The knives are out for Health Cabinet Secretary Aden Duale. In a dramatic escalation of the Social Health Authority (SHA) crisis, a faction of "Kenya Moja" legislators has issued a ruthless 48-hour ultimatum: Resign or face impeachment.

Led by the firebrand Nairobi Senator Edwin Sifuna, the MPs have accused the CS and the SHA leadership of presiding over a "criminal enterprise" that has siphoned billions while sick Kenyans are turned away from hospitals. The scandal, involving KSh 10.6 billion in fraudulent claims, has exposed the rot at the heart of Kenya's transition to the new health insurance scheme.

"Ghost Clinics and Phantom Bills"

"We are not dealing with incompetence; we are dealing with theft," Sifuna thundered at a press conference in Nairobi. The allegations are damning: clinics that exist only on paper receiving millions, phantom surgeries billed to taxpayers, and genuine hospitals starved of cash. The MPs specifically cited the Sipili Maternity and Nursing Home, a facility reportedly closed yet still receiving payments, as the smoking gun.

Duale, a veteran political survivor, has attempted to flip the script. Just yesterday, he publicly revealed the fraud scheme himself, positioning himself as the whistleblower in his own ministry. "I will not be cowed by cartels," Duale declared, suspending 85 facilities and promising a purge.

• The Counter-Strike: Critics argue Duale’s "revelation" is a preemptive strike to save his own skin as the political heat becomes unbearable.
• The Stakes: With doctors threatening to down tools over unpaid arrears and patients stranded, the SHA debacle is fast becoming the Kenya Kwanza administration's biggest domestic liability.

A War for Survival

The standoff sets the stage for a brutal legislative showdown. If Duale ignores the ultimatum—as he almost certainly will—the impeachment motion will test the loyalty of government MPs. But for the millions of Kenyans unable to access healthcare today, the political theater offers zero relief.

The "Kenya Moja" MPs have drawn a line.Whether they have the numbers to cross it remains the billion-shilling question.