T

Just honest deals

[T @njorogexn]

As it should be

[BBC News (UK) @BBCNews]

UN votes to adopt new world map to reflect Africa's true size https://t.co/fHoEl8lB01

[T @njorogexn]

@Alfayaz11 I didn’t know you speak in tongues 🤣🤣🤣🤣

[T @njorogexn]

@chebii_joan @Alfayaz11 @MuriraKinoti @KURAroads @047County @Alfayaz11 this tells it all

[T @njorogexn]

@mungaikihanya Not broken promises but default setting as it should be. PR is everything to him

[Mungai Kihanya @mungaikihanya]

Another broken promise is NOT news! It is normal. President Ruto has worked very hard to cultivate the image of an untrustworthy person!

Teachers’ growing impatience with State House promises https://t.co/jJcLnus4op

[T @njorogexn]

when the system fails we assume it malfunctioned.

It didn't. It is set by default to fail.
A healthcare system that generates profit from illness is not a broken healthcare system. It is a functional profit-extraction system with medical infrastructure attached.

[T @njorogexn]

@Alfayaz11 @Alfayaz11 Title your piece: how to commit suicide 101

[T @njorogexn]

@moneyacademyKE Why not replace the manual payment system so pple have a choice on mode of payment t to use

[T @njorogexn]

@DonaldBKipkorir With all due respect @DonaldBKipkorir Don you’re too obsessed with being like white people. Not a bad thing but can we improve and improvise our own culture? The Japanese are far ahead of the west in many aspects but they never aspire to be like them.

[T @njorogexn]

@mungaikihanya My friend @mungaikihanya Start with what a record means to the officials and extrapolate the same to the people. Sadly to most of them it’s a paper.

[T @njorogexn]

Pray for Nepal

[Brian4new @GustBrian]

Footage emerging from Nepal’s Rasuwa and Nuwakot districts in the wake of the massive flash flood is some of the most apocalyptic I have ever seen. The scale of the devastation is hard to fathom, with hundreds feared dead.

[T @njorogexn]

@BravinYuri Good analysis. The chief architect is non other the the chair of the presidents advisors. He doesn’t mince his words that he works for that evil cabal.

[T @njorogexn]

@RufasKe Some and very soon default gold standard settings will set in.

[T @njorogexn]

@Gaffer254 @WehliyeMohamed Ehh plausible 🤔

[T @njorogexn]

@mungaikihanya Not really, the reality is different. The slum dwellers get allocated for units which they sell or rent out and stay in their old abode. Makes more economic sense to them since they don’t perceive their dwellings to be a problem after all they have their rural homes to return to.

[T @njorogexn]

@otienowill @daktari1 @otienowill the boy is an unashamed economic hitman for the WB and the NWO lobbyists.

[T @njorogexn]

@Mr_Guantai Bill butcher……😂😂😂😂 Wueh hii speed ya syllabus

[Don Mogire @DonMogire]

This is what Foreigners think about Kenya...

Nairobi...The Savannah Silicon.

[T @njorogexn]

@SylviaKangara https://t.co/ShLm9etw40

[Ⓝⓖ'ⓞⓡⓞⓡⓘⓔⓣ🐐🇰🇪 @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?

[T @njorogexn]

@IEAKwame @Mr_Guantai Here is the SHA systemic problem by design: https://t.co/ShLm9etw40

[Ⓝⓖ'ⓞⓡⓞⓡⓘⓔⓣ🐐🇰🇪 @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?