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{
    "id": 1023220,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1023220/?format=api",
    "text_counter": 459,
    "type": "speech",
    "speaker_name": "Seme, ODM",
    "speaker_title": "Hon. (Dr.) James Nyikal",
    "speaker": {
        "id": 434,
        "legal_name": "James Nyikal",
        "slug": "james-nyikal"
    },
    "content": "that referred you out there. As it is now, people go and they come back and they do not know what to do. We also have to protect the patients on cost. What makes people go outside is that it is supposed to be cheaper out there. But when you look at it in the long run, it may not be. We have tried in this country and we will try. When I was Director of Medical Services (DMS), we tried to ask: “Why is it to go outside, get surgery done, go and stay in a hotel, go with an airline and it is still cheaper than here? These are the issues that we really need to look into. The Bill addresses this fairly well, but I think there are areas we may need to look into. For example, in the body responsible for registration and licensing of medical practitioners and dentists, we also need to include facilities. So, the body that registers facilities needs to be included. As the Hon. Member said, it is not only national hospital insurance that has actually been devolved, but we will also make amendments to involve the Insurance Regulatory Authority so that medical insurance is not abused. In fact, it may also be important to know people who are in schemes - even the national schemes - that the money is not spent because somebody else is paying. These are the things that need to be looked into. We have said that we will have somebody in our foreign embassies. That will only work if we can determine which countries are most frequented. We can have medical attachés in those areas to help with this. It is used even in research relations and other relations in the health welfare. So, we can do that. In addition, the facility or doctor that refers the patients must also ensure that they will look after the patients, when the patient returns to this country. There is more to be said. This is a good thing, which we have talked on for a long time. Now it has come. I know the Ministry is even trying in a way to get it done administratively, but it is important to entrench this in law. I support."
}