Correct. The best possible situation is representatives from all sides. Its more than just healthy fòod. Some illnesses are on the Nature side of the equation. And insurance companies do NOT cover for preexisting conditions. Phased in approached is capitulation and an acceptance to the status quo. No one who ill now should wait until everything is in place. What if it was your mom who needs a life saving heart surgery. Why should she wait?
Don't know what a National Basic Care Policy is, but I do know that private medical insurances do have different tiers of coverage e.g. basic, silver, gold etc.. For basic coverage the cost is prohibitive for most and at best provide far less benefits and could easily be maxed out in a few years and will not cover for preexisting conditions. Hence, the idea for NHI.
Health Care systems are designed in terms of interventions Primary, Secondary and Tertiary. Or, more recently, Universal Preventative Intervention, Indicated Intervention etc. Primary/preventative focuses more stopping disease before it happens: vaccines, immunizations, no smoking campaign to kids and to your suggestions diet and exercise programs. These programs and initiatives are expensive and will not address those who are already disease burdened. And therefore you need a Indicated/Secondary intervention. And this is where much of Health care cost is realized. This is early detection of disease or illness like a pap smear or prostate exam. If you end up going to hospital, this is way too expensive and treatment is designed to lessen physical or mental disability.
Unfortunately, most of our health care dollars are spent here: dialysis, chemotherapy, cardiac surgery, amputations. We need a system that is designed where early access to the best intervention results in best outcome at the least cost. This can not be achieved without some form of regulatory body that controls cost, access and treatment. NHI purports to do that. And it could. The way how things are right NOW is unsustainable in cost, access and treatment over-crowded ER, long waiting time to see specialist 3 to 6 months for elective surgery. Not good. What needs to take place are honest men and women on all sides of the issue to negotiate so that these objective are achieved. But, I doubt that it will if we bow too much on any one side: The doctors, The Private Insurers or The Government.
Public Health Administrators are not specifically trained to run a healthcare system that encompasses secondary and tertiary health care. There are some very talented and gifted Bahamians presently employed in the industry but are not able to overcome the cronyism and political crap. A restructuring is necessary making some elephants like the PHA and the Ministry of Health and Dept. of Social Services an anachronism. (you would be surprise how these agencies contort things for the other and wastage is the net result.)
Turks and Caicos Island tried that idea of outsourcing the management of the Healthcare system to Canadian company and that is not working out so good for them.
The NHS is a good model but our system of commerce(greed and unbridled capitalism) will cause the NHI to go bankrupt before it starts...The government knows it. The doctors know it. The insurers know it and that my friend is what the fight is about: who gets the majority of $850 million.
1. Make all consultants full time and sign a non-competitive clause. It is well known that doctors use public setting to scout for private patients and sometimes openly delay services they are paid to provide publicly only to have those same services done at an instant privately. Worse still is getting their private patients admitted to PMH to pay them to perform the procedure done on the public operating theatre-- for example OB/GYN tubal ligations--without one dollar going to the PMH
2. Employ Health Care Experts and not nurses and porters with a sham Masters Degree from some god-forsaken, non-accredited college to manage the healthcare system
3. Make it illegal for Insurance company to own private clinics that unfairly competes with private clinics
4. Make NHI single payer and the hell with private insurance
Watch how quickly state assets are sold. Next forced retirements. Increase in taxes leading higher cost of bread basket items then lay offs from private sectors then closing of businesses and then riot in the streets. God help us
Junk bonds are fixed-income instruments that carry a rating of 'BB' or lower by Standard & Poor's, or 'Ba' or below by Moody's. Junk bonds are so called because of their higher default risk in relation to investment-grade bonds.
Banker, you are correct: we are one step away from widespread disaster. Finance is not my specialty, but I can balance a cheque book. I don't think these people in Plp get it. I don't think they understand how perilous times awaits us. I think they believe that China still has growth and therefore money to lend to us; that we still will ride this storm out; that the world will still lend us money and another fdi is just around the corner; that they will be able to survive this without being prosecuted, shamed, and jailed... Two days before Primal Scream
Sarkis STILL holds the deeds to the billion dollar land. They can't force him to give it back. And imminent domain requires government to buy it at market value... Stupid is as stupid does
Actually, for the very same reasons you have detailed will the plp want Sarkis to reopen Bahamar as given the scenario of forcing him out only further delays this project by months potentially years...This is a game of Chicken (played by the PLP) and Game Theory (played masterfully by Sarkis).
The sad thing about it is, downgrade is inevitable; our government looks weak and tribal; our country suffers the kind of economic downward spiral that wont be so easily recovered from: mass unemployment; more taxes on those left with a job; increase cost of living; and unstable government. Yes, PLP--the very thing you say you are fighting for comes directly from you own doing. But I am reminded of an old quote from a 50s Mummy movie-- The Evil That Man Has Brought Has Power To Destroy Itself...
Rontom says...
Correct. The best possible situation is representatives from all sides. Its more than just healthy fòod. Some illnesses are on the Nature side of the equation. And insurance companies do NOT cover for preexisting conditions. Phased in approached is capitulation and an acceptance to the status quo. No one who ill now should wait until everything is in place. What if it was your mom who needs a life saving heart surgery. Why should she wait?
On Bishop says govt should not wait on insurers
Posted 25 January 2016, 11:30 a.m. Suggest removal
Rontom says...
Don't know what a National Basic Care Policy is, but I do know that private medical insurances do have different tiers of coverage e.g. basic, silver, gold etc.. For basic coverage the cost is prohibitive for most and at best provide far less benefits and could easily be maxed out in a few years and will not cover for preexisting conditions. Hence, the idea for NHI.
Health Care systems are designed in terms of interventions Primary, Secondary and Tertiary. Or, more recently, Universal Preventative Intervention, Indicated Intervention etc. Primary/preventative focuses more stopping disease before it happens: vaccines, immunizations, no smoking campaign to kids and to your suggestions diet and exercise programs. These programs and initiatives are expensive and will not address those who are already disease burdened. And therefore you need a Indicated/Secondary intervention. And this is where much of Health care cost is realized. This is early detection of disease or illness like a pap smear or prostate exam. If you end up going to hospital, this is way too expensive and treatment is designed to lessen physical or mental disability.
Unfortunately, most of our health care dollars are spent here: dialysis, chemotherapy, cardiac surgery, amputations. We need a system that is designed where early access to the best intervention results in best outcome at the least cost. This can not be achieved without some form of regulatory body that controls cost, access and treatment. NHI purports to do that. And it could. The way how things are right NOW is unsustainable in cost, access and treatment over-crowded ER, long waiting time to see specialist 3 to 6 months for elective surgery. Not good. What needs to take place are honest men and women on all sides of the issue to negotiate so that these objective are achieved. But, I doubt that it will if we bow too much on any one side: The doctors, The Private Insurers or The Government.
On Bishop says govt should not wait on insurers
Posted 24 January 2016, 2:33 p.m. Suggest removal
Rontom says...
Public Health Administrators are not specifically trained to run a healthcare system that encompasses secondary and tertiary health care. There are some very talented and gifted Bahamians presently employed in the industry but are not able to overcome the cronyism and political crap. A restructuring is necessary making some elephants like the PHA and the Ministry of Health and Dept. of Social Services an anachronism. (you would be surprise how these agencies contort things for the other and wastage is the net result.)
Turks and Caicos Island tried that idea of outsourcing the management of the Healthcare system to Canadian company and that is not working out so good for them.
The NHS is a good model but our system of commerce(greed and unbridled capitalism) will cause the NHI to go bankrupt before it starts...The government knows it. The doctors know it. The insurers know it and that my friend is what the fight is about: who gets the majority of $850 million.
On THE BIG QUESTION: What would YOU do to improve the nation's healthcare?
Posted 20 January 2016, 2:53 p.m. Suggest removal
Rontom says...
1. Make all consultants full time and sign a non-competitive clause. It is well known that doctors use public setting to scout for private patients and sometimes openly delay services they are paid to provide publicly only to have those same services done at an instant privately. Worse still is getting their private patients admitted to PMH to pay them to perform the procedure done on the public operating theatre-- for example OB/GYN tubal ligations--without one dollar going to the PMH
2. Employ Health Care Experts and not nurses and porters with a sham Masters Degree from some god-forsaken, non-accredited college to manage the healthcare system
3. Make it illegal for Insurance company to own private clinics that unfairly competes with private clinics
4. Make NHI single payer and the hell with private insurance
On THE BIG QUESTION: What would YOU do to improve the nation's healthcare?
Posted 19 January 2016, 6:58 a.m. Suggest removal
Rontom says...
Watch how quickly state assets are sold. Next forced retirements. Increase in taxes leading higher cost of bread basket items then lay offs from private sectors then closing of businesses and then riot in the streets. God help us
On S&P ‘blows a hole’ in fiscal projection
Posted 26 August 2015, 6:02 p.m. Suggest removal
Rontom says...
Junk bonds are fixed-income instruments that carry a rating of 'BB' or lower by Standard & Poor's, or 'Ba' or below by Moody's. Junk bonds are so called because of their higher default risk in relation to investment-grade bonds.
Read more: Junk Bond Definition | Investopedia http://www.investopedia.com/terms/j/jun…
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Banker, you are correct: we are one step away from widespread disaster. Finance is not my specialty, but I can balance a cheque book. I don't think these people in Plp get it. I don't think they understand how perilous times awaits us. I think they believe that China still has growth and therefore money to lend to us; that we still will ride this storm out; that the world will still lend us money and another fdi is just around the corner; that they will be able to survive this without being prosecuted, shamed, and jailed... Two days before Primal Scream
On Credit rating downgraded: Baha Mar row leads to cut by S&P, but investment steady
Posted 26 August 2015, 5:50 p.m. Suggest removal
Rontom says...
Sarkis STILL holds the deeds to the billion dollar land. They can't force him to give it back. And imminent domain requires government to buy it at market value... Stupid is as stupid does
On Govt will pay Baha Mar salaries till $21m runs out
Posted 6 August 2015, 5:46 p.m. Suggest removal
Rontom says...
Minister Mitchell, resign. Resign now. Your vitriol is offensive and does not represent my point of view. This MY country too.
On It’s now time for Christie to take control and stop the nonsense
Posted 5 August 2015, 5:22 p.m. Suggest removal
Rontom says...
Actually, for the very same reasons you have detailed will the plp want
Sarkis to reopen Bahamar as given the scenario of forcing him out only further delays this project by months potentially years...This is a game of Chicken (played by the PLP) and Game Theory (played masterfully by Sarkis).
The sad thing about it is, downgrade is inevitable; our government looks weak and tribal; our country suffers the kind of economic downward spiral that wont be so easily recovered from: mass unemployment; more taxes on those left with a job; increase cost of living; and unstable government. Yes, PLP--the very thing you say you are fighting for comes directly from you own doing. But I am reminded of an old quote from a 50s Mummy movie-- The Evil That Man Has Brought Has Power To Destroy Itself...
On Expat staff at Baha Mar hotel set to be pulled out of the Bahamas
Posted 5 August 2015, 5:11 p.m. Suggest removal
Rontom says...
Apologize minister Mitchell. Apologize now. You have singlehandedly destroyed this country. my country.
On Baha Mar now turned into a political football
Posted 4 August 2015, 5:57 p.m. Suggest removal