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WEDNESDAY, AUGUST 1, 2018
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PMH fee rises loom on $50m funding gap By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net
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EALTH officials will meet today to decide on the implementation of up to 500 fees at the Princess Margaret Hospital (PMH) as they seek to narrow a $50m funding shortfall. Dr Duane Sands, minister of health, yesterday told Tribune Business that the Public Hospitals Authority (PHA) and other healthcare system elements are faced with “making some difficult decisions” that might result in “certain programmes and services” being stopped or cut back. He suggested this might include in reduced hours and/or closures at some public sector clinics, as the Government’s fiscal crisis means it no longer has “an
* Officials meet today over 500 proposed charges * Minister warns on service, clinic ‘tough decisions’ * ‘Anomalies’ where 87% of PHA users don’t pay infinite source of funds” to underwrite a system where 87 percent of PHA patients pay nothing for the care they receive. Reiterating that the days of a “free lunch” were over when it came to healthcare, especially for Bahamians who can afford to pay or have medical insurance, Dr Sands said he was targeting “anomalies” that had allowed such persons a ride at the taxpayer’s expense. He cited the “exemption” that currently allows civil servants to enjoy free healthcare from the PHA, even though the Government pays $75m annually for them to have medical insurance, as one such “anomaly”.
The Minister also pledged to “aggressively go after” potential revenue sources such as Road Traffic Act accident claims and compensation paid to workers injured on-the-job, pointing to the vast pricing gulf between the private and public healthcare sectors. While a bed in Doctors Hospital’s intensive care unit (ICU) cost $2,000-plus per night, a similarly staffed and equipped bed in the same unit at PMH “bills for no more than $200 a night”. Dr Sands said the difference, with private sector prices ten times’ higher than its public sector counterpart, “makes absolutely no sense”.
Estimating that introduction of the proposed 500 PMH fees could occur six weeks after a final decision is made, the Minister of Health told Tribune Business: “We now need to take that from concept, given the budget and the anticipated deficit. “We’re meeting on Wednesday afternoon [today] at 2pm; the managing director of the PHA, and the various hospital administrators and financing folks, to conclude these discussions.” Dr Sands said a combination of “revenue enhancement” measures and spending cuts were being eyed to narrow the PHA’s now-typical
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Ex-minister: Govt must be GB tourism’s ‘driving force’ MINISTER of Health Dr Duane Sands. financing shortfall in the Government’s budget, which appears to be increasing on an annual basis. “We may have to stop certain programmes or certain services, but increase fees and charges to eliminate the shortfall,” he warned. “Based on the budget requests versus what was allocated, it could be as much as $50m. “The challenge is we’ve got to make some serious decisions about maintenance, infrastructure, quality of services, nursing retention and other things kicked down the road repeatedly. We can’t do that any more. We have to make some difficult decisions. “We have to look at the public health arena, the public clinics. While they
THE CENTRAL Bank could have headed-off its $2bn bank liquidity concerns had it advised the Government against heavy foreign currency borrowing, an ex-governor argued yesterday. James Smith, also a former finance minister, told Tribune Business that it “didn’t make any sense” for the Minnis administration to use proceeds from last year’s $750m US dollar bond issue to pay off
* Ex-governor: Should have advised govt different * Regulator notes ‘unsustainable’ credit concern * Savers, pension funds hurt by depressed rates
JAMES SMITH
Landfill manager wait ‘disturbing’ By NATARIO MCKENZIE
Tribune Business Reporter
nmckenzie@tribunemedia.net A BAHAMIAN environmental activist yesterday branded the lack of transparency surrounding the selection of a new manager for the New Providence landfill as “very disturbing”. Sam Duncombe, reEarth’s president, spoke out yesterday following the passage of more than one month since Romauld Ferreira, minister of the environment and housing,
told the media that a private sector manager had been selected but did not name it. “It’s extremely important in terms of dealing with the health of the people who live in the vicinity,” Mrs Duncombe said of resolving the landfill’s ongoing woes. “There’s also the broader community of New Providence that also feels the effects of the smoke. You have everything under the sun burning at that
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Freeport ‘game changer’ must assess all options By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net THE Grand Bahama Chamber of Commerce’s president yesterday said “any option is worth considering” to re-open the Grand Lucayan given its status as Freeport’s “game changer”. Mick Holding acknowledged that with hundreds of jobs and businesses dependent on the property, the Government might have to acquire it “as a last resort”. But he warned against “a quick fix that becomes a failure” on the
basis this would do nothing to improve the island’s economy. Speaking as the prime minister’s press secretary confirmed that the Wynn Group’s $70m bid to acquire the Grand Lucayan had been rejected by the Government as “unacceptable”, Mr Holding said it was unclear how much longer tourism-reliant businesses can survive as the hotel enters its 22nd month of closure. “All I would say at this stage is that the island
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short-term Bahamian dollar debt. He argued that this had merely worsened the already-huge build-up in surplus commercial bank assets, resulting from the industry’s reluctance to lend and inability to find qualified borrowers, thereby contributing to a growing risk that the Central Bank is now sounding alarm over.
“Excess liquid assets” in the banking system stood at $1.987bn at end-June 2018, sparking the regulator’s warning that this could fuel an “unsustainable acceleration” in credit issued to Bahamian consumers and businesses unless properly managed. The Central Bank, in its June report on economic developments, said such a
By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net
surge in borrowing would immediately deplete The Bahamas’ foreign currency reserves unless outflows were matched by improved earnings from tourism and other hard currency sectors. “The Central Bank is also cognisant that the high level of liquidity in the banking system could fuel unsustainable acceleration in private sector credit over the mediumterm, or for external portfolio investments, with negative implications for external reserve balances in
AN EX-tourism minister yesterday urged the government to become “the driving force for Grand Bahama’s resurgence”, agreeing that this cannot be left to the private sector. Obie Wilchcombe, pictured, called on the Minnis administration to seize “a great opportunity” to restructure the island’s tourism product and differentiate it from Nassau, arguing that any Grand Lucayan purchase should be viewed as “the beginning of anew” rather than a last resort option. The former West End MP said there were “too many properties sitting idle” for the Government not to intervene, pointing to the Royal Oasis’s near 14-year closure and the Xanadu’s search for a buyer as further reasons for its involvement. Mr Wilchcombe warned against depending on the private sector to lead any Grand Bahama tourism revival, conceding that the former Christie administration - of which he was part - had suffered for doing so. He added that it endured an endless wait for investors to make things happen, only for potential deals to “die”. His call came as the prime minister’s press secretary, Anthony Newbold,
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Central Bank missed $2bn liquidity head-off By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net
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