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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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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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