Speaking during a United Alternative Government (UAG) press briefing on June 10, 2026, Gachagua claimed that recent technical challenges affecting the health system were evidence of deeper structural problems.
He argued that prolonged disruptions in service delivery could undermine public confidence in the government’s flagship healthcare reforms.
According to the former deputy president, the health system has experienced operational difficulties over the past several days, raising concerns about the authority’s ability to sustain services.
According to the former deputy president, the health system has experienced operational difficulties over the past several days, raising concerns about the authority’s ability to sustain services.
He maintained that he had previously predicted challenges within the programme and warned that continued inefficiencies could trigger a wider healthcare crisis.
Gachagua has been among the most vocal critics of the SHA and the Social Health Insurance Fund (SHIF), frequently expressing concern over delayed payments to hospitals.
Gachagua has been among the most vocal critics of the SHA and the Social Health Insurance Fund (SHIF), frequently expressing concern over delayed payments to hospitals.
He argued that outstanding debts owed to healthcare facilities, particularly private and faith-based institutions, are placing pressure on service providers and threatening the continuity of medical services.
The opposition leader claimed that some hospitals are struggling due to delayed reimbursements and warned that mounting financial obligations could force certain facilities to scale back services or close altogether if the situation is not addressed promptly.
However, the government has strongly rejected the claims, describing them as inaccurate and unsupported by available data. Health Cabinet Secretary Aden Duale defended the authority, saying the new healthcare financing model continues to expand and serve millions of Kenyans.
Duale noted that more than 30 million Kenyans have registered under SHA and that enrolment continues to grow daily.
The opposition leader claimed that some hospitals are struggling due to delayed reimbursements and warned that mounting financial obligations could force certain facilities to scale back services or close altogether if the situation is not addressed promptly.
However, the government has strongly rejected the claims, describing them as inaccurate and unsupported by available data. Health Cabinet Secretary Aden Duale defended the authority, saying the new healthcare financing model continues to expand and serve millions of Kenyans.
Duale noted that more than 30 million Kenyans have registered under SHA and that enrolment continues to grow daily.
He said the authority has collected and disbursed significant resources to health facilities across the country, demonstrating that the programme is functioning as intended.
The Health CS further highlighted billions of shillings paid to hospitals through SHIF, civil servant and teacher medical schemes, emergency healthcare services, and primary healthcare programmes.
The Health CS further highlighted billions of shillings paid to hospitals through SHIF, civil servant and teacher medical schemes, emergency healthcare services, and primary healthcare programmes.
According to Duale, these allocations reflect a system that is actively supporting healthcare delivery rather than one facing imminent collapse.
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