": "The Temporary Speaker",
"speaker": {
"id": 1565,
"legal_name": "George Peter Opondo Kaluma",
"slug": "george-peter-opondo-kaluma"
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"content": " The Leader of the Majority Party, because of the precedence."
},
{
"id": 1496684,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496684/?format=api",
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"type": "speech",
"speaker_name": "Kikuyu, UDA",
"speaker_title": "Hon. Kimani Ichung’wah",
"speaker": null,
"content": " Thank you, Hon. Temporary Speaker. Let me first take this opportunity to thank Hon. (Dr) Lilian Gogo for this Adjournment Motion because it gives us the opportunity to address a very topical issue in our country. Allow me to start with a bit of statistics that I have just gathered. So far, 14.4 million Kenyans have registered to join the SHA programme which is under the SHIF. Out of these, I have just confirmed from the Chief Executive Officer of SHIF that 104,000 Kenyans have registered today. Allow me to plead with Hon. Members and the people's representatives, to be at the forefront in encouraging and promoting the registration of members of the public to SHIF. It might be politically expedient and correct to speak to the gallery on how things are not working for Kenyans. As we do so, we should remember that they charged us with the responsibility of ensuring that things work out for them. Therefore, it does not help me, as the Member for Kikuyu Constituency, to tell my constituents that I have seen, on television, people suffering; instead I should encourage them to register for SHIF. I agree that people are suffering, but my constituents have elected me to be a solution provider to their problems. Therefore, I must take up that responsibility, as a leader, to encourage and give them hope. As the Chairperson of the Departmental Committee Health said, NHIF was bedevilled with rampant corruption. I dare say that even in my own constituency, St. Peter's Health Facility in Kinoo mushroomed into a big health institution, largely from money stolen from NHIF. There were also other small dispensaries in Tharaka Nithi, Meru, and Nakuru Counties where people were haemorrhaging resources from NHIF. Currently, this is largely fuelling the propaganda being peddled against SHIF. Today, out of the 14.4 million Kenyans who have registered, 710,000 have done the mean-testing score. This is what we need to tell members of the public. As Hon. (Prof.) Nyikal said, the moment you register, you automatically qualify for the Primary Healthcare Fund. At the point you register to join SHIF, automatically you qualify for the Fund whether you have paid or not. When you register and are unemployed, you are required do the mean-testing score to determine how much you should pay."
},
{
"id": 1496685,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496685/?format=api",
"text_counter": 647,
"type": "speech",
"speaker_name": "Kikuyu, UDA",
"speaker_title": "Hon. Kimani Ichung’wah",
"speaker": null,
"content": "The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
},
{
"id": 1496686,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496686/?format=api",
"text_counter": 648,
"type": "speech",
"speaker_name": "Kikuyu, UDA",
"speaker_title": "Hon. Kimani Ichung’wah",
"speaker": null,
"content": "Today, statistics from SHA show that the mean premium for the 710,000 Kenyans who have done the mean-testing score is Ksh525. As a business person who is doing well, you will do the mean-testing score to know the premiums you should pay from your level of income. People should know that the premium is based on how you answer the questions on the mean- testing score. If you own a car and pay an insurance of Ksh200,000, for heaven's sake, you can also insure your own body and health. Therefore, the people quoting very huge figures is because of the answers they gave in the mean-testing score. This is a fact. You can examine and authenticate these statistics from the SHA website. The mean premium out of the 710,000 people who have registered is Ksh525. On the service providers, 7,802 hospitals have signed up for this programme. A further 8,118 healthcare providers have successfully registered to offer services and out of this, 7,965 are offering services to Kenyans under SHIF. Therefore, for us to stand in this House, funerals, and everywhere else to say that SHIF is not working, is to lie to Kenyans. We should tell the truth and educate them. I know we may have failed in our communication strategy and in educating our people. Let us use this opportunity on the Floor of this House to educate our people. It is unfair that my constituents, some who are unemployed, were paying an average of Ksh500 yet at that time with my huge salary, besides my business income, I was paying Ksh1,700 a month. Now, that I am being asked to pay Ksh27,000 or Ksh20,000 a month, I start to complain and cry more than the bereaved. I am not being honest to Kenyans when I cry more than the bereaved since I am paying 20 times more than what I used to pay from money paid to me by Kenyans. This is the kind of honesty I beg we exercise as we debate and educate Kenyans. Let us be at the forefront of offering civic education to our people. Hon. Temporary Speaker, you have seen cases of cancer and renal care patients who are undergoing dialysis. People were crying that they cannot access dialysis yet they had paid for NHIF. Let us educate Kenyans that if you are unemployed, the moment you sign up, you can automatically access level one, two, and three hospitals without payment. There is capitation to the hospitals through the Facility Improvement Fund. I was very embarrassed over the weekend when I heard a Member of Parliament portend that chibu is not SHIF. Chibu means chief in Kikuyu language. An Hon. Member said that he does not know the difference between SHIF and chibu . This is the case and yet he was seated in this House and legislated from the First Reading to the Committee of the whole House and Third Reading. He was here shouting ‘Aye’, and the Hon. Speaker said ‘the Ayes have it’. Then, in your village you tell Kenyans that you do not know the difference between SHIF and"
},
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"id": 1496687,
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"text_counter": 649,
"type": "scene",
"speaker_name": "",
"speaker_title": "",
"speaker": null,
"content": "chibu"
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{
"id": 1496688,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496688/?format=api",
"text_counter": 650,
"type": "speech",
"speaker_name": "Kikuyu, UDA",
"speaker_title": "Hon. Kimani Ichung’wah",
"speaker": null,
"content": "or SHA and SHIF. I was very embarrassed because I expect a leader elected by the people, who I believe knows more than them, to use that opportunity to educate the people. You should tell them the right thing if they need to access renal care and dialysis at their dispensary or in a Level 4 Hospital. If they are unemployed, all they need is to do a mean-testing score. They will be advised how much premium they should pay and when. I know these are the cries that Kenyans have raised: that the mean-testing score demands you to pay for the annual premium for the whole year. That was the case under NHIF. You could not access renal care and cancer treatment without paying your annual premiums. Kenyans were paying then. Today, because SHA is yet to activate the insurance premium financing, they have opened up to Kenyans to pay every month. Let us educate our people that they can pay monthly premiums so as to access their dialysis and cancer treatment. Let Kenyans know that under SHIF they can access dialysis, chemotherapy, and radiotherapy, free of charge if they are registered with SHA and they pay their premiums. It does not matter whether it is annual premiums. If you have access to insurance premium financing you can pay annual premiums. If you cannot, discuss with them and pay your monthly premiums so as to access their services."
},
{
"id": 1496689,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496689/?format=api",
"text_counter": 651,
"type": "speech",
"speaker_name": "Kikuyu, UDA",
"speaker_title": "Hon. Kimani Ichung’wah",
"speaker": null,
"content": "The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
},
{
"id": 1496690,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496690/?format=api",
"text_counter": 652,
"type": "speech",
"speaker_name": "Kikuyu, UDA",
"speaker_title": "Hon. Kimani Ichung’wah",
"speaker": null,
"content": "Hon. Temporary Speaker, my last point is to our county governments and governors. I want to plead with them..."
},
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"id": 1496691,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496691/?format=api",
"text_counter": 653,
"type": "speech",
"speaker_name": "Hon. Peter Kaluma",
"speaker_title": "The Temporary Speaker",
"speaker": {
"id": 1565,
"legal_name": "George Peter Opondo Kaluma",
"slug": "george-peter-opondo-kaluma"
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"content": " Hon. Ichung’wah I will add you one minute only."
}
]
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