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PDM Leader responds to National Debate question on Healthcare

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Deandrea Hamilton

Editor

 

Turks and Caicos, February 3, 2025 – The PDM, if elected government, will create a treatment policy which focuses on getting residents the best possible care and ensure proper funding for treatment abroad travel, said Edwin Astwood during the live-streamed National Debate on Thursday January 30.

“On day one, I will bring a treatment abroad policy to Cabinet, to reverse what is there now.  We will ensure wherever you can get the top treatment you will be sent to.  Whether it is the USA, whether it is Canada, we will not say that you can only go into the Caribbean region.  We want the best for our people, we will put the money there in the treatment abroad policy that we can send you to places where we believe and where the data shows you can get the best treatment possible for you to fully recover and fully be healed, that is what the PDM is about.”

Astwood, who has led the PDM since 2021 and is a former Minister of Health for the TCI said medical centers will not be selected based on a limited budget and a common complaint will be no more.

“We will not send people abroad without having money in their pocket.  We will not send people abroad to be put out of hotels. We will not send people abroad to be put out of hospitals.  We will ensure that whatever allowance you need, you will get that before you go.”

In July 2022, a National Insurance Board Appeals Tribunal was established to field concerns and respond directly to contributor’s complaints, however, in the years following its set up little has been said about the effectiveness or impact of that body.

Additionally, Astwood addressed the quality of healthcare generally in the islands.

“Our people were healthier 15 years ago.  The records can show that; if you look at the birth rate compared to the death rate you will see that that ratio is higher now in ‘23-’24 than what it was in 2017, in 2015 and before.  On day one, I myself is going to push through the Cabinet a bill to ensure that primary health care is rejuvenated in all of our communities.

We know that in order to keep our people healthy, we have to look at prevention. Prevention is always better than cure, the honourable premier’s style is always to put the bandaid on the bleed.  But we (PDM) always want to go in there and stop the bleeding so that you don’t need the bandaid.  So that is what we are going to do, we are going address healthcare at its root cause and put the primary health care clinics back in every community.

He said the goal is for there to be early detection through early screenings.  Astwood said the country’s profits in recent years meant it could afford to set up an Intensive Care Unit.

“They also messed up the entire NHIP system.  Now our people cannot even get an air ambulance to come to the Turks and Caicos islands because they bankrupted the NHIP.  They made it where people are at a critical state.”

The PDM leaders shared that during a recent House of Assembly sitting, members approved $10 million dollars to pay outstanding medical bills.

Also on the PDM agenda is attention to oncology and all aspects of neonatal care due to a raised standard at the Cheshire Hall and Cockburn Town Medical Centers.

“We will get those health professionals in the hospitals.  No more will you see persons googling, to find out what your diagnosis is, we will get the proper machines for scanning.  No longer will you have those misdiagnosis and wrong diagnosis like under the honourable premier and no more will you be sent to places without money.”

He said the PDM has all of the plans to fix healthcare in the Turks and Caicos.

Bahamas News

Government is Moving to Protect the Rights of Older Persons

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NASSAU, The Bahamas — The Government is moving to protect the rights, privacy, independence, and dignity of older persons throughout the Commonwealth of The Bahamas.

The Hon. Dr. Michael Darville, Minister of Health and Wellness tabled The Older Persons Rights, Protections, Care and Support Bill (2026), in the House of Assembly on Wednesday, September 16, 2026.

“This is legislation whose time has come. It is rooted in a very simple thought that growing older must never mean becoming less valued, less visible, less protected or less entitled to dignity.

“Ageing is not somebody else’s issue. It is one of the few public policy matters that, if we are blessed with longevity, will eventually touch every one of us,” Dr. Darville said.

He noted that The Bahamas, like the world, is experiencing a clear demographic shift. According to the 2022 Census, the number of persons aged 65 years and older rose by 28.2 percent since 2010.

In The Government’s Blueprint for Progress, it made a commitment to strengthening protections for older persons. And, this Bill gives practical expression to that commitment. But there is also a wider context.

Furthermore, in 2025, the United Nations Human Rights Council established an Intergovernmental Working Group charged with developing a legally binding international instrument on the human rights of older persons. Its first substantive negotiating session was held in Geneva in July of this year.
In this vein, Dr. Darville said that The Bahamas brings this Bill at an important moment.

“While the international community is negotiating what a future global legal instrument should contain, The Bahamas is moving now with legislation that goes beyond a declaration of principles,” he said.

“This Bill recognizes older persons as rights-holders. But it also recognizes that rights written on paper mean little if there is no machinery to make them real.”

Provisions under the Bill establish in law the rights of older persons, including dignity, equality, privacy, autonomy, participation, financial self-management and access to healthcare and public services.

Secondly, it confronts abuse and abandonment, physical abuse, sexual abuse, psychological and emotional abuse, neglect and abandonment.

“These are expressly prohibited. For far too long older persons have been abandoned at hospitals with no recourse. This ends today,” Dr. Darville stated.

The Bill also permits anonymous reporting of suspected abuse and protects persons who make reports in good faith. Certain healthcare, social service, law enforcement and other professionals will have a statutory duty to report where
they reasonably suspect that an older person requires care and protection.

And thirdly, this Bill confronts an abuse that can sometimes remain hidden behind family relationships — financial exploitation, Dr. Darville said.

He added, “Taking an older person’s pension. Misusing their bankcard. Coercing them to transfer property. Manipulating a will. Using their National Insurance benefit for purposes other than their welfare. Preventing them from accessing their own money. These matters are specifically addressed in this legislation, with financial exploitation attracting serious penalties.”

The Bill is about support, by providing for the development of a National Older Persons Policy within 12 months, with priority given to a National Dementia Strategy.

“It promotes community nursing, home-based care and older persons’ day-care services, because where it is safe and appropriate, we should help our older persons remain independent, connected to their communities and supported in familiar surroundings,” Dr. Darville said.

The Bill further recognizes the tremendous responsibility carried by caregivers and provides for caregiver training and support, among other things. “It incorporates the needs of older persons into disaster preparedness, response, relief and recovery. And importantly, it rejects the idea that retirement means irrelevance,” Dr. Darville said.

 

By Lindsay Thompson
Bahamas Information Services

(BIS Photo/Ulric Woodside)

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Government

Government Outlines New Healthcare Vision as Interhealth Exit Accelerates Reform  

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — The Turks and Caicos Islands Government says the breakdown of its relationship with InterHealth Canada presents an opportunity to reshape healthcare delivery, with plans to expand local medical services, strengthen primary care and reduce dependence on overseas treatment.

During a national briefing following InterHealth Canada’s notice terminating its hospital contract, Premier Charles Washington Misick acknowledged publicly for the first time that Government and InterHealth had been negotiating an exit from the arrangement for more than a year after what he described as an “irretrievably broken down” relationship.

Despite the contractual dispute, Misick and Health Minister Kyle Knowles stressed that healthcare services will continue uninterrupted during the transition.

“Allow us to do our job,” Knowles appealed, assuring residents that Government is actively managing the transition and safeguarding patient care.

The Premier outlined what amounts to a broader healthcare transformation built around four connected levels of care: strengthened community-based primary healthcare; expanded polyclinic services; enhanced hospital-based secondary care with greater specialist capacity; and overseas tertiary treatment only for cases that cannot be managed locally.

Among the proposals are the long-discussed establishment of intensive care units, expanded use of currently unfinished hospital space, recruitment of more resident specialist physicians and stronger contract management to oversee future healthcare agreements.

Knowles said the new polyclinic model will broaden services available outside the hospitals, including dentistry, ophthalmology, laboratory services, diagnostic imaging, gynaecology and preventative screening, helping to reduce pressure on emergency departments while improving early intervention.

Misick also acknowledged that while the hospital system significantly improved healthcare access after opening in 2010, Government believes further reform is necessary to improve affordability, sustainability and the range of services available within the Turks and Caicos Islands.

The briefing marked the Government’s most comprehensive explanation to date of its plans beyond the InterHealth contract, signalling that officials now see the transition as an opportunity to redesign healthcare delivery rather than simply replace one operator with another.

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Government

Parnell Urges Premier to Step Aside, Proposes Bipartisan Board to Guide Healthcare Transition

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — Opposition Leader Douglas Parnell is calling on Premier Charles Washington Misick to step aside, arguing that the Government has failed to provide the leadership, transparency and public engagement needed as the Turks and Caicos Islands prepares for one of the most significant changes in its healthcare system.

Responding to Government statements following InterHealth Canada’s contract termination notice, Parnell said residents were only now learning officially that negotiations with the hospital operator had been underway for more than a year, despite several previous opportunities for Government to inform the public.

He questioned why no detailed explanation was provided during the State of the State Address, Budget Debate or recent healthcare announcements, including the opening of the new polyclinic.

Parnell argued that while the PDM supports reforming or replacing the existing hospital arrangement, the process must be transparent and centred on the public interest.

The Opposition Leader reminded residents that the PDM had challenged the InterHealth agreement while in government, pursuing arbitration and preparing further legal action over concerns about the contract before leaving office following the General Election.

To guide the next phase, Parnell proposed establishing a bipartisan Health Transition Board comprising Government and Opposition representatives to oversee the transition, monitor public accountability and manage the procurement process for any future healthcare provider.

He also outlined what the PDM believes should form the foundation of the next healthcare system, including guaranteed continuity of care, automatic employment protection for hospital workers, recruitment incentives for specialist physicians, expanded intensive care services, comprehensive mental health care, enhanced geriatric services and accelerated efforts to attract qualified Turks and Caicos Islanders in the medical profession back home.

Parnell also presented ten questions for Government covering outstanding payments, borrowing plans, legal implications, transition arrangements and the future structure of healthcare delivery.

He said the changes now unfolding require decisive leadership, openness and a carefully managed transition that places patients, healthcare workers and the long-term interests of the Turks and Caicos Islands first.

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