jaymo livity

living life on life's terms, one day at a time.

[Manchester United @ManUtd]

Inevitable.

The @PFA Players' Player of the Year for 2025/26: Bruno Fernandes! ⭐️🏆

[Manchester United @ManUtd]

Carlos Baleba. Manchester United.

IT'S OFFICIAL! ❤️🔒

[Fabrizio Romano @FabrizioRomano]

🚨💣 BREAKING: Carlos Baleba to Manchester United, here we go! Verbal agreement in place between clubs.

Improved bid sent today after £65m package rejected and player set to join the only club he wanted.

Baleba, new #MUFC player soon. 🇨🇲

[Mwalimu Mūtemi wa Kīama @MutemiWaKiama]

Fredah Onduso raw and unfiltered 🤣🤣🤣

Wow! I'm in love! 😍🥰🥰🥰

[Ⓝⓖ'ⓞⓡⓞⓡⓘⓔⓣ🐐🇰🇪 @baroswahjr]

Or maybe Dr Cheptinga Kipkurui should have been the main speaker at the Health Summit? He wrote:

TO ALL KENYANS

SUBJECT: UNDERSTANDING SHA & NESP - THE TRUTH, THE CHALLENGES, AND THE WAY FORWARD

FROM: Dr. Cheptinga K. Philip - Chief Nephrologist, MTRH & Lecturer, Moi University

DATE: 19TH AUGUST 2026

Wakenya Wenzangu,
Salama.

I write this not as a politician. I write as a doctor who treats your mothers, fathers, children and neighbors every day at MTRH. I have buried patients who died not of disease, but of delay.

Let us talk honestly, respectfully, and together. Because health is not about government or hospitals. It is about YOU.

PART 1: WHAT IS SHA AND WHAT IS NESP? LET US START WITH FACTS

1. SHA - Social Health Authority
This is the new health insurance for all Kenyans. It replaced NHIF in October 2024.
Goal: Universal Health Coverage - that no Kenyan should be denied treatment because of money.
As of Aug 2025: 25.2 Million Kenyans registered, now 32 million have registered.
SHA has paid KSh 56.4 Billion to hospitals.

2. NESP - National Equipment Service Program
Launched August 2025 by President William Ruto. A 7-year program.

Goal: Put modern machines in public hospitals without counties paying upfront.

How: Private companies called "Vendors" bring CT scans, MRI, Dialysis, Xray, theatre tables,Anaethesia machines, Cath lab, Lab machines. They install and maintain them.

Payment: SHA pays the vendor every time a patient uses the machine.

Progress: Sh7.3 Billion already spent. 213 hospitals in 43 counties have new equipment.

NESP is a good idea. SHA is a good idea. The intention is right.

PART 2: WHY ARE PUBLIC HOSPITALS STRUGGLING? THE 100% vs 5% vs 0% PROBLEM

This is where the pain is. Let me explain simply:

SCENARIO A: PRIVATE & FAITH-BASED HOSPITALS

They Serve : They Receive : Their Burden

20-30% of Kenyans : 100% of SHA payment They choose patients. No emergency mandate.

SCENARIO B: PUBLIC LEVEL 5-6 HOSPITALS - KNH, MTRH, COUNTY REFERRALS

They Serve : They Receive : Their Burden

70-80% of Kenyans + All emergencies + All referrals 5% after:

90% goes to NESP Vendors
5% goes to KEMSA drug debt

Public Hospitals Pay 100% of all costs: Electricity, Water, Food for patients, Fuel, Cleaning, Casual workers, Salaries, Medicine, and Service of the government machines, buy consumables,

Example with real numbers - Annexe 2

- CT Scan: SHA pays 6,900. Vendor gets 6,210. Hospital gets 690.

- Dialysis: SHA pays 10,650. Vendor (Yes, the private companies) gets 8,660. Hospital gets 1,990.
- MRI Service Contract: Costs 5 Million per year. Hospital gets 1,100 per scan.

Question: Can 690 pay electricity, radiographer, cleaning, and machine service? No.

PART 3: THE CAPITATION KILLER - "WE WORK FOR FREE"

For basic services like Xray, Ultrasound, Lab tests, OPD, SHA uses "Capitation".

How it works:
1. SHA pays a NESP Vendor 100% to provide Xray machines.
2. You come to Public Hospital with SHA card.
3. Hospital does the Xray, but gets 0 shillings.
4. But Hospital must still pay: Rent, security, Radiographer salary, electricity, room, cleaning.

We are paying 100% to provide a service we are paid 0% for. No business, no hospital, can survive like this.

That is why queues are long. That is why machines are off. That is why our computers, scanners, our ICT systems are slow.
That is why our oxygen supplies is eratic and costs lives. That is why our leaders, Senators, MPs shift the blame on poor services to Governors, Board and Management over poor services.

PART 4: FROM NHIF 36 BILLION TO SHA 5%

Under NHIF, public hospitals were owed over KSh 36 Billion, Payment was late, to public Hospitals, but at least the full amount was supposed to come.

Under SHA, payment is faster. But we only receive 5%. The rest goes away first to vendors and DHA, KEMSA.

So we moved from "dying of debt" to "dying of arithmetic".

PART 5: WHY ARE DRUGS AND DIALYSIS CONSUMABLES MISSING IN LEVEL 5-6?

[Donald B Kipkorir @DonaldBKipkorir]

Water Minister Eng. Eric Mugaa is a conscientious Public Servant. Yesterday , he showed he is above partisan politics for calling out Homa Bay Governor Gladys Wanga & her County Executives for professional negligence. The County has been supplying contaminated water to its people! Many Ministers would have covered up the sheer incompetence of a Pro-Government Governor. But not Minister Mugaa because he is faithful to his professional calling & his Oath of Public Service. Wish we had more conscientious Public Servants like Eng. Mugaa.

[Fabrizio Romano @FabrizioRomano]

🚨🔴 Carlos Baleba made clear to his camp his only dream since August 2025: Manchester United.

Baleba agreed personal terms with #MUFC one year ago but Brighton closed the doors; now negotiations at final stages.

The agreement player-United remains valid: he only wants United.

[The Kenyan Gyne (#HealthServiceCommission) @simonkigondu]

MY REFLECTIONS ON THE KENYA HEALTH SUMMIT 2026

I listened keenly to the Presidential Town Hall at the Kenya Health Summit yesterday. There are achievements in the health reforms that deserve acknowledgement. However, a Health Summit must not become a SHA praise forum. It must also provide an honest account of what is not working and, most importantly, what will be done about it.

The fundamental purpose of any social health insurance system is simple: to enable people to access healthcare when they need it without being pushed into financial hardship.

That must therefore be the test by which we judge SHA—not merely the number of people registered, the number of claims processed or the billions reportedly paid to hospitals.

My concern is that many Kenyans are still experiencing significant out-of-pocket expenditure, while healthcare providers continue to face serious financial strain.

There are several issues that the Government must confront honestly:

1. The cost of healthcare to households

Universal Health Coverage should progressively reduce catastrophic health expenditure. Yet Kenyan households are simultaneously carrying multiple statutory deductions and taxes that reduce disposable income, including the Housing Levy and SHA contributions.

The SHA contribution model also deserves continued debate. Contributions are tied to income, while the benefits available to members are defined and limited. We must continually ask whether this financing model is equitable, sustainable and actually protecting households from catastrophic expenditure.

2. The benefit package remains inadequate

The gazetted SHA tariffs and benefit packages contain significant exclusions and limitations. For many patients, particularly those requiring outpatient, chronic, specialised or prolonged treatment, the amount payable by SHA may not meet the actual cost of care.

When the insurance benefit ends, the disease does not end. The patient pays the difference.

That is not yet universal financial protection.

3. Digital Health Authority challenges

Digitisation can greatly improve healthcare, and I support appropriate digital transformation. But technology must facilitate healthcare—not become another barrier to accessing or paying for it.

Providers continue to report system interruptions, difficulties with pre-authorisations and claims rejected for reasons they consider unjustified. A healthcare worker may examine a patient, make the diagnosis, provide treatment and submit a claim—only for a digital system to reject payment.

Every rejected claim represents work already done, medicines already used and costs already incurred by a healthcare facility.

4. The NHIF legacy debt remains unresolved

Hospitals treated patients in good faith under NHIF. That debt did not disappear when NHIF was replaced by SHA.

We have repeatedly been told that claims are being verified. Meanwhile, some facilities are reportedly being asked to accept discounts or “haircuts” on legitimate historical claims.

These debts must be settled.

Failure to pay providers has real consequences: facilities downscale services, suppliers go unpaid, healthcare workers lose jobs and, in some cases, facilities close.

Ultimately, it is the patient who suffers.

5. SHA itself is accumulating unpaid obligations

Government should publish, transparently and regularly, how much SHA has collected, how much has been claimed, how much has been approved, how much has been rejected, how much has actually been paid and how much remains outstanding—broken down by public, faith-based and private facilities.

Transparency builds confidence.

6. PHC and chronic and critical illness financing remains inadequate

For FY 2026/27, Parliament allocated KSh19.1 billion to the Primary Healthcare Fund and KSh4 billion to the Emergency, Chronic and Critical Illness Fund.

We must ask whether these amounts realistically correspond to the healthcare needs of more than 50 million Kenyans.

Cancer, renal disease, cardiovascular disease, diabetes, major trauma and other chronic and critical illnesses are expensive. Universal Health Coverage cannot be achieved by promising comprehensive care while inadequately financing the funds expected to purchase that care.

The Government should therefore resist the temptation to measure SHA’s success by how often we say, “SHA is working.”

The more challenges a system has, the less useful it becomes to repeatedly defend it with slogans.

The better approach is to say:

This is what is working.
This is what is not working.
This is what patients are experiencing.
This is what healthcare providers are experiencing.
And this is what we are going to fix.

I want SHA to succeed because Kenya desperately needs a functional social health insurance system.

Criticism of SHA is therefore not opposition to Universal Health Coverage. It is a demand that Universal Health Coverage actually works.

A successful SHA will ultimately be judged not by the applause at a summit, but by something much simpler:

Can a Kenyan fall sick, receive the healthcare they need, have the healthcare provider paid promptly and fairly, and return home without being pushed into poverty?

That should be our measure of success.

Dr Simon Kigondu
Immediate Past President
@KenyaMedics_KMA

[Fabrizio Romano @FabrizioRomano]

🚨🔴 Manchester United are set to sign Carlos Baleba from Brighton as new midfielder!

Official bid over €70m plus €6m add-ons sent to Brighton, as per @David_Ornstein.

No club to club agreement yet but #MUFC to send new bid.

Baleba, pushing since August 2025 to join United.

[David Ornstein @David_Ornstein]

🚨 EXCLUSIVE: Manchester United closing in on deal to sign Carlos Baleba from Brighton & Hove Albion. #MUFC offer for 22yo Cameroon midfielder ~£60+5m; below #BHAFC valuation but amicable talks continue as all parties work to reach agreement @TheAthleticFC https://t.co/WmP1bD2JuT

[Donald B Kipkorir @DonaldBKipkorir]

You summon goons, invite them to violence, pay them, facilitate them to block roads,burn cars, kill Policemen … And instead of being arrested & charged with Murder & Terrorism, you are busy in Press Conferences calling the same Police you killed to arrest the victims! And the Police like us are just watching helplessly! We live in unreal times.

[Cyprian, Is Nyakundi @C_NyaKundiH]

For years, “marginalisation” has been the easiest political excuse whenever people ask why parts of Nyanza still lack decent roads, jobs and infrastructure, yet Homa Bay alone has been allocated roughly Sh88 BILLION in equitable share since devolution, with about Sh33 BILLION coming during Gladys Wanga’s term.

At some point the excuses must end, and they must end permanently.

Too many political elites have treated community grievances as bargaining chips for their own stomachs. Every handshake somehow produces Cabinet seats, appointments, influence and access for politicians, while wananchi are told to wait for development and prepare for another election so that they can continue fighting “marginalisation.”

Ol Kalou exposed everything, and Kenyans were shocked. When Ruto desperately needed votes, government machinery moved at incredible speed and roads were suddenly being tarmacked within hours, not days. That showed us what political will can actually do.

The era where one powerful politician simply lifted somebody’s hand and everyone was expected to fall in line faded with Raila, and that is exactly why some of us have questioned Rigathi’s attempt to build DCP around the same personality driven politics. We do not need another Raila. That era should be over.

Rigathi and many politicians of his generation are billionaires today, largely through proximity to government, tenders and political influence. Where are the industries behind that wealth? In serious economies, many of the richest people built factories, technology companies, financial institutions and businesses employing thousands of people.

That is also why saying “we will cross the bridge when we get there” is stupid politics. By the time you reach that bridge, somebody has already decided who owns it.

Homa Bay is also a warning about what happens when leaders know performance is not necessarily required for political survival. For years, endorsement from the top could practically guarantee somebody votes regardless of what they had delivered on the ground.

That culture must die.

We cannot remove one kingmaker only to manufacture another one in Rigathi. Leaders should earn support through roads, jobs, electricity, healthcare, industries and actual performance, not because somebody powerful lifted their hand at a rally.

[Donald B Kipkorir @DonaldBKipkorir]

The say outside Homa Bay Town, the rest of Homa Bay looks like Yemen or Afghanistan! Non-existent roads!

[Nelson Amenya @amenya_nelson]

The hired goons should be protesting to have the roads made in homabay but their primitive leaders would rather pay them for political violence. Homabay residents wake tf up!

[Cyprian, Is Nyakundi @C_NyaKundiH]

Homabay: Votes kept, roads not kept

[Cyprian, Is Nyakundi @C_NyaKundiH]

Ol Kalou showed us that when Ruto wants a road fixed for political reasons, a road can practically be tarmacked overnight. Then you look at Homa Bay ..... To him, Luos are voting machines donated by RAILA

[Okiya Omtatah Okoiti @OkiyaOmtatah]

Lenders beware: Kenya’s High Court has greenlit our petition challenging US$54bn in odious debts under Kenyatta & Ruto.
No parliamentary approval. No public benefit. Offshore siphoning.
Kenyans WILL NOT repay what they never authorised. Accountability MUST be restored. #OdiousDebt #DeniBandia

https://t.co/Gc9U2Ypy1b

[Ole Teya @TeyaKevin]

THEFT!

[Conrad Kulo @ConradKulo]

Imagine a man who takes a Fuliza loan just to buy dinner for his family, but sits them down at night to present a 30-year plan on how they will own a yacht in 2060.

[Edwin Sifuna @edwinsifuna]

The near silence in the room when Prof. Hino and Prof Nyong’o spoke of corruption and wastage in government as the biggest impediments to Kenya’s progress confirms the chickens were preaching salvation to the hawks.