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Parents peeved about $25 hospital fee for infants & young children

-BVIHSA Chairman blames old legislation & government for not being able to give quality health services
Admin Complex - The Government has been subsidizing the BVIHSA between $21 - $23 million annually which is way short of what is actually required. Photo: VINO/File
The BVIHSA is under serious financial strain in terms of dealing with healthcare from salaries to medications in pharmacy to specimens in the laboratory because of a 1927 legislation. Photo: VINO/File
The BVIHSA is under serious financial strain in terms of dealing with healthcare from salaries to medications in pharmacy to specimens in the laboratory because of a 1927 legislation. Photo: VINO/File
BVIHSA Chairman John I. Cline said that it is necessary that fees be charged in order to improve healthcare delivery. Photo: VINO/File
BVIHSA Chairman John I. Cline said that it is necessary that fees be charged in order to improve healthcare delivery. Photo: VINO/File
The children taken for various services were under the age of 4 years old and according to the women they were shocked when they were told they had to pay a fee of $25 per child. Photo: nydailynews
The children taken for various services were under the age of 4 years old and according to the women they were shocked when they were told they had to pay a fee of $25 per child. Photo: nydailynews
ROAD TOWN, Tortola, VI – A number of mothers expressed shock some two weeks ago when they took their children to the Peebles Hospital and were told that a fee for services is compulsory.

The children taken for various services were under the age of 4 years old and according to the women they were shocked when they were told they had to pay a fee of $25 per child.

“When they told me I had to pay $25 for my child I had to ask them if they crazy, all the years I have been bringing my babies to this hospital and was never one day made to pay no $25 and all the women started bawling too because that was so new to us and they never gave us any notice before, just dropped it like that on us.” said a mother four.

Another mother of eight children also verified what the others had said. She claimed that it seemed that a new policy was put in place. “All my children had from their immunization to other medical care right here and never one dollar we had to pay, so how come all of a sudden, something is not adding up.”

“If they are claiming that this is a system that has always been in place, let them bring receipts and other documents to show me because something is definitely not right here,” claimed an obviously disturbed mother.

Contacted on the subject, Chairman of the BVI Health Services Authority, Mr John I. Cline said that it is a matter of law that children who are in school do not pay for medical services as they have been classified as exempt. However, he noted that for children 0- 4 years a fee is required.

“… often times people would complain that they would have been charged …. We only charge for new born and infants because according to the legislation it is exempt for school children,” stated  Bishop Cline.

He made it clear while speaking with Virgin Islands News Online in an exclusive interview on Friday December 20, 2013 that charging infants and newborns has been the practice of the BVIHSA.

Chairman Cline noted that the fact is, the BVIHSA have found themselves at a critical juncture, a matter of much concern to him. “… we are not able to charge more than 70% of the people we serve…”

He explained that this has put the government in a position where it has to be subsidizing healthcare in the VI. “They give us between $21 and $23 million dollars annually when truly we need about $30 million to run healthcare.”

This he said puts the BVIHSA under serious financial strain in terms of dealing with healthcare from salaries to medications in pharmacy to specimens in the laboratory. “We find ourselves in situations where we are being cut off by these trials. The other thing to that is the fee structure for healthcare services,” Chairman Cline noted.

The fee structure of the VI has not been upgraded since 1927 according to the BVIHSA Chairman. “In 1927 when the legislation was put in place and the fees were written, for instance $25 per night for a semi-private room, it has not changed,” he noted.

He added that this has been hit with the current cost for hiring doctors while noting that general healthcare provisions have all increased since.  “We have not been allowed by any government to increase the fees and what we need to let the public know if it’s not for fees for one, the government cannot afford it, two, the public can’t afford not to have good healthcare,” contended Mr Cline.

He said that not being able to charge fees for the greater part and the government not being in a position to effectively subsidize the healthcare sector simply meant that the BVIHSA cannot deliver the quality service as is required.

81 Responses to “Parents peeved about $25 hospital fee for infants & young children”

  • ooooo (23/12/2013, 08:10) Like (5) Dislike (8) Reply

    s...n is going to extract blood out of stones to pay for his mistakes for that humongous hospital

    • Release (23/12/2013, 11:01) Like (2) Dislike (3) Reply
      The problem with obtaining decent project management within government organizations tends to be the bidding process
    • grace (23/12/2013, 14:11) Like (21) Dislike (3) Reply
      If the Government does not charge for clinic and hospital fees, how are they supposed to survive? $25 is not a lot of money and I am retired living on a pension and social security so I know money is tight. I also know that these people have been living on the government TIT for so long that they don't want to be weaned. Now when the National Health Coverage takes affect for the good of us all, watch them cry about having to pay that too. This is not a welfare state and people need to know they MUST pay their bills in order for government to thrive.
      • Jenny (23/12/2013, 19:19) Like (23) Dislike (1) Reply
        The same ones crying about they don't have $25, I see them every week in the beauty parlor getting their hair and nails done, and we all know what that cost. They need to shut their mouths, take that beauty parlor money and pay their bills. I can't do that not even every month. Sick of them.
      • Sherry (23/12/2013, 23:20) Like (11) Dislike (1) Reply
        everyone in the states has to pay the co-pay which is between $25-50 on their plans. sure beats the full cost of hundreds or thousands of dollars.
    • GoonSquad (24/12/2013, 00:58) Like (14) Dislike (2) Reply
      Shut Up 00000!! These people want everything free..half of them born the , children in STT and PR. Why they dont take them over there to the hospital..they would see how much they have to pay,,,argue bout $25.00 for our own chid health.....struppss
  • asura (23/12/2013, 08:15) Like (20) Dislike (31) Reply
    The ndp has now turn on babies gosh ndp must go
    • thank you (23/12/2013, 09:24) Like (3) Dislike (9) Reply

      thanks vino for bringing this to us atleast the c....man confess the NDP is a waste

    • Nicky (23/12/2013, 22:49) Like (1) Dislike (3) Reply
      They turn on civil servants the police the media and vip supporters now little babies ting to talk
      • Stop the nonsense (24/12/2013, 11:05) Like (9) Dislike (1) Reply
        You people sound really silly. you can turn everything into a vip/ndp story. This is about goods and services. Your child sick, and you want to see a dr. but want it for free. You need touch up, but go to the hair dresser, but you pull out over $100+ for touch up, colour, cut, and weave. $25 dollars a visit, is nothing, you people need to stop making the BVI look so small, and small minded. Child care is one of the most expensive in the world, as children always get sick. Then you complain, they have no good drs I guess the drs, should work for free too.
  • Eh? (23/12/2013, 08:27) Like (80) Dislike (4) Reply
    So you want top class care, local doctors highly paid, but you don't want to pay? $25??????? I know there are people that have life hard and I'm sure Social Development/Government handles that accordingly. A regular working person should be able to cough up $25.00 for care. How much do they think they would pay anywhere else in the world, or at any private institution in BVI? These people are sickening. Our Governments of the past have created a huge monster on the back of the country and that's the people who think everything should be free. How can HSA pay for equipment and pay proper staff if they can't make the money? If I was NDP I would raise income tax to 20% and give them all the 'freebs' they want after that. Let's see what they would say then! We pay the lowest fees on anything in the entire Region, lowest income tax, lowest land tax, no sales tax or VAT, lowest import duties etc. yet we still complain. No civil servants laid off, no salary cut backs, Government funding everything under the sun and they cry about $25.
    • bb (23/12/2013, 09:53) Like (27) Dislike (2) Reply
      i agree with you, i dont see nothing wrong with paying a $25 fee, let them go by eureka and the others and see how much they have to pay.
      • P*ss (23/12/2013, 22:01) Like (2) Dislike (8) Reply
        I do believe you are missing the moral of the story. Nothing is wrong with charging a fee, but the public need to be aware of any fee increase. This is especially true if the service was free for more than 40 years.
        • $25 (24/12/2013, 12:21) Like (2) Dislike (1) Reply
          $235 fee has been in effect for a couple of months now, where you all been? No surprise here.
    • Thank you very much (23/12/2013, 10:52) Like (2) Dislike (1) Reply
      Well said!
  • Gomes (23/12/2013, 08:35) Like (24) Dislike (0) Reply
    Everything cannot be free.
    • polo (23/12/2013, 11:17) Like (1) Dislike (17) Reply
      Not so! baby paying is healthcare fraud
      • Mel (23/12/2013, 18:34) Like (13) Dislike (0) Reply
        So when you take your baby to the doctor, it is supposed to be free? There are hundreds of babies here, and all supposed to be free? Who gonna pay the Doctors, Receptionist, Nurse etc. Haul your lazy cheap behind out of here.
    • ricky madeoff (23/12/2013, 14:17) Like (2) Dislike (0) Reply
      Education free !!!!! and common sense ain't to common! ting to talk
  • mother hen (23/12/2013, 08:45) Like (4) Dislike (16) Reply
    Soon we will have to pay for saying the words NDP must go!!!
  • pls (23/12/2013, 08:47) Like (4) Dislike (2) Reply
    this is sooo backward Cline stated kids in school doesn't pay so why December 2012 and April 2013 my insurance was charged $25.00 for my 7 year old to see the doctor......Yes I did not have any co pay to pay but i was given a receipt of a $25.00 charge to my insurance............So why was my insurance charged if school kids are exempted. Is it because i have insurance? I called the insurance company and query about it and they themselves indicated that i am not the only one calling and quering many of the clients are as well and at the time they were gonna look into it. I never got a chance to follow up but now reading Mr. Cline's statement about exemption on school kids I now want to know why my insurance was charged.
  • mercy (23/12/2013, 08:54) Like (15) Dislike (1) Reply
    do not study them wehen them run to puertorico them paying way more money and they do not complain
    • @mercy (23/12/2013, 09:33) Like (8) Dislike (7) Reply
      When we go to PR we KNOW we have to pay. When we go to private doctors we KNOW we have to pay. Paying isn't the problem - its not KNOWING
  • Grandma (23/12/2013, 08:58) Like (42) Dislike (0) Reply
    What the hell is wrong with these people? The woman who said that all the years that she had been taking her children to the hospital, she never had to pay a dollar. OMG, and she wants that to continue forever. How is the hospital going to provide quality health care if every body want free services? I took my grandson to St. Thomas to the doctor, and the doctor visit, and prescription cost me $367.00. These people want everything on the backs of other people who pay their way. I am really sick and tired of these people who think that they can go through life riding for free. Shame on you people who want to suck the country dry. I see people here who can afford to pay, and they want government to pay for their children education, they want free hospital care. Who they expect to pay for their selfishness? These damn parasites need to try living in another country, and see how well they will get by. Twenty five ($25) is such a small price to pay for a doctor's visit. People wise up, you are killing your country.
  • handouts (23/12/2013, 08:58) Like (8) Dislike (2) Reply
    Deeds people aint want to pay for anything in tis place
  • ricky madeoff (23/12/2013, 09:11) Like (0) Dislike (6) Reply
    this is a sin
  • Announcement (23/12/2013, 09:14) Like (13) Dislike (6) Reply
    I am not against paying for anything. However, in this case, since non-payment for babies and infants have been an eternity practice, the public should have been well informed of the change. The announcement should have been made by the Minister of Health and not JC. We elected the Minister and not the HSA official (with all due respect). People should have been informed so they don't show up at the hospital unprepared.
    • ........ (23/12/2013, 10:03) Like (13) Dislike (4) Reply
      It doesn't take preparation to come up with $25.
      • Communicate (23/12/2013, 11:24) Like (6) Dislike (4) Reply
        not everyone can afford $25.00... but communication is the key.
        • ........ (23/12/2013, 13:07) Like (27) Dislike (3) Reply
          If someone cannot afford $25, they should not be having kids then.
          • virgin gorda (23/12/2013, 15:27) Like (1) Dislike (18) Reply
            I find it very disturbing that our own government would ask mothers to bay for infants
          • duck (27/12/2013, 20:00) Like (0) Dislike (0) Reply
            Me nuh understand the reasoning either. But then, im no economist here. But i dont think it take an economist to figure that out when similar senario is being played out in our household. Except we are not getting an increase on our salaries, and some of us borrow more than try to earn more through a second job or something.
  • .... (23/12/2013, 09:38) Like (21) Dislike (0) Reply
    These people complaining for a $25 fee for HEALTH CARE for their children. My god, it doesn't get anymore ridiculous than this. The mentality of people in this place......It needs to be higher if you ask me. I've taken my children there before and I was surprised that I didn't have to pay anything. Doctors and Nurses have to be paid.
    • Hmm (23/12/2013, 15:22) Like (0) Dislike (8) Reply
      We are not complaining about the fee. We are complaining about not knowing bout the fee. Them need to put these thing out so people will know and not go there like fools with no money. The clinic is the same thing every time u go there the price rise and I feel if h rising price we the people should know not going there with one set of money and then when u done the tell u it gone up. No notice nothing go inform u bout the changes.
  • OxKaufman (23/12/2013, 09:42) Like (4) Dislike (3) Reply
    You think this is bad? Try out a little Obamacare!

    It starts the same in every country... The progressives want to help all the poor in the society and achieve their goal by shooting everyone in the foot!
  • Real (23/12/2013, 09:44) Like (11) Dislike (0) Reply
    You getting it free all the time and now making noise to pay $25.00 for service. What is wrong with people, I know things are hard but come on man the government can't flip the bill for everything.
    • tru (23/12/2013, 10:07) Like (8) Dislike (0) Reply
      everything they want free....$25.00 is cheap compare to the prices they pay when they go private.
    • ----------------- (23/12/2013, 11:11) Like (0) Dislike (0) Reply
      This is the tip of the iceberg.

  • SUE TIME (23/12/2013, 09:54) Like (1) Dislike (6) Reply
    Listen people read what the law say about paying and if they is charging in truth for the young persons just pay the $ 25.00 then it is a easy money money for you all to get SUE SUE SUE the hospital they can not do diffrent to what the law say. they can't charge for the children i check the law and you all check it for your self
  • WiseUP (23/12/2013, 09:57) Like (2) Dislike (3) Reply
    If one considers the cost of proper health care, then $25 per child is not sufficient for the entire island health care. We're not just talking about children only but what about free health costs for senior citizens to cover as well. I agree, there's nothing wrong with allowing people to be prepared and an announcement giving one time to save (particularly if they have more than one child). I noted a mother had eight children, can you imagine the cost? Come on the Health Department you could do better than that!
  • bvi (23/12/2013, 10:27) Like (27) Dislike (0) Reply
    Who send you all to get all these children if you cant afford them? Where are the fathers? These same parents who complaining are the same ones that would buy their child an $800 phone, or other expensive items that they do not need, but think it hard to pay $25 for their child's care. shame on all of you
  • she the cat mother (23/12/2013, 11:26) Like (1) Dislike (9) Reply
    Can we do better? Yes. And we should! let the babies go free
  • Eagle (23/12/2013, 12:05) Like (2) Dislike (9) Reply
    Even the kids are being whipped under NDP. Have mercy on the kids.
  • one eye roster (23/12/2013, 12:18) Like (1) Dislike (2) Reply
    This is a fundamental reason for government incompetence: the absence of a reliable, consistent feedback mechanism.
  • P (23/12/2013, 12:24) Like (32) Dislike (0) Reply
    @ she the cat mother: Why should the health care do better than that? Why don't the so called mothers do better than that? I am a woman and a mother and before we go and spread our legs for every waste of time Tom, Dick and Harry who already have six children with six different baby mama none of which he is caring for, think before you add another to his litter plus the two or three you already have for which you have not support and then expect the Government to pay for you and your victims of circumstances.

    I am so sick of all these people who think it is the Government responsibility to care for them and their mistakes.
  • Choices (23/12/2013, 12:32) Like (5) Dislike (1) Reply
    There are few things in life I believe shouldn't be costly healthcare, food and shelter. people we can't be a welfare state either each man need to carry his share of the load. I have 2 kids and would have like more but decided not to because it would difficult to give them type of life they deserve.
  • parent (23/12/2013, 13:44) Like (1) Dislike (3) Reply
    I thought 3 to 4 is preshool is that not a school ?

    As said Mr John I. Cline said that it is a matter of law that children who are in school do not pay for medical services as they have been classified as exempt. However, he noted that for children 0- 4 years a fee is required.
  • NPolitico (23/12/2013, 14:11) Like (3) Dislike (0) Reply
    The BVI must provide quality, accessible and affordable healthcare. However, the cost of meeting and delivering the services have to be shared by both government and customers. For too long, we have depended on government to provide healthcare at low to no cost to customers. This approach to delivering services can only deliver basic services; in the healthcare business this is viewed as the bronze plan.

    If a higher level of service such as the gold or platinum plans are needed, there must be cost sharing between government and customers. Except for the aged, disabled or indigent healthcare
    should not be free. Cost to the maximum extent practical should be fair and reasonable and be assessed based on ability to pay.

    In any event, the BVISA should have communicated with customers about impending intent to collect fees for services provided. Instead, it was sprung up upon customers. This was a poor business practice and poor communication. In regards to the fee structure, it needs to be revised.
  • !!!!!!! (23/12/2013, 15:08) Like (1) Dislike (0) Reply
    free does not mean "better" on so many different levels
  • vvvvv (23/12/2013, 15:25) Like (1) Dislike (4) Reply
    Have we lost our minds? babies must pay?
    • Parents should pay (24/12/2013, 13:43) Like (3) Dislike (0) Reply
      Not babies, but the parents. Yes, if your dog sick you think the vet is free? much less your children. Stop the madness. You want to see a doctor, you should pay.
  • HMV (23/12/2013, 15:58) Like (12) Dislike (0) Reply

    These women complaining about $25? them got to be kidding. i know when they go to euricka them have to pay $90 upfront just to consult with a doctor, and its even more when they travell to st thomas,puerto rico or the states. People in this country want everything free especially them island people.

  • ooooo (23/12/2013, 16:34) Like (1) Dislike (11) Reply
    NDP robbing the cradle now?
  • Classic (23/12/2013, 19:19) Like (10) Dislike (0) Reply
    They complaining about paying $25 for something that is needed but I am a betting man, I will bet that they have a $500 plus cellphone thou.
  • Only 25 (23/12/2013, 19:42) Like (1) Dislike (1) Reply
    I got told by the hospital it was 45 to see the doctor at the clinic in the hospital. My son is 18 months and I haven't had to pay anything so far.
  • big bird (23/12/2013, 23:26) Like (1) Dislike (8) Reply
    Thoes criminals will rather see 0-4 year old die over $25!!!!
  • Chuh (24/12/2013, 00:05) Like (11) Dislike (1) Reply
    NOTICE TO COMPLAINERS
    BVI is not you welfare state. You want free school, free health care, free scholarship, free roads, freebies from government, free land, free house, free tent shop, free no rent car trunk restaurant, free crime spree. What is 25.00 when you getting the world of benefits from BVI.
    Just shut up or ship out mon nuh.
  • chad (24/12/2013, 07:28) Like (9) Dislike (0) Reply
    Read all the blogs. People living in the BVI dont want to pay for anything it seems. In america PR or STT either u pay the copay for insurance or pay a huge deposit if not all up front. $25 min for health care is nothing. If you dont want to pay, live in a bubble and never get sick. Next time you all call someone's husband or man for a top up ask for hospital fee. Pay your hospital bill.
  • gram (24/12/2013, 12:18) Like (4) Dislike (1) Reply
    I am elderly and I pay my share happily. Happy to have some good doctors here. You should go to other countries where they have no money, no health care, no food or Government, then you all would shut your mouths. These some of the same ones running to St Thomas, St Martin and PR to shop and come back bragging about how much they saved. Well, save $25 for your children and leave that perfume in the store.
  • Breezy (24/12/2013, 12:38) Like (0) Dislike (0) Reply
    Eureeka! I have to pay what? $25? You got to be crazy!
  • Serpico (24/12/2013, 13:31) Like (1) Dislike (0) Reply
    Seems like eveyone wants everything for free in the darv virgin islands. children get free medical once they become school age, what these people want. maybe som birth control pills will do the trick. Or implement the Chinese tactic on one or two chldren per family, because its only in communist countries health service and all education is free to everyone.
  • paga (24/12/2013, 18:07) Like (2) Dislike (0) Reply
    People take their kids to the hospital/emergency rooms/clinics/dentist for every blooming things. Lets not talk about the adults who are working (not elderly) goes there to do cheaper costing lab works and so on. The only time the hospital see me and my child if we are passing that area or visiting someone. I am not rich, i make okay money, drives a 2nd hand, but I have my priority in check. My child is sick and its beyond my scope, I head to the doc and sacrifice that money i just spent (cook more often, carry ramen noddles/cup a noodles, cornbeef, crakers, etc) This is the problem we have today, ppl in the past + present abuse the system and now everyone have to pay.

    I heard people talk about how many hours they/their kids were in the hospital waiting to be seen by a doc. My reply always, why you didnt go eureka or b and f. Your would have been in and out in 20-30mins or less! Wait over hours for free service or pay $30-60 and get thru in less than a hour with medications. I WILL PAY, i wouldn't want my child or me be uncomfortable (in pain) waiting for free service.

    These are the same people who have fancy gadgets, gears and latest fashion. enough is enough !!
  • Outsider (24/12/2013, 20:49) Like (0) Dislike (2) Reply
    the BVI needs leaders to lead them into civilization.
  • FRANK (25/12/2013, 12:55) Like (1) Dislike (0) Reply
    @ Outdsider..If we are not civilized what are we? When did this go from hospital care to being uncivilized? Only a UNCIVILIZED person would make this asinine statement.
  • bbc (25/12/2013, 16:20) Like (2) Dislike (0) Reply
    Wow, these parents are a bunch of whiners considering that they have had thousands of dollars for years thrown in their lazy laps.
  • nye (26/12/2013, 15:15) Like (0) Dislike (3) Reply
    You have to get a government that care about our people and truly love people
  • Priorities (27/12/2013, 07:51) Like (2) Dislike (0) Reply
    I think the $25.00 fee is reasonable. Where is the government suppose to find money to pay for medications, doctors, and all the other expenses if people don't pay a fee. I totally agree with all the comments that mention mothers finding money for nails and hair and not sacrificing for their child. Get your priorities in order!!
  • cnb (27/12/2013, 13:11) Like (0) Dislike (2) Reply
    This is called "rewarding the agressor," and "punishing the victim," heartless and despicable policy that has so consistently guided the NDP goverment for decades.
  • pass (27/12/2013, 19:21) Like (0) Dislike (1) Reply
    It is clear that it is their-NDP intention that there be 2 BVI. The very rich and the very poor. The middle class will be a thing of the past.
  • tree (29/12/2013, 13:07) Like (0) Dislike (2) Reply
    Only a barbaric society can continue with a polcy to have mothers pay for babies
    • to tree (29/12/2013, 15:20) Like (0) Dislike (0) Reply
      does society have any choice about who and how many babies to have? are some mothers better than others? take care of theirs better? make sure they are healthy? that is not society - that is responsibility of the parent. Hospitals are back up and emergency- parents are preventative. nothing barbaric about it. pay your fair share so those without children don't have to foot the bill for poor parents everywhere.


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