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{
    "id": 498661,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/498661/?format=api",
    "text_counter": 351,
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    "content": "dies for a particular disease, the nurse or doctor would have come into contact with them. For example, if there was Ebola like it is in West Africa, the first person to get into contact with this patient is the doctor. So, if there is any chance of another person dying, it would be the doctor. That is why they are asking for better remuneration and that is why we also need to protect them. Madam Temporary Speaker, there are doctors and nurses who deserve to be promoted. Some of them are supposed to be at the rank of chief nursing officers and maybe we only have one in Kenya. How do we get somebody to progress from a district hospital all the way to the rank of a Director of Medical Services in a county? It has become impossible. Therefore, this is like killing a profession because these doctors may decide to leave and it is only the country which will suffer because we shall lack these medics. How many people are going to India on a daily basis? I have heard of very many people from my county. India has become a destination of our sick people because Kenya cannot afford to even provide a dialysis machine which only costs about Kshs3 million. I am told the Kisii Medical Hospital bought one. We should emphasize that every county must have one life supporting machine. We should make it compulsory that every hospital in the county should have certain requirements before it is recognized. It should also have an ambulance which should be mobile. All these facilities are lacking in our hospitals and in the end our people die. In fact, death from illnesses has become very easy. We are losing people after short illnesses. That is why the obituaries pages in our daily newspapers are always full because there are many people who are dying because of lack of practitioners. Most of our medical practitioners are moving to other countries in the East African region; Tanzania and Uganda, just because we cannot compensate them adequately. This will not happen without devolving enough funds to the counties. This is a very sad situation. I would recommend that if there was any devolution to take place in the health sector, we should have first devolved the dispensaries to see how the counties would have coped because those are the ones which are located far afield. They will now be able to advise whether they can advance to health centres, district hospitals, Level Five Hospitals and so on. This is so that we can afford to treat people where they are supposed to be treated. Without that, we will be going around the point which will not help us."
}