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{
    "id": 1344163,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1344163/?format=api",
    "text_counter": 346,
    "type": "speech",
    "speaker_name": "Ugenya, MDG",
    "speaker_title": "Hon. David Ochieng",
    "speaker": {
        "id": 2955,
        "legal_name": "David Ouma Ochieng'",
        "slug": "david-ouma-ochieng"
    },
    "content": "The cost of provision of quality services in this country is terrible. Today you will go to Kenyatta National Hospital and do an X-Ray. But when you visit another doctor with the same X-Ray, you will be told that you have to do another one on the same issue. The same applies to MRI. If, say, you do one at Nairobi Hospital, if you go to Kenyatta National Hospital with the results, you will be told to do another one on the same issue. We will not sort out corruption in this sector, if we do not get our hands into those kinds of malpractices. It is now almost a cliché that every public hospital has a pharmacy along the road that is run by either the head of that public service, a doctor in that public service hospital or something of the sort. That is why most public hospitals do not have medicine. Hon. Temporary Speaker, I agree with what is being proposed, but we should get to the crux of the matter, which is adequacy. There are dispensaries and health centres that saw their last doctor four months ago. The doctor comes once a week and the hospital is run by a nurse. The Bill has not handled those issues. If we do not deal with the management of the NHIF in the right way, it will just be a situation of same monkeys, but different forests. I hope that the Kenya Kwanza Government will not end up in the same situation that we have seen before, where you re-organise a system to bring in your people. Let us not do that. Let us make honest, genuine and effective changes to our social health system, so that we can be proud of what we are doing. I agree with Hon. Junet and all those who have asked why we want to outsource an authority to manage our funds. We are even putting that in the Bill. Why do we want to put it in law that we will give work to some private medical providers? We are not creating work for the private sector. The NHS in the UK, which we are borrowing from, is completely and entirely managed by the Government. There are no intermediaries. I thought that I would see provisions for the establishment of the authority. We have just concluded the Second Reading of the Digital Health Bill. Of the monies paid for health provision, 40 per cent goes to the management of health records. I thought that with the kind of changes that we are making, the cost of provision of services would go down to ensure that we are doing the right thing. 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."
}