“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)