(20 January 2026 | Source: V National Kurultai)
The President's speech at the National Kurultai in Kyzylorda was one of the harshest signals regarding the situation in healthcare.
Kassym-Jomart Tokayev directly linked the identified violations in the compulsory social health insurance (CSHI) system to managerial responsibility and the quality of control over the spending of budget funds.
WHAT THE FSMI AUDIT REVEALED
The President reported that a comprehensive audit of the Fund for Social Health Insurance (FSMI) had revealed large-scale violations. According to him, this was not about isolated failures, but about systemic falsifications and data distortion.
“For the most part, these are routine falsifications and shocking cases of document forgeries aimed at embezzling state funds on a massive scale,” the Head of State stated.
FINANCES AND RESPONSIBILITY
Kassym-Jomart Tokayev recalled that in 2024–2025 7.8 trillion tenge was allocated for healthcare development, emphasising that these funds are intended to improve the quality of life of citizens and implement the strategy for building a Just Kazakhstan.
In connection with the audit results, law enforcement agencies have been instructed to identify all beneficiaries of corrupt schemes.
“What happened in the Fund is the result of a lack of professionalism among social sector leaders and their indifference to state interests,” the President noted.
CONTEXT
Earlier, during an analysis of the digital healthcare systems, anomalous data had been identified, which also drew the Head of State's attention. In particular, according to the audit reports, the records included hundreds of thousands of cases, including men undergoing screenings for diseases specific to women.
Against this backdrop, the government decided to transfer the Compulsory Social Health Insurance Fund to the jurisdiction of the Ministry of Finance. The measure is aimed at strengthening control over financial flows.