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作者: admin
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The cost of courage
The ongoing debate over healthcare reform in Grenada consistently circles around one unaddressed core question: where will the funding for meaningful improvement come from? Across the island nation, there is widespread consensus that the current healthcare system is broken, and urgent change is needed — a need reinforced by countless personal testimonies and lived experiences of inadequate care. What is missing from the conversation, however, is open honesty about the true cost of upgraded healthcare, and more critically, who must bear that cost.
As a small developing nation with no oil or mineral reserves to generate large state revenue, Grenada cannot rely on natural resource extraction to fund a robust public health system. Its largest economic driver, tourism, is inherently seasonal, hyper-competitive on the global stage, and extremely vulnerable to cross-border shocks — a vulnerability laid bare by the devastating economic impact of the COVID-19 pandemic. For Grenada, building a better health system means financing it deliberately and progressively through the existing economy, with no quick windfall to fall back on.
Many Grenadians are told the public healthcare system is free: patients walk out of government facilities without paying any upfront fee at the counter. But a closer look at the system’s hidden costs reveals a far different reality. Data from the Pan American Health Organization (PAHO) shows that out-of-pocket health spending makes up 53% of total national health expenditure in Grenada — the highest rate in the entire subregion, and more than double the average across the Caribbean.
This means Grenada does not actually have a free public health system. Instead, it operates the most inequitable, disorganized, and expensive payment model possible: patients pay for care one at a time, when they are already ill and vulnerable, and often lack health insurance to cushion the financial blow. What is framed as “free care” is actually a hidden, regressive cost that hits low-income and vulnerable Grenadians hardest.
A dedicated national health tax offers a deliberate, transparent solution to this crisis. Such a system redistributes health risk across the entire population, protects the most vulnerable groups, and generates sustainable, predictable revenue to fund public health improvements. It would also convert the hidden out-of-pocket costs that Grenadians already pay every day into a visible, formal tax that can be debated, adjusted, and improved through democratic process.
So why has this evidence-backed policy not been implemented? The answer lies in political incentives, not policy flaws. Any sitting administration that introduces a health tax will bear immediate political cost: it will be remembered for ending the illusion of free public healthcare and requiring explicit payment from citizens. That administration will likely face electoral backlash long before the new funded health system can deliver visible results and win public support. If the governing party loses office before those benefits materialize, the incoming administration will inherit the expanded public revenue, the ability to open new hospital wards, create jobs, and improve health outcomes — reaping the political rewards of a difficult decision they never had to make.
This gap between short-term political cost and long-term national benefit is no accident. It is an unspoken institutional logic that makes bold political leadership risky and inaction the safer bet for incumbent politicians, creating a trap that punishes any government willing to make the hard choice for the public good.
Two critical questions remain unanswered for Grenada: Will the nation ever develop a political class courageous enough to prioritize long-term national good over short-term political legacy? And do Grenadians need a new health tax, or simply an honest acknowledgment that they already pay far more for healthcare than they realize — with costs that extend far beyond their wallets?
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Zes nieuwe Surinaamse artsen studeren af aan Cubaanse universiteiten
Six aspiring medical professionals from Suriname have successfully completed their seven-year training programs at multiple higher education institutions across Cuba, marking a much-anticipated milestone that will soon expand the South American nation’s local healthcare workforce. The graduates — Alan Deel, Rehuel Tuinfort, Safiela Willems, Sharma Kastil, Kajol Khoenkhoen and Abigail Hintzen — received their medical degrees during a central commencement ceremony held at Havana’s Karl Marx Theatre, Cuba’s largest performance and event venue.
This year’s graduation event carried extra historical weight, as it coincided with the centennial celebration of the birth of Fidel Castro Ruz. The Surinamese students joined hundreds of other newly minted doctors from 70 different countries across the globe to cross the stage and collect their credentials during the formal proceedings.
Yoandra Valle, the general director of the Cuban university system overseeing the medical program, emphasized in her keynote address that all participating students were trained in alignment with the core principles that define Cuba’s renowned approach to medical education: a foundation rooted in both humanistic care and rigorous scientific and technical practice.
Representatives from the Surinamese Embassy in Cuba attended the ceremony to support the graduating cohort. In an official statement following the event, the embassy described the group’s achievement as a unique milestone for both the students and Suriname’s public health sector, extending warm congratulations to the six new doctors on their years of hard work that culminated in this success.
The Ministry of Foreign Affairs, International Trade and Cooperation of Suriname also issued a public message congratulating the graduates and their families, wishing the new physicians prosperity and fulfillment in their upcoming professional careers. According to the embassy, all six graduates are eager to complete their final preparations and return to their home country, where they plan to apply the advanced skills and knowledge they gained in Cuba to drive further improvement and expansion of Suriname’s public healthcare system.
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Fontaine alleges Electoral Office wrongly rejected student voter registrations
Ahead of the upcoming Roseau North by-election, the leader of Dominica’s main opposition United Workers Party (UWP) has ignited fresh controversy over the country’s electoral process, accusing the national Electoral Office of intentionally disenfranchising young eligible voters. Dr. Thomson Fontaine, head of the UWP, made the claims in a public statement posted to his official Facebook page on July 27, alleging that at least two Dominican students completing their higher education overseas were improperly turned away when they attempted to complete their first-time voter registration.
According to Fontaine’s account, the two eligible students traveled back to Dominica specifically to submit their registration applications, as required by protocol, but their submissions were rejected outright by Electoral Office staff. Fontaine pointed out that both students are widely assumed to support the UWP based on the political affiliations of their families, suggesting their rejection was no accidental administrative error.
“This is clearly an attempt by the EO to manipulate the voters’ list,” Fontaine wrote in his post, directly claiming the decision was driven by partisan political motivation. To back up his allegation that the students wrongfully rejected, he cited a clear provision in Dominica’s existing electoral legislation that outlines special rules for overseas students registering to vote. Under Article 7(2)(b) of the national Electoral Act, any individual that is classified as a bona fide full-time student studying outside of Dominica is legally exempt from the standard residency requirement that applies to most first-time voters. The legislation explicitly states that these students are deemed to retain their residency in the polling district where their family home is located, meaning their time spent abroad cannot be used to disqualify their registration.
Fontaine emphasized that this legal provision eliminates any ground for the Electoral Office to reject the students’ applications, and called on electoral authorities to end what he described as targeted disenfranchisement of young opposition-leaning voters. “Please stop attempting to disenfranchise our young voters,” he concluded his statement.
As of July 28, the Electoral Office has not issued any public response to address Fontaine’s specific allegations. The controversy comes amid ongoing preparations for the high-stakes Roseau North by-election. In recent public communications, electoral officials have urged Dominican residents to get all information about registration and voting directly from the Electoral Office, warning against unconfirmed misinformation spreading across social media platforms. The Office has also repeatedly reaffirmed its public commitment to running the upcoming by-election in a secure, transparent, and fully accountable manner, free from partisan interference.
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‘We were like two brothers’: Father mourns son killed in Au Pos accident
A tight-knit Saint Lucian community is grappling with senseless loss after a tragic Sunday road accident claimed the life of 30-year-old Andrez “Sackey” Forde, a beloved resident of Marchand who family members describe as the steady backbone of their household.
Forde lost his life when the vehicle he was operating veered off the roadway and plummeted over a steep precipice at Au Ponche in Anse La Raye. A female passenger traveling with him survived the catastrophic crash but sustained critical multiple injuries; as of the latest updates, she remains hospitalized in stable condition.
The day following the tragedy, Forde’s father Andre Forde visited the crash site, overcome with grief as he reflected on the final hours he shared with his son. Andre shared that his son had left the family home in the early hours of Sunday morning, letting his father know he was heading out before a final brief phone conversation that would prove to be one of their last. “He called… to tell me, ‘Daddy, the key for the Creta is on the dresser’,” Andre recounted.
Andre remembered his son as a respectful, compassionate young man who consistently prioritized the well-being of his parents. “My son was very nice to me,” he said. “My son was no bad person.” When asked what he would grieve most, the heartbroken father paused before sharing that the pair shared an unusually close bond. “Being there. We were like two brothers. He always talked to me… ‘Daddy, don’t worry, everything is safe, everything is alright. I will help you. You shouldn’t be working again’.”
Andre explained that he was unable to bring himself to visit the crash site immediately after receiving the devastating news, only making the trip the following day. When he arrived at the hospital to check on his son, law enforcement officers confirmed that Andrez had already succumbed to his injuries. “He told me there he had no pulse, so he was already dead,” he said quietly.
Andre also shared details of the passenger’s condition, confirming the woman had suffered broken legs and a broken arm in the fall. The loss has hit the entire family extraordinarily hard, with Forde’s mother unable to process the shock of her son’s death. “My wife… she fainted,” Andre said, adding that extended relatives have gathered at the home to support her through the initial stages of grief.
Andrez Forde is survived by his young daughter, who will now grow up without her devoted father. Hadassa, another of Andrez’s relatives, recalled the disorienting moment she learned of his passing. She said she woke to panicked voices in her home before realizing a video of the crash was circulating in a local family group chat. Initially too anxious to open the messages, she eventually looked at the footage and confirmed her relative’s identity. She added that the entire family is still struggling to accept that the sudden tragedy has occurred.
Local law enforcement authorities have confirmed that the investigation into the circumstances of the fatal crash is still ongoing, with no further details released to the public as of yet. In the days since the accident, family and loved ones have gathered at the crash site to leave a small memorial in Andrez’s honor, honoring the life of the caring man gone far too soon.
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CARICOM Eminent Persons Group welcomes Haiti’s electoral calendar, calls for broad participation
Haiti’s long journey toward reestablishing stable constitutional rule has reached a landmark turning point, after the country’s Provisional Electoral Council (CEP) released a detailed timeline for upcoming general elections — a move that has earned formal praise from a top Caribbean diplomatic task force.
Created in May 2023 under the umbrella of the Caribbean Community (CARICOM), the Eminent Persons Group (EPG) functions as a high-level diplomatic body dedicated to addressing Haiti’s deepening political and security crisis. The group draws on decades of regional leadership experience, counting three former heads of government among its ranks: Dr. Kenny Anthony of Saint Lucia, Perry Christie of The Bahamas, and Bruce Golding of Jamaica. Its core mandate centers on facilitating inclusive cross-party political dialogue, forging consensus on urgent security priorities, and supporting Haitian-led efforts to rebuild functional democratic institutions and restore constitutional governance.
Earlier this year, the EPG made the decision to delay a planned on-the-ground visit to Haiti, noting that the team would hold off on travel to continue monitoring rapidly shifting political developments in the country. That posture of cautious observation shifted with the CEP’s publication of the electoral calendar, which the EPG described as a critical breakthrough that brings much-needed clarity to a process that has remained uncertain for years for both Haitian political actors and the broader international community.
Under the newly released timetable, the first round of voting is set to take place on December 13, 2026. Ballots will be cast to select a new president, fill all seats in the national legislature, and approve a package of proposed constitutional reforms. The calendar lays out clear timelines for all key pre-election preparatory steps, including the registration of political parties, individual candidates, electoral coalitions and platforms, as well as a national voter registration drive to update Haitian electoral rolls ahead of polling day.
In its official statement, the EPG underlined that sustained coordination between the CEP and every sector of Haitian society will be indispensable to keeping the electoral process on track. The group issued a formal call to all political parties, civil society organizations, community leaders and other national stakeholders to engage actively in the process, uphold procedural rules, and work collectively to ensure all electoral requirements are fully met before voting begins.
Successful inclusive preparation, the EPG argued, will clear the way for Haitian citizens to exercise their democratic right to choose their next government in a free, fair and credible process, laying the groundwork for the full restoration of constitutional order in a country that has operated without elected governance for years.
The task force also joined the CEP in highlighting a critical unmet need: dramatic improvements to national security before election preparations advance much further. A secure, stable environment is non-negotiable for a credible electoral process, the group stressed, and it called on all nations contributing troops and police to the multinational Gang Suppression Force (GSF) to accelerate deployment of their personnel to Haiti. Early deployment of the GSF, the EPG noted, would allow international security assistance to take root and expand well in advance of the December 2026 first round voting, creating the secure conditions needed for a smooth election.
In closing, the EPG emphasized that parallel progress on two interconnected tracks will make or break Haiti’s democratic transition: steady advancement of electoral preparations, and concrete improvements to national security. Both are essential to delivering a credible election that sets Haiti on a sustainable path toward restored democratic rule.




