NHIF

[Field Marshal]

sikuwa na ubaya, just a suggestion - instead of doing the insurance thing via nhif just put those funds into healthcare, either way it is heavily subsidized, the government pays salaries and other hospital maintenance charges, just wondering why not go all the way.

I know seneta, haukuwa na ubaya. But people like me are fed up with this endless criticism of gavament and poorly-thought out solutions. For example, if the gavament says that 3 million Kenyans face starvation because of drought, unaona watu wanasema, how come we can't feed our people 60 years after independence?

WHO THE FERK SAID THAT IT'S THE ROLE OF GAVAMENT TO FEED GROWN-ASS NIGGAS? Does the gavament in Australia give food-aid to millions of drought-struck farmers there?

Hii mambo ya Waafika kujifanya mifugo ama small children we must stop!

 

[nakujua]

I know seneta, haukuwa na ubaya. But people like me are fed up with this endless criticism of gavament and poorly-thought out solutions. For example, if the gavament says that 3 million Kenyans face starvation because of drought, unaona watu wanasema, how come we can't feed our people 60 years after independence?

WHO THE FERK SAID THAT IT'S THE ROLE OF GAVAMENT TO FEED GROWN-ASS NIGGAS? Does the gavament in Australia give food-aid to millions of drought-struck farmers there?

Hii mambo ya Waafika kujifanya mifugo ama small children we must stop!

On the issue of responsibility I am in agreement, nothing is for free and as a society or at least a part of it has this mentality that the government is this ever giving entity, that is there to dish out goodies. At the end of the day one has to create value to get value out, one can not just sit around do nothing and expect value whether its in form of security, healthcare, education, infrastructure and such, if one does not pay someone else has to pay for that.

That said, on nhif I just think the government is out of its breath when it comes to running a medical insurance scheme, even the private entities have issues, actually if I am not wrong most medical scheme department in the various insurance companies around made a rare profit last year due to people not going to hospital frequently because of covid and the fear surrounding it, its hard for the private entities to tame this health insurance sector, it will always be super hard for the government given the challenges and the vested interests when it come to how the government and politics work.

 

[Luther12]

I just think the government is out of its breath when it comes to running a medical insurance scheme

Gov't has several things in its favor: they own the hospitals and staff so can set and manage patient charges, the sheer numbers that accord it economies of scale, to name just but a few.

 

[Luther12]

One question for you; the US is the richest country on earth. WHY HAVEN'T THEY MADE HEALTHCARE FREE? Ama China or India? Huu ujinga na ushenzi of expecting countries with 50 million+ people to offer the same kind of 'free' health services as Nordic countries with 1-5m people shows how low the IQs of some of our 'analysts' are.

Take Kenya. Only about 4 million people pay direct taxes, despite all the efforts of KRA to collect more. In total - TOTAL - KRA collects something like $14 billion per year. Truth is, the vast majority of people do not pay taxes!

SO, LET ME ASK YOU EINSTEIN, $14 BILLION IS SUPPOSED TO CATER FOR ALL THE NEEDS OF 50MILLION PEOPLE (ROADS, SECURITY, EDUCATION ETC ETC) AND ALSO GIVE EVERYBODY FREE HEALTHCARE? $14 BILLION?

What do you guys smoke?

Guka, the next scandal that's soon coming to a screen near you is that of overcharging. Some counties are now resorting to overcharging for regular services and procedures and charging for services not rendered. Wanadhani NHIF is a bottomless sea of money.

 

[nakujua]

Gov't has several things in its favor: they own the hospitals and staff so can set and manage patient charges, the sheer numbers that accord it economies of scale, to name just but a few.

true to a large extent, at least ideally, the aar kind of setup cones to mind with their medical outlets, not sure if they still exist, but the issue has always been the vested interests, this is a lot of money and the problem with insurance is that you get a pool of money before hand in anticipation of the occurrence of the risks, and that becomes a big problem when it comes to the typical working of the government, that is money that becomes very tempting and everyone looks at getting to.

 

[Field Marshal]

On the issue of responsibility I am in agreement, nothing is for free and as a society or at least a part of it has this mentality that the government is this ever giving entity, that is there to dish out goodies. At the end of the day one has to create value to get value out, one can not just sit around do nothing and expect value whether its in form of security, healthcare, education, infrastructure and such, if one does not pay someone else has to pay for that.

That said, on nhif I just think the government is out of its breath when it comes to running a medical insurance scheme, even the private entities have issues, actually if I am not wrong most medical scheme department in the various insurance companies around made a rare profit last year due to people not going to hospital frequently because of covid and the fear surrounding it, its hard for the private entities to tame this health insurance sector, it will always be super hard for the government given the challenges and the vested interests when it come to how the government and politics work.

Agreed with you fully on this score.

Let me suggest a radical solution. Gavament should equip four hospitals per county FULLY and then direct ALL NHIF subscribers there. That way they control the supply/payment chain. Otherwise dealing with private sector players is a game they can't win.

 

[Luther12]

Let me suggest a radical solution. Gavament should equip four hospitals per county FULLY and then direct ALL NHIF subscribers there. That way they control the supply/payment chain.

This is very much achievable. And it should go hand-in-hand with a nationwide health information management system. let me tell you why: There's something that was noticed during the UHC trial in the four counties of Nyeri, Kisumu, Isiolo and Machakos. Quite often, GoK-supplied commodities would be found in commercial/ private facilities yet on follow-up there were no reports of pilferage from GoK health facilities. Only to realize much later that some Kenyans would go to several health facilities on same day or over a period of days, gather up the medication they got from all of them and sell it to private facilities!!