We know that the new World Health Organization Director Dr. Tedros Adhanom Ghebreyesus, who has already did some controversial assignments since become the Director there. Dr. Adhanom has a history as Ministry of Health in Ethiopia. You should think a man who represent his own nation and in cabinet cared about the Health Care there. However, he himself went for treatment abroad and billed the Ethiopian government for it.
Dr. Adhanom had an official meeting with officials from Singapore on the 9th September 2016. This was the story of the Ministry of Foreign Affairs on the 13th September 2016:
“Dr. Tedros Adhanom meets Dr Mohammed Maliki Bin Osman, Singapore’s Senior Deputy Minister of Foreign Affairs and Defense Minister at his offices today (Sept. 9, 2016). Discussions focused on strengthening bilateral ties between Ethiopia and Singapore, in areas including industrial parks development, tourism, education sector and inter-parliamentary diplomacy” (The Ministry of Foreign Affairs of Ethiopia, 13.09.2016).
Even if the Ministry of Foreign Affairs has deleted this on their web-page. Still, it is still online and can verify this. Therefore, that the billing of a hospital bill of Dr. Adhanom was billed with $986,50. It isn’t a big bill, but still instead of paying it himself. The Ethiopia-Beijing Embassy was asking the Consulate General of the Federal Democratic Republic of Ethiopia to cover this. This was asked for by the Embassy of Ethiopia-Beijing, who covers Singapore and dozens of other Asian nations. We can just imagine what else he has gotten covered during his stay in Singapore in 2016 as a dignitary. Since, this is the one document leaked. This document asking for a payment directly to an account at United Overseas Bank Limited, Singapore on the 6th September 2016. This is just days in advance of the meeting with Deputy Minister of Foreign Affairs Dr. Maliki Bin Osman.
So seemingly the Minister of Health of Ethiopia did a routinely check-up or something. Since the bill isn’t big. But its the principal of making a good health care system back home and secondly, also putting this on the taxes of your citizens. When your the Minister of Health. That he is representing the whole Health Care in his Nation, but he still uses the state reserves and bills it on the public.
Dr. Adhanom misused it and got the Embassy of Ethiopia-Beijing to refund his visit at a Health Care facility days before having a meeting with the Deputy Minister of Foreign Affairs. Seemingly, it could be a coincidence, but its a bit to good to be true. Though in the scheme of things, a grand of US Dollars are pocket change. However, it is the principal of good governance. If he has done with this small one, what has he done one the budget funding yearly as a minister from Addis Ababa. Would he care or is he careless, since he knows the state will takes his bills and he will eat?
We can just wonder if he has done similar stunt and misused bigger funds for personal profits, because this is just a proof of a minor incident. Where he used a 1000 USD for personal health. We don’t know what he has done with the budgeted funds for the Health Care Ministry, but if we cannot trust you in the minor things. How will you act when your supposed to control the bigger things?
Yesterday was supposed to be celebrated, but however, I can’t. Not honestly, not, no, not knowing that this process of procurement and knowledge of possible unnecessary demise of dozens of cancer patients, while waiting between March 2016 to January 2018 for possible treatment. It is insane.
Therefore, when I read crap like this yesterday, when the Machine was launched by Prime Minister Ruhakana Rugunda, I don’t celebrate:
“The Prime Minister Ruhakana Rugunda has commissioned the new radotherapy machine at the Uganda Cancer Institute Mulago. This follows the purchase of a new radiotherapy machine after the old one crushed in April 2016. According to Dr Daniel Kanyike the head of the radiotherpay department at Mulago, 80 patients are attended to per day and they suspect the number will increase after the commissioning today” (Sudhir Byaruhanga, 19.01.2018)
Because, I have a letter dated back to IAEA from Dr. Byahagaba from 28th May 2013, where the funding of 325,297 Euros was deposited to the UniCredit Bank, Austria, Vienna on the 22nd May 2013. To start the procurement of a new Cobalt 60 Cancer Machine to Uganda Cancer Institute at Mulago Hospital. However, this has been lost in the story, that suddenly NRM moved swiftly in 2017 and got it ready for 2018.
It might be true that old one from 1995 – finally gave way and broke down in April 2016 before the General Election, the same fall. However, that doesn’t mean, they started procurement and facilitating the funds for a new one. They used longer time and awaited the destruction of the old one, before getting a newer model that actually worked.
They didn’t act quickly or swiftly in this affair. They moshed it together in a stew and hope to get gold, instead they are boiling bones and hope to taste the real deal. It is a mess and was a mess.
Because I still remember this:
“Cancer patients receiving radiotherapy treatment at Mulago hospital may have to wait until next year when the new cobalt 60 radiation machine will be installed, after the old one broke down three weeks ago. According to Dr Jackson Orem, the director of Cancer Institute at Mulago hospital, it may be difficult to repair the radiotherapy machine, procured in 1995, to render efficient results” (EA BIZ INFO, 08.04.2016).
Secondly, when NRM says April 2016, well, Dr. Orem speaks about three weeks before April, that means it broke down in March 2016. So the NRM cannot hold one piece of the story correct. Not even when it breaks down!
Therefore, the promise waited on results because of hardships to make a new space and have a new machine in where the old one was. The Uganda Cancer Institute had to wait and secure funding for a new one, even if they had already started procurement in 2013. Something they should have focused one, before making sure the old one crashed. This has clearly cost lives, since the Cancer patients have not been sent in drones in Kenya. They got some promises to Aga Khan in Kenya, but that was only for a few lucky ones. We can imagine how many cancer patients lost their ability for treatment between March 2016 and January 2018. It is insane, but also the structure and carelessness the National Resistance Movement (NRM) is known for.
So this has been a long await, which could have fixed before and was already in the making. Who knows why the authorities and the NRM didn’t fix it in advance, when they already paid partial payment in 2013. Years before it broke down. It is foolish and nonsense, when this is the only type of this machine in the whole Republic. Then, not being able to for-see its demise.
Well, NRM can think of this a propaganda victory, since no-one is questioning much and just is happy. The public shouldn’t be, because why didn’t they fix it earlier and made sure for a transition from one machine to another? Peace.
Well, I am biased, as the President are visiting Dubai for 4th Global Business Forum on Africa on the 2nd November 2017. President Yoweri Kaguta Museveni is trying to cater to foreign investors. People who he usually cater to at the State House, so he can get favors and Presidential Handshakes. That is why he isn’t bothered with taxes, because the tax-holidays and possible offerings will be huge for the investors who comes in. That is what the National Resistance Movement (NRM) are doing, especially if it is for instance a nations offering the state loan, than the same state can come with state-companies to build infrastructure like Chinese companies coming in after offering loans to the same NRM government. Therefore, just look at what he was saying yesterday, which is weird, but fit a pattern.
“Since you are business people, we must be talking about profits. When you talk of Uganda and Africa, you are talking about peace as an enabling environment; which we have. We have raw materials, and have a population of 40 million people that’s’ a market. And if we talk of integration we have a four tear market” (…) “In Africa, the demand is there and growing because we have been under-consuming while the rest of the world the demand is falling because they have been over consuming” (…) “There are plenty of raw materials, minerals, tourism and so on so when you invest there you have access to all these” (…) “I don’t have to bother investors with taxes, what I want is for them to invest, use our raw materials, create jobs, add value and promote exports” (State House Uganda, 2017).
Well, so the President trying to say to foreign investors, you don’t need to pay taxes for your output, just cater to me. The state you don’t have to bother about, just bother about catering to the State House and me. We will add value and promote exports, we will agreements and make sure you get the value on our resources and low-payed workers.
We know who is the biggest taxpayers in the republic, because of Uganda Revenue Authority own statement in the media on the 31st October 2017, which stated names like Mr. Alnasir Virani Gulam Hussein Habib, Dr. Sudhir Ruparelia, Mohammed Hussain, Nakayima Janat, Karia Minex, Karia Kunnal, Alykhan Hudani and Dayalijil Karan. Who are sounding like foreign investors and they are on the top 25 biggest taxpayers in Uganda. So the state has already connected families from abroad to invest there in various businesses. This shows there are already people who is not worried about taxes, but about the output of their companies.
Some of these investors has made big names, while others have worked more in silence. Still, this shows that the top earners even promoted by URA and Doris Akol. Proves how they are working, as there wasn’t that many own citizens on the list. That shows that the foreign investors must get a special advantage and special agreements at the state house for their dealings. Especially, considering how it has been done, just for tearing down markets in Kampala for own investors and financial agreements. This has been done and arranged from the State House without consultation with locals, neither KCCA or the renters of these markets. That is how the NRM and Museveni do deals in favor of him and if he get ill-gained funds, he will support the “development”. It is in similar fashion he exposes his intent in Dubai.
That the State doesn’t need taxes or need structures to facilitate for foreign investors, they just needs agreements with State House and then it is all fair-game. It is insane, but fits the Modus Operandi of the Musevenism and NRM regime. Give him a Presidential Handshake and you can operate as you want in the Republic. Peace.
State House Uganda – ‘President Museveni woos Arab investors to Uganda “We have the raw materials, human resource and market”’ (02.11.2017) link: https://www.africa-newsroom.com/press/president-museveni-woos-arab-investors-to-uganda-we-have-the-raw-materials-human-resource-and-market?lang=en
“The three arms of government and their sub-branches must have discipline. For example I have been involved in disciplining the army. We should do the same for other sub-branches of government. If the Judiciary is also disciplined in fighting corruption, citizens will lead a good life.” – Yoweri Kaguta Museveni on the 1st October 2017, State House Entebbe.
Its just one of these days that hearing the news and seeing the tweets of the President, makes me laugh and wonder if he listen to himself. He knows his system and has made his garden. The way the government steers and govern is because of his policies, his regulations and his support. It is not like there been other ruling for last 30 years in Uganda. The Republic has been under the control of Museveni and his National Resistance Movement (NRM).
The NRM has suffocated all other free-will and control. Therefore, Ministers, Members of Parliament and others seek guidance and funds directly at the State House in Entebbe. Even foreign investors meet there to make agreements. Everything is nearly sanctioned out there. The Discipline now is more on the narrow-minded government that is run from there. The institutions and the procedures are not so important. Since most things happening is with the words from “above”, meaning the President and his close advisers.
It is not rocket science to know where the benefactor or the reason for lacking structures. That is because government waits for their go sign by the State House, they are waiting for funding of the projects and institutions from the State House. The projects and the works of the State House and under the Prime Ministers Offices are the key organizations within this government. They might say all of the massive cabinet has part to play, but that is the facade.
Therefore, it is ironic for a man so controlling and so disorganized that it gives sometimes way to the unthinkable. Just like the Presidential Handshake, that was sanctioned by the State House, but taken form the wrong account. That was the problem for the President, not that the corrupt behavior was occurring on his watch. Its like he talks against himself. Because he has no problem speaking anti-corruption, but if corruption benefit his cronies – its fine and dandy!
I am not surprised by him at this point of time, its fit his narrative. He says what he expects and wants out of others, but the next day he finds a way to benefit or use the loyalty of his cronies. Not like he would have excepted the UCC not to listen and stop the suspended MPs to hit the airways and be broadcast on TV. He rather being himself on radio and in the spotlight, but will accept anyone else sharing the same space.
President Museveni is the proof of someone saying something noble, but doing opposite. He might say something insane, but act rational. Therefore, you never know where you have him. I will never believe him actually disciplining the government, if doing so. It means they are all blindfolded and following his guidelines. It does not mean building proper governance and protocol, neither is institutionalize the departments and ministries, it is all about his will and his stature.
When it comes to Museveni, discipline is about following him. Not building transparent and proper government institutions. Peace.
Let’s be honest and clear, the story of the Cobalt 60 Teletherapy Machine from the mid-90s, who was not sufficient and had not been changed within time. Was not a two-year long waiting period of nostalgia, it was mismanagement with the cost of lives and devastation. Any government caring about lives, would have planned and made sure of funding for a new one, long ahead, especially considering the last one was bought in the mid-1990s. This is the true acts of maladministration and misuse of state reserves. That is evident, and also that the Ministry of Health, who only had one these, couldn’t make sure the procurement went softly and made sure the facilities could be fixed in time to put in a new machine. Even if it matters of lives and people’s serious treatment.
Only two year?
“After almost two agonising years of waiting, cancer patients will breathe a sigh of relief after the new radiotherapy machine arrived into the country this week. It was shipped from Czech Republic through Mombasa port with guidance of the International Atomic Energy Agency (IAEA), a United Nations body that regulates use of nuclear and atomic energy. Purchased at 642,000 euros (more than Shs2.7b) by both government and IAEA, the machine replaces the old cobalt 60 radiotherapy machine, which broke down beyond repair on March 27, 2016, leaving about 2,000 patients without proper treatment and some people died in the process” (Ainebyoona, 2017).
What about 2013:
Because I have a letter dated back to IAEA from Dr. Byahagaba from 28th May 2013, where the funding of 325,297 Euros was deposited to the UniCredit Bank, Austria, Vienna on the 22nd May 2013. This was funding for the purchase of Cobalt 60 Teletheraphy Machine. Therefore, the Daily Monitor or the Mulago Health Care Complex has given som wrong information.
If not the final instalment for the purchase of the machine has come in the aftermath, which is a significant sum of monies, since it is 315,000 Euros that has appeared and made sure the buying of the machine finally appeared.
This sort of acts should not let it go easily, that a state with millions of lives, that are in-charge of making sure their citizens are healthy. Only has one Cancer Machine and that one has been out of function for two years, and it took about at-least 4 years, since 2013 to be able to purchase the equipment and use it for the public benefit. Clearly, the National Resistance Movement (NRM). Isn’t worried about losing their citizens or making sure the health is in check. Surely, the do not worry, since the President sends his own kin abroad to give birth. He knows the meagre state of the facilities of where he has resided and run. He eats the reserves and leaves scraps behind. The evidence in the 4 years in the making of the Cancer Machine. It is good it is there, but the time and effort is mediocre at best. Nearly depleted and destructive, as the concern of the cancer wasn’t even there. Peace.
Ainebyoona, Mmanuel – ‘New Cancer Machine finally arrives into the Country’ (12.08.2017) link: http://www.monitor.co.ug/News/National/Sigh-of-relief-as-Shs2-7b-cancer-machine-arrives/688334-4054904-vf8309/index.html
Who? Who elected this men in shiny suits and grins in the Capitol and who walk around like gentleman and ladies in Washington D.C. That is the question I ask today, since first the House of Representative under the key leader Paul Ryan passed the American Health Care Act (AHCA) to repeal the Affordable Care Act (ACA). This was done on the 4th May 2017 and they had such a wonderful victory speech by President Donald Trump in the rose garden. Than, after the vote, the CBO score came in and it showed no mercy to the ones who needs medical care or health care, neither was the legislation made for safety of the American people, more a tax-relief for the wealthy who pays for poor. So they can get health-care under current legislation. That is something sinister in the eyes of Republican Party in the United States. Therefore, they have behind closed doors in the Capitol or the Congress, worked to make a new Health Care Bill based on the House of Representative vote in May 2017. And by June the legislation made in the dark, has come to light. Yesterday, the leak of the “Better Care Reconciliation Act of 2017” was also broke down by the Congressional Budget Office (CBO), BCRA are the still an ugly duck compared to the ACA or Obama-Care. Just take look at important quotes from their report and it proves the devastating acts of the Senate and House of Representatives,
The quotes I have taken, is just like last go-around on the members of society who will be cut off from Health-Care by new legislation. How much monies the 1% saves and how much the wealthy get tax-relief is benign since it is so many lives at stake and so many more people who will not be covered or can afford a Health Care Plan or Health Insurance under the new legislation. That is more dire, than if the state saves a few billion dollars, because the rich cannot afford to have some solidarity because their need for golden showers and Bentley’s. Take a look!
“The Senate bill would increase the number of people who are uninsured by 22 million in 2026 relative to the number under current law, slightly fewer than the increase in the number of uninsured estimated for the House-passed legislation. By 2026, an estimated 49 million people would be uninsured, compared with 28 million who would lack insurance that year under current law” (CBO, P: 1, 2017).
“CBO and JCT estimate that, in 2018, 15 million more people would be uninsured under this legislation than under current law—primarily because the penalty for not having insurance would be eliminated. The increase in the number of uninsured people relative to the number projected under current law would reach 19 million in 2020 and 22 million in 2026. In later years, other changes in the legislation—lower spending on Medicaid and substantially smaller average subsidies for coverage in the nongroup market—would also lead to increases in the number of people without health insurance. By 2026, among people under age 65, enrollment in Medicaid would fall by about 16 percent and an estimated 49 million people would be uninsured, compared with 28 million who would lack insurance that year under current law” (CBO, P: 4, 2017)
“Medicaid. Enrollment in Medicaid would be lower throughout the coming decade, with 15 million fewer Medicaid enrollees by 2026 than projected under current law in CBO’s March 2016 baseline (see Figure 4). Some of that decline would be among people who are currently eligible for Medicaid benefits, and some would be among people who CBO projects would, under current law, become eligible in the future as additional states adopted the ACA’s option to expand eligibility” (CBO, P: 16, 2017).
Just think about it, 49 Million uninsured compared to 28 million. The 28 millions uninsured under current legislation should be the worry today, not make sure there are another 21 millions who joins the club of ill-health and possible side-effects of not affording to pay for their health care bills. The Republican party and the Senate, as the House of Representatives are morally bankrupt. They don’t care or have no issues making provisions for a possible 21 million citizens without health-care. That means, they can easily do so, since the donors and rich-backers needs a Tax-Holiday. That is the seriousness and the bottom-line. Nothing beautiful about this. Just hardcore tax-relief so fewer people can afford to treatment and get people healed through Health-Insurance. Seriously, who votes this gang of brothers in and who would accept this sort of treatment? Can someone please explain to me what this dude Mitch McConnell still doing in the Capitol when he can serve this sort of legislation?
The numbers themselves are insane and the other aspects of the law is bad. There aren’t any good news in this one, unless your wealthy and don’t care about the society you sponge of in general. That is what this bill does, it isn’t “Better Care Reconciliation of 2017”, so to translate to a proper name of the bill it should be named: “We don’t Care Act of 2017”. Sponsored by the honorable men and woman of the Republican Party, with they new slogan to the public: “because we don’t care! We don’t care if you cannot afford to go to the hospital, have a per-existing condition, planned parenthood or any sort of benefits because of your low-pay-grade, you are just a Smuck-On-Wheels for voting for us and we are making sure that you cannot be covered in the future”. Why you say? We the Republican’s Just don’t Care! Peace.
Congressional Budget Office – ‘H.R. 1628 Better Care Reconciliation Act of 2017’ (26.06.2017)