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Kenya’s AI health reforms raising costs for the poorest

scienceMay 4, 2026330

President William Ruto's administration rolled out an AI-driven formula to calculate healthcare contributions as part of a drive for universal coverage, but the algorithm is miscalculating ability to pay and assigning many low-income Kenyans to higher payment bands. Investigations show the design systematically favors wealthier profiles, leaving millions reassessed upward and some poorer households paying more than before. The system operates with little transparency or independent oversight, giving citizens few practical routes to appeal or correct errors. That undercuts Ruto's promise of accessible care and risks pushing the poorest out of formal healthcare just as reforms aim to expand coverage.

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