Professional Documents
Culture Documents
r Cleopa Mailu, the Chief Executive of Nairobi Hospital, is a realist. He likes putting it in black and white. A doctor who has practised medicine for many years, he transitioned into hospital administration because he believed that managing the systems oered greater good than treating one person. As such, he cannot understand the noise about the unreasonable increase in health care costs. The healthcare industry is a business like any other, as much as we want to make it emotional, he says. We want to wear blinkers on what is happening. If we live in the real Kenya, the cost of everything has gone up. From fuel and labour to the cost of eggs and tomatoes all of which, he says, are crucial inputs in the business of running a hospital since it is as much about hospitality as it is about health. Health care providers rely on these factors to cost their service. Dr Mailu illustrated the strains he was facing: the eect of exchange rate on commodities such as drugs and medical equipment. What did they expect hospitals to do? he asked. If it (the cost) changes by Sh10, I pass it onto the consumer. The cost of travelling to Mombasa or to the Mara is between $350 and $400 per night, he noted, while a private room at the Nairobi Hospital is Sh9,000, which is about $100. On that bed youre occupying, youll have food, nursing care with an attendant and your bed will be changed three times a day. I have to wash that linen. In defence of the high costs, Dr Mailu
The healthcare industry is a business like any other, as much as we want to make it emotional
tried to distinguish the services that Nairobi Hospital oers compared to others. There is dierential care, he said. My care is superior and closer to what we want Kenyans to enjoy than other facilities. The best costs money. If you go to Intercontinental or Laico, the price of beer is higher. He said Kenyans take for granted the necessary ambience for healing, which costs money. His realism extended to what he calls the myth of India as a medical destination because patients are never miraculously healed after one trip. He said the actual cost of treatment in India is lower because of the advantage oered by its huge population (which is on average equivalent to Africa) that allows hospitals to make money from volumes rather than markups. He warned that the long-term eect of seeking treatment abroad would be Kenyan doctors losing experience, which may adversely eect the ability to oer follow up treatment or