The country has recently experienced a rise in cases of non-communicable diseases as well as cases of injuries from traffic accidents. This coupled with inadequate medical personnel and low specialized health infrastructure owing to the reality of fiscal constraints has partly been the Achilles’ heel in Kenya’s health sector. In response to these challenges, the government of Kenya launched the medical equipment leasing project often termed as the Managed Equipment Service (MES) for scaling up specialized health infrastructure. This project is on one hand expected to enhance geographical access to specialized health care services by Kenyans and on the other hand make it more affordable. This brief first debunks what the MES project is about and further presents some facts based on value for money assessment. This is summed up by presentation of some key messages for action by the government of Kenya.