Without State-sponsored Health Insurance any state is an ‘absentee’ State!
A 52 year old person living with HIV in Bukomansimbi District is able to get her ARVs regularly and her children who work as touts in Kampala visit her regularly. They support their mother and the relatives in Bukomansimbi. They have been doing this since 1997. James Ogwaro holds an LLM and MBA. He lectures at Mukono University, Makerere University and Kyambogo. He has been doing this since 2008. Uganda has existing institutions which include the Taxing entity, civil service, the army, courts of law, Legislature, security agencies, the Executive and local governments and public agencies like the Schools, Hospitals, Road network, Central bank and security system. We may experience longevity but the difference is in the quality of delivery, service life and wellness of people.
For the 52 year old person living with HIV in Bukomansimbi District may be able to get her ARVs regularly. Her children who work as touts in Kampala may be able to visit her regularly, but the state has to have disability support. It is breaking an already broken family and clan support system without putting back into it. James Ogwaro may hold an LLM and an MBA. He may have lectured at Mukono University, Makerere University and Kyambogo since 2008, but who looks into his burnout issues? How much deeper does he engage his students? What would be his ideal student output? There is a direct link between stature, quality and state presence.