I am again going to go with the argument I have been using on HIV and AIDS in Uganda . It is not important for Uganda to run AIDS centers as it is not important to run dialysis machines. I look at medical systems like in Ontario , the Ministry of health here does not even own dialysis machines it rents them from companies like Baxter or GE medical. And they run them from corner to corner of the great country of Canada for we have the ability to fly them to wherever they are required. It is a very expensive structure that to run the needs of the ministry of health in only Ontario a single jurisdiction, one needs more money to run the entire governments of East and central Africa if not more. Why should Uganda government own them?
But here is the most important question. Even if we were to run them, what will be the cost? And is that the best manner in which we should spend this money? In other words, health care money is spent with a calculation of saving more lives and not spending for the sake of spending, how many people would the ministry of health for example heal from dying of curable diseases than running a dialysis unit? And I am not being cruel here but I live in Ontario where medical care is run on a social democrat principle, every one in Ontario is entitled to health care, from a broken toe nail to a heart transplant. But that service is only delivered based on what benefits will be to the recipient. Should Uganda care more about dialysis machines than say fight a curable disease like Malaria? Should we care more about heart surgeries than for example again fight road accidents, when more Ugandans die of car accidents than Malaria across the board?
There is a danger of copying the medical structures out here and we cry for them to be installed in Uganda when we actually have not even developed to use such. Let me ask you Doctor, how are you going to run a dialysis machine on Uganda electricity that is not stable? So what is more important for Uganda to do today? Setting up a dialysis unit or stabilizing the power supply? Again I am using the meagre resources we have and pointing it to where it can be of greater value given the circumstances. There are places in this country where you will die for you cannot get a dialysis machine. Oh and let me put it this way, when you have cancer and you are admitted in a hospital barely 45 minutes outside Toronto, let us say Oshawa, you will die faster than if you are in a Mount Sinai which is in the city center. For Oshawa simply does not have the facilities Mount Sinai has.
I just hate to see that we open up that country to more advanced systems before we can even sterilize a damn needle before we pock it into a human being. Setting up priorities I guess is my argument. And I know I am going to be burnt on this posting for somebody saw something called a dialysis machine out of Uganda why not take it to Kapchorwa hospital?