Health Scam: Governors Corner Uhuru and Macharia

[Omollo]

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This is a statement from the Governors. However the Compliant National Media has conspired to fudge it. The Standard has even published it as a news report by one of its own journalists. The problem is he never read through it to edit away tell-talke signs of a statement by Governors. I was alerted to this statement and have taken time to make it clear for easy reading and understanding.

It looks like Uhuru appointed his tribesmen with a clear mission to help scam for money to fill up the campaign chest for 2017. Thus Macharia has figured out his own way of contributing to the kitty. His problem is that he is trying to rob thieves. Governors have seen it for what it is and are not playing ball. Not even Jubilee governors.

• Resource Sharing ;
• Service Level Contracts;
• Regular Equipment Maintenance;
• Service delivery;
• Equipment Placement;
• Build, Operate and Transfer;
• Hire Purchase of Equipment/Infrastructure;
• Lease of Equipment/Infrastructure

• Who is the Custodian of the material reports from Stages 1 & 2 that informed the choice of items in the list provided to the Counties as part of the draft MoU?
• Where are the Actual PPP Contracts Signed by National Ministry of Health with the FIVE Companies?
• Is there any intent/promise built into the Contracts to achieve appreciable Technology Transfer to an Emerging African Economy?
• Who has the real responsibility for Base Payment for leased equipment or the National Treasury will deduct money from the County Allocations and pay this sovereign debt of Ksh. 38 Billion over seven years?
• The resource commitment to realize this MES initiative is staggering at Ksh. 38 Billion over seven years and clearly this is not a County, but National/Sovereign debt payable by ALL Kenyans.

6.

• To what level has the National Assembly and the Treasury engaged the Public Sector Comparator to get a feel of the Value for Money justification and direction?
• It is not clear to the Counties if the equipment made available under this arrangement and stated in the list annexed to the MoU is all that is expected from the Ksh. 38 Billion.
• Further, it is not clear if the allocation will be equal in value, equitable or according to need.
• This is important information for the Counties because we have to, as appropriate, manage the perception and expectations of our own residents.
• This works out to about Ksh. 115 Million annually
• That level of investment in direct equipment procurement and upgrade would transform some of the Counties into Singapore or Taiwan in terms of health services, especially if the revenue generated through cost-sharing at Level - 4 and - 5 is re-invested to build on that foundation.
• Some of the listed equipment already exists and in service in these facilities, and no one expects us to pull out of service What We Own to take in leased replacements that will transfer back to the Leasing Agent in seven years.

7.

• What prior infrastructural investment is required?
• Are these suppliers the ones to also put in place the infrastructure, such as the rooms and other requirements?
• Does the infrastructure require special architectural details?
• How much will it cost?
• Have the infrastructural costs been provided for?
• Is it part of the contracts that have been signed by the National Government and the foreign suppliers?

8.

• Health being a devolved function, there is need for an intergovernmental agreement between the National Government and Devolved Government, to allow the National Government to do what it has done. Such an agreement is provided for in the Constitution at Article 187
• The MoU circulated to the Counties for signing is too simplistic and unclear, and needs some sober and objective discussion; and
  
• especially on the many stated Obligations of the Counties and very few for the National MoH in this proposed arrangement.

Read more at: http://www.standardmedia.co.ke/article/2000152640/why-governors-are-opposed-to-sh38m-medical-equipment?articleID=2000152640&story_title=why-governors-are-opposed-to-sh38m-medical-equipment&pageNo=3

[RV Pundit]

That deal smell fishy..i think Macharia is upto no good with that kshs 38B. Why can't national gov concentrate on their job. Fund national hospitals. Or heck build them. KNH is a mess. Leave counties to do their own thing using their own ideas..Machakos delivered 70 Ambulance with meagre resources..give them 120M every year..and they'll know what to do.

[gout]

can't understand why so many projects worth billions which state house is having a visible hand are coming out stinking .... is it uhuru and co quest to accumulate money as fast as possible ..... except robin hood sonko who seems to be okay with his current sources looks like everyone else is hungry

[Kadudu]

Health has been devolved to the counties. Why then come up with "equipment" for the county hospitals?
BTW what will Wajir and Mandera do with the cancer treatment centers? Surely these counties have other health priorities other than cancer.

[Omollo]

It will be hard if not impossible to respond to this objection by governors. In fact if they go ahead and sign the MoU they would be liable for serious legal consequences. The National Government cannot treat them as Moi would the defunct Provinces and Provincial Commissioners. The power of the governors and the counties is derived from the people through the constitution. The National government cannot purport to acquire equipment for County governments. This is just plain and clear corruption where some foreigners have struck a deal to grease Macharia's hand as they are allowed to fleece the counties.

Incidentally this would not be the first corrupt minister for health. Amukoa Anangwe was fired for corruption under the Moi regime! Just imagine"!. Then we had Ngilu getting off lightly. Beth Mugo stole openly as did Anyang Nyong'o. Clearly there is something (iko kitu) in Afya House that turns good people in to thieves.

Health has been devolved to the counties. Why then come up with "equipment" for the county hospitals?
BTW what will Wajir and Mandera do with the cancer treatment centers? Surely these counties have other health priorities other than cancer.

[RV Pundit]

Exactly.

Health has been devolved to the counties. Why then come up with "equipment" for the county hospitals?
BTW what will Wajir and Mandera do with the cancer treatment centers? Surely these counties have other health priorities other than cancer.

[Omollo]

They are "sourcing it" and demanding that the Counties pay for it! Yet the counties have not 1. Requested for the equipment 2. Participated in the procurement 3. Participated in the negotiations and the drawing of up of the contract

Exactly.

Health has been devolved to the counties. Why then come up with "equipment" for the county hospitals?
BTW what will Wajir and Mandera do with the cancer treatment centers? Surely these counties have other health priorities other than cancer.

[Kadudu]

Dialysis centres for Wajir and Mandera. Surely, why should these counties pay for expensive medical equipment that will rot in the hospitals?
Also no infrastructure and let us not even mention personel to man these machines.

BTW GE is recruiting big time for the role out of this programme. Contracts have been signed and is now binding. Which ever way, Kenya has to pay.

They are "sourcing it" and demanding that the Counties pay for it! Yet the counties have not 1. Requested for the equipment 2. Participated in the procurement 3. Participated in the negotiations and the drawing of up of the contract

[veritas]

http://mobile.nation.co.ke/news/Ruto-rejects-medical-equipment/-/1950946/2742928/-/format/xhtml/item/1/-/l08mhhz/-/index.html

[Kim Jong-Un's Pajama Pants]

There is all that talk about the inflated cost to the counties.  Does that matter?  Afred Mutua is not one of those who is known to think before appending a signature to something he may feel would hurt certain interests.

[Omollo]

Veritas

Do you understand why many governors do not wish to sign the Uhuru and Macharia deal? I can understand if you believe in the good the machines would do - even with a "little" corruption by the side.

http://mobile.nation.co.ke/news/Ruto-rejects-medical-equipment/-/1950946/2742928/-/format/xhtml/item/1/-/l08mhhz/-/index.html

[Kadudu]

Read this one to understand the whole saga even better.

http://www.standardmedia.co.ke/?articleID=2000164732&story_title=Kenya-is-the-executive-trying-to-kill-devolution-through-leasing-of-medical-equipment

Veritas

Do you understand why many governors do not wish to sign the Uhuru and Macharia deal? I can understand if you believe in the good the machines would do - even with a "little" corruption by the side.

http://mobile.nation.co.ke/news/Ruto-rejects-medical-equipment/-/1950946/2742928/-/format/xhtml/item/1/-/l08mhhz/-/index.html

[veritas]

This is not an issue to be politicized.

[Omollo]

Why not? Why should the government force equipment on counties - some who don't even have hospitals to place it in? How would you like me to negotiate a car, set the price, arrange for monthly interest for ten years - all without your knowledge or contribution -  and then ask you to "take" the car ... oh yes and sign the deal to pay for the next ten years?

This is not an issue to be politicized.

[Kadudu]

Lame excuse. What is politics? Health services were devolved with the new constituition. If the national govt had meant well it should have first sat with county govts nd discussed the issue before signing contracts and thereafter seek the signatures from the counties.

This is not an issue to be politicized.

[veritas]

Those machines were requested by hospitals based on consensus. Omollo, instead of a car think of an incubator for a new born. Who would deny that? No hospital or staff in the world. Same goes for dialysis machines. Those machines are a public right to basic healthcare. No amount of politricking changes that fact.

[Omollo]

I think you are not sufficiently  informed about the issue to have a debate. I withdraw

Those machines were requested by hospitals based on consensus. Omollo, instead of a car think of an incubator for a new born. Who would deny that? No hospital or staff in the world. Same goes for dialysis machines. Those machines are a public right to basic healthcare. No amount of politricking changes that fact.

[Omollo]

bump

[Kim Jong-Un's Pajama Pants]

I can understand the refusal to sign if the counties do not need the machines. 

However if they do, I think they should source their own machines if they can find them cheaper than what GoK is offering.

[RV Pundit]

EACC and Auditor General should do their job and give it a clean bill of health or not.The national gov can always buy counties or kenyans anything. Counties should not be forced to sign if they do not want to. Ultimately the money belong to the public and therefore parliament, senate, EACC, Auditor General and everyone else...should do their job..to protect public interest.

If Macharia has eaten..let it be known.