One dark night, James Kimeu Mulei had a nasty encounter. The sixty-year old Kenyan man fell victim to a violent attack in which he sustained a broken ankle and was unable to walk. A few years ago, the story might have ended there: with an elderly man permanently crippled and unable to work. But because James has access to affordable health insurance he is on the road to recovery. After the attack, his son brought him to the hospital, which is easily accessible from his village. His leg was x-rayed, it was put in a cast and he was given medication and an appointment for a follow-up visit three weeks later.