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Premier Lays Out Cost of Hospital Dispute

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Misick details legal losses, mounting healthcare costs and Government’s plan to move beyond the InterHealth concession

 

By Deandrea Hamilton | Editor

Speaking during the House of Assembly on Friday, July 31, Premier Washington Misick delivered what he described as a “full and frank account” of the Government’s long-running dispute with InterHealth Canada, revealing that litigation surrounding the hospital concession has already cost the Turks and Caicos Islands approximately $39.7 million and confirming that another arbitration remains before the tribunal.

“The people deserve honesty,” Misick told the House. “They deserve to understand how we arrived at this moment and what it has cost them and what this Government is doing about it.”

The Premier said he intends to table a detailed paper outlining the history of the hospital agreement, the financial figures and the legal decisions that have shaped the dispute.

“I think we owe it to the public to be transparent at all times,” he said. “At the end of the day, they are the ones who are paying for these things.”

Misick stressed that the hospitals themselves have transformed healthcare in the Turks and Caicos Islands, but argued the concession agreement underpinning them has proven financially and legally unsustainable.

“The hospitals themselves are an asset. The contract on which they operate has become unsustainable.”

Tracing the agreement back to 2008, the Premier said findings by the Commission of Inquiry highlighted the absence of a competitive tender process and identified conflicts of interest that, he argued, contributed to the structural weaknesses of the contract.

“I do not rehearse this history to apportion blame across party lines,” Misick said. “I raise it because the House and the public must understand the nature of the problem we inherited and why the structural flaws embedded in this agreement from the very beginning have proven so difficult and so costly to resolve.”

He explained that the concession created separate responsibilities for infrastructure management and clinical services, making accountability difficult to enforce, while the payment model reimbursed costs plus a guaranteed profit.

“This is not a sustainable model for any healthcare system,” he said.

The Premier also disclosed the scale of healthcare spending, stating that public healthcare cost the country $828 million between 2016 and 2025, representing 32 percent of Government expenditure and 8.1 percent of national GDP.

He then outlined the cost of the first international arbitration, saying Government was ordered to pay $18.5 million in principal and interest, $8.2 million toward the company’s legal costs, in addition to arbitration expenses and the Government’s own legal fees.

“The total cost of the territory from the first arbitration alone was approximately $39.7 million,” Misick said. “I want this House to sit with that figure for a moment. Eight percent of our annual budget consumed—not by schools, not by roads, not by housing—but by the cost of resolving a dispute with a private contractor.”

Turning to the second arbitration, the Premier said the tribunal ruled that Government must pay $9.3 million in outstanding invoices, while the substantive arbitration over maintenance, performance and Government’s counterclaims continues.

“In plain terms, the contract requires the Government to pay first and dispute later,” Misick said. He added that the ruling “does not mean the arbitration is over” and “does not mean that the Government’s position on performance has been found without merit.”

Despite the legal setbacks, the Premier maintained that Government remains committed to bringing the concession to an orderly conclusion.

“Over the coming months, we will resolve the concession. We will reclaim the hospitals and build a healthier system worthy of the trust that people place in it,” he said.

While Misick did not elaborate on what “resolving the concession” will involve, he said the objective is to replace what he described as an unsustainable arrangement with a healthcare system that is “publicly accountable, financially sound and built on a foundation that will last.”

Editor’s Note: This report is based on Premier Washington Misick’s statement to the House of Assembly on Friday, July 31, 2026. The Government has indicated that a supporting paper detailing the history, financial figures and legal decisions surrounding the hospital concession will be tabled in the House of Assembly.

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Women in Tourism Retreat Returns for Second Year with Western Air CEO Rexy Rolle as Keynote Speaker  

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Rexy Rolle, Keynote Speaker for Women in Tourism Retreat

Providenciales, Turks and Caicos Islands – November 12th, 2026: Women making their mark across the tourism industry will once again have an opportunity to connect, share experiences and celebrate their achievements as Women in Tourism Caribbean returns for its second year, featuring Bahamian aviation executive and attorney Rexy Rolle as keynote speaker.

The event, scheduled for November 12th to 15th at the Shore Club, brings together women from across the tourism sector for an occasion focused on building regional sisterhood, mentorship leadership, and the contributions women continue to make to one of the Caribbean’s most important industries.

Rolle serves as President, Chief Executive Officer and General Counsel of Western Air, the largest privately owned airline in The Bahamas. An Andros native from North Mastic Point, she has played a significant role in the airline’s growth, helping to expand its fleet and route network, develop new business opportunities and introduce services designed around the needs of its passengers.

Her keynote address will be on the topic: “Behind the Lipstick”.

“Miss Rolle’s participation as keynote speaker adds a youthful dimension to the second annual Women in Tourism event, creating an opportunity for attendees to hear from a young Caribbean woman who has helped steer a growing aviation enterprise while balancing the demands of business leadership, professional practice and community engagement. One of the aims of Women in Tourism is to inspire the next generation of to evolve the tourism industry and I know Miss Rolle will certainly provide that inspiration,” said Mrs. Stacy Cox, founder of Women in Tourism Caribbean.

Mrs. Cox started Women in Tourism Caribbean in 2019 as a digital initiative we than 14,000 followers to bring awareness to and honour women driving the tourism sector across the Caribbean from housekeeping to the C-suite. In 2025, she decided to take a step further in developing Women in Tourism as a weekend retreat.

The first year saw a wide cross-section of women from the Caribbean and diaspora flying to the Turks and Caicos Islands to celebrate each other, network and create a safe space to share their challenges, vulnerabilities and achievements.

“As women continue to shape tourism through entrepreneurship, management, aviation, hospitality, marketing and destination development, Women in Tourism Caribbean provides a space to recognise their contributions and encourage the next generation of female leaders. I am excited about our second year and even more excited to take Women in Tourism to another island in 2027,” said Mrs. Cox.

Panel discussions for Women in Tourism Caribbean 2026 will centre around the following themes: “Caribbean Isms” and “Rooted Yet Adaptable”.

Speakers include: Brittany Braithwaite (Barbados), Phoebe Pereira (Trinidad), Charmaine Gibbs (Grenada), Stacey Liburd (Anguilla), Sheba Wilson (Turks and Caicos), and Rose Anne DeFrieitas (US Virgin Islands).

Activities include a boat experience, Spa Day, school visits and an opening reception at Treasure Beach, Beaches Turks and Caicos.

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Caribbean News

CARDI announces new leadership appointments for its  Board of Governors and Board of Directors

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12 November, 2026 | St Augustine, Trinidad and Tobago. The Caribbean Agricultural Research and Development Institute (CARDI) has officially announced the leadership appointments of the Honourable Floyd Green, MP, Minister of Agriculture and Fisheries, Jamaica, as Chairman of the CARDI Board of Governors (BOG), and Professor Leonard O’Garro as Chairman of the CARDI Board of Directors (BOD), for the period October 2026 to September 2029.

Minister Green brings extensive administrative and agricultural sector policy expertise to the Board of Governors. His leadership will guide CARDI’s strategic policy alignment, focusing heavily on regional value chains, import displacement initiatives, and strengthening agricultural standards across CARICOM Member States to support longterm food security.

Supporting this strategic mandate, Professor O’Garro, a national of St Vincent and the Grenadines, assumes leadership of the Institute’s Board of Directors with a distinguished background in biotechnology, biosafety, plant pathology and agricultural research. His technical guidance will direct the Institute’s scientific programming, ensuring that practical, science-driven innovations effectively address climate resilience and production challenges throughout the Caribbean.

Executive Director Ansari Hosein, in welcoming both leaders, noted that their combined vision, scientific acumen and regional and international experiences will be instrumental in further strengthening the leadership and governance of the Institute. He also thanked former Chairman, BOG, the Honourable Lennox Andrews, Minister for Economic Development, Planning, Agriculture and Lands, Forestry, Blue Economy, Marine Resources and Cooperatives, Grenada, and former Chairman, BOD, Mr Ignatius Jean, for their dedication and outstanding stewardship over the years.

The Institute remains committed to delivering high-impact, tangible agricultural research and development solutions that enhance regional productivity, food and nutrition security, and sustainable development for its Member States.

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Health

Islanders Benefit from Free Dental Care Through Sandals Foundation, Great Shape, and TCI Gov’t Partnership

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PROVIDENCIALES, Turks and Caicos Islands – Approximately 1,400 residents of the Turks and Caicos Islands (TCI) benefited from comprehensive, state-of-the-art dental care through a recently concluded 1000 Smiles dental clinic, initiative spearheaded by Great Shape! Inc. in partnership with the Sandals Foundation, Beaches Turks & Caicos and the Ministry of Health and Human Services.

Hosted at the Church of God of Prophecy in Five Cays, Providenciales, the initiative provided a wide range of essential dental services at no cost to beneficiaries. These included dental examinations, professional cleanings, fillings, extractions, X-rays, sealants and other necessary treatments, helping to address oral health needs while improving access to quality dental care within the local community.

Now in its fifth year in the Turks and Caicos Islands, the programme continues to demonstrate the value of sustained public-private partnerships in expanding access to essential healthcare. The growing reach of the initiative reflects residents’ continued support and confidence in the philanthropic commitment of the Sandals Foundation, the charitable arm of Sandals Resorts International, its partnership with the Government of the Turks and Caicos Islands and Great Shape! Inc.

A team of 77 dental professionals participated in this year’s clinic, delivering services with efficiency, professionalism and a shared commitment to improving the oral health and wellbeing of residents.

Beyond the provision of direct dental treatment, the initiative also placed significant emphasis on preventive care and education, recognising the importance of establishing good oral hygiene practices from an early age.

Through Great Shape! Inc.’s dental education programme, teams visited schools across the Turks and Caicos Islands, reaching a total of 4,320 students with practical information and guidance on maintaining good oral health. Participating institutions included Thelma Lightbourne Primary School, BEST Institute, Community Christian School, Ashley Learning Centre, Preparing Little Minds, Richmond Hill Preparatory School, Ianthe Pratt Primary School, Maranatha Academy, Elite School, Holy Family School, Oseta Jolly Primary School, Enid Capron Primary School, Provo Christian Academy, Shining Stars Preparatory School and Mills Institute.

During school visits, students and teachers participated in interactive educational sessions that highlighted the importance of proper brushing techniques, flossing and consistent oral hygiene practices. The sessions were designed to build awareness, encourage healthy habits and reinforce the importance of preventive dental care.

Deryk Meany, General Manager of Beaches Turks and Caicos, was elated to see the turnout of families, noting that increasing access to healthcare services is a key component of the philanthropic organization’s work in improving the lives of the region’s people.

“We are beyond pleased to see the expansion of the 1000 Smiles dental programme in Turks and Caicos Islands. Healthy people make healthy communities and as an organization committed to nation building, we are fully committed to doing what we can to invest in the long- term development of the region’s health sector and services,” Mr. Meany stated.

The continued implementation of the 1000 Smiles dental clinic initiative has been strengthened through a Memorandum of Understanding with the Government of the Turks and Caicos Islands in collaboration with the Sandals Foundation, to facilitate the provision of free dental care to residents during the month of October.

The programme underscores the importance of collaborative partnerships in addressing community healthcare needs, particularly in areas where access to affordable dental services may be a challenge. By combining clinical services with educational outreach, the initiative delivers both immediate assistance and longer-term benefits through increased awareness and prevention.

Great Shape! Inc.’s 1000 Smiles project has established a significant regional presence, providing free dental services to thousands of beneficiaries across Jamaica, Saint Lucia, Grenada, the Turks and Caicos Islands, Antigua, Barbados and The Bahamas.

Through initiatives such as 1000 Smiles, the Sandals Foundation and its partners continue to demonstrate a commitment to strengthening communities, supporting healthier futures and making a meaningful difference in the lives of Caribbean people.

Photo captions: All photographs were taken at the clinic site except the dental group at Beaches.

(Members of the Great Shape dental team attending to patients at the recent dental clinic staged in the Turks and Caicos Islands.)

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