Insurance Cartels Are Killing Quality Healthcare in Kenya
Insurance companies have placed themselves between doctors and patients, deciding which hospitals you visit, which doctors you see, which tests you take, and which drugs you receive.
They delay payments, force hospitals to demand cash, drain public funds by making SHA pay upfront, raise premiums while capping provider charges, and blackmail healthcare providers into submission.
Meanwhile, regulators like the Competition Authority and the Insurance Regulatory Authority continue to look away.
KMPDU will soon release a “List of Shame” to guide Kenyans on which insurance companies to avoid.
As we fight this injustice, let us not forget that Kiambu doctors remain on strike for 85 days, standing firm for fair treatment and dignity at work.
The message is clear: Healthcare is about People, not Profits.
The journey towards better working conditions for doctors and CBA implementation continues to bear fruit. Here are the highlights from our latest engagement with CoG:
1. Salary Arrears Update: On April 24, 2025, Parliament approved KES 1.75 billion in the supplementary budget for the second batch of salary arrears. Counties are expected to disburse the funds by June 30, 2025.
2. Postgraduate Training: The MoH has paid fees for 188 postgraduate students. A joint dialogue is set to improve the management of this program.
3. Promotions: We flagged unresolved disputes in 14 counties, with strikes ongoing in Kakamega and Marsabit. All cases must be resolved by May 9, 2025, or we will declare industrial action during the ADC in the specific counties.
4. Car Loans & Mortgages: CoG will engage Treasury to open access for county doctors to national car loan and mortgage schemes.
5. Medical Insurance: SHA will exempt county staff from current remittance deadlines. CoG to engage MoH and Ministry of Public service to have county staff covered under the comprehensive public officers Medical fund from financial 2025/2026.
6. Implementation Oversight: A joint committee will ensure follow-through on all commitments, including the Return to Work Formula.
We are committed to holding all stakeholders accountable—our doctors deserve nothing less and our patients deserve quality healthcare.
We are stronger together.
Viva KMPDU.
Dr Davji Atellah
Secretary General
KMPDU
Today, I had a candid conversation with Dr. Gift Selema, President of the Botswana Doctors Union. We exchanged stories of struggle — shared pain that stretches across borders.
In Botswana, doctors are currently on a nationwide boycott dubbed the "One Call a Month Strike." The fight is the same: pushing for dignity, fair compensation, and respect for Collective Bargaining Agreements (CBAs).
Here in Kenya, we’re defending the intern doctors’ pay of KES 206,000 gross (KES 140,000 net), while in Botswana, interns earn KES 350,000. In Namibia, it’s KES 400,000. In South Africa, KES 430,000.
The truth? We should be fighting for increased pay, not just protected pay.
This talk of “fiscal space” is nothing but a distraction — especially in a country where corruption thrives without restraint. Our battle must be fought on the streets, in the boardrooms, and within every space where our voices can’t be ignored.
The struggle is shared. The fight is one.
This is a betrayal of every Kenyan who depends on public healthcare. The government has made its priorities clear—billions more for MPs while slashing the health budget, the most reduced sector in the 2025/26 Budget Policy Statement.
Hospitals are running out of essential supplies, doctors and nurses are overworked and underpaid, and Kenyans are suffering in a crumbling healthcare system. Yet, instead of fixing this crisis, our leaders choose to enrich themselves.
At the same time, Collective Bargaining Agreements (CBAs) are being mutilated and blatantly disrespected. Agreements meant to guarantee fair pay, better working conditions, and dignity for healthcare workers are tossed aside, while politicians ensure their benefits are untouched.
How can we provide quality care when salaries are delayed, facilities are understaffed, CBAs are ignored, and medics are forced to work in deplorable conditions? Healthcare is not a privilege—it is a fundamental right!
We demand full funding for our healthcare system and respect for the CBAs that protect our workforce.
🔴 #CAUCASING: On December 19 (late last year), we secured 100% interns' posting and salaries as per the CBA 2017. Now, barely two months later, MoH dares to imagine it can reverse these gains (from 206K to 70K). We’re here to prove that’s impossible! #RespectCBA2017
Our parents burried 300 young kids
Young women were killed, cut to pieces & thrown in dump site
Raila received the KSH. 10 billion at the height of doctors going 3 months without pay
That conman also sanitized the international thieves Adani
Congratulations Dr Wambi David, plastic surgeon from Uganda, and the top @cosecsa Candidate of 2024, who was awarded the Prof Gerald O’Sullivan medal at #RCSICharter.
The medal was presented to David by @RCSI_Irl President Prof Deborah McNamara and Prof O'Sullivan's wife Breda.
There is no need to arousing alarm over the vaccine shortage when we know that @MOH_Kenya billed the exchequer 2 billion for vaccines that were donated.Very shameful.Let American taxes work for Americans not a few thieving Africans.
Kitu Sewer's Angalia Saa hits harder today than ever. A reflection of Kenya's fight against corruption and police brutality. As Kenyans continue to demand accountability and justice, it's both a reminder of where we’ve been and a rallying cry for where we need to go.
12 days left, and the countdown continues. We issued a 21-day strike notice because we can no longer stand by as health workers are disregarded. The nationwide doctors’ strike is set to begin on 22nd December 2024 if the Government does not honour its promises.
We demand respect for the Collective Bargaining Agreement , full implementation of the Return to Work Formula, and fair pay for interns. It’s time for the government to prioritize healthcare and the welfare of those who deliver it.
This is a call to action, not just for doctors but for all who believe in the right to dignified work and quality healthcare
We have issued a 21-day strike notice. The nationwide doctors strike is to commence on 22nd December 2024 at 23:59:59. #government fulfils your promises in #RTWF, respect CBA. #Pay Interns.
Today, the 2024 @kmpdu Special Delegates Conference unanimously ratified the call for a National Doctors’ Strike. This decision comes as we continue to face deliberate violations of the CBA and a lack of goodwill from both levels of government to implement the Return to Work Formula (RTWF) signed on 8th May 2024.
The unlawful reduction of intern doctors’ wages to Ksh 41,000 is not just a breach of the CBA but a clear disregard for the dignity and welfare of our healthcare workers. As a union, we cannot and will not allow this injustice to continue unchallenged.
In light of these violations, KMPDU will serve an official strike notice on Monday, 2nd December 2024, to both the National and County Governments. This notice will mark the beginning of a united push to demand fair treatment, respect for agreements, and the urgent resolution of these critical issues.
Doctors stand united for dignity, fairness, and better healthcare for all. The time for action is NOW!
In the last two months, we’ve tragically lost two medical interns to suicide, including Dr. Francis Njuki, and Dr. Desiree Moraa. These young lives were taken by a system that continues to neglect its obligations, pushing our interns to unbearable mental and financial strain. In the same period, five other suicide attempts have been narrowly averted.
As of today, ALL Medical, Pharmacist, and Dentist Interns will stay away from their workstations until the government resolves the issue of their unpaid salaries. We will no longer participate in boardroom meetings to justify the value of interns' lives while the government dances on their graves and perpetuates their enslavement and servitude.
The Union will convene a Special Delegates Conference on 30th November 2024 to pass binding resolutions on this crisis and address all pending issues under the Return to Work Formula dated 8th May 2024.
This is not just about salaries; it is about the dignity, justice, and well-being of our future healthcare professionals. We demand accountability, immediate action, and respect for the lives of those who dedicate themselves to serving the health of this nation.
Kenya deserves better!