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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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Beaches Turks & Caicos Food and Beverage Department Blends Health and Family with Smoothies    

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PROVIDENCIALES, Turks & Caicos Islands: Families across the Turks and Caicos Islands are being encouraged to make healthier, budget-friendly choices all year round, thanks to Beaches Turks & Caicos’ creative team of bartenders who have shared refreshing smoothie recipes that are as nutritious as they are delicious.

Recognizing the daily challenge parents face in balancing work, family life and healthy eating, the resort’s bartenders have developed easy-to-make, affordable smoothies that cater to both children and adults. The initiative aligns with Beaches Turks & Caicos’ ongoing commitment to supporting family wellness and community well-being through practical, accessible lifestyle choices.

“Using these recipes is a great way to promote health while keeping things simple,” said Managing Director James McAnally. “Our team members are passionate about enhancing healthy lifestyles within our communities and this is just one way we help families make positive changes year-round.”

Among the standout recipes is the “Morning Sunshine,” a tropical blend of banana, mango and pineapple packed with fibre, potassium and vitamins A and C. Anna-Kay Thompson, bartender at the French Village, said the drink supports digestion and boosts energy levels. “Children are drawn to bright colours; they eat with all their senses. This smoothie is healthy, cost-effective and a great way to start any day,” she added.

Another favourite, the “Triple Tango,” mixes blueberries, kiwi and banana for a vibrant blend that boosts brain health and strengthens the immune system. Junior Jones, bartender at the Caribbean Village, described it as “a dance for the mind and body” thanks to its natural balance of sweet, tart and citrusy flavours.

For those craving something bold, the “Red Razzle” combines watermelon, strawberries, raspberries, kiwi and a hint of ginger for a refreshing, nutrient-rich mix. Packed with antioxidants, fibre and hydration-boosting properties, it’s a crowd-pleaser for both kids and adults. “This smoothie helps promote better nutrition and supports heart and immune health,” said bartender Kevin Williams.

Parents like Judy Morales, who balance work and family life, appreciate the initiative. “These smoothies are a game changer,” she said. “They’re simple, nutritious and fun to make with kids. It’s a great way to stay healthy without spending a lot.”

Bar Manager Uton Graham added that the resort’s bar team enjoys creating healthy beverage options that can be easily replicated at home. “Serving beverages for children requires creativity,” he noted. “We’re happy to share ideas that families can enjoy beyond the resort any time of the year.”

Beaches Turks & Caicos continues to blend more than just ingredients; it blends values of health, family and community. Through its food and beverage initiatives, the resort encourages families to adopt healthier habits while spending quality time together.

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2,846 Jobs in the Pipeline; TCI with $430 Million Cash

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Turks and Caicos, November 7, 2025 – A record 2,846 new jobs are on the horizon for the Turks and Caicos Islands — a staggering figure that underscores the scale of economic momentum now coursing through the country. The announcement came yesterday as Premier and Minister of Finance, Investment and Trade, Hon. Charles Washington Misick, presented his mid-year report in the House of Assembly.

“Let me repeat, 1.27 billion dollars in development agreements for major projects have been executed,” the Premier told lawmakers. “From these projects we will create one thousand and twenty-three new rooms and two thousand eight hundred and forty-six permanent jobs for the economy.”

In a population of barely 45,000, that number is seismic. It speaks to both the opportunity and the tension of the moment — prosperity that will stretch local capacity and, inevitably, deepen reliance on foreign labour.

$1.27 Billion in Fresh Investments Fueling Growth

The employment surge is being driven by $1.27 billion in new development agreements brokered by Invest TCI between April and September 2025. The investment list is stacked with big-ticket names:

  • Hadley Investments Limited – $1.2 billion
  • The Bight by Dream Hotel – $65.5 million
  • Retreat Development Limited – $7.3 million
  • Amethyst Development Ltd. – $6.8 million

Collectively, these projects will bring 1,023 new rooms online and ignite activity across multiple islands. The Premier noted that 27 development agreements valued at just over $3 billion remain active — 22 in Providencialestwo each in Grand Turk and South Caicos, and one on Ambergris Cay.

Six new foreign direct investment (FDI) projects valued at $755 million have already started between April and September 2025, spread across four islands. Another four domestic investment proposals, worth $407.9 million, have been received for new luxury resorts, townhomes, and mixed-use spaces.

“Tourism continues to be the lifeblood of our economy,” Misick said. “But the pace of investment has been nothing short of vigorous, signaling strong investor confidence and a very promising future.”

The Labour Equation: Prosperity Meets Pressure

For all the celebration, there’s a flip side — the people needed to make this boom possible. The Premier acknowledged the growing reliance on expatriate labour and the strain that comes with it.

Work permit fees brought in $22.6 million during the first six months of the fiscal year — $1.9 million above estimates and $2.7 million higher than last year. Most of those work permits, the Premier confirmed, are tied to tourism and construction, sectors now running at full throttle.

“As construction and allied business activity has increased, so too has the number of work permits,” he said. The message was unvarnished: the more the economy expands, the greater the need for imported hands to build, serve, and sustain it.

It’s a bittersweet reality for a country whose citizens are ambitious but few. The challenge now — and the political test — will be whether the government can pair this expansion with deeper training, education, and local participation so that Turks and Caicos Islanders fill more of these high-value roles in the years ahead.

A Government Flush with Cash

If the development pipeline paints a picture of the future, the balance sheets show the country’s strength right now. The Premier reported that cash flow increased by $63.7 million in the first six months of the fiscal year.

At the end of the 2024/25 financial year, the government’s cash balance stood at $366.3 million — but by the end of September 2025, that figure had climbed to a commanding $430 million.

Of that total, $242.9 million sits in the Consolidated Fund for day-to-day operations, and $88.5 million is available in the Development Fund for project implementation — up sharply from $51.5 million in March.

It’s a level of fiscal cushion that few small island states can claim — one that gives the TCI a rare degree of resilience and maneuverability at a time when global markets are volatile.

A $1.7 Billion Economy — and Climbing

The Premier’s mid-year report confirmed that TCI’s economy now stands at $1.7 billion, with per capita income just over $34,000, among the highest in the Caribbean. Economic growth was a strong 6.5% in 2024, and global ratings agency Standard & Poor’s upgraded the country’s credit rating to A-, citing “sound fiscal management” and cash reserves nearing 30% of GDP.

Still, Misick cautioned against complacency, warning of tariff volatilityinflationary pressures, and U.S. stock market swings that could cool retiree travel — a major visitor segment. “These are realities we cannot ignore,” he said. “But neither will we be complacent. My government is responding proactively — intensifying marketing efforts, introducing targeted promotions, and pursuing new partnerships.”

The Bottom Line

The Turks and Caicos economy is running hot — billions in projects, thousands of jobs, and a government flush with cash. But with that heat comes a balancing act: managing rapid expansion while ensuring Islanders remain at the center of the story.

Because a boom means little if it doesn’t lift the people who call these islands home.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Sandals Foundation and Great Shape Inc.! Produce More than 3000 Smiles in Providenciales  

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PROVIDENCIALES, Turks and Caicos Islands, November 5, 2025 — Staying true to the high quality of service it is known to provide, Sandals Foundation, Beaches Turks and Caicos and Great Shape! Inc, have served over 3,000 Turks and Caicos Islanders with state of the art free dental care in its recently concluded clinics – 1000 Smiles.

From October 20 to November 1, a dental volunteer mission team of 140 practicing professionals provided cleaning, filling, extractions, root canals, sealants and oral health education to residents of Providenciales. Its fifth year being implemented in the Turks and Caicos Islands (TCI), the programme’s reach indicate growing support and trust of the initiative facilitated by the philanthropic arm of Sandals Resorts International

While visiting the site at the Blue Hills Church of God of Prophecy church in Providenciales, Minister of Health and Human Services the Hon Kyle Knowles shared his satisfaction with the work noting, “As the Minister of Health, to see firsthand the quality of work being executed is an amazing feeling. Being able to see residents of Providenciales getting quality dental care being provided by professionals who have committed themselves to volunteering is what makes this initiative more meaningful.”

“The continued relationship between Sandals Foundation, Beaches Turks and Caicos and the government of the TCI augurs well for the development of our people and our communities. For two weeks, more than 3,050 residents were served including adults and students at our primary and secondary schools,” Knowles added.

Managing Director of Beaches Turks and Caicos James McAnally shared, “We are humbled by the numbers of persons that came out this year. As a resort, we value partnerships and through the Great Shape! Inc.’s healthcare partnership, together we have created history with the number of clients being served in any one visit to a region. We are proud to have been involved in creating brighter and healthier smiles for the residents of Providenciales.”

In explaining the customer-centric approach practiced by the medical volunteers, Programme Director of Great Shape! Inc., Shantelle Clarke said, “Some people come in with anxiety and are a little bit scared to get stuff done, but, as we talk through the procedure, explain what we’re doing, and why we’re doing it, we are able to build the trust of patients who develop a sense of ease.”

For the Ministry of Health’s (MOH) Chief Dental Officer Dr Janice Baron, the value of the Great Shape! outreach is priceless noting, “It has established a good example of best practices in the field”.

Meanwhile, more than 1,600 students from Thelma Lightbourne Primary, Richmond Hill Preparatory, Community Christian Academy, Mills Institute, Ashley Learning Centre and Elite Schools also benefited from dental care education through a school tour executed in the first week. Led by the Great Shape! team, students and teachers were reminded about the importance of proper brushing, flossing and oral care through interactive sessions.

“The sessions were dynamic, educational and children-friendly. Students were able to interact and ask questions which the team were able to answer in a fulsome manner which provided much needed information for the students,” says Principal of the Ashley Learning Centre, Shelrica Grant-Banton.

Great Shape! Inc. is one of the largest dental volunteer missions in the world The dental outreach, which commenced in TCI in 2021, is made possible with Beaches Resorts providing accommodations and the charitable arm, the Sandals Foundation, spearheading logistics and offsetting the costs for transportation, as well as food and beverage for the clinics.

For more information about the Sandals Foundation and to donate, visit: https://sandalsfoundation.org.

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