A government-commissioned independent review of Jamaica’s flagship medical facility, the University Hospital of the West Indies (UHWI), has uncovered critical systemic failures rooted in 75-year-old governing legislation that opened the door to widespread misconduct and significant institutional harm. The review panel, led by seasoned Jamaican attorney Howard Mitchell, concluded that the aging 1948 University Hospital Act is riddled with unaddressed loopholes that have effectively created an unregulated space for abuse across multiple areas of the hospital’s operations. Mitchell is now pushing for urgent, comprehensive overhauls to the decades-old law, emphasizing that outdated regulatory frameworks have left gaping holes in institutional accountability that cannot be allowed to remain in place. He argues that modernizing the legislation is a non-negotiable step to realign UHWI’s governance structure with the operational and ethical demands of 21st-century public healthcare. Beyond the systemic governance gaps, the committee’s findings paint a stark picture of tangible harm to both public finances and patient care: the weak regulatory environment allowed the hospital to lose billions of dollars over time, while thousands of Jamaican residents relying on the premier facility have been failed by the system and denied access to appropriate medical treatment. The full, detailed findings of the review committee are scheduled to be published in extended reports on pages 4 and 5 of the relevant publication.