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{
    "id": 1235915,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1235915/?format=api",
    "text_counter": 251,
    "type": "speech",
    "speaker_name": "Suba South, ODM",
    "speaker_title": "Hon. Caroli Omondi",
    "speaker": null,
    "content": "understanding of why referrals take place is either because a facility is not suitable, the lack of competent professionals to attend to a patient, or where specialisation is required elsewhere. In my opinion, this referral system is mainly for patients who rely on publicly funded medical facilities as opposed to those who are financially capable of accessing private medical facilities. Consequently, I think it is a very important amendment and a lot of thought should go into it so that whatever referral system is proposed, then it ought to be inexpensive, timely, easily accessible and transparent to the most vulnerable members of society. There is a problem with self-regulation of medical practice in this country where standards are not held and people are not called to account on many issues. On this particular matter, I think public regulation is the correct way as proposed by Hon. Didmus Barasa. The referral system should not be left to the Medical Practitioners and Dentist Board but should be left to public regulation by the Cabinet Secretary in public interest. As the Hon Member Kiunjuri has said, it is time we reviewed the idea of devolution of medical services in this country. It is quite disheartening that doctors are unemployed in the Republic of Kenya. If you look at our medical indicators, be it child mortality or the prevalence of various diseases, one would not understand why our doctors are unemployed. I think it is because of devolution. It is time we re-looked this issue on the devolved system of medical service. Other than the fact that the doctors are unemployed, it has caused disparity and inequities in the kind of medical services that are offered to the people in certain parts of the country. They are not getting the kind of medical services that they deserve, while others within urban areas or major cities tend to be favoured. I think it is time…"
}