Got TIPS or BREAKING NEWS? Please call 1-284-442-8000 direct/can also WhatsApp same number or Email ALL news;                               ads call 1-284-440-6666

NHI has potential to bankrupt the territory- Premier Fahie

-gov't will commiting $1M of SSB grant towards reviewing operations
Under the past NDP administration, NHI was created to provide access to, and financial coverage for health care services to residents of the territory. However, while Hon Fahie said the institution was started with good intentions, he stressed that it was the mistakes of the NDP that resulted in its ultimate failure. Photo: VINO/File
Premier and Minister of Finance, Hon Andrew A. Fahie (R1) said National Health Insurance (NHI), if not reviewed, has the potential to bankrupt the territory. Photo: GIS/FIle
Premier and Minister of Finance, Hon Andrew A. Fahie (R1) said National Health Insurance (NHI), if not reviewed, has the potential to bankrupt the territory. Photo: GIS/FIle
DUFFS BOTTOM, Tortola, VI - Premier and Minister of Finance, Hon Andrew A. Fahie (R1) has echoed concerns raised by Minister for Labour, Immigration and Natural Resources, Hon Vincent O. Wheatley (R9) that the National Health Insurance (NHI), if not reviewed, has the potential to bankrupt the territory.

He was at the time speaking at the July 2, 2020, House of Assembly (HoA) sitting, where he pointed directly to the National Democratic Party (NDP) government of the past as responsible for the current state of affairs.

NDP mistakes failed the institution - Hon Fahie 

Under the past NDP administration, NHI was created to provide access to, and financial coverage for health care services to residents of the territory.

However, while Hon Fahie said the institution was started with good intentions, he stressed that it was the mistakes of the NDP that resulted in its ultimate failure. 

“NHI never catch itself from then to now and as a matter of fact, the Minister for Natural Resources said it completely, if it is not reviewed it will bankrupt the British Virgin Islands,” Hon Fahie said. 

According to Premier, the Government has to bail out NHI with as much as 41M, a financial burden that the territory cannot afford, “Yes we have to fix it, but it is nothing that just started now,” he added.

$1M committed to reviewing NHI - Hon Fahie 

As part of phase two of the Fahie Government’s COVID-19 stimulus programme, a $40ML grant was secure from the Social Security Board (SSB), with $1ML to be committed to rescuing NHI. 

“$1ML out of that $40ML grant is to revise NHI into such a way that it will become a more broad-based entity almost or even greater, the same or greater as Social Security,” the Premier announced. 

He said that reviewing of the government’s insurance is a must and cannot be ignored, “Because if we leave it to go in that way... we will be bankrupt just by NHI alone.”

He noted that the aim is for NHI to be profitable, and not a loss-making institution hence, experienced staff will be hired, “and that $1M is going towards making sure that we get the [right] persons... and the Social Security Board and NHI, will be selecting them.”

31 Responses to “NHI has potential to bankrupt the territory- Premier Fahie”

  • Love (04/07/2020, 18:08) Like (15) Dislike (1) Reply
    I do agree with you,but you can fix it by stop letting the medical practioners charging so much 2 People on work permit s taking family members who ve sick yo live as dependents what do you expect?especially since hurricane .This Nhi issue has become a big problem , please fix it.
    • ? (05/07/2020, 08:54) Like (10) Dislike (0) Reply
      so what about torlan that living overseas not paying any NHI and have full coverage. you too bright
  • H (04/07/2020, 18:15) Like (7) Dislike (2) Reply
    Thil u d truth there isn't anything NDP do right it's a sham
  • u (04/07/2020, 18:19) Like (6) Dislike (2) Reply
    Is just cheep d rest of the NDP throw in the towel
  • Pretty simple (04/07/2020, 18:22) Like (33) Dislike (0) Reply
    The Drs, hospitals medical facilities trippled , quadrupled their fees. Simple and were allowed to do it so all the fat cats are even fatter. Why was this never addressed hmmmm lol
  • Pack of Jokers (04/07/2020, 19:03) Like (18) Dislike (2) Reply
    And you still throwing $1M into REVIEWING operations!
  • Tired (04/07/2020, 19:17) Like (16) Dislike (4) Reply
    We knew from the jump this could potentially happen yet still we stood by it and allowed it to come into existence. Anyway. I’m more interested in hearing what the Premier and his highly capable team plan to do to avoid it. EXPATS brace you’ll selves- them coming after alluh again! This scheme just robbing people who already barely making money to have all kinds of limitations and stipulations. Stupesss. When is election again???? #disappointedVPIbeliever
  • Watchers (04/07/2020, 19:58) Like (15) Dislike (2) Reply
    They should had left the people insurance as it was.NDP was for foolish people. Greedy and in thought of themselves.
  • See (04/07/2020, 20:16) Like (19) Dislike (0) Reply
    NHI came in ... doctors fees tripled ... pretty simple ... and that was for free .... not 1 million
  • Realistic (04/07/2020, 21:12) Like (25) Dislike (0) Reply
    We all need insurance of some sort. However, ever since NHI commenced the first thing that happened was most medical service providers raising their fees. Check your invoices for the costs of medical services presently. Before it gets worst and it will, the hard decision must be made to cease and shut-down NHI. We must revert to private insurance been the option for all persons and leave NHI alone and the deductions from our hard earned salary. It is tough no matter which direction you choose. But, NHI is not sustainable.
  • tola (04/07/2020, 21:40) Like (21) Dislike (2) Reply
    That nhi should have never come in place. Cause we wasnt ready for it NDP put us in alot of hold

    I hope andrew them dont come with taking out more money out my little penny I making.

    You done have to pay tax ss and this nhi and you dont get back nothing in return.

    Bill's still high don't talk about RENT

    Lord help us
    • @tola (04/07/2020, 22:13) Like (5) Dislike (0) Reply
      Thats exactly what coming. U watch. Only them and those higher paid people won’t feel the pressure cuz they going to put some provision in place to protect themselves! Let’s wait and see who they really for because at this point i am so curious!
  • Not NHI (04/07/2020, 22:23) Like (22) Dislike (0) Reply
    NDP never listen to the people. The prople were telling them that since inteoduction of NHI medical fees increased and more.. even in my case my Doctor charge me $90.00 before NHI after NHI it went to $178.00.. NDP never listen they allow the medical facilities to rip government and tax payers off... VIP can now fix it... it really bankrupt the country if not fix quickly
  • the rock (05/07/2020, 00:02) Like (8) Dislike (0) Reply
    Hon fahie the bloggers give you the answers to fix it-fix the doctor and hospitals fees and we good
  • tzrtrzrzr (05/07/2020, 00:33) Like (2) Dislike (0) Reply
    Money money money...and we dont have enough of it...
  • E. Leonard (05/07/2020, 06:29) Like (6) Dislike (0) Reply
    Accessible, affordable, available and quality healthcare is a desired standard of living and quality of life goal for developed, emerging and developing countries. Meeting and sustaining this goal is expensive; delivering quality healthcare is expensive, especially in small locales as the VI. The two options of residents of getting healthcare are 1)individual medical insurance or 2)group medical insurance, ie, shared responsibility between employer and employee or government provided health insurance (NHI). Not having healthcare is not a healthy option and it is not in the national interest.

    Health insurance like other insurance is based on shared risk. The cost of insurance is spread over the whole risk pool; the larger the risk pool the less the cost to each individual member in the risk pool. The larger the risk pool the total cost will be spread over more people. The VI has a small population of approx 34,000. Based on this small population, it can be assumed that the cost of delivering healthcare services will typically be higher than in locales with much larger population. So what can the VI do?

    The VI must have a national insurance plan, which it has in NHI. The NHI must be restructured to make it more affordable, solvent, functional and sustainable. Next, an experienced actuarial firm must be engaged to determine fair and reasonable and sustainable cost for employee, employer, government, others………etc. Further, the programme must be effectively-led/managed with eminently qualified staff to contain cost yet deliver high quality health services. To further contain cost, the community must engage in healthy/healthier lifestyles and preventive care and preventive medicine must be a core factor in national healthcare. Additionally, lower cost can be attained by developing and publishing a negotiated ( with key stakeholders) cost for health services schedule that providers who participate in the NHI programme agree to charge customers. Further, means-tested co-pays, co-insurance......etc should be explored.
    • small island (06/07/2020, 12:49) Like (0) Dislike (0) Reply
      Excellent analysis...Many of these suggestions and observations were made in the beginning of the program. I hope reality has made them serious improvements to an honorable intiative.
  • Diaspora (05/07/2020, 06:32) Like (4) Dislike (0) Reply
    With the roll out of the NHI, many greedy providers cost of service automatically skyrocket from previous cost. Is it any wonder the cost to government is at an almost bankrupt level. Pure exploitation of the programme and the long suffering consumers.

    Exploitation and greed aside, the NHI programme was poorly launched. Before launching the programme, government should have established a fair and reasonable fee schedule with the opportunity for some reasonable negotiation. At the end of the day, government fee schedule set, interested providers would have come on board with the fee schedule as the cost for service basis. The greedy others could just step if they didn’t want to play ball. With the large government/ NHI pool, not too many would have left that many customers on the table. Government needs to develop a fee schedule for service delivery.

  • priest (05/07/2020, 07:54) Like (3) Dislike (0) Reply
    Go after the employers who deduct contributions from their employees and had have not paid it to the NHI. Investigate why your co-pay is higher at some Medical Complexes/ Doctors than others. None contributors other than Senior Citizens should not be allowed to access the System. Greed is a main contributors to the demise of the NHI.
  • BY DESIGN (05/07/2020, 08:49) Like (4) Dislike (2) Reply
    NHI was designed by Hes___h, for Hes___h, so what did you all expect?
  • Oh My (05/07/2020, 09:11) Like (8) Dislike (0) Reply
    You People never cease to amaze me. You have to pay 1 million dollars to bring in some one for advise when recommendations are made yearly according to the news media and you people fail to carry them out.
    1. Imagine this day and age every body young or old has to go to bougainvillea Clinic for MRI (hospital machines seldom works), colonoscopy echocardiogram only to name a few. These services are not offered at Peebles Hospital,
    The elderly and children are not paying a cent to NHI but has to fork out millions of dollars to the Private establishment for these services. Mr. Premier and minister of health fix that. The NHS in England if you want to get service from a private establishment and you are not required to pay NHs you must assess the Government services. Fix that. Hospital is offering limited speciality services either has to go oversees or use Bougainvillea Clinic. Fix that. I can go on and on.

    I noticed when ever a local person gives ideas without payment it is not taken seriously but you prefer to pay [ million dollars for them to tell you the same thing
  • Barry and crew (05/07/2020, 12:19) Like (5) Dislike (1) Reply
    Nobody could ever tell me why NHI has to be paid from every job I have. That's not health insurance, it's a fancy secondary social security but yall didn't brace for the health institutions tripling fees. First I ever heard of a insurance being a percentage of your earnings. They also have so much restrictions on this and that. Mr. Premier please bring back the private health insurance and get rid of this NHI nonsense.
  • Yep (05/07/2020, 12:56) Like (0) Dislike (1) Reply
    every work we get in this place, you have to pay NHI a percentage , premier just scrap it altogether, bout bankrupt country
  • at Barry and crew and Yep (05/07/2020, 13:12) Like (1) Dislike (1) Reply
    I Notice that both of you do not have a clue what you are saying. Please do some research before blogging nonsense.
    • @ at barry and crew and yep (06/07/2020, 11:37) Like (0) Dislike (0) Reply
      Obviously you dont know what you're saying. Every job you hold in the bvi they deduct nhi. If you hold 3 jobs they all be to deduct NHI contributions
  • taxpayer (05/07/2020, 20:06) Like (3) Dislike (0) Reply

    Most NHI money siph****d by The purple flower clinic, fix there , problem solved

  • money (06/07/2020, 06:37) Like (3) Dislike (0) Reply
    Bring up the issues of minimum wage it need to be address so people can eat live raise up to $10.00 Look at our neighbors V.I they money up there look into that and why is riteway prices still going up nobody ain’t looking into that and where is our iINCREMENT MONEY we been promise for so long
  • frustrated (06/07/2020, 17:49) Like (2) Dislike (0) Reply
    My fellow friends, don't only blame the private facilities. The hospital receives alot of money from the NHI and remember people pay little to nothing there. So there you have a drain on the finances of the NHI. My problem is, I don't believe when the NDP implemented the scheme, they anticipated the large volume of persons who would be sick and use the insurance. Under the private insurance everyone had to pay irrespective of age. With NHI over 60 years and under 18 years do not pay. Then you have a number of employers who deduct the money from their employees and never pay it over to the NHI. They do the same to Social Security. Should the government go after those persons, I believe they would collect a great deal of money. Just saying.
  • Tadow (06/07/2020, 20:39) Like (0) Dislike (1) Reply
    As I know it a rat's favorite meal is cheese. How in the hell you could put a rat to mine his/her favorite meal. The only place in the world this could have happen in in the British Virgin Islands. The people how constituted NHI don't have a much sense as the amount of hair a ground lizard has around his A hole.
  • My My (07/07/2020, 19:53) Like (0) Dislike (0) Reply
    D run people out of breath to get this thing which makes no sense

Create a comment

Create a comment

Disclaimer: Virgin Islands News Online (VINO) welcomes your thoughts, feedback, views, bloggs and opinions. However, by posting a blogg you are agreeing to post comments or bloggs that are relevant to the topic, and that are not defamatory, liable, obscene, racist, abusive, sexist, anti-Semitic, threatening, hateful or an invasion of privacy. Violators may be excluded permanently from making contributions. Please view our declaimer above this article. We thank you in advance for complying with VINO's policy.

Follow Us On

Disclaimer: All comments posted on Virgin Islands News Online (VINO) are the sole views and opinions of the commentators and or bloggers and do not in anyway represent the views and opinions of the Board of Directors, Management and Staff of Virgin Islands News Online and its parent company.