Dr. James Nyikal

All parliamentary appearances

Entries 1921 to 1930 of 3161.

• 17 Aug 2016 in National Assembly: With those few remarks, I support the Report and congratulate the Committee for the good work it has done. view
• 11 Aug 2016 in National Assembly: Thank you, Hon. Speaker for giving me an opportunity to comment on this Petition. view
• 11 Aug 2016 in National Assembly: The Petition against Medanta Africare Group of Companies and Hospitals having been considered, the Committee raises very important questions in the healthcare in this country. It raises the issue of referral of patients outside the country. We are aware that for various reasons, ranging from cost to efficiency and effectiveness of service, many patients are referred outside this country to seek treatment in other hospitals. What has come to light through this Petition is that as of now, we do not have a policy or a clear system of referral of patients. What is going on is that sometimes patients ... view
• 11 Aug 2016 in National Assembly: We find that this is not acceptable because many times, you find that patients are actually given options on what sort of treatment they can get and on what kind of facilities they should go to and these are done directly with petitions without any reference to the doctors who look after them here. In that situation, it is likely that the patients can make decisions that will not be beneficial to them. We also realise that there seems to be a financial consideration on the referral of patients. There seems to people motivated to refer. There are organisations which ... view
• 11 Aug 2016 in National Assembly: We have raised this with the appropriate authorities. We expect a policy will be put in place and we may have to bring to this House some amendments in the appropriate law so that there is something guiding the referral of patients outside. view
• 11 Aug 2016 in National Assembly: The other thing that is related to this is the cost of care in this country. We find that the cost of care in some cases is so high. One cannot understand why people will fly out with relatives to get treatment and still come back here where it is actually cheaper than when it is done out there. view
• 11 Aug 2016 in National Assembly: We notice that the Medical Practitioners and Dentists Board and the Ministry have tried to put up a price schedule. I am not sure that it is entrenched in the law. But that is a good step in the right direction. We need to look at this deeply. The rates that have been put out may not be very beneficial to the patient, but it is something we need to look at. view
• 11 Aug 2016 in National Assembly: Another issue that has come out is that we are in a liberalised economy and medicine is now being practised as a business. What has come out is that we have a company or companies that register many health facilities in their own names. This raises the issue that in case of malpractice or problem, who will take responsibility. Is it the individual employees in the hospitals or the directors who benefit most when these hospitals are run as businesses? This is an area we need to look at in law and bring responsibility to bear on someone when something ... view
• 11 Aug 2016 in National Assembly: All in all, we need a system of universal healthcare so that every Kenyan can access healthcare in facilities that they can afford. I know there was an attempt in 2005 to get a National Social Health Insurance that did not really work. We are working on it and we need to bring it back. The main issue here is the reform of the National Hospital Insurance Fund (NHIF) which is 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. view
• 11 Aug 2016 in National Assembly: going on. With that in place, we will bring a Bill in this Parliament that will attempt to make it possible for all Kenyans to access health at affordable rates; rates that do not render them paupers at the end of their treatment. view