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PDM Leader responds to National Debate question on Healthcare

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Deandrea Hamilton

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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.

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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Bahamas News

He’s Not Dusting Off Yesterday’s Plan… He’s Trying to Rebuild Government  

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By Deandrea Hamilton | Magnetic Media

 

The Bahamas, June 26, 2026 – Just in case you thought Sebastian Bastian, The Bahamas’ first Minister of Innovation and National Development, was about to dust off Vision 2040 and carry on where others left off… think again.

In his maiden Budget Communication on Monday, June 15, Bastian unveiled what amounts to a blueprint to rebuild how the government works.

Not with another glossy vision document.

But with an execution machine.

The clearest indication came when the Minister acknowledged that while Vision 2040 was an important national achievement, it also exposed a weakness.

“So we are changing what we are building. The National Development Plan will no longer be a document we complete and set aside. It will be a living instrument — continuously reviewed, always current, resourced by full-time professionals, and grounded in real data — that shapes how this government, and every government after it, chooses its priorities. A plan is a document. What we are building is an institution.”

It is a remarkable shift in philosophy.

Instead of governments producing national plans every decade, Bastian wants professionals monitoring implementation in real time, measuring progress and ensuring administrations stay focused on delivering what they promised.

To Bastian, national development goes far beyond the roads, airports and buildings Bahamians can see. It also means creating the invisible infrastructure of government — smarter systems, better planning, reliable data, accountability and institutions that survive changes in political administrations.

His speech repeatedly returned to one central idea: government itself has become an obstacle to opportunity.

He described a Family Island entrepreneur waiting weeks or even months for approvals because government systems do not communicate with one another. He spoke of public servants trapped by outdated manual processes instead of serving people. And he highlighted an 18-year-old entering a workforce being reshaped by artificial intelligence before graduation.

As he explained:

“…our job is a practical one: to make government work better, to make The Bahamas easier to do business in, and to make sure our country and our people are ready for what comes next.”

For ordinary Bahamians, he said the objective is simple.

“…a government that is simpler, faster, and far easier to deal with… dealing with your government will get easier, year after year, by design.”

His ministry’s four pillars are ambitious: modernizing government, preparing the nation for artificial intelligence, developing Bahamian talent and driving long-term national development.

Among the initiatives announced were a National Artificial Intelligence Authority, the country’s first AI legislation, a National Digital ID, SmartGov productivity tools for public officers, connected government systems, a National AI Literacy Initiative, an independent National Planning and Development Institute and a Delivery Division dedicated to turning plans into action.

The speech stopped short in one important area.

While Minister Bastian thoroughly explained how government intends to transform itself, he did not establish the measurable targets by which Bahamians can judge whether that transformation is succeeding.

However, he did reveal the next milestone.

Beginning in August, the National Development Plan Secretariat will begin assessing the planning capacity of every ministry and department while establishing a national tracking system before the renewed development plan moves into execution.

With 23 ministries and offices in the Davis administration, Bahamians now have a timeline.

It would not be unreasonable for the public to expect Minister Bastian to return once that assessment is complete with the findings, benchmarks and measurable goals that define success.

After all, the Minister’s own philosophy leaves little room for anything less.

“Delivery does not happen by good intentions — it happens when you build the institutions to carry it: capacity for research and policy thinking; teams dedicated to implementation; structures that demand accountability; systems that measure progress; and continuity that outlives any election cycle.”

If this speech is any indication, Minister Sebastian Bastian is not asking Bahamians to judge him by promises.He is asking to be judged by performance.

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