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TCI: Opinion Piece – NHIB Spending

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#TurksandCaicos, February 3, 2018 – Providenciales – Who is the Man?  As a lawyer, I regularly read the Gazette when published on Fridays as it contains valuable information for my legal practice.  Last week I read with great interest the changes in portfolios of Ministers specifically the Minister of Finance and Premier, and the Minister of Health, Human Services and Agriculture, which are to commence on February 1st 2018.

Delio Photo Studio - Business Head Shot Photography in MiamiReader, I urge that you walk with me as we take a trip down memory lane.  Some 13 months ago, the first Female Premier and Minister of Finance was sworn in, and during her speech she said “I’m the Man for the Job”.  While we chuckled at that colorful expression coming from a woman, who should be proud to be “the woman for the job”, we understood where the Minister of Finance was coming from.  Now some 3 months ago, the Minister of Health, beat his chest proudly in the House of Assembly and said “He is the Man, the Man for health.  No one knows more about health than me.  I am the Man”.  Now, with serious eye-rolling that I find happening more and more often whilst I am sitting in the Chamber due to the various colorful exchanges and expressions coming from the Government side, I was intrigued by the Minister of Health’s extensive reminder that he is the Health Man!  This proclamation of his manliness was in response to his Amendment to the NHIB Ordinance which he said was the first step in fixing what some deem a real drain on tax-payers dollars.  The amendment largely related to the make-up of the NHIB Board.

So, imagine my confusion last week Friday when I reviewed the Gazette and noticed that the self-proclaimed Health Man, lost the biggest expenditure in Health from his portfolio, that being responsibility for the National Health Insurance Board.  For the sake of completeness, the National Health Insurance Board is the oversight body for the Treatment Aboard Program in the Ministry of Health and Human Services.  Our contributions to NHIB not only provide funding for treatment overseas but also payment to TCI Hospitals on our behalf along with our US$10.00 co-pay we’d pay when we utilize services at one of their locations.

Caicos Express Airways

So, my questions today is WHO IS THE MAN?; and why is it that the NHIB spending is well over the projected budget amount of US$23,274,067.00.  When we were in the Budget Debate last year, I specially asked the Minister of Health on three occasions was the budget of US$23,000.00 enough for the work of NHIB in covering the Treatment of Aboard Program, and ancillary costs of the NHIB.   At each stage he said yes with gusto, and assured us that new structures would be in place to ensure NHIB would operate within their budget.

So, my second question is simply this, Did the Health Man fail? Is that why the Minister of Finance has come to save the day, and replace the Health Man, with the Finance Woman-Man?

What makes me ponder these questions is the response to my parliamentary question which was submitted in September (answered this week in the HOA) to the Minister of Health as to what are the costs of the Treatment Aboard Program from July 1st 2017 to October 31st 2017.   How is it that in just the period of July 1st 2017 to October 31st 2017 some 4 months the NHIB has spent US$8,659.170.00, which is US$7,131,783.00 in medical costs, US$1,000,000.00 in airfare, and US$238,000.00 in subsistence.   At this rate the total expenditure for the 2017/2018 Financial Year would be US$21,395,349.00 in just overseas medical costs. During this period a total of 418 referrals were processed resulting in the following big ticket medical costs of: US$3.3M for 80 patients to the Bahamas, US$2.2M for 183 patients to Jamaica, US$300k for 2 patients to Canada, US$391K for 19 patients to Cayman and US$153k for 1 patient to Colombia.

To say I was flabbergasted is an understatement of the amount that was spent in 4 months by the NHIB, but nonetheless we press on.   As the Minister of Health wrapped up his answer to my question, he mumbled something about primary health care being important.   So my next question is what is the plan to curb this rapid unsustainable expenditure?

To make matters even more interesting, there is a Supplementary Budget for 2017/2018 that will be debated next week, and on review of this yesterday, I note that NHIB has requested additional funds in the sum of US$12,000,000.00 increase for this financial year which ends on March 30th 2018.  Um, that is just 8 weeks from now. US$12,000,000.00!!!! Taking the NHIB estimated budget for this Financial Year to the grand total of US$35,885.000.00!!!!   Now, that is when I noticed my heart rate began to escalate in the HOA.   Where are we going to have US$12,000,000.00 found from in the current revenue streams that we have, and further what is being cut from the Budget to make up this difference.

cairsea INSERT FIX

So in the end the forecasted outturn for this financial year 2017/2018 for NHIB expenses is US$35,885,000.00, and not US$23,000,000.00 that the Minister of Health assured the people of this Country was sufficient for their potential medical costs overseas.   While, I am here, let us also remember the Budget was debated and passed in April.   Further, the Minister of Health had ample time to prepare a practical budget, but further to that from April to October 2017, wasn’t the Minister of Health monitoring the rapid expenditure of the NHIB.   Oh wait, will they blame the former Government for this rapid expenditure to date, or let me guess Hurricanes Irma and Maria?   Remember this is the Minister of Health’s Budget, that was deemed by the Government as the People’s Budget.

My advice to the new Minister of NHIB is to be open and honest with those registered with NHIB, as this current trend is unsustainable with the 30,000 persons who are contributing to NHIB and some 39,000 users.  Where is the extra money going to come from?  We need to know and we need to know soon.  Oh, and if you’re reading this and think I got the requested figures incorrect, it is in black and white in the documents that were laid on the table yesterday, and as a Millennial, I include the screenshot for your review.

I am deeply concerned about NHIB, as there is still no Chief Financial Officer recruited, and it is bleeding funding with what seems to be no oversight, and something drastic needs to occur to severe the infected limb (pun intended).

 

Release:

Hon. Akierra Mary Deanne Missick

Member for Leeward & Long Bay Hills

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Beaches Turks and Caicos Showcases and Supports Local Creativity

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September 12, 2025                                                                                

 

PROVIDENCIALES, Turks & Caicos Islands – The Turks and Caicos Islands are home to a wealth of creativity, from artisans and craft vendors to musicians and performers. Beaches Turks and Caicos, the Caribbean’s leading all-inclusive family resort, has pledged its continued support for these individuals by providing meaningful platforms for them to share their skills and stories with guests from around the world.

The resort’s commitment is most evident in its weekly Cultural Night showcase, where visitors are immersed in the vibrant traditions of the islands. Guests enjoy live performances which feature local music genres such as ripsaw, while artisans display and sell handmade creations. This event not only enriches the guest experience but also strengthens economic opportunities for local entrepreneurs.

Entertainment Division Manager Garett Bailey emphasized the significance of Cultural Night, “we want to showcase everything the Turks and Caicos Islands culture has to offer. Our goal is for guests to leave with a deeper appreciation of the island’s art, music and traditions, while giving local talent the opportunity to share their creativity with visitors from across the globe.”

Beyond Cultural Night, Beaches Turks and Caicos also welcomes local craft vendors onto the resort every Wednesday and Friday where they are offered a direct space to market their goods. Guests have easy access to the Turks and Caicos Cultural Marketplace, where they can purchase authentic local arts and crafts.

Managing Director, James McAnally, highlighted how these initiatives reflect the resort’s broader mission, “we are committed to celebrating and sharing the vibrant culture of these islands with our guests. By showcasing local artistry and music, we not only provide entertainment but also help sustain and grow the creative industries of the Turks and Caicos Islands. From our cultural showcases to nightly live music, we are proud to create authentic connections between our guests and the people of these islands.”

Local musician Keon Hall, who frequently performs at the resort, expressed gratitude for the ongoing partnership, “being able to share my music with Beaches’ guests has created lasting relationships. Some visitors return year after year and request songs from previous performances. This partnership continues to celebrate what we do and strengthens the bond between local artists and the resort.”

The resort’s support of local artisans and entertainers extends beyond business opportunity; it is about preserving heritage and sharing stories. Guests take home more than souvenirs; they leave with experiences that deepen their understanding of Turks and Caicos’ culture and history.

Public Relations Manager, Orville Morgan, noted the importance of this commitment, “for many visitors, these interactions represent their first genuine connection to the Turks and Caicos Islands. From artisans and musicians to farmers and transport operators, our local talent helps shape every guest experience. At Beaches, we are proud to give them the stage to share their stories and their heritage.”

Beaches Turks & Caicos remains dedicated to developing cultural connections and supporting the artisans, musicians and entrepreneurs whose creativity makes the Turks and Caicos Islands unique. Each guest experience is an opportunity to celebrate and sustain the spirit of the islands.

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Caribbean News

“Barbecue” is Cooked! US Turns Over 11 Million Haitians into Potential Informants with $5 Million Bounty

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August 12, 2025

The United States just set fire to the underworld in Haiti — and this time, the smoke might finally flush out the man many call the most feared in the Caribbean.

On Tuesday, the U.S. government slapped a $5 million bounty on the head of Jimmy “Barbecue” Chérizier, the ex-police officer turned gang boss accused of orchestrating massacres, torching neighborhoods, and strangling Haiti’s capital into chaos. This isn’t just a headline — it’s a full-blown game-changer.

That kind of cash — offered under the State Department’s Transnational Organized Crime Rewards Program — is enough to turn the country’s entire population, more than 11 million people, into potential informants overnight. Add the millions in the Haitian diaspora, and Chérizier isn’t just wanted. He’s surrounded.

The Number That Changes Everything

Five million U.S. dollars today equals about 655 million Haitian Gourdes. In a country where many scrape by on less than $5 a day, that’s not just life-changing — it’s life-defining. It’s enough to rebuild homes, put generations through school, or buy a one-way ticket far from the gunfire.

In a place where trust is scarce and survival is everything, that figure is more than tempting — it’s irresistible. For Chérizier, it means every friend could be a future informant, and every loyalist might be calculating the cost of staying loyal.

‘We Will Find Them’ — Jeanine Pirro, U.S. Attorney

Jeanine “Judge Jeanine” Pirro, the U.S. Attorney, set the tone with fire in her voice.                                                                                                                                          “This indictment is the first of its kind,” she announced. “Jimmy Chérizier, also known as ‘Barbecue,’ is a notorious gang leader from Haiti who has orchestrated and committed various acts of violence against Haitians, including the 2018 La Saline attack in which approximately 71 people were killed. He both planned and participated in that massacre.

“Anyone who is giving money to ‘Barbecue’ cannot say, ‘I didn’t know.’ They will be prosecuted, and we will find them. They are supporting an individual who is committing human rights abuses, and we will not look the other way.”

Pirro wasn’t just going after Chérizier. She was sending a warning to the Haitian diaspora accused of feeding his war chest from abroad: the days of claiming ignorance are over.

‘No Safe Haven’ — Darren Cox, FBI

Then came Darren Cox, Deputy Assistant Director of the FBI, delivering the muscle of America’s most powerful investigative force.                                                                                                                                                                                                                “There is no safe haven for Chérizier and his network,” Cox declared. “We are closing every link, every cell.”                                                                                                                                                                                                                                                   Since January, he said, the FBI has arrested three Top Ten fugitives, taken more than 19,000 criminals off the streets, and seized thousands of tons of narcotics — enough to save millions of lives across the U.S.

The FBI’s Miami and Houston offices have already bagged one of Chérizier’s Viv Ansanm associates inside the United States without firing a shot. “These efforts are a deliberate and coordinated plan,” Cox said, “to protect our communities and confront escalating threats from terrorist organizations like Viv Ansanm.”

‘Three-Year Investigation’ — Ivan Arvelo, HSI

Ivan Arvelo, Assistant Director of Homeland Security Investigations, brought the receipts.                                                                                                                                                                                                                                                                    “This is the result of a three-year investigation into Chérizier’s procurement networks, cash pipelines, and operational financing that violates sanctions,” he explained.                                                                                                                                                     Arvelo described 400 structures destroyed, entire communities erased, and a gang exploiting U.S. dollars, technology, and immigration loopholes to keep its killing machine running. “We tracked how Americans unwittingly bankrolled brutality,” he said — proof that the net is tightening both inside Haiti and abroad.

‘The Worst of the Worst’ — Chris Lambert, State Department

Chris Lambert, representing the State Department’s International Affairs division, gave the political bottom line.

“Mass violence in Haiti must end,” Lambert said. “The instability resulting from Chérizier’s actions fuels illegal migration, regional instability, and transnational crime. We will continue to apply every tool available — including our rewards programs — to stop the spread of unchecked violence, especially to target the worst of the worst criminal leaders threatening the people of our hemisphere.”

Lambert confirmed what many have long known: Chérizier is not just a gang leader. He commands Viv Ansanm, officially designated in May as a Foreign Terrorist Organization. In the eyes of the U.S., that makes him not just Haiti’s problem — but everyone’s.

Why Haitians May Not Resist

In Haiti, money talks — loudly. And when you put 655 million Gourdes on the table, it shouts.

That’s the kind of figure that turns casual acquaintances into informants and makes even the most hardened loyalist wonder if the payout is worth more than the risk. It’s not a matter of “if” word gets out, it’s a matter of “who will be first to collect.”

For grieving families, it’s a chance at justice. For the desperate, it’s a chance at survival. For Haiti as a whole, it’s hope — wrapped in the most dangerous of temptations.

An Answer to Prayers

For years, Haiti’s headlines have been a scroll of horrors — kidnappings, executions, burned neighborhoods, bodies in the streets. Chérizier’s name has been attached to too many of them.

This move by the U.S. isn’t just strategy. It’s personal. It’s a signal to every Haitian — at home or abroad — that the days of impunity could be ending.

I’ll admit it: when I heard the news, I danced, I sang, and I nearly cried. Not because $5 million is a lot of money, but because of what it means — the possibility, at last, of stopping the man accused of helping turn Haiti into hell on earth.

Four officials, four angles, one mission: Pirro’s fire, Cox’s grit, Arvelo’s precision, Lambert’s conviction. Together, they’ve put the heat on “Barbecue” like never before.

BBQ is cooked. The only question now is: which one of over 11 million potential informants will serve him up?

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Africa

What If Caribbean Dollars Flowed to Africa? A Trade Revolution Within Reach

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By Deandrea Hamilton | Editor

 

What would happen if the Caribbean started spending more with Africa?

That question is no longer hypothetical. It’s the vision behind a growing movement that sees the Caribbean not just as a neighbor of the Americas, but as a key partner in the rise of a “Global Africa.” With shared history, deep cultural ties, and emerging trade frameworks, experts say the potential is enormous—if the will to act finally matches the passion of the speeches.

Billions on the Table

Today, trade between Africa and the Caribbean sits at just over US $729 million annually. But the International Trade Centre (ITC) and Afreximbank project that number could balloon to US $1.8 billion per year by 2028—more than doubling in just a few years.

This boost is expected to come not just from commodities, but increasingly from services, particularly in transport, travel, food exports, and creative industries. Two-thirds of that growth, according to analysts, could come from services alone—sectors where the Caribbean is eager to expand. (afreximbank.com).

Meanwhile, Africa’s consumer and business spending is forecasted to skyrocket to US $6.66 trillion by 2030, driven by a population boom and rising middle class.

The Case for a New Trade Axis

The Caribbean imports 80% of its food, but many of those goods can be sourced from African markets. What we offer in return? World-class logistics, tourism know-how, financial services, and proximity to the U.S. market. It’s a natural fit—one that is currently underdeveloped.

The recent call by Grenadian Prime Minister Dickon Mitchell for a “Global Africa Commission” underscores this urgency. He urged stakeholders at the Afreximbank Trade Expo to stop the cycle of empty talk and get to work: building shipping routes, finalizing trade agreements, and boosting knowledge of what each region actually has to offer.

“We will not leave here with another communiqué,” Mitchell continued. “We will leave here with a commitment to act, to build together, to trade together, to succeed together and rise together.”                                                                                                                                                                                                   The statement underscored a central theme of the summit — that both Africa and the Caribbean can no longer afford to admire the idea of unity; they must operationalize it.Pilot platforms like the Pan-African Payment and Settlement System (PAPSS) are already simplifying how cross-border payments work between African countries—and could extend to Caribbean partners. The system removes the need for U.S. dollars in trade between African nations, creating space for sovereign empowerment.

What’s the Hold-Up?

Let’s be blunt: political will, slow bureaucracies, and lack of coordination are stalling real action. Despite a decade of “Africa–Caribbean unity” talk, less than 3% of CARICOM trade currently involves the African continent. That fact continues to undermine these brave speeches and ambitious notions.

Where Caribbean Consumers Fit In

Caribbean consumers—especially the younger, tech-savvy generation—are already looking for affordable, ethical, and culturally relevant goods. African markets offer exactly that. Redirecting even a fraction of spending toward African-made clothing, beauty products, tech tools, or agro-processed foods could start a real trade revolution.

Bottom Line

If the political leaders won’t build the bridge fast enough, maybe Caribbean consumers will. The money is there. The interest is rising. Now it’s time to turn the “Global Africa” vision into a real economic shift—one shopping cart at a time.

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