Cell 5biii · GWG Proposal
Enrol Every Nigerian; Let Funding Follow Patients
GREEN WHITE GO MANIFESTO — 2026.10.01 · CANONICAL THREE-SENTENCE UNIT
Every Nigerian should be enrolled in the national health system, with public funding following the patient to authorised providers that actually deliver care under public standards and accountability.
The system must protect people from exclusion when identity systems fail and guard against provider incentives that distort care, while biometric technology, identity architecture, privacy safeguards and detailed provider-payment rules belong in the Health Financing and Digital Identity Policy Papers.
The purpose is to connect public money more closely to people receiving care without allowing identity technology or payment design to become a new barrier to healthcare.
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Detailed memo and supporting materials
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Available · v0.2 · 2026-10-01
Download supporting materialsWhy it sits here
The purpose is to connect public money more closely to people receiving care without allowing identity technology or payment design to become a new barrier to healthcare.
Evidence and limits
Service guarantees are destination proposals. Geographic feasibility, workforce, facilities, recurrent funding and costing require implementation work; a legal duty alone is not proof of access.
The proposal remains distinct from current law and from evidence for individual components.
Evidence notes for this pillarRelated Hard Questions
No. The settled policy preserves biometric enrolment while stating that identity-system failure cannot extinguish the national health guarantee. The manifesto requires a lawful, secure and privacy-protected system. This does not establish a particular fallback document or reimbursement method.
IMPLEMENTATION DETAIL
The Healthcare Identity & Access Policy Specification must define continuity for failed enrolment, incorrect records, inability to provide a biometric and outages.
That is a risk the proposal explicitly addresses. Payment should reward lawful care and quality without incentives to manipulate diagnoses, deny difficult patients or chase profitable procedures. Accreditation and public accountability remain necessary even where a non-state facility delivers care.
IMPLEMENTATION DETAIL
Payment rates, audit methods and reimbursement mechanics still require healthcare implementation design.
First, from making existing lawful commitments work where the law already provides them. Then from prioritisation. Some programmes will replace weaker programmes. Some existing schools, hospitals, courts, police facilities and public buildings can be repaired, upgraded, consolidated or repurposed rather than automatically rebuilt.
Procurement savings count only when audited evidence shows that the savings actually exist. Future economic growth is not money Green White Go pretends to possess today. The programme is therefore phased. Government also has to disclose future liabilities honestly.
A guarantee, concession, PPP obligation or termination payment does not become free merely because it is not called debt. Green White Go will require a consolidated fiscal account showing what the seven-pillar programme costs, what existing resources can carry, what requires additional revenue and what must wait.
We will not fund the future with imaginary savings.