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A Statement from the Premier and Minister of Health, Agriculture, and Human services, Dr. The Hon. Rufus W. Ewing on the National Health Insurance scheme

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Providenciales, TCI, November 28, 2016 -The National Health Insurance Plan (NHIP) was established in 2009 as a Social Health Insurance Plan based on contributions from employers and employees who were legally resident in the Turks and Caicos Islands.

The Turks and Caicos Islands Government is also mandated to make contributions to the plan in the following way:

  1. As an employer on behalf of its employees
  2. As a subscriber on behalf of the unemployed, indigent and ward of the state
  3. Transfer of funds for the management and payment of treatment abroad cost
  4. Transfer of funds for the payment of the monthly hospital infrastructure cost

The funds collected by the National Health Insurance Board (NHIB) from its employers and subscribers are utilized to purchase health care locally from the preferred provider (TCI Hospitals), the network of contracted private primary health care clinics and private pharmacies on behalf of and to the benefit of its registered subscribers.

The NHIB on behalf of TCIG manages the procurement of overseas treatment for the beneficiaries of the NHIP. From budget year to budget year this cost is unpredictable as it is a reflection of both the number of persons requiring tertiary level care in any given year as well as the magnitude of their problems.

The cost of healthcare by the end of April 2017 is expected to exceed the budgeted provision by $6 million dollars. It is against that background that a paper prepared by the management of the board with the full knowledge of the Board of Directors, the Ministry of Finance and the Ministry of Health was submitted to cabinet for its consideration – to conclude that there was a cover-up or misappropriation of funds discovered by the acting CEO is incorrect, irresponsible and should be dismissed as political mischief.

The facts are that the treatment abroad programme has skyrocketed in the first half of the financial year amounting to over $5 million of the cost over-run. On average four patients a day are being referred abroad of which five a week are urgent referral requiring medical evacuation via private charters and air-ambulances; at the same time the number of cancer patients has been noted to have increased significantly in the first half of the year, these factors together result in an average cost per patient of around $15,000 with some patients costing in excess of $100,000. Because the NHIB until recently operated a cash basis accounting system, costs were not booked until paid.  This has now been corrected, hence the reporting of the large accounts payable balance.

A number of the more serious cases referred abroad were Turks and Caicos Islanders that were not covered by the scheme. The government takes its responsibility for the provision of its people seriously and has recently introduced changes to the NHIB regulations that would result in healthcare coverage for a wider category of patients while at the same time restricting coverage for some categories of persons which it believes should help to stabilise cost while a comprehensive review of the system is being undertaken after five years of operation.

TCIG has asked for a review of the management and corporate governance of NHIP with respect to the rising cost of overseas treatment to develop cost reduction or mitigation measures where possible without compromising care to beneficiaries of the plan. The Ministry of Health in collaboration with NHIP has already implemented several initiatives to reduce the cost of care, such as:

  1. Establishment of a free extended hours government primary care clinic
  2. Development of a new Pharmaceutical policy which would significantly lower the cost of drugs to both patients and NHIP
  3. Introduced an eligibility waiting time of 6 months for all new work permit applicants to the plan (effective December 1)
  4. Introduced a capitation on overseas care expenditure for work permit holders

The Ministry of Health will continue to implement its cost reduction strategies as outlined in the National Health Strategic Plan, the main ones of which include:

  1. Implementation of the pharmaceutical policy and plan
  2. Implementation of the Chronic Disease Action Plan
  3. Primary Health Care Renewal Strategy
  4. Development of a long term hospice care facility
  5. Expansion of existing and the Introduction of new tertiary level services at the hospitals based of overseas treatment care demands.

Health

Is It Bad To Sleep in a Bra?

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Head to bed in a bra to reduce breast pain, nipple irritation and stretch marks

 

When you think about sleeping in a bra, “comfort” probably isn’t the first word that comes to mind — it may not even make the Top 10. But is it bad to sleep with a bra on?

Breast surgical oncologist Margaret Thompson, MD, explains the upsides and downsides of wearing a bra while you snooze.

Should you sleep in a bra?

Several factors may affect your decision to wear a bra to bed, but Dr. Thompson emphasizes that the risk of breast cancer should not be one of them.

“There’s no evidence that wearing a bra while sleeping increases your risk for breast cancer,” she states. “It really comes down to comfort and personal preference.”

But there are also other health issues to consider. Dr. Thompson lays out the pros and cons of sleeping in a bra.

Pros: Why sleeping in a bra might be good for you

Should you wear a bra to bed? There are some benefits, especially if you’re recovering from surgery or breastfeeding.

Lessens breast pain

Having the support of a bra day and night may help relieve breast pain (mastalgia). That’s good news, because up to 70% of women in the United States deal with it at some point in their lives.

Common causes include:

  • Hormonal changes, which often occur as part of your menstrual cycle
  • Locally advanced breast cancer, including inflammatory breast cancer
  • Lactation (producing milk), which may cause your breasts to ache
  • Large breasts, which may strain breast ligaments and tissue
  • Recent surgery related to your heart or breasts
  • Underwires, especially if your bras are too tight

“When somebody reports breast pain, one of the first things we ask is whether they wear an underwire bra,” shares Dr. Thompson. “It can dig into your skin or breast tissue, leaving you sore and tender.”

A soft sleep bra can keep your breasts from shifting and causing discomfort while you snooze.

Protects lactating breasts

If you’re breastfeeding, you know all too well that your mammary glands don’t care if you’re trying to rest. Swollen or full breasts can be painful, especially as you move during sleep or change positions. Wearing a clean and supportive bra while sleeping:

  • Holds nursing pads in place
  • Keeps nipples dry and free from bacteria
  • Reduces nipple chafing
  • Supports the structure of your breasts

Make sure your sleep bra is supportive, but not too tight. Wearing a bra that’s too tight while breastfeeding can lower your milk production and possibly lead to clogged milk ducts and mastitis — inflammation of the breast tissue.

Prevents fungal infections

Everyone loves to be warm and cozy in bed. But do you know what else loves a warm environment? Fungus.

“There’s a lot of skin-on-skin contact underneath your breasts, especially if you have larger breasts,” notes Dr. Thompson. “If you’re also covered in blankets and sweating, it becomes a perfect environment for fungal or yeast infections.”

Wearing a bra to bed helps absorb moisture beneath your breasts and reduce friction. A camisole with a built-in shelf bra can also help.

Reduces nipple irritation

Friction is a common reason for nipple pain — ask any avid runner. You may not be running a marathon in your sleep, but your nipples can still get sore from rubbing against:

  • Tight shirts, especially if they’re textured or have a graphic design that can be felt inside the shirt
  • The fabric of your pajama top or sheets
  • A sleep bra that’s too loose

Wearing a sleep bra can limit movement, easing nipple irritation.

Helps with recovery after surgery

It’s important to keep your breasts compressed after certain surgeries involving your chest. Restricting breast movement helps protect stitches and incisions. The added compression can also:

  • Decrease fluid collection
  • Minimize pain
  • Hold gauze and drains in place

“Most cardiac and breast surgeons want you to wear a bra for some time after surgery, even while sleeping,” emphasizes Dr. Thompson. “Always follow their advice.”

Diminishes stretch marks

Stretch marks on breasts are common, especially if your breasts change size during pregnancy. Bras support your skin’s structure, which helps prevent stretch marks.

“There’s no proof that wearing a bra at any time of day will decrease breast sagginess,” Dr. Thompson clarifies. “But it may help decrease stretch marks.”

Cons: Why it’s bad to sleep with a bra on

Looking for a reason to sleep without strapping on a bra? Dr. Thompson points out a few potential disadvantages of sleeping in a bra.

Causes skin irritation and infection

A sleep bra can protect your skin from irritation and infection. But it can also cause those issues if it has an underwire or it’s:

  • Dirty
  • Too tight
  • Too loose

Restricts circulation

“Bras that are too tight or contain underwires may cause you to wake up with some discomfort,” reiterates Dr. Thompson. “They can restrict your circulation while you sleep.”

Nobody wants to wake up to find that their bra left angry red indents in its wake. That’s why selection is key.

Tips for wearing a bra to bed

If you decide to sleep in a bra, choose one that’s comfortable and fits well — not too tight, not too loose. And be sure to replace your bras every six to 12 months, or whenever your breast size changes. Measure yourself or ask the fitter at your lingerie store or undergarments department for help finding the right size.

For the best experience with your sleep bra, Dr. Thompson recommends that you:

  • Choose a gentle fabric. Avoid lace or scratchy fabrics that may be rough on your nipples. Choose a natural material like cotton or something silky and soft.
  • Consider a shelf bra. Some camisoles and tank tops have a built-in shelf bra that may help you feel supported while sleeping.
  • Skip the underwire. Underwire can restrict circulation and cause pain while you sleep.
  • Wear a clean bra. Don’t wear a bra you’ve worn all day, and wash your sleep bras regularly — after every two or three wears.

Bottom line? If you choose to sleep in a bra, you want one that’s supportive and comfortable. If it interferes with your sleep, it’s not the right fit.

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Bahamas News

Royal Bahamas Police Force – ARRAIGNMENT NOTICE

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The Bahamas, August 27, 2026 – The Royal Bahamas Police Force wishes to inform members of the public that several individuals are scheduled to appear before the Magistrate’s Court on Thursday, 27th August 2026, at 12:00 noon.

The individuals and charges are as follows:

An 18-year-old female is scheduled to be arraigned on the following charges:

Three (3) counts of Murder
Three (3) counts of Attempted Murder
Three (3) counts of Possession of a Firearm with Intent to Endanger Life
Three (3) counts of Possession of an Unlicensed Firearm
Two (2) counts of Possession of Ammunition
Armed Robbery
Abetment to Armed Robbery
Stealing
Receiving

The charges stem from three separate shooting incidents and an armed robbery that occurred on Friday, 21st August 2026, and Saturday, 22nd August 2026.

The first shooting occurred in the area of Soldier Road and Baillou Hill Road, resulting in the death of a 51-year-old male.

The second shooting occurred in the area of Joe Farrington Road, resulting in the death of a 52-year-old male.

The third shooting occurred in the area of Gladstone Road, resulting in the death of a 36-year-old male.

The armed robbery occurred at a business establishment in the area of Carmichael Road and Baillou Hill Road.

A 21-year-old male is scheduled to be arraigned on one charge of:

  • Murder

The charge stems from a shooting incident that occurred on Tuesday, 21st July 2026, in the area of Samson Street, Nassau Village, which resulted in the death of a 28-year-old male.

A 32-year-old male is scheduled to be arraigned on the following charges:

  • Murder
  • Attempted Murder

These charges stem from a shooting incident that occurred on Wednesday, 24th December 2025, in the area of Graham Drive, Yellow Elder, which resulted in the death of a 25-year-old male.

 

RBPF, PACD

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Saunders Tells Caribbean Media: Be Seen, Be Heard – But What About TCI

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by Deandrea Hamilton | Editor

 

PROVIDENCIALES, TCI — In a country where government press conferences are virtually non-existent, ministers are often difficult for journalists to access and regular broadcast television news has disappeared, TCI Innovation, Technology and Energy Minister E. Jay Saunders has challenged Caribbean media to become “impossible to ignore.”

Speaking at the Caribbean Broadcasting Union gathering, Saunders argued that the Caribbean does not have a relevance problem but a “discoverability and positioning problem.”

Discoverability is precisely the issue in Saunders’ home country. Even Government’s own attempts at video news broadcasting have struggled against the realities of consistently producing a daily, weekly or even monthly newscast.

The difficulties confronting TCI media extend well beyond algorithms: limited advertising revenue, underfunding, shortages of trained professionals and insufficient human capacity leave newsrooms struggling for both staff and stamina.

Then there is the reality of operating in one of the region’s smallest societies. Politicians, journalists, advertisers, businesses and the subjects of stories often exist within the same tight economic and social circles. A controversial report that might create a ripple elsewhere can produce a tsunami in TCI, intensifying concerns among journalists about commercial and professional victimisation.

Saunders believes AI can help.

He urged Caribbean media to use the technology to transform one original story into television, radio, web, podcast, social and translated content without multiplying newsroom workload.

He also wants regional journalism structured so AI systems can find, understand and trust Caribbean sources, moving media beyond traditional SEO into Answer Engine Optimisation.

His ultimate message was emphatic: “Use AI not to make Caribbean media more artificial — but to make Caribbean voices more visible.”

For Turks and Caicos media, however, becoming visible may require more than technology. It requires an environment in which journalism can survive.

That last sentence is where I think we land the plane. It acknowledges that EJ actually has some us

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