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{
    "id": 1110254,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1110254/?format=api",
    "text_counter": 240,
    "type": "speech",
    "speaker_name": "Sen. Wetangula",
    "speaker_title": "",
    "speaker": {
        "id": 210,
        "legal_name": "Moses Masika Wetangula",
        "slug": "moses-wetangula"
    },
    "content": "available in Bomet and vice versa. This will ensure that we reduce the stress Kenyans face in travelling for long distances and spending huge sums of money to look for specialized attention when they can have that specialized attention within reach. It will be easier and more convenient, cheaper and it will give Kenyans an opportunity to enjoy the fruits of devolution, especially in the actualization of the provisions of Article 6 of the Constitution. I remember when we were carrying out investigations on one of the health issues, we were told by Homa Bay how they sponsored a professional doctor to go for specialization and spent Kshs5 million on him. They were negligent in not bonding that professional. He came back after acquiring new skills, came to reside in Homa Bay and went to work in another county. This council can also help in ensuring that if your county of Samburu has invested in a professional to go and enhance his knowledge then he must be held to account. Any such professional, if he comes from his professional enhancement course, refuses to go to Samburu and decides to stay in Nairobi then the council must be able to deal with him. I want to encourage the proposer of this Bill that those kinds of sanctions and penalties should be put in place so that those who defy can be made to feel the weight of the law. I have not looked at the original provisions, but I do not see anything here on what happens to people who do not listen to the advice of the council. What happens to counties that do not heed the advice of the council? What happens to the Ministry at the national level that ignores its advice? If we are going to rationalize the fourth spread of professionals to help the people of this country, then we must also have attendant sanctions for those who flout the law. I would want to encourage Sen. (Dr.) Ali to look at both provisions and see how to improve so that when it comes to operationalization, it is fair to everybody. Equally important is the remuneration. We must have some standardised remuneration across counties, so that we do not have counties that collect more revenue. For example, there is no way Samburu County can compete with Nairobi. There is no way, Wajir County can compete with Uasin Gishu. There is no way Bomet County can compete with Mombasa, because they have a larger revenue base. There is a real risk of using their financial muscle to take away all required professionals and keeping them at the expense of the rest of Kenyans. I would want to see the sponsor of the Bill, that where there is shortage of resource availability in certain counties, to hold onto particular professionals, because we must appreciate that if somebody has studied to a level of a consultant with a Doctor of Philosophy, we did not force them to earn peanuts because we are bringing equity. The national Government should spend some of the resources at the Ministry of Health in helping to cushion counties that do not have enough resources to hold onto professionals posted there. When we have a cardiologist in Garissa, we must remunerate him to a level he feel comparable and equal to a cardiologist in Nairobi, Mombasa or Eldoret. Then Kenyans will enjoy these benefits."
}