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Report to the Nation: TCI NHIP underfunded as lifestyle diseases costs soar, overdue report to reveal if contributions will increase

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Photo by Jean Sagesse

#Providenciales, Turks and Caicos Islands – April 24, 2018 – In a report due to be completed by the end of May is where the nation will find out if the cost of contributions to the National Health Insurance Board should or will be increased to help stymie the year on year shortfalls of the social health care plan.

The Premier and Finance Minister, Hon Sharlene Robinson on Monday led a delegation of officials from the Ministry of Health and the National Health Insurance Board in a nationally aired press conference which exposed progresses at the beleaguered entity.

Premier Sharlene Robinson, in opening said: “I have started the overdue actuarial review of the National Health Insurance Board, the results of which will form and inform key government decisions.  Our Government has ensured financial support of the National Health Insurance Board to the tune of $12m.  Ten million of which has already been dispersed in the recently passed supplementary budget.”

The NHIP has been running a deficit budget for the past three years and it is costing TCI tax payers $12m to bail out the health care plan.

“These funds have been used to significantly reduce the organization’s liabilities to its local and overseas providers.  At this point the National Health Insurance Board is 70 to 80% of clearing all outstanding liabilities for the financial year 2017-2018.  The remaining 20% should be completed by the end of April 2018.”

The reason for the overrun at the NHIB, which in the Statutory Board Review was recommended to be dismantled, is – among other things – the surging cost to the Plan of medical treatment overseas for thousands of patients; 70 to 80% of which are Turks and Caicos Islanders.

“The average total expenditure for the National Health Insurance Board over the last three years is $61 million.  Hospital related payments accounted for about 51% of the average NHIP expenditure, followed by Treatment Abroad with 35%, pharmaceutical and local provider costs averaged about six percent and two percent respectively,” said Delton Jones, Chairman of the NHIP Board, who added later that, “This is indicative of the persistent under funding of the NHIP at a time when there has been increasing health care costs.”

The National Health Insurance Plan is reviewed in the Stephen Turnbull report as unsustainable, that it should be absorbed into the Ministry of Health.  However, Cabinet Ministers rejected the idea and voted ‘no’ to the recommendation.  The Premier tried to quell the fears of the 30 staffers at the NHIP.

“Let us not for one minute think that nothing is happening at the National Health Insurance Board. Our government has been working alongside the Board to fix the issues and turn the organization around, we are fixing it and we are committed to fixing the National Health Insurance Board.  Premier Robinson said to the staff, with whom she plans to meet soon that “I personally wish to thank them for their dedication and  assure them that the National Health Insurance Board is here and that my government is committed to their well being.  We recognize that they have a pivotal role in turning the organization around and will be a part of all key decisions…”

The long overdue Actuarial Report is but one of the advancements currently underway to reveal the truest state of the NHIP; it was also announced that the Health Regulatory Agency (HRA) is nearing launch and Desiree Lewis, Permanent Secretary of the Ministry of Health shared that there is a roll out plan.

“We have in place the CEO, as the Minister mentioned… it (the HRA) should have been in place prior to the opening of the Hospitals, unfortunately that did not progress in the manner in which it should have but we are now closer – closer meaning we have established an implementation plan which we should be rolling out within the next four to six months, before December.”

P.S. Lewis explained that the HRA is currently seeking a location, will bring on staff and will eventually manage and monitor all health facilities within the Turks and Caicos Islands.  The HRA will also have auditing power over the National Health Insurance Plan.

The National Health Insurance Plan, as explained by Chairman of the Board, Delton Jones started collecting contributions in 2009 with a current enrolment of 33,218 members, which includes dependents.

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TCI News

TCI Marks National Day of Thanksgiving with Calls for Unity and Gratitude

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Providenciales, Turks and Caicos Islands — Turks and Caicos observed its National Day of Thanksgiving with an ecumenical service at Faith Tabernacle Church on Sunday, November 23 — a scheduling choice that placed the ceremony ahead of the official public holiday on Friday. The early observance allowed congregations, officials and visiting clergy to gather in worship, reflection, and national contemplation.

The service featured spirited performances from local choirs and worship teams, weaving together traditional hymns and contemporary praise in a sequence that set an unmistakably reverent tone. The TCI Christian Council, through its president Rev. Wilbert Jennings, delivered a message centred on humility, gratitude and national grounding — urging residents not only to give thanks, but to remember the posture of gratitude even in strained seasons.

Acting Premier Jamell Robinson, bringing greetings on behalf of the government, leaned heavily on the theme “A Grateful Nation in Thanksgiving — Blessed Beyond Measure, Kept by Grace.” He reminded the country that giving thanks “in everything” rather than “for everything” is a discipline that strengthens national unity. Robinson highlighted the collective resilience of the Turks and Caicos Islands and praised the Church for its continued spiritual leadership, calling it the “backbone” that steadies communities and undergirds national life.

While the holiday itself will be observed later in the week, Sunday’s service provided the public-facing reflection point — a moment of pause before a busy commercial weekend and the start of the festive season.

“He kept our communities. He kept our nation from dangers seen and unseen. And for that, we stand today with hearts full of thanksgiving. But thanksgiving is more than reflection, it is also a call to unity. A grateful nation is a united nation. A grateful nation is a compassionate nation. A grateful nation is a nation that sees beyond differences and comes together for the common good. As people of faith, we understand that division weakens, but gratitude strengthens. Gratitude softens hearts. Gratitude opens doors. Gratitude reminds us that we are one people under God, moving forward by His grace,” said Hon Robinson.

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

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Michael Misick Rejects Government’s 60/40 Shift as Business Licensing Debate Reignites

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Turks and Caicos, December 4, 2025 – For the first time in his long political career, former Premier Michael Misick appeared on Drexwell Seymour’s “Financially Speaking” radio programme this week — and he used the platform to forcefully reject the Government’s new 60/40 business-ownership model, arguing that Turks and Caicos Islanders are once again being positioned to lose ground in their own country.

The interview came at a pivotal moment: the Washington Misick Administration has just issued a detailed press statement confirming that the controversial 100% Islander-only ownership requirement — praised by some as overdue protectionism and criticised by others as unconstitutional and discriminatory — was never Cabinet’s intended position. A “drafting error,” the Government now says, caused the blanket 100% clause to appear in the Business Licensing (Amendment) Bill, prompting a pause in Parliament and a full review.

This week, Cabinet reaffirmed its balanced 60/40 framework, arguing that meaningful majority control for Turks and Caicos Islanders must coexist with access to external capital, expertise, and investment partnerships. The Government cited international models, financing constraints for local entrepreneurs, and the need to avoid “harsh outcomes” that could unintentionally weaken local businesses or violate constitutional safeguards. It further pledged strengthened anti-fronting mechanisms, tighter oversight, and mandatory protections for local shareholders.

But Michael Misick isn’t convinced.

During the wide-ranging RTC interview, the former Premier dismissed the 60/40 model as inadequate and accused successive governments of diluting the rights and economic standing of heritage Turks and Caicos Islanders. He argued that fronting has flourished under the existing 51% rule, and that only full, uncompromised Islander ownership in certain industries can prevent locals from being reduced to symbolic partners with no real power. Misick described the Business Licensing Board’s disappearance, the rise of unchecked approvals, and the growing dominance of expatriate capital as evidence that the country is “losing itself, bit by bit, every sunrise.”

Seymour, a CPA and economic commentator, echoed concerns about fronting and asked whether the territory’s leaders were “afraid” to implement robust protections. Misick went further, accusing modern politicians of lacking political courage and failing to defend the long-term interests of heritage Turks and Caicos Islanders.

“Every time legislation comes to empower our people, there is resistance,” Misick said.
“When it’s something that penalises our people, no one objects.”

The Government’s clarification attempts to neutralize that narrative, insisting Cabinet did not “retreat” under pressure but merely corrected an error to restore policy integrity. Still, the timing — after months of public debate, stakeholder pushback, and ongoing reference to the Grant Thornton economic impact report — has only deepened suspicion among critics who say the Administration is wavering.

What is clear is this:
The Business Licensing reform has cracked open the deepest unresolved question in the Turks and Caicos Islands — how to protect a small population from economic displacement while maintaining an investment climate that supports national development.

With Parliament scheduled to revisit the Bill this month, the clash between political philosophy and economic pragmatism is now on full display. And as Misick made clear on RTC, this debate will define not just policy, but identity.

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

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Health

Bruce Willis’ Brave Gift to Dementia Research – And His now Quiet Link to Turks & Caicos

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December 4, 2025 – Hollywood legend Bruce Willis – arguably the most famous former home owner in Turks and Caicos Islands – is facing the most difficult role of his life and turning it into one last act of service.

Willis, 70, retired from acting in 2022 after his family revealed he had been diagnosed with aphasia. The following year, specialists confirmed he is living with frontotemporal dementia (FTD), a degenerative brain disease that attacks language, behaviour and personality.

In recent interviews and appearances, his wife Emma Heming Willis has said Bruce is “surrounded by love and care” and that the family is learning to find joy in new ways, even as the disease progresses.

Now, Heming Willis has gone further.  In her 2025 memoir The Unexpected Journey, she writes that the family has decided Bruce’s brain will be donated to science after his death to advance research into FTD.  That decision has been highlighted in recent coverage by futurist and science outlets, which describe it as a carefully considered step after months of watching a still-physically-strong man steadily lose speech, reading and independence.

Neurologists have long stressed how rare donated brain tissue is for FTD, and how essential it is to understanding which proteins, mutations and mechanisms are actually driving the disease.  The Willis family’s choice means the brain that powered some of cinema’s most iconic characters could one day help researchers diagnose the condition earlier and design better treatments – even if it cannot help Bruce himself.

For Turks and Caicos, the story lands close to home.  For nearly two decades Willis owned “The Residence” on exclusive Parrot Cay – a 7.3-acre, Asian-inspired beachfront compound with a five-bedroom main house, two guest villas and a yoga pavilion.  He and Emma listed the estate in March 2019 for US$33 million; it sold a few months later for about US$27 million, one of the biggest residential deals in TCI history.

So, while Bruce Willis no longer has a physical address in Turks and Caicos, his connection to these islands remains part of his global story – a story now shifting from blockbuster fame to medical legacy, as his family turns private heartbreak into a public contribution that could change what we know about dementia.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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