MONDAY, DECEMBER 12, 2016
business@tribunemedia.net
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NHI fee slash may undermine health quality By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net A prominent physician has warned that the massive cuts in doctors’ fees proposed by the National Health Insurance (NHI) scheme could compromise healthcare quality for many Bahamians. Dr Duane Sands, the exFNM senator, told Tribune Business that the “70 per cent across-the-board” fee cuts being proposed by the Government (see other article on Page 1B) threatened to “drive patients” to less-successful doctors with inferior practice infrastructure. “Here we go again,” he told this newspaper. “We basically will have a scenario that drives the NHI patient to providers with less busy or successful practices. It may mean we are driving patients to inferior care. “It sounds as if they’re saying this is what we’re See pg b7
Sands fears ‘driving patients’ to ‘less busy’ doctors Fears better physicians will ‘shut down’ or leave’ No gouging: MAB fee structure same for decade
By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net
Successive governments were reluctant to surrender control of the Bahamas Telecommunications Company (BTC) because it was a critical source of funding and election votes, the Democratic National Alliance’s (DNA) leader has charged. See pg b8
Source of election jobs/votes, plus funding Committee ‘political ploy’; must look at Bluewater FNM ‘sat with tail between legs’ on privatise
Small businesses in ‘funding crisis’ By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net Bahamian small businesses are facing “a funding crisis”, a sector consultant has warned, with “nothing in the kitty” at both traditional public and private financing sources. Mark Turnquest, of Mark A. Turnquest Consulting, told Tribune Business that See pg b4
By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net Doctors have slammed the 70 per cent “across-the-board” fee reduction that will be imposed upon them by the proposed National Health Insurance (NHI) scheme, and warned they will not sign up for “something that will fail”. Numerous physicians, speaking on condition of
Banks ‘risk averse’, offering ‘zero’ to start-ups And ‘nothing in kitty’ at Govt support agencies BISX, Commission must get market structure right
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anonymity, told Tribune Business that the capitation fee structure unveiled by the NHI Secretariat last week would leave many struggling to cover their overhead expenses. And, in potentially forcing many practices into a loss-making position, and having to potentially downsize staff and cut other costs, they warned the Government’s proposals threatened to compromise health-
care quality for Bahamians. They accused the Government, its NHI Secretariat and consultants, the KPMG accounting firm, of adopting an “ass backwards” approach by trying to design a scheme to fit the $100 million budget. They suggested the NHI architects were trying to squeeze everything into this figure, resulting in the proposals for a huge cut in See pg b5
‘Ass backward’ calculation to fit $100m budget Would leave many struggling to meet overheads Say ‘no one’ has signed up to provide services
Sarkis ally: Govt ‘scared to show’ Baha Mar deal D’Aguilar: Govt ‘told’ it has to deal with CTFE
Bran: Political needs impeded BTC’s sale
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Doctors blast 70% NHI fee reduction
Suggests hiding ‘enormous cost’ to taxpayers
Dr Duane Sands
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Says it will try and ‘bamboozle’ on ‘huge victory’
By NEIL HARTNELL Tribune Business Editor nhartnell@tribunemedia.net
A key Sarkis Izmirlian ally has accused the Government of being “scared to show” the Baha Mar deal to the Bahamian people, suggesting it must come at “an enormous cost” to taxpayers. Dionisio D’Aguilar, a Baha Mar Board member under the original devel-
oper, told Tribune Business that there was no good reason to withhold the details now that the $3.5 billion project’s sale is a “done deal”. Questioning why the Christie administration was seemingly “afraid” to reveal details of the agreements, now that Baha Mar’s sale to Chow Tai Fook Enterprises (CTFE) was all but complete, Mr D’Aguilar See pg b6
Dionisio D’Aguilar