Why Budget Alone Can’t Build a Healthcare Legacy
Why Budget Alone Can’t Build a Healthcare Legacy Every great hospital begins with a blueprint walls to be built, beds to be added, departments to be staffed. But too often, the discussion starts and ends with one question: “What’s the budget?” Across Kenya and much of Africa, healthcare growth has become a matter of arithmetic how much to spend, how many facilities to add, how quickly to announce expansion. Yet despite billions invested, the outcomes often remain uneven. Empty wards. Idle machines. Overcrowded cities and underserved rural towns. The problem isn’t always money. It’s intent. When Numbers Overshadow Purpose In many healthcare systems, expansion is treated as a milestone, not a mission. New hospitals are launched without a clear understanding of who they serve, what gaps they fill, or how they’ll sustain operations once the ribbon-cutting ceremony ends. This budget-centric mindset turns healthcare into a construction race impressive on paper, ineff...