Nairobi, June 22 -- In my previous articles on the Kenya-US health deal, I wrote as a Kenyan. I raised concerns about data colonialism, about counties being bypassed, about who benefits when our health data fuels foreign drug development. Many of you wrote back agreeing. Those concerns remain valid.

But I hold a dual perspective. I am Kenyan. I am also a United States citizen. And from that second vantage point, I have different questions. Uncomfortable questions that we as Kenyans need to sit with.

Let me take you to the other side of the table. Since 2003, the US has invested over $8 billion in Kenya's health system through the President's Emergency Plan for AIDS Relief (PEPFAR).

That is not foreign aid in the abstract. That is money...