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{
"id": 1496702,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496702/?format=api",
"text_counter": 664,
"type": "speech",
"speaker_name": "Suba North, ODM",
"speaker_title": "Hon. Millie Odhiambo-Mabona",
"speaker": null,
"content": " On a point of order, Hon. Temporary Speaker."
},
{
"id": 1496703,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496703/?format=api",
"text_counter": 665,
"type": "speech",
"speaker_name": "The Temporary Speake",
"speaker_title": "",
"speaker": null,
"content": "r (Hon. Peter Kaluma): I have not recognised you."
},
{
"id": 1496704,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496704/?format=api",
"text_counter": 666,
"type": "speech",
"speaker_name": "Emuhaya, ODM",
"speaker_title": "Hon. Omboko Milemba",
"speaker": {
"id": 13328,
"legal_name": "Jeremiah Omboko Milemba",
"slug": "jeremiah-omboko-milemba"
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"content": " Thank you, Hon. Temporary Speaker. The issue concerning the new model of health provision in this country requires a consortium of all of us to deal with. It does not require people to take podiums on one side and say that this is succeeding, while another team sits on the other side to say it is not, as that will not help us. Another thing I want to say about this is that it does not even require quick statistics of those we have either treated or done, say, dialysis. I am seated very close to the Chairman and he gave the statistics. The Hon. Leader of the Majority Party also went ahead to give a lot of statistics. I was in a meeting over the weekend, where the Cabinet Secretary for Health was called upon to speak on this matter. She went straight into statistics as I have seen it happen here and she lost it. Later on, another speaker came, took time and spoke about it slowly. The second speaker really scored. I was with Hon. Maungu. The first thing I want to remove from Members of Parliament is that there are those who are supporting and those who are not. There are those who know and those who do not know. We do not know this thing properly and we need to know it. If we do not know it properly, then the local man will not know it. Therefore, since I have three minutes only, the first advisory is to go with Hon. Millie. Let us have a Kamkunji. We also need to invite the Cabinet Secretary for Health to the National Assembly to explain to us what is happening out there. Unless the explanation comes out, it will be difficult. The other challenge is the ownership of the whole setup. Kenyans are not willing to own up the new model of funding. The ownership can only be developed if Members of Parliament go out, explain things and also involve other parties. The Chairman has talked about having people within this programme. I have asked him questions here informally. There are people around who can do the mean-testing and register people. There are no people registering people in this scheme from where I come from. Since Sunday, I have decided that I am going to help. I am going to go out flat to register all my constituents, but we have to involve other players. Let us not say that we have enough staff. If those Community Health Volunteers (CHVs) were trained to register people in this"
},
{
"id": 1496705,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496705/?format=api",
"text_counter": 667,
"type": "speech",
"speaker_name": "Emuhaya, ODM",
"speaker_title": "Hon. Omboko Milemba",
"speaker": {
"id": 13328,
"legal_name": "Jeremiah Omboko Milemba",
"slug": "jeremiah-omboko-milemba"
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"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": 1496706,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496706/?format=api",
"text_counter": 668,
"type": "speech",
"speaker_name": "Emuhaya, ODM",
"speaker_title": "Hon. Omboko Milemba",
"speaker": {
"id": 13328,
"legal_name": "Jeremiah Omboko Milemba",
"slug": "jeremiah-omboko-milemba"
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"content": "scheme, it would work. After all, they know everybody. They know the indigent. As we do the mean-testing, they can be added up to bring out the whole thing to work properly. I think that is the direction we need to take. Otherwise, once Kenyans complain, then we are not safe, even if we give whatever number of statistics. For me, we need to own this model, go and explain it, and use every other person within the circles to see how the model can work. Thank you, Hon. Temporary Speaker."
},
{
"id": 1496707,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496707/?format=api",
"text_counter": 669,
"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. Caroli Omondi."
},
{
"id": 1496708,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496708/?format=api",
"text_counter": 670,
"type": "speech",
"speaker_name": "Suba South, ODM",
"speaker_title": "Hon. Caroli Omondi",
"speaker": null,
"content": " Thank you very much, Hon. Temporary Speaker, for the opportunity. Thank you, Hon. Lillian Gogo, for bringing this matter to the Floor of the House. I agree with the other speakers that the transition has been very bad on this matter. Patients with chronic illnesses were already being served under NHIF, I wonder why they never made the full, smooth transition into SHIF. They were already covered, paying their premium and receiving the services, but, today, they are being asked to register again. This is where the biggest problem is. We would like to hear from those responsible why there was no bulk transmission of existing members who had current premiums under the previous insurance scheme. To make matters worse, even those who are enrolling today are having difficulties making the payments under the system. It is quite a challenge. You go to hospital, enrol and try to pay and it does not go through. I think the most critical thing is that the new scheme is grossly underfunded. It will not work unless the issue of funding is addressed. The data I have, and Hon. Omboko Milemba, please, forgive me for using some numbers, NHIF legacy debt is over Ksh30 billion, which has not been paid to the service providers. How will you convince them to start accepting new patients under the new system, especially the private sector hospitals? The actuarial projections were that about Ksh50 billion would be needed to start underwriting the three funds that we have created. Only Ksh6 billion of the Ksh50 billion that was required has been made available. As the Leader of the Majority Party said, 14 million members have registered, but only 700,000 have paid. I suspect that those have been captured because they are employed."
},
{
"id": 1496709,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496709/?format=api",
"text_counter": 671,
"type": "speech",
"speaker_name": "Suba South, ODM",
"speaker_title": "Hon. Caroli Omondi",
"speaker": null,
"content": "Basically, we are looking at a new system that is grossly underfunded, projected to cost about Ksh275 billion in the long run to make it fully functional, but is funded at Ksh6 billion. To make matters worse, we have committed Ksh105 billion to buy a health management software information system instead of committing the money to underfunding the insurance schemes under this new system. The biggest problem is the funding, and without sufficient funds, I can guarantee you that it will fail. It will not work. We should have a Kamukunji so that we all get better educated on this matter."
},
{
"id": 1496710,
"url": "http://info.mzalendo.com/api/v0.1/hansard/entries/1496710/?format=api",
"text_counter": 672,
"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. Gathoni Wamuchomba."
},
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"id": 1496711,
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"text_counter": 673,
"type": "speech",
"speaker_name": "Githunguri, UDA",
"speaker_title": "Hon. Gathoni Wamuchomba",
"speaker": null,
"content": " Thank you, Hon. Temporary Speaker. I rise to thank my sister, Hon. (Dr) Lilian Gogo, for bringing this Motion. I had tried to bring the Motion this morning, and I wrote to the Speaker, but I was informed that she had done that before me. So, she was given precedence, and I appreciate."
}
]
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