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Ailing Healthcare: The Ruto Government's Betrayal of Kenyan Health

Explore the dire state of healthcare in Kenya under William Ruto's government, marred by the failure of the Social Health Insurance Fund (SHIF) and conflicts of interest with Ruto's close associates. Discover how Kenyan hospitals are withdrawing services for NHIF cardholders, leaving citizens vulnerable and underserved... In the heart of Kenya's healthcare crisis lies a tangled web of betrayal and broken promises, orchestrated by the very government sworn to protect its citizens' well-being. As hospitals across the nation withdraw services for NHIF cardholders, the stark reality of William Ruto's failed governance comes sharply into focus. At the centre of this debacle looms the ill-fated Social Health Insurance Fund (SHIF), a purported beacon of hope hastily ushered into law by the Ruto administration. Promising comprehensive health coverage for all Kenyans, SHIF was touted as the panacea to the ailing healthcare system. Yet, beneath its veneer of promise lies a ta

Hope, betrayal in Kenya (guest post)



















by Gwynne Dyer

More than two years ago, when Kenya's current opposition leader, Raila Odinga, quit President Mwai Kibaki's government, I wrote the following: "The trick will be to get Kibaki out without triggering a wave of violence that would do the country grave and permanent damage....Bad times are coming to Kenya."

The bad times have arrived, but the violence that has swept Kenya since the stolen election on 27 December is not just African "tribalism".


Kikuyus have been the main target of popular wrath and non-Kikuyu protesters have been the principal victims of the security forces, but this confrontation is about trust betrayed, hopes dashed, and patience strained to the breaking point.

Nobody wants a civil war in Kenya, but it's easy to see why Raila Odinga rejects calls from abroad to accept the figures for the national vote that were announced last Sunday. If Odinga enters a "government of national unity" under Kibaki, as the African Union and the United States want, then he's back in the untenable situation that he was in until 2005, and Kibaki will run Kenya for another five years.



















If Odinga leaves it to Kenya's courts to settle, the result will be the same: there have been no verdicts yet on disputed results that went to the courts after the 2002 election. So when the opposition leader was asked by the BBC if he would urge his supporters to calm down, he replied: "I refuse to be asked to give the Kenyan people an anaesthetic so that they can be raped."

Despite the ugly scenes of recent days, Kenya is not an ethnic tinderbox where people automatically back their own tribe and hate everyone else. For example, it is clear that more than half the people who voted Mwai Kibaki into the presidency in the 2002 election were not of his own Kikuyu tribe, because the Kikuyu, although they are the biggest tribe, only account for 22 per cent of the population.

Kibaki's appeal was the promise of honest government after 24 years of oppressive rule, rigged elections and massive corruption under the former president, Daniel arap Moi. If he had been just another thug in a suit, most Kenyans would have put up with Kibaki's subsequent behaviour in the same old cynical way, but his victory was seen as the dawn of a new Kenya where the bad old ways no longer reigned. It is his abuse of their high hopes that makes the current situation so emotional.

Most of the leading reformers quit Kibaki's government in 2005, and in the weeks before last month's election their main political vehicle, the Orange Democratic Movement, had a clear lead in the polls. That lead was confirmed in the parliamentary vote on 27 December, which saw half of Kibaki's cabinet ministers lose their seats and gave the opposition a clear majority in parliament. But the presidential vote was another matter.

Raila Odinga won an easy majority in six of Kenya's eight provinces, but in Central, the Kikuyu heartland, the results were withheld until long after the vote had been announced for more remote regions.

Observers were banned from the counting stations in Central and the central tallying room in Nairobi- and on 30 December Samuel Kivuitu, the chairman of the electoral commission, declared that Kibaki had won the national vote by just 232,000 votes in a nation of 34 million.

It stank to high heaven. Ridiculously high turn-outs were claimed for polling stations in Central-larger than the total of eligible voters, in some cases -and 97.3 per cent of the votes there allegedly went to Kibaki. It was an operation designed to return Kibaki to office while preserving a facade of democratic credibility, but no foreign government except the United States congratulated Kibaki on his "victory", not even African ones, and local people were not fooled.


















But Kibaki is digging in, and innocent Kikuyus-many of whom did not vote for Kibaki, despite the announced results-are being attacked by furious people from other tribes. Meanwhile, the police and army obey Kibaki's orders and attack non-Kikuyu protesters. It is not Odinga who needs to accept the "result" in order to save Kenya from calamity; it is Kibaki who needs to step down.

He probably won't, in which case violence may claim yet another African country. But don't blame it on mere "tribalism". Kenyans are not fools, and they know they have been betrayed.

-Gwynne Dyer is a London-based independent journalist whose articles are published in 45 countries

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