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{
"id": 300697,
"url": "https://info.mzalendo.com/api/v0.1/hansard/entries/300697/?format=api",
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"type": "speech",
"speaker_name": "Dr. Eseli",
"speaker_title": "",
"speaker": {
"id": 141,
"legal_name": "David Eseli Simiyu",
"slug": "david-eseli"
},
"content": "Madam Temporary Deputy Speaker, I beg to second the Motion, as moved by the Chairman of the Committee on Health. Madam Temporary Deputy Speaker, from the outset, I would like to give a brief history of the situation as we find ourselves in. Not very long ago, Ghana came and studied our National Hospital Insurance Fund (NHIF) system and actually went and rolled it out in Ghana. Right now, Ghana is giving a social healthcare service, covering over 75 per cent of their population. Madam Temporary Deputy Speaker, it is important to note that this social healthcare system is a social network. For a capitalist society like Kenya, we do require such a healthcare system in order to cushion the most vulnerable of the society. Unfortunately, we have not had the funds to be able to roll out this sort of system. But along the way came the public service healthcare insurance system. After they tendered, they realized that the companies that were going to win this tender, if they were awarded, were actually going to contract NHIF to roll out this programme. So, they wisely decided that this could be a chance to start rolling out a programme that the rest of the country, probably, could piggy-back on later on, or, perhaps, serve as a template to roll out social healthcare in this country. For that reason alone, despite our recommendations, I would still like to congratulate the two Ministers for biting the bullet and deciding to get moving on social health insurance. Madam Temporary Deputy Speaker, however, in the process, certain rivalries cropped up. There was business rivalry involved, to the extent that some of those people who were contracted by the NHIF had participated in the capitation scheme. So, they knew exactly what it is, while the others who had not participated, did not understand it. In the process, business rivalries did crop up and several things happened. As this scheme was being rolled out, certain people decided to take advantage and be like carpetbaggers; to ride on the programme for reasons other than purely providing healthcare. In the process, when we were investigating, we found something very interesting, where the NHIF comes to the Committee and gives us material to show that they paid capitation based on the number of clinics available by each service provider. When the service providers came, they told us: “No, we were paid capitation according to the total number"
}