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"id": 596713,
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"type": "speech",
"speaker_name": "Hon. (Prof.) Nyikal",
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"speaker": {
"id": 434,
"legal_name": "James Nyikal",
"slug": "james-nyikal"
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"content": "Hon. Speaker, sometimes when hospitals claim they have no Intensive Care Unit (ICU) beds they are scared of taking in the patient. Emergency cases are extremely expensive. Within an hour, you will probably spend Kshs100,000 because of the equipment and drugs you are using. So, they are scared of who will pay for that. However, if they leave it at the constitutional level and say it is a right which must be provided, what are we doing to the facilities that are providing it and the healthcare providers? We must make provisions. I am happy that there is an attempt to do that under Clause 54(i)(e) where we are going to make provisions. We must make those provisions as a country so that people who take care of emergencies are reimbursed. They will not take all those expensive equipment from somebody in industrial area and say: “You know, I offer emergency services and I am going to treat people free of charge and I am not going to pay”. It cannot happen and yet it is a constitutional right. The constitutional obligation does not extend to the man in industrial area who manufactures the equipment. So, that is something we must do. I thank you for the indulgence but these are issues that we must look at as a country. Processes must not be confused with principles. Devolution is good. It is the process that we have not done properly, and that is what we need to do. Emergency care must be given, but somebody must pay for it. We must have a social healthcare insurance so that the monies of people who are wealthy do not end up in the pockets of insurance companies but are used to treat those who cannot afford. With those few remarks, I support."
}