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Should our Health Minister continue to be at post?

Kwaku Agyemang-Manu

Kwaku Agyemang-Manu

Ghana was the first Sub-Saharan African country to introduce the National Health Insurance Scheme (NHIS) in 2003 through an Act of Parliament (Act 650 Amended Act 852), and its full implementa­tion started in 2004. Under the NHIS Amendment Act 852 (2012), every Ghanaian is required to enroll in the health insurance scheme, which is regarded as one of the social inter­vention programme introduced by the government to provide financial ac­cess to quality and affordable health care to Ghanaians.

The scheme is largely funded by the National Health Insurance Levy (NHIL), which is a 2.5 per cent levy on goods and services collected under the Value Added Tax (VAT), 2.5 percentage points of Social Security and National Insurance Trust (SSNIT) contributions per month.

BACKGROUND OF NHIS

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For the benefit of my readers and to refresh their minds about how this laudable initiative came into being, let me take them down memory lane so they can better understand the emergence of the NHIS. The idea to establish the NHIS in Ghana was conceived by former President John Agyekum Kufuor, who used the scheme as a campaign promise in the 2000 general election. He promised to abolish the so-called “Cash and Carry” system of health delivery in the country when he gained power in the county. True to his campaign promise, President Kufuor, after winning the election, introduced the scheme in 2003, during his first term in office.

The main objective of the NHIS was to ensure that it covered all indig­enous Ghanaians with the purpose of delivering comprehensive and affordable health care nationwide. The scheme was designed to cover employees both in the formal and informal sectors, the unemployed in rural and urban communities across the country. Since its introduction, the scheme has witnessed remarkable progress in various regimes that came after former President Kufuor’s ad­ministration. Former presidents John Evans Atta Mills, John Dramani Maha­ma and the current President, Nana Addo Dankwa Akufo-Addo, readily embraced the scheme because of its immense benefits to the people and the country in general, and therefore they adopted it as one of the social interventions in the health sector and gave the scheme the needed push.

EXEMPTION OF CERTAIN CATEGO­RIES

The scope of the scheme was therefore widened to rope in more beneficiaries and was made compul­sory by the government based on past experiences that showed that most of the citizens could not engage in the programme and the fact that the government has the duty to protect the general welfare and well-being of all Ghanaians. The flexible nature of the scheme and its lower registration fees made it quite easy for people to register and enroll as members. The scheme was designed to exempt certain categories of people, includ­ing older people, from paying certain charges.

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Like all human institutions across the globe, the HNIS, despite its successful implementation over the years in the country, has been con­fronted with a number of challenges and problems, such as poor coverage, poor quality care, corruption, poor stakeholder participation, a lack of clarity on concepts in the policy, intense political influence, and poor funding. These administrative lapses, coupled with other in-built challeng­es, are indeed, affecting the smooth operation of this laudable scheme. It may interest my readers and patrons to know that the scheme has passed through the hands of many experts on health issues, but to no avail. The current head of the NHIA, Dr. Ber­nard Okoe Boye, a young and affable medical officer and one-time Deputy Minister of Health, who was appoint­ed by the government recently to manage the place, is overwhelmed with problems, although he is trying his possible best to streamline oper­ations of the NHIS. He has introduced far-reaching ideas to solve some of the problems within the system, but there is still more to be done to make the system productive.

SYNCHRONIZING NHIS AND GHANA CARDS

For instance, plans are well ad­vanced by the new head to team up with his counterparts at the Nation­al Identification Authority (NIA) to synchronize the NHIS card with the Ghana Card as a common medium to access primary health care in Ghana. The scheme has also been digitalised to make registration and renewal of cards easier and more effective. Suffice it to say, the NHIS, unlike the “cash and carry” system, which requires upfront payment of medical care and imposes financial stress on Ghanaians in terms of health care delivery, has been a laudable social intervention that needs to be ade­quately supported by the government if we are to achieve universal health care for all Ghanaians by the year 2024 and beyond.

Frankly speaking, the NHIS has been a source of hope for the ma­jority of people in rural areas who depend on it to access their health needs. However, this all-important scheme is confronted with huge arrears for the service providers, who are finding it difficult to operate the system effectively. When patients visit some of these service providers, they will only be examined by doctors at the Out-Patient-Department (OPD) and told to buy the drugs (even those covered by the scheme) from the pharmacy shops.

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HEALTH MINISTER’S ADMISSION OF NHIS FAILURES

Recently, the Minister of Health, Kwaku Agyemang-Manu on whose bosom the whole NHIS lies, admitted that the scheme was not function­ing properly as it should, claiming that instead of benefiting from the scheme, poor subscribers were being overcharged and denied necessary services that they had already paid for. He cited his own experienc­es, claiming that he had to pay for healthcare services out of his pocket when he visited hospitals like Ridge and the University of Ghana Medical Centre (UGMC), even though he is an NHIS subscriber. That was when the minister addressed the Ghana Health Service Senior Managers Meeting 2023 on Tuesday, April 18, 2023.

Indeed, the unfortunate state­ment from the Health Minister goes to prove he is not on top of issues regarding his outfit, especially the health issues of Ghanaians, which should be his major concern. The entire NHIS programme falls within your purview, and you have to take a keen interest in the scheme and ensure that it works efficiently and satisfactorily. If, as a sector minister, you are complaining and condemning the NHIS as not working, then, as a minister, you don’t know your job and, therefore, you have failed com­pletely. Who do you expect to come and fix the problem when those work­ing there, especially the bosses, take instructions from you, the political head of that place? Elsewhere in cer­tain jurisdictions, you will lose your job immediately for that unguarded and unsavory comment.

MINISTERS MUST OPERATE RE­SPONSIBLY

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Ministers of state are appointed by the President to represent his inter­ests in the portfolios they have been assigned. They are expected to see to the smooth operations of estab­lishments under their various min­istries by ensuring that they remain efficient and effective in their daily operations. Failure to ensure that the establishment under their control as ministers of state and political heads is potent and smooth-sailing means they have failed completely and, therefore, are not fit to be in that office.

As a matter of principle, Ghanaians expect people placed in positions of authority by the government to be more responsible and proactive in their daily activities instead of apportioning blame, which is unnec­essary. These service providers need money to purchase drugs and other equipment to serve subscribers of the NHIS efficiently. However, if the gov­ernment defaults on reimbursement, how can they operate effectively?

Contact email/WhatsApp of au­thor:

HYPERLINK “mailto:ataani2000@ yahoo.com”ataani2000@yahoo.com

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0277753946/0248933366

By Charles Neequaye

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The Prophet part 4

Antobam woke up with a terri­ble headache. He checked the time on his mobile phone, 2:30 am. “What! Where is the money?” He asked aloud. “Where are those girls? Why did I drink so much of that whisky? What were those two girls up to?” He sat up on the bed and noticed a bulge close to the pillow.

He lifted the mattress and picked up the newspaper wrappers with the neatly arranged notes. He saw the neatly written record of the value of the notes. No, those girls are not thieves.

“It was my mistake. If I hadn’t drank myself to sleep they would be here in bed with me, giving me the time of my life. Pretty girls, those two. And so loyal and honest. Tomorrow will be different.”

“I will not drink any whisky, and I will show them that I am a real man. Just then he heard the whis­pers. Very soon it will be time, they seemed to be saying. This is an important day.”

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The gold dealer will bring lots of money. Give him some of the liquid to drink, and we will prepare him. He will do very big business, and he will give you anything you ask for. There will be more miracles and testimonies today.

Antobam smiled to himself. “I am going to be a very rich man in only a few days man. Money, power, and women. Wow! Antobam got to the grounds at 5, but there were quite a number of people waiting.

Mr Kwame Dofu was among them. He greeted them all, and they came around to shake his hand. “My brothers and sisters, I assure you that whatever your problem is, you will not go home without a solu­tion.” Shouts of “Amen” “thank” you Osofo and “you are a true man of God” responded.

“Please take your seats, and start talking to the great one about what­ever bothers you. Before the service is over, there will be a solution.” He waved Mr Dofu over, and went with him to the wooden structure that serves as a temporary office.

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“My brother, I have done quite a lot of work on the issue you came to see me about. I have prepared a special, powerful package for you. Take this, drink it, and go back to your business. I want to see you in two weeks.”

Beaming with smiles, Mr Dofu drank the foul smelling liquid in two gulps, said a big thank you to Anto­bam and took his leave. “I believe you, Papa Osofo. And I assure you that I will reward you, big time.”

Just when Osofo Antubam finished with Mr Dofu, Mary and Suzzie went over to him. “Good Morning ladies. I am very sorry about yesterday. I drank too much of the stuff you gave me. Today will be different, I assure you.”

“Don’t worry, Osofo. Since you are now setting things up, our main concern now is to help you to put things in place, and to make you comfortable. We are always there to serve you. This morning, Osofo, we want to go and clean up your place, and prepare something nice for you when you close.

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And before coming to church, we will pass by the bank and collect the forms. After you have signed them, the account will be open. You can check the payments anytime and, of course, issue cheques whenever you need money.”

“Suzzie and Mary, I am happy I picked the two of you from the very start. Listen, I will take good care of you, okay? Here is some money. Buy whatever you need for the er­rands you have mentioned.

And here is the key. Please come back as early as you can. You know I need you here.” The service was very lively. The lively singing of praise songs was followed by one and a half hours of testimonies.

Most of them related to money – big sales, new jobs and overdue debts paid. But there were also testimonies about healing. Barren women had taken seed, and, of course, several men who had lost their bedroom authority had re­gained them, to the delight of their partners.

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As he had promised, Antobam preached for only 30 minutes, ex­horting the congregation to attend church regularly, pay their tithes and offerings, and strictly follow his ‘directions’ for securing solutions to their problems.

After another round of prais­es during which the congregation danced to the floor to drop their offering, he closed the service, grabbed the big bowl which was full to the brim with money, and moved to his desk. A long queue was quick­ly formed at the desk.

Meanwhile, Mary and Suzzie had gone to give Antobam’s place quite a decent look. A new bedsheet and pillows, a secondhand carpet and four plastic chairs placed in the verandah had done the trick.

They also prepared two fish and chicken stews. After all these, they rushed to the National Savings Bank and collected application forms for opening current and savings ac­counts.

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They joined the service a few minutes before the main session closed. Antobam looked round and saw, to his relief, Mary and Suzzie moving towards him. “Hello ladies. What have you been up to?” “Quite a bit, Osofo. We’ve just collected your drink. Here you are. We’ve made a few changes at your place. I think you will like it. You will also have something nice to eat. Now, here are the forms for the savings and current accounts.

If you will sign them, the bank will open the account. From today, we can pay all monies direct into the account.” ‘How can I thank you, ladies?” “You don’t need to thank us,” Suzzie said. “It is our duty to help a man of God succeed.” “Okay, my ladies, please take the offerings and count them as you did yester­day.

You can add the payments made after the consultations. Will it be possible to pay them into the account today?” “Yes,” Mary said. “The bank closes at four. If we leave here at three, we would be there just in time.”

The two friends started counting, as Osofo Antobam gave his clients his directions for solving their prob­lems. On quite a few occasions he closed his eyes as if he was receiv­ing direction from above on what to do.

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But as the fetish priest at the Nana Kofi Broni shrine and the dwarfs had assured him, the solu­tions would certainly be provided. Having heard the huge testimonies earlier in the day, the clients parted with substantial sums of money in expectation.

By Ekow de Heer

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The issue of spiritual father in our churches

 A student was supposed to go to school as the natural cause of events should be when universities or schools in general opens but this was not the case in a certain young man’s life.

He decided to postpone his trip because apparently he could not get to meet his pastor, his spiritual father. The question is, should this spiritual father die, will the young man’s life come to an end?

Does it mean in such an instance, he is going to curtail his education? This is a wor­rying trend in a lot of church­es where the pastors use this notion of spiritual father to manipulate members espe­cially the youth.

Some unscrupulous pastors utilise this spiritual father concept to have affairs with gullible young ladies in their churches.

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Now with homosexuality gradually making inroads into some of the churches, young men are becoming vulnerable to pastors who have hidden homosexual inclinations.

This spiritual father con­cept is a Biblical concept that runs through both the Old Testament as well as the New Testament. We see it in 2 Kings 4:12 where Gehazi is serving Elisha and also in the New Testament we see Paul relating to Timothy in 1 Timo­thy 1:2 as a Spiritual Father.

In fact, the concept of spiritual father is a good thing if executed according to the word of God since it helps in guiding the younger ones. However, it becomes prob­lematic when it is being exe­cuted by unscrupulous wolves in sheepskins as described by Jesus in Mathew 7:15.

I see it as a way that these unscrupulous so-called men of God maintain their hold on the congregants so they do not question their unchristian actions.

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One of the things I have observed since I got born again many years ago is that, any pastor who often insists that members recognise that he is their spiritual father is a warning sign that he is doing some wrong things or is about to indulge in some wrong things.

A parent complained about how his daughter was being influenced by a pastor of the church she attends and how worried he was. I am sure there are many parents out there with stories to tell about how their wards are be­ing made to see their pastors almost like their Jesus.

These pastors have man­aged to make their congre­gants so loyal to them and to believe in them so much that it is terrifying, as a parent.

The way things are going, an immediate intervention is required otherwise I am not a prophet of doom but I forsee unfortunate instances where parents burst into church auditoriums and star shooting some Pastors out of frustra­tion and anger.

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We cannot look on uncon­cerned as a society and allow unscrupulous fraudsters using the name of God to create problems for families. My recommendation is for a cer­tain amount of regulation in order to bring some sanity in religious practices.

I agree that ordinarily regulating religious practices makes it a bit restrictive in terms of freedom of worship as enshrined in our constitu­tion but given the way things are going, a bit of regulation will not be out of place.

Disgusting stuff are being attributed to some men of God. There are cases of ma­nipulation of young ladies and sometimes married women by so called men of God and it is bringing Christianity and therefore the name of the Lord into disrepute.

Christianity is gradually losing its attractiveness as a result of the negative report­age resulting from disgusting stuff happening in Christian circles. The way some pas­tors have been manipulating congregants to take money from them leaves much to be desired to the point where they are convincing some of the youth to give out their phones. May God help us.

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By Laud Kissi-Mensah 

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