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National Health Insurance Fund
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In economic policy, intent and effect often differ

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National Health Insurance Fund headquarters in Nairobi on November 22, 2023.

Photo credit: Wilfred Nyangaresi | Nation Media Group

Policy intent and actual effects are almost always different. That is why lawmakers have to answer the question, what mischief are we trying to cure? It is the reason every bill must publish a memorandum of objects and reasons. Why are you making this law?

Policy is often about incentivising behavior. A good example is promoting the desired behavior such as saving and investing. Or discouraging undesirable behavior – say alcohol and drug abuse. Let us examine effects of a few policy examples – subsidised fertilizer, fight against illicit brews, housing levy, eurobond payment, compulsory social health insurance fund, and railway revival.