“PNP Healthcare Ministers Carrying on Tradition”

By Randy Ewing

There are several areas that are critical to the everyday quality of life and standard of living in any civilized country: healthcare, economic development, adequate infrastructure, public safety, and education. Yet, as Sabrina Green highlighted in her recent article, there remains a troubling reality in the Turks and Caicos Islands: too often, our own people—particularly qualified Turks and Caicos Islanders—are marginalized when decisions are being made about the future of our country.

I want to focus specifically on healthcare.

Under the current PNP administration, several ministers have held responsibility for the healthcare portfolio, including Hon. Jay Saunders, Hon. Shawn Malcolm, and now Hon. Kyle Knowles, who is also my cousin.

I am not writing this because I expect anything to be handed to me. I am writing as a Turks and Caicos Islander and as a healthcare professional who has spent more than 26 years working in the healthcare industry.

My efforts to offer my expertise to the government were never motivated by money, political ambition, or the expectation of special treatment. They were motivated by something much simpler: giving back to the country that produced me.

I am from the soil.

I am from Blue Hills, Providenciales. I know our people. I know our culture. I understand our eating habits, the history and circumstances behind those habits, the foods that are locally available, and the realities that many families face when healthier food choices are more expensive or less accessible.

Professionally, I bring more than two decades of healthcare leadership and consulting experience. I hold an MBA with a concentration in Health Administration. I am a Lean Six Sigma Black Belt with a healthcare concentration and a change-management specialist with healthcare experience. Over the course of my career, I have held leadership positions and worked with organizations including Memorial Hospital, Aetna Health, and Blue Cross Blue Shield, as well as within the U.S. federal government. I have also provided consulting services to healthcare organizations, municipalities, cities, states, and organizations throughout the Caribbean.

I share this not to boast about my credentials, but to make a simple point:

There are Turks and Caicos Islanders who have spent decades acquiring knowledge and expertise that could be valuable to the development of our country.

Why aren’t we listening to them?

I understand that the government has engaged outside consultants to provide advice and expertise. There is certainly a place for specialized external expertise. But I believe we must also ask an equally important question: What measurable improvements have these investments produced for the people of the Turks and Caicos Islands?

Our healthcare challenges remain.

Our people continue to face serious health issues. People still have to travel overseas to obtain medical treatment. Families continue to worry about whether the healthcare system will be there when they need it. And many residents remain concerned about whether they are receiving the quality, accessibility, and affordability of healthcare they deserve.

So I ask our leaders: Where are the measurable outcomes?

Where is the long-term strategy?

What is the plan for developing sustainable healthcare capacity within the Turks and Caicos Islands?

And, perhaps most importantly, why aren’t more qualified Turks and Caicos Islanders being brought to the table?

This is not an argument against outside expertise. It is an argument for including our own people alongside it.

We know our communities in ways that an outside consultant cannot immediately know. We understand our history. We understand our culture. We understand the socioeconomic realities that influence health. We understand what people eat, what they can afford, what resources are available locally, and the barriers that prevent people from living healthier lives.

That knowledge matters.

Healthcare policy cannot exist only on paper. It has to work for the people who actually live here.

As the Turks and Caicos Islands continue to grow and prosper economically, we must also ask whether that prosperity is translating into better health outcomes and a better quality of life for our people.

Economic growth means little if our people cannot access adequate healthcare.

Infrastructure means little if our healthcare infrastructure cannot meet the needs of our population.

And progress means little if our people continue to believe that they must leave their own country to receive the care they need.

Minister Knowles, I respectfully ask you—and every minister and policymaker responsible for healthcare—to listen to the Turks and Caicos Islanders who have spent decades developing expertise in healthcare.

Listen to the professionals who have returned home with knowledge.

Listen to the people who understand our communities.

Listen to those who are offering their expertise not because they want something from the country, but because they want to give something back to it.

I have made that offer.

My experience, my education, and my professional knowledge are not simply credentials on a résumé. They represent more than 26 years of learning, leading, solving problems, and working to improve healthcare systems.

And I believe that expertise should have a place in the conversation about the future of healthcare in my homeland.

The Turks and Caicos Islands belong to all of us.

Our healthcare system belongs to all of us.

And our people deserve a healthcare system designed around their needs, informed by evidence, strengthened by expertise, and built with meaningful participation from the very people who call these islands home.

It is time to stop asking whether our people are qualified enough to contribute.

It is time to start asking what we are losing by not listening to them.

Our people deserve better.

And those of us who have the knowledge, experience, and willingness to help should not stop offering it.

Marvin Martin, MBA, LBBH, CMS

(STOCK PHOTO)

An Editorial by Dr. Alicia Swann

In the days following our most recent national celebration, I have observed conversations filled with strong opinions and emotions. Some have expressed pride and gratitude, while others have questioned our flag, Constitution, identity, political system and future.

After listening, I feel compelled to share my thoughts—not to dismiss anyone’s feelings or deepen division, but to offer historical clarity and, most importantly, hope.

The concerns of Turks and Caicos Islanders are valid. Many are worried about the protection of our land and identity, opportunities for our children and whether our people will continue to have a meaningful place in the country our ancestors built. These concerns deserve honest discussion, factual information, prayerful reflection and responsible planning.

However, as the Turks and Caicos Islands commemorates fifty years of Ministerial Government and celebrates National Flag Day, we must remember that this occasion is not about the current administration, one political party or any individual leader.

Governments come and go, but the story of a people remains.

This celebration belongs to our ancestors—the true visionaries, pioneers and nation-builders who paved the way for us. It belongs to the salt rakers who laboured beneath the blazing sun, the fishermen who braved dangerous seas, the farmers, teachers, mothers, pastors and citizens who built communities and demanded a voice in their homeland.

Many never lived to enjoy the progress their sacrifices helped to create. Yet because they endured, we inherited a country filled with possibilities.

A Political Journey That Began Long Before 1976

Long before European colonisation, these islands were inhabited by the Lucayan-Taíno people. Following European arrival, Indigenous communities suffered enslavement, forced removal and disease.

From the seventeenth century, Bermudian salt rakers developed our natural salt ponds. Enslaved Africans provided much of the labour sustaining the salt and plantation economies, and their descendants became central to the formation of the Turks and Caicos Islander people.

Britain’s influence developed through colonial expansion and competition with Spain and France. At different stages, the islands were administered through The Bahamas and Jamaica.

Dissatisfaction with decisions made under Bahamian administration contributed to our separation from The Bahamas in 1848 and the establishment of a local Legislative Board. In 1873, TCI became a dependency of the British colony of Jamaica. Local elections were abolished and were not restored until the 1959 Constitution—approximately eighty-six years later.

When Jamaica gained independence in 1962, TCI remained under Britain. From 1965 until Bahamian independence in 1973, the Governor of The Bahamas also served as Governor of TCI. We then received our own resident Governor and continued our constitutional journey.

Haiti never governed the Turks and Caicos Islands, but it holds an important place in our regional history. Following its independence in 1804, Haiti became a powerful symbol of freedom from slavery. Historical records indicate that enslaved people escaped from these islands to freedom in Haiti during the 1820s. In later generations, Haitians, Jamaicans, Bahamians and other Caribbean people contributed to our churches, public service, construction, education, hospitality and economy.

Our history is connected to the wider Caribbean, but our identity remains distinctly Turks and Caicos Islander.

The Significance of 1976

The 1976 Constitution provided for a Chief Minister and other Ministers with responsibility for important areas of government. The Honourable James Alexander George Smith “JAGS” McCartney became our first Chief Minister.

JAGS represented more than a political party. He represented a national awakening—the belief that Turks and Caicos Islanders deserved dignity, representation and a meaningful voice in the management of their homeland.

Ministerial Government was not the achievement of one person alone. It was made possible by generations of representatives, civil servants, community organisers, clergy, educators, workers and citizens who believed our people were capable of shaping their destiny.

The fifty years that followed were not without difficulty. We experienced controversy, constitutional change and interruptions to elected government. Yet representative government returned, our institutions developed and our people continued moving forward.

This anniversary does not suggest that everything has been perfect. It demonstrates that our democracy and our people have endured.

Never Forget Our Resilience

Our ancestors survived slavery, colonial administration, poverty, migration, isolation, political interruption and devastating hurricanes. From an economy once dependent upon salt, sisal and fishing, we built one of the world’s most recognised tourism destinations.

Generations of Turks and Caicos Islanders travelled to neighbouring countries seeking opportunities unavailable at home. Some were not always welcomed or treated as equals. Today, people from many of those same countries come to our shores hoping to work, live and create better futures.

This should not inspire hatred or prejudice. Those who come lawfully and contribute positively deserve dignity and respect. However, it should remind us how far we have come and why we must never surrender our identity or rightful place within our country.

Hospitality and patriotism are not opposites. We can welcome others without losing ourselves.

Scripture reminds us:

“But if any provide not for his own, and specially for those of his own house, he hath denied the faith.”
—1 Timothy 5:8

Caring for our own does not mean mistreating others. It means ensuring that Turks and Caicos Islanders are educated, protected and empowered to participate meaningfully in the development of their homeland.

Government has an important responsibility, but nation-building requires more than government. Parents must teach our values, businesses must create opportunities, citizens must respect the law and young people must prepare themselves to lead.

Pride in Where We Are

Until such time as we become an independent and sovereign nation, we must thank God for where we are today.

There is nothing wrong with celebrating our constitutional progress, embracing our present flag or respecting our existing institutions. Doing so does not prevent us from desiring further advancement.

We cannot know where we are going unless we understand where we are now and how we arrived here. Our present flag represents our identity, history and constitutional relationship with Britain. It should be treated with dignity and respect.

Embracing the present is not abandoning the future; it is the pathway towards building it. We celebrate not because the journey is complete, but because God has brought us a mighty long way.

Passports, Citizenship and Our Future

Today, we remain a British Overseas Territory. Although the passport associated with our territory may identify the Turks and Caicos Islands, it is not a sovereign TCI passport issued under the authority of an independent Turks and Caicos nation. It exists within the British nationality system and derives its legal authority from the United Kingdom.

British Overseas Territories citizenship, British citizenship and Turks and Caicos Islander status are connected but legally distinct. None presently represents citizenship issued by a sovereign TCI nation.

This should not cause us to disrespect the passport or constitutional position we hold. Instead, it should encourage us to think responsibly about our future.

If we envision sovereignty, we must eventually determine who would become a citizen of an independent TCI, whether dual citizenship would be permitted and what rights and responsibilities citizenship would carry. We must also consider how to protect our limited land, create pathways to ownership and help Islanders build generational wealth.

Our immigration system must welcome lawful contribution and respect human dignity while protecting the country’s long-term interests and enforcing its laws fairly.

These complex questions must not be decided through hostility, secrecy, political favour or temporary emotion. They require public education, research and consultation involving every inhabited island, our diaspora, elders, young people, churches, businesses, experts, Parliament, relevant institutions and the United Kingdom Government.

After proper preparation and national consultation, the people—not merely a government—should ultimately determine our political future through a clear and credible referendum.

Preparing for Our Destiny

I envision a future in which the Turks and Caicos Islands advances beyond its present constitutional position, governs its own destiny and may one day raise the sovereign flag of an independent nation.

Is it possible? Yes.

Would it require sacrifice, disciplined planning and strong institutions? Absolutely.

Would it require God-fearing leaders with integrity who place the country above personal and political interests? Without question.

“When the righteous are in authority, the people rejoice: but when the wicked beareth rule, the people mourn.”
—Proverbs 29:2

Independence without integrity would merely replace one form of dependency with another. Sovereignty must be supported by ethical leadership, economic stability, an independent judiciary, effective border protection, disaster preparedness and an educated population.

Preparation does not mean declaring independence tomorrow. It means beginning the research, civic education, institution-building and national consultation today.

“Write the vision, and make it plain upon tables, that he may run that readeth it.”
—Habakkuk 2:2

Preparing the Next Generation

We must ensure that our children know the history of the Turks and Caicos Islands and understand the sacrifices that paved the way for them.

A generation that does not know its history may inherit a country without understanding its value.

Our history must be taught in our homes, schools, churches and communities. Our children should never have to depend entirely upon outsiders to explain who they are or where they came from.

We must also stop gatekeeping knowledge. Whatever wisdom, education, experience or influence God has given us was not given for our benefit alone. It was entrusted to us so that we may mentor and guide those coming behind us.

True leadership does not conceal knowledge to protect a position. It shares knowledge to prepare a successor.

Let us give our children more than possessions. Let us give them identity, history, wisdom, confidence and a country they are prepared to protect and lead.

We Have What It Takes

We are a small country, but smallness does not mean incapability. Our ancestors created communities with almost nothing and survived circumstances far more difficult than those we face today.

We can honour our present flag without surrendering our future. We can welcome others without losing ourselves. We can celebrate how far we have come while preparing responsibly for where we wish to go.

This is the true meaning of the anniversary: a celebration of our ancestors, constitutional progress, national resilience and continuing right to determine our destiny.

Our ancestors paved the way. We must now possess the courage, discipline, unity and faith to continue the journey.

Dr. Alicia Swann
Proud Turks and Caicos Islander, Civic Leader and Advocate

Ed Forbes

Turks and Caicos, September 3, 2026 – The Turks and Caicos Islands Regiment may be one of the most underutilized national assets in our fight against some of the social problems facing the Territory.

Established in 2020 with the support of then-Governor Nigel Dakin and the United Kingdom Ministry of Defence, the Regiment was created to strengthen national security while providing capabilities in disaster relief, humanitarian assistance and border protection.

But its role could potentially extend beyond traditional military responsibilities.

The qualities required of Regiment members—discipline, responsibility, teamwork, resilience and a sense of purpose—are also qualities that many troubled young people and individuals preparing to return to society after incarceration desperately need.

So perhaps it is time to ask: Could the TCI Regiment become part of our strategy for rehabilitation and reintegration?

We cannot arrest our way out of rising concerns about youth delinquency, gang recruitment and violent crime. Young people without employment, structure, opportunity or a sense of belonging can become vulnerable to gangs offering money, identity and acceptance.

For a young person who commits a relatively minor, non-violent offence, should incarceration always be the answer? Where legally appropriate and following proper risk assessment, could accountability sometimes be combined with an opportunity to change direction

That is where the Regiment could potentially play a role.

This should not mean turning the Regiment into a prison or creating a military “boot camp for bad kids.” Military-style boot camps alone have not been shown to reliably reduce reoffending. Discipline works best when combined with education, counselling, vocational training, mentoring and employment opportunities.

Rehabilitation Before Release:

The TCI already has the beginnings of a framework that could support such an initiative.

In February 2026, the Government announced the completion of its Parole Board Modernisation Project, designed to strengthen parole decision-making while supporting rehabilitation and successful reintegration into the community.

Rather than creating another standalone programme, Government could explore incorporating a Regiment-supported service component into the existing parole and rehabilitation system.

Imagine an inmate approaching the end of a sentence who has demonstrated good behaviour and is assessed as suitable for supervised reintegration.

Instead of simply opening the prison gate and expecting that person to succeed, preparation could begin months before release.

A structured programme could include physical training, discipline, leadership development, community service, vocational training and mentoring. Participants could assist with approved community projects, environmental restoration and disaster-preparedness activities while developing practical skills and a responsible daily routine.

The programme could continue for six to twelve months after release, with regular check-ins, employment assistance and clearly defined responsibilities.

The Regiment would not replace corrections, probation, counselling or other professionals. It would add another ingredient: service and accountability.

A Second Chance—With Responsibility

This is not about being soft on crime. It is about being smarter about rehabilitation.

Participants would have to show up, follow rules, complete training and demonstrate that they are prepared to accept responsibility for their future. Successful completion could become part of demonstrating readiness for full reintegration.

Employment would also be critical. Local businesses could provide apprenticeships, internships and second-chance employment.

Because rehabilitation without employment is incomplete.

The same philosophy could potentially apply to troubled youth. The Government is preparing to open a Juvenile Rehabilitation Facility for Boys later this year, with a focus on accountability, education, personal growth, family engagement and reintegration.

The Regiment should not replace the professionals responsible for juvenile rehabilitation, but its expertise in discipline, leadership, teamwork and service could become one component of a broader model.

Protecting the Future:

The objective should be simple: Stop creating tomorrow’s prisoners today.

If we can reach a teenager before gang recruitment becomes a way of life, we should.

If we can hold a young offender accountable without placing them in an environment that increases the likelihood of further offending, we should consider it.

And if someone has served their sentence, we should give them more than a release date and some cash. We should give them a plan, which could help reduce recidivism.

That plan could include housing, employment, education, counseling, family support, mentoring—and, where appropriate, structured service supported by the TCI Regiment.

The Turks and Caicos Islands is small enough that government agencies, the Regiment, schools, employers, courts, probation services and community organizations can work together.

The Regiment was created to protect the Turks and Caicos Islands. Protecting these islands should mean more than protecting our borders.

It should also mean protecting our communities, protecting vulnerable young people from gang recruitment and helping former offenders become productive members of society.

A prison sentence should not be our only answer to youthful mistakes, and the prison gate should not mark the end of rehabilitation. We must think much bigger.

The TCI Regiment has truly demonstrated its value in national defence, border protection and disaster response.
Perhaps it is time to explore whether its greatest contribution could extend even further:

Keep the service, but expand the mission, while helping to defend the future of the people it was created to serve.

PHOTO: FILE PHOTO