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PDM Administration announces budget increase for primary health care, goal to reduce overseas medical bills

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Photo by Magnetic Media

#Providenciales, Turks and Caicos Islands – Thursday April 26, 2018 – The National Health Insurance Plan needs a phenomenal solution to heal its multi-million dollar shortages, and the PDM Administration says it intends to finance the plan it believes will deliver the health care system from its $4 million annual shortfall.

The plan, according to Government will be multi-pronged but will chiefly focus on reducing the expenditure of TAP or Treatment Abroad Program and secondary care at the TCI Hopsitals – combined the two categories account for 86 per cent of monies spent on health care.

Health Minister, Edwin Astwood said more money is coming, and its direction is shifting.

“My Government is prioritising the strengthening of primary health care through a number of initiatives, including an increase in budgetary provisions being made to recruit additional staff in this new financial year, which includes two additional medical officers, registered nurses and physiotherapists.” 

Already, explained the Minister on Monday, there are a greater number of services being offered at the InterHealth Canada managed, TCI Hospitals.  Still, government is aiming to make a significant dent in the 51% of revenue which is spent at the hospitals.

“A strong primary health care system is an essential component to any health care system and investment in this area has been lacking in the past.  However, my Government has seen it fit to prioritise primary health care once again in order to improve universal access to quality health care for all residents of the Turks and Caicos Islands,” said Hon. Astwood at the press conference held at the Office of the Premier in Provo.

Government talked about partnerships with healthy lifestyle centers in the country and announced a breakthrough for public health.

“…the operation of a mobile clinic, which will be the first time ever in the Turks and Caicos islands…” the Minister of Health, Human Services, Sports and Agriculture added, “…we are partnering with local, non-governmental organizations in order to educate the general public about healthy lifestyle practices, including the implementation of well balanced diets and regular exercise.” 

The initiatives are aimed at prevention and ensuring earlier detection of the lifestyle diseases which are not only claiming lives, but diminishing national productivity.

“It is hoped that with an emphasis on healthy lifestyles and prevention and control of non communicable diseases such as hypertension, diabetes, heart disease and cancer, we would realize a reduction in premature deaths and disabilities which may result from these conditions.”

The announcement of this more assertive action to shift the mindset of people to want to be healthier, subsequently making the nation, wealthier due to a reduction in medical costs, was delivered by Minister Edwin Astwood, who also explained another shift; where sports was added to his health portfolio.

“We look forward to a greater synergy in promoting physical activities at schools and throughout the country.  The school nutrition program has been approved in principle, by Cabinet, and is focused on health, nutrition and well being for our children.  In addition, the Department of Agriculture has been promoting its ‘Eat what you Grow and Grow what you Eat’ initiatives in our schools and communities…”

There is a review of the TAP, which absorbs 35% of medical costs paid by the National Health Insurance Plan and Government.  Minister Astwood said a submission is due for presentation at Cabinet in June 2018.  

“This will ensure that the provision for treatment that will fall outside the scope of the current National Health Insurance ordinance is reviewed as well as reviewing the mechanisms and procedures for clients requiring rehabilitation not available locally.”

The review will also consider higher cost clinical cases, the offer in the benefits package of the NHIP , the sustainability of the Treatment Abroad Program (TAP) and specialty treatment, especially for those struggling to lose weight.

Minister Edwin Astwood, who was joined by the Permanent Secretary for the ministry, Desiree Lewis said the results of the NHIP Actuarial Report, due to be completed in May will under gird the findings in the TAP Review.

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A Turks and Caicos we can all be proud of

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What’s on my mind is a Turks and Caicos that deserves to be celebrated, not reshaped into something unrecognizable.

Yes, Providenciales has grown. It has welcomed businesses, ideas, and people from all over the world, and in many ways it reflects the beauty of a melting pot. But growth should not mean erasure. Progress should not require us to trade away the very soul of who we are.

There is a moment we are standing in right now that calls for intention. Stop. Pause. Preserve. Think ahead for the generations to come. All is not lost, but it can be, if we do not choose wisely.

Each Islander is unique to the island they are from. Even our dialogue carries the imprint of where we come from. Our accents, expressions, rhythms, and ways of telling stories quietly reveal our home islands. That is our power. That is our beauty. The true richness of Turks and Caicos lives in its people as much as in its landscapes. Exploring and preserving our islands must also mean exploring and preserving their inhabitants, their knowledge, their traditions, and their ways of life. We are not here to invent something foreign. We are here to shape and mold what we have already been given. God has already provided the blueprint. We only need to slow down long enough to see what is right in front of us.

No one knows your country or your product better than you who have lived it. Why try to be something we are not? Each time we attempt to imitate another place, we lose a piece of our own lifestyle. A lived experience is what gives us the authority to shape our present and our future.

I envision the marketing and development of our family islands not as replicas of somewhere else, but as island treasures. Places where businesses rise from culturally focused initiatives, designed first with residents in mind, and where visitors are welcomed into an authentic haven that reflects what Turks and Caicos truly represents.

North Caicos as a living sanctuary. Lush, green, and respected. A place for nature trails, wildlife exploration, farming traditions, and environmental exhibitions, where development works with the land, not against it.

Middle Caicos safeguarded for its history and natural wonders. Its caves protected not only as attractions, but as classrooms. Its flamingos preserved as symbols of the fragile beauty we are responsible for protecting.

South Caicos honored as the salt and fishing capital. The rhythm of boats, salt ponds, and sea life forming the heart of its identity. A working island where maritime culture and sustainable fishing are supported, celebrated, and passed down.

Grand Turk restored and respected as a cultural and historical anchor. Front Street with its light and British flare revived with intention. The return of a strong public library and cultural spaces for those who adore history, storytelling, and research.

Salt Cay protected in its quiet uniqueness. A picturesque island lifestyle centered on stillness, craftsmanship, heritage, and community.

The heart of this vision is not tourism alone. It is our people.

Celebrate our island cultures. Create small businesses that allow islanders to thrive with dignity, love, and respect. Build economies that sustain us without displacing us. Let development work in service of community, not the other way around.

Teach our youth the trades, the arts, the skills, and the stories while our elders are still here to pass them on. Boat building, straw work, farming, fishing, cooking, music, storytelling, herbal knowledge, construction, and design. These are not relics. They are foundations.

From this, innovation is born. When young people are rooted, they can modernize tradition without losing it. They can bridge yesterday and today. They can create futures that honor the past instead of replacing it.

We do not need to become a concrete jungle to be successful. We do not need to mirror other places to be worthy. We do not need to sacrifice our identity to attract the world.

What we need is the courage to protect what is left, the wisdom to shape what is coming, and the commitment to ensure that being a Turks and Caicos Islander is not just a title, but a living experience our people can still feel, recognize, and pass on.

 

From Alicia Swann

Turks and Caicos Islander

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Beaches Turks and Caicos sets the Benchmark for Biodiversity in the TCI

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Volunteers from the Sandals Foundation and Great Shape 1000 Smiles dental programme complete an oral health presentation at the Ashley Learning Centre took time out to share in a photo opportunity with some students and teachers

PROVIDENCIALES, Turks & Caicos Islands: — Beaches Turks & Caicos continues to lead the way in sustainability by cultivating a culture of environmental stewardship across the Turks and Caicos Islands. Through the introduction of biodegradable alternatives, agricultural education and community partnerships, the resort is setting a new standard for eco-conscious hospitality.                                                                                                                                                                  As part of its ongoing sustainability mission, the resort has replaced single-use plastics and certain chemicals with compostable, biodegradable products derived from natural sources, to reduce pollution and minimize the resort’s carbon footprint.

At Beaches Turks & Caicos, sustainability is woven into every part of the guest experience,” said Managing Director, James McAnally. “From the products we use to the relationships we nurture, our goal is to make responsible environmental choices that benefit our guests, team members and the wider Turks and Caicos community.”

The resort also practices on-site composting, recycling fruit and vegetable waste from its kitchens to enrich soil and sustain its lush landscaping. This closed-loop system reduces waste and promotes biodiversity across the property.

Beyond the resort, Beaches collaborates with local partners including schools, government agencies and NGOs to extend green education into the wider community. Through the Sandals Foundation, the resort supports projects such as the installation of water filtration systems, tree-planting activities and biodegradable workshops. Schools like Enid Capron Primary have expanded their farming projects and integrated agricultural science into their curriculum thanks to this partnership.                                                                                                                                                                                 Beaches also leads regular coastal cleanups and reforestation drives which inspires residents and students to play an active role in protecting their environment. “The Earth Guardian volunteers take pride in giving back to our schools and the communities we serve,” noted Public Relations Manager, Orville Morgan. “These initiatives create a sense of shared responsibility that strengthens both our communities and our natural resources.”

With its commitment to biodegradable innovation, sustainable education and environmental action, Beaches Turks & Caicos continues to set the benchmark for biodiversity and sustainability in the Turks and Caicos Islands.

Photo Captions

1st insert:  Beaches Turks and Caicos and the Sandals Foundation celebrate with students at the Enid Capron Primary School in a Reading Road Trip experience where guests and students get to experience a cultural melting pot of activity.


2nd insert: Beaches Turks and Caicos resort Simone Woodfine from the Bar Department prepares to plant a tree at one of our schools to celebrate the mission of providing a healthier environment for the Turks and Caicos Islands

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Turks and Caicos Corporate Community Join Beaches Resort to Raise Funds for Jamaica’s Hurricane Melissa Relief

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Some members of the local media fraternity who were present to share in the experience

Turks and Caicos Islands, December 17, 2025 – Corporate partners in and around Providenciales recently joined Beaches Turks and Caicos Resort raising over US $54,000 to support Jamaica’s Hurricane Melissa Relief effort.  The fundraising dinner, aptly titled, ‘One Caribbean, One Family, One Love’ saw over eighteen companies gather on Friday, December 12 to support the recovery of families and the rebuilding of communities affected by the category 5 storm.

“When our Caribbean family calls, we will respond with love,” said Deryk Meany, General Manager of the Beaches Turks and Caicos resort. “Today it is Jamaica that is affected, but tomorrow, it could be the Turks and Caicos or another neighbouring island. We are committed to serving our brothers and sisters and are deeply grateful to everyone who have donated to the cause.”

Since the passage of Hurricane Melissa in Jamaica on October 28, the Sandals Foundation has been working around the clock with local agencies and international partners to provide shelter essentials, food, and clean water, restore schools, and provide medical support to hospitals. Funds raised at the recent benefit dinner will help bolster the next phase of the philanthropic organisation’s support to rebuild schools and livelihoods in affected communities.

“As we continue to provide essential first-relief support, we have already begun our long-term recovery response,” says Patrice Gilpin, Public Relations Manager at Sandals Foundation. “Many schools, which are the cornerstone of stability, learning, and emotional support for our young ones, require urgent attention. This donation will go a far way in restoring a sense of normalcy in the lives of our youngest and most vulnerable.”

The One Caribbean, One Family, One Love fundraising dinner featured, amongst other things a silent auction of Sandals and Beaches Resort stays, airline tickets, spa services, catamaran cruise, and private chef dinner. The night’s four course meal was also spearheaded by the TCI’s 2025 Taste of the Caribbean silver medalist culinary team- all of whom volunteered for the event.

Managing Director of the Northern Caribbean and Curaçao, James McAnally expressed delight at the outcome noting, “The success of this event is indicative of the power of partnerships to effect real change. We are grateful to the TCI business community, resort guests and our resort team for coming together and making this moment count.”

Photo Captions

1st insert:  Sandals Foundation Public Relations Manager Patrice Gilpin (centre) accepts the cheque from Beaches Turks and Caicos resort General Manager Deryk Meany (left) and Managing Director of the Northern Caribbean and Curacao James McAnally

2nd insert:  Members of the Beaches Turks and Caicos resort’s entertainment team were on hand to provide scintillating performances at the event

3rd insert:  Beaches Turks and Caicos resort General Manager Deryk Meany (5th left) poses for the cameras with representatives of the Graceway Communities as he personally thanked those who were in attendance

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