How a free health insurance pilot is taking on medical debt in Africa

In the over 15 years that Evaline Kibuchi has been working for the Stop TB Partnership in Kenya, she has come across two types of WhatsApp group fundraisers — either for someone who is battling a disease or someone who died and left a huge medical bill.

And this annoys her, that society is being pushed into crowdfunding to foot medical bills in a country that has social health insurance and a public workforce that claims the government is investing heavily in health systems.

“Where is the disconnect? We have a social insurance fund, we have governments investing in health, we have donors investing in health, yet it seems it is not reaching the people who need it. That is why we have all these WhatsApp groups for fundraising,” she said.

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