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Nat’l Health Insurance to cost Gov’t $38M annually – Hon. Skelton

The NHIS could be introduced in the VI early 2013. Photo: audiology.com
Hon. Skelton told this news agency that the programme will cost Government approximately $38M annually.
Hon. Skelton told this news agency that the programme will cost Government approximately $38M annually.
In this GIS photograph taken in March 2010, the then Premier Hon. Ralph O’Neal signed a NHIS agreement with Professor Karl Theodore of the UWI. The then Deputy Premier and Minister of Health and Social Development Dancia Penn acted as witnesses.
In this GIS photograph taken in March 2010, the then Premier Hon. Ralph O’Neal signed a NHIS agreement with Professor Karl Theodore of the UWI. The then Deputy Premier and Minister of Health and Social Development Dancia Penn acted as witnesses.
ROAD TOWN, Tortola, VI - The National Health Insurance System (NHIS), which will allow more residents in the Virgin Islands wider access to health care, is moving along smoothly and could be implemented within the next 12 months with Government expected to fork up some $38M on an annual basis to subsidize the scheme.

This is according to Minister for Health and Social Development, Hon. Ronnie Skelton in an interview with Virgin Islands News Online on Monday, February 20, 2012.

“You know health care is a very expensive operation and there is no country in the world that it is not subsidized, so Government will have to play its part in subsiding the scheme and depends on what scheme is taken up – full or partial – we will go to the full scheme that is somewhere like around 38 million dollars on an annual basis,” Hon. Skelton revealed.

Asked if that is a hefty sum amidst the economic difficulties, the Health Minister responded, “We are doing that now, it sounds like a lot of money but we are pumping that level of money into health care right now. So it is not something that Government can’t do, you will just have an insurance company now where the monies is funnelled through,” he added.

According to the Minister, several meetings were held with the consultants, and it is now at a stage where “some basic things need to be happening like having the personnel to operate and manage the system”.

“We have passed it on to the Social Security Board for its operation and it will be a segregated part of Social Security where the Director will create the unit inside Social Security just for the National Health Insurance,” he divulged to this news agency.

And due in part that the public has to be educated, the scheme will take about 12 months before it can be put into action, Hon. Skelton further stated, because it calls for the technology to be in place and have discussions with other insurance companies.

Meanwhile, the ball was set in motion for the scheme in March 2010 when the then Premier Ralph T. O’Neal OBE, and former Minister for Health Dancia Penn QC, had signed an agreement with the University of the West Indies to perform professional consulting services to design and support the implementation of a National Health Insurance System.

At the signing, Hon. O’Neal cited the urgent need for a national health insurance system, saying his Government was keen to see the new programme “not only on stream, but in stream in 2011.”

He had acknowledged the current difficult economic climate and said signing of the new agreement may be considered ironic, however, he maintained that the benefits of the NHIS would be significant. “Critics only make the Government more determined to do what is best for the people,” Hon. O’Neal had said, while reiterating the benefits that would be enjoyed by people in the Territory via the NHIS.

In 2005, on the request of the Government of the Virgin Islands, the University of the West Indies, Health Economic Unit (HEU) conducted a study on the Economic Feasibility of a National Health Insurance System for the Territory.

And in August 2009, Cabinet had accepted the HEU’s proposal for the completion of the design and implementation of the NHIS.

5 Responses to “Nat’l Health Insurance to cost Gov’t $38M annually – Hon. Skelton”

  • E. Leonard (22/02/2012, 08:11) Like (0) Dislike (0) Reply
    Undoubtedly, all citizens should have easy access to affordable health care. Access to basic care should not be based on income level. But as the Hon Skeleton indicate health care is expensive. And the the cost will continue to spiral upward. The project $38M cost will undergo cost creep over time. Consequently, it will have to a shared cost. And all users must do their part to keep the cost down to maintain affordability. Government contribution is $38M but what is overall estimated annual cost of the plan? Will government administer the plan or a third party will be contracted to administer the plan? Will a third party be contracted to provide oversight and quality assurance and quality control of the plan?
    • Steps (22/02/2012, 09:59) Like (0) Dislike (0) Reply
      It is a step in the right direction and this is applauded. With the amount of money Gov't pours into multi-national private insurance companies, this is certainly a welcomed change of course. Now, if only the hospital can manage itself efficiently so the public will want to use its services, only then will this 35 million become and investment to which we will get a return rather than a flat out expenditure. The key isn't how much we spend, but how much we get back. If we can make an initial investment of 35 million and then earn that same 35 million back from the Public Hospitals and Clinics after all costs, then it is good business. The key is to have better and more dynamic service that the Private Clinics give, also to bring in Medical Specialists as opposed to shipping patients overseas every chance we get.
  • Not2Sure (22/02/2012, 10:01) Like (0) Dislike (0) Reply
    I would offer a few observations: (1) Most countries which subsidise medicine find it is more expensive than they though; I would guess that $38M will turn out to be too low. (2) $38M is still a huge number, representing nearly 20% of our annual budget. Given we are running a budget deficit at the moment, where is the money going to come from? (3) This is only the public sector cost - there will also be a much larger amount which will need to be raised from the private sector. Given businesses are struggling at present, this seems likely to reduce the amount of money available to pay wages. That means either fewer hires, lower wages, redundancies, or possibly all of the above. This is something people need to think very carefully about. The Government's track record with big projects is very poor. Where is that hospital that is massively over budget and now running about 8-10 years behind schedule?
  • action (22/02/2012, 14:05) Like (0) Dislike (0) Reply
    hope it is not more talk and spin we need action!
  • out now (22/02/2012, 17:04) Like (0) Dislike (0) Reply
    hav not heard a word from Ronnie since they took away his power no Deputy no Finance me say he was hiding under a rock...


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