TCI News
Report to the Nation: TCI NHIP underfunded as lifestyle diseases costs soar, overdue report to reveal if contributions will increase
#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.
Turks and Caicos, October 24, 2025 – Commissioner of Police Fitz Bailey delivered an impassioned address to male students at Clement Howell High School, calling on them to recognize their power, seize their potential, and “awaken the sleeping giants” within.
In a message that blended humility, faith, and personal experience, the Commissioner reminded the boys that the decisions they make today will shape their future.“The choices you make today determine who you become tomorrow,” he said.
Bailey, who revealed he was the first in his family to attend high school, urged the students to embrace education and discipline as tools of
transformation.“Knowledge is power. If you want to be a real man, you need to read,” he told them. “Remember your potential — if others can do it, so can you. Some of you are sleeping giants waiting to be awakened.”
He emphasized that circumstances of birth do not dictate destiny, challenging the young men to carry self-respect, faith, and moral conviction wherever they go. “Self-respect is key; respect yourself, respect others, and respect God,” he said. “The circumstances you were born into do not define who you are.”
The Commissioner also spoke about resilience, advising that true strength often lies in restraint.
“There will be challenges, and people may try to impede your development — but rise above negativity. Sometimes, strength means walking away,” he said. “Some of you are sleeping lions; it’s time to awaken that instinct and rediscover your true potential.”
In closing, Commissioner Bailey delivered a stirring challenge:
“Each morning, look in the mirror and remind yourself that you were created by God and are capable of great exploits. You are a possibility with potential. Step forward with confidence — this is your country, your islands. Be the best version of yourself.”
Following his speech, the Commissioner engaged the students in open dialogue, answering questions and listening to their perspectives on issues affecting young men in the Turks and Caicos Islands.
Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.
Providenciales, Turks and Caicos Islands, 23 October 2025 — The Crown Land Unit, supported by the Informal Settlements Unit
(ISU) and the Immigration and Border Services, led the successful execution of a reclamation exercise in Five Cays and Blue Hills on Tuesday August 26, 2025. The Royal Turks and Caicos Islands Police Force provided security for the operation which formed part of the Government’s mandate under the Crown Land Ordinance to prevent squatting and encroachment on Crown Land.
During routine inspections, the Crown Land Unit identified three unoccupied, illegally constructed steel and concrete block structures on parcels 60610/226, 60610/228, and 60610/239, located in the area commonly referred to as Sand Bar Street, Five Cays. Notices of Illegal Occupation were issued in accordance with the Crown Land Ordinance, however the owners of the structures failed to comply with the instructions contained in the Notices. As a result, enforcement action was taken to remove the structures and reclaim the land.
The exercise resulted in the full reclamation of 1.18 acres of Crown Land, with the removal of three unauthorized structures which were all
block and concrete structures from foundation to belt beam stages of development.
Following the reclamation in Five Cays, the team proceeded to Blue Hills where ten Letters of Illegal Occupation were served across two parcels, reinforcing the Government’s commitment to land protection and management.
The ISU reaffirms its commitment to supporting partner agencies in the coordinated management of Crown Land, ensuring that all enforcement actions are conducted lawfully, efficiently, and in the public interest.
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