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"content": "development. If you look at some of the expenditures that counties and the National Government do incur, you will find that a lot of it is for buildings. There is no reason we should be spending money in construction of buildings. We have a lot of private people, who can put up those buildings and incur capital, and we can lease those buildings from them; whether it is a direct lease or Build, Operate and Transfer (BOT), we do not need ourselves as a Government to engage as if we are a construction company. That is something that can be done. Mr. Temporary Speaker, Sir, if we dig into that bucket of money, it means we can spend money on services that we, as a country, need. That is how it should be. I honestly fail to understand, for example, why so far, even when I was in the Ninth Parliament, we were still discussing the possibility of private roads in Kenya. To date, 53 years later, not one private road has been done in Kenya. When you travel to Singapore, Thailand or any of the Asian Tigers, including China, you will find plenty of private roads that have been done thus saving the Government from spending that capital. There are other countries that have given private organizations the management of roads. Once built, it is managed by private sector so that they can be kept in good state. We must leave the beaten truck. If we walk on the same path every day, you can be 100 per cent certain that you will only reach the same destination. If we sit here every year, allocating the same funds with the same ideas, we can only arrive at exactly where we arrived last year. Last year, we did not arrive at a newly industrialised nation. Therefore, it is unlikely that this year, we are going to arrive there either. We need to infuse new ideas so that our county governments and the national Government can begin to see a difference. Mr. Temporary Speaker, Sir, for instance, regarding the management of Level 5 hospitals, if you look at the conditional grants in this Bill, you will see that five of the conditional grants have something to do with medicine. It may be maternal healthcare, Level 5 hospitals and so on, but they all have something to do with healthcare. Yet, year in, year out, we complain about how bad those hospitals are being managed, be it Nyeri General Hospital, Kakamega General Hospital, Embu General Hospital or the others. It is time for us to infuse new ideas. The Nyeri County Government has advertised for a manager for professional management to start managing Nyeri General Hospital. We cannot continue doing the same thing. The kind of manager we are looking for is the sort of person who has managed a multi-national corporation like Shell, a huge company like Brookside or Unilever. These are the kind of people we need to manage the hospital. Mr. Temporary Speaker, Sir, doctors will stay looking after patients. It makes no sense in our hospitals to have a surgeon manage a hospital. Instead of being busy saving lives, we force him to deal with the everyday issues of supply of paper and ink. Supply of paper and ink can be done by many other people, but very few people can save lives in surgery. So, it calls for new thinking and new ideas on how to do things. All Level 5 hospitals should be managed by professional managers who can manage, not only the patient issues, but also administrative issues as well as the change that must come where money collected in those hospitals should not be sent to the county governments first and The electronic version of the Senate Hansard Report is for information purposes only. A certified version of this Report can be obtained from the Hansard Editor, Senate"
}