标签： Dominica

Caribbean leaders are mounting a vigorous defense of their long-standing medical education partnerships with Cuba following recent U.S. demands to terminate these programs. The escalating diplomatic tension emerges as Washington intensifies pressure on CARICOM nations ahead of their February summit in St. Kitts.

Former Dominican UN Ambassador Crispin Gregoire has emerged as a vocal critic, characterizing the American directive as “deeply unfair” and potentially devastating to regional healthcare systems. “If the Americans prohibit our medical training in Cuba, will they provide alternative scholarships to U.S. universities? The unequivocal answer is negative,” Gregoire stated. “The United States lacks sufficient capacity to educate its own physicians, let alone accommodate ours.”

The medical education ultimatum forms part of a comprehensive U.S. policy shift that includes termination of USAID programs throughout the Caribbean, restrictive visa policies targeting Dominica, Antigua and Barbuda, and St. Vincent, requirements to accept U.S. deportees, and requests to host American military radar installations.

St. Lucian Prime Minister Philip Pierre confirmed receiving Washington’s demand to cease Cuban medical education exchanges, noting this creates a “major issue” for his nation’s healthcare infrastructure. “Numerous our physicians received training in Cuba, and now the eminent United States dictates we must discontinue this practice,” Pierre remarked.

The geopolitical dimensions extend beyond educational concerns. With Venezuela ceasing oil shipments to Cuba and Mexico facing pressure to halt energy supplies, Cuba confronts a severe energy crisis. Russian and Iranian assistance offers might be obstructed by heightened U.S. naval presence in Caribbean waters.

Gregoire contextualized the confrontation within broader global power competition: “The entire international architecture is transforming. America is focusing on its backyard because Chinese and Russian engagement intensifies here. They seek to counter that influence. Cuba currently stands in the crosshairs.”

CARICOM leaders, including summit chair and Cuban-trained physician Terrance Drew of St. Kitts, prepare for crucial February 24 discussions that may determine the future of regional healthcare cooperation and Caribbean sovereignty in an increasingly multipolar world.

The Caribbean region faces an unprecedented historical inflection point as the post-war international order fractures rather than reforms. Canadian Prime Minister Mark Carney’s recent Davos declaration that ‘We are in the midst of a rupture, not a transition’ underscores the urgent challenge confronting CARICOM and OECS nations. This rupture demands fundamental adaptation as traditional diplomatic approaches become increasingly obsolete in an era of weaponized trade, securitized migration, and eroded multilateralism.

Professor C. Justin Robinson articulates the stark new reality: the international system that once protected small states has become unreliable, and ‘no one is coming to save us.’ This diagnosis gains traction across Caribbean leadership, with Assistant Secretary-General Wayne McCook acknowledging that weakening multilateral norms and ‘America First’ policies necessitate deeper regional integration through food security, industrial policy, and free movement as essential shock-absorption mechanisms.

The limitations of compliance-based diplomacy emerge clearly in recent Citizenship by Investment (CBI) controversies. While Caribbean governments implemented substantial legislative reforms, Washington now evaluates risk through enforcement consistency and information-sharing reliability rather than statutory language. Recent U.S. actions represent not moral condemnation but leverage signals demanding demonstrable, sustained enforcement.

Human capital strategy requires equal transformation. The region must abandon outdated brain drain narratives and instead mobilize its diaspora as strategic assets through circular engagement models and regional talent platforms. Cultural icon Gordon Henderson emphasizes that contribution transcends geography, while Hon. Mark Brantley notes tightening migration regimes may paradoxically benefit Caribbean development.

The proposed solution centers on asymmetric engagement—intervening where power actually forms within Congressional committees, regulatory agencies, and risk-management units before positions harden. This necessitates reimagining the Institute for Caribbean Studies (ICS) in Washington as a permanent idea-translation platform focused on narrative formation, comparative policy analysis, and diaspora intellectual coordination rather than traditional lobbying.

External influence must be powered by domestic competence through human-centered governance integrating AI and behavioral psychology to build institutional credibility. This comprehensive approach—combining narrative reclamation, diaspora mobilization, institutional presence, and governance innovation—offers the Caribbean pathway from vulnerability to agency in a post-rules world.

In a significant diplomatic development, Prime Minister of St. Kitts and Nevis Dr. Terrance Drew, serving as current Chair of the Caribbean Community (CARICOM), conducted an official visit to Trinidad and Tobago on January 30th. The high-level engagement included meetings with Prime Minister Kamla Persad-Bissessar and her cabinet members, with CARICOM Secretary General Carla Barnett accompanying the delegation.

Both leaders characterized their discussions as “productive” and “constructive,” marking a notable shift in Trinidad and Tobago’s previously critical stance toward the regional bloc. This diplomatic outreach occurs against the backdrop of emerging fractures within CARICOM regarding foreign policy alignment with United States initiatives.

The central point of contention stems from Trinidad and Tobago’s support for U.S. military operations that facilitated the ouster of former Venezuelan President Nicolás Maduro. This position has created unprecedented divisions within the traditionally unified bloc, particularly regarding the application of hard power in international relations.

CARICOM now faces a fundamental inflection point as member states grapple with competing visions of international engagement. One faction, comprising the majority of members, maintains opposition to hierarchical international orders based on dominant-subordinate state relationships. Another camp, exemplified by Trinidad and Tobago’s recent foreign policy shift, demonstrates increased willingness to accommodate U.S.-led interventionist approaches.

This diplomatic fragmentation emerges as CARICOM confronts the challenging reality of American foreign policy influence under the current administration’s approach, described by some analysts as the “Donroe Doctrine.” The situation tests the bloc’s sovereignty and internal coherence at a critical historical juncture.

The upcoming Fiftieth Regular Meeting of the Conference of CARICOM Heads of Government, scheduled for February 24-27 in St. Kitts and Nevis, will provide a crucial platform for addressing these divisions. Under Dr. Drew’s chairmanship, the summit must navigate competing perspectives while preserving the multilateral principles that have historically amplified small states’ voices on the global stage.

Experts suggest that the bloc’s ability to formulate a collective response to these geopolitical challenges will determine its continued relevance in shaping regional affairs and protecting member states’ post-independence achievements in international relations.

The Caribbean Community (CARICOM) Secretariat has unveiled a sophisticated digital portal in preparation for its historic 50th Regular Meeting of the Conference of Heads of Government. Scheduled for February 24-27 in Basseterre, St. Kitts and Nevis, the summit will be supported by this comprehensive online resource center designed to serve diverse audiences.

The newly launched platform provides customized content for multiple stakeholder groups including international media representatives, foreign policy experts, Caribbean youth leaders, government policymakers, academic researchers, students, and general community members. The digital hub features an extensive media center containing official press releases, high-level official speeches, multimedia galleries, and a continuously updated news section.

Detailed summit information available through the portal includes speaker and special guest profiles, thematic focus areas, and complete event scheduling. During the conference, the platform will offer live streaming coverage of pivotal moments including the Opening Ceremony, Closing Media Conference, and other significant sessions.

The Secretariat encourages media professionals and interested parties to regularly consult the platform for the latest developments. Following the conclusion of the meetings, the official Meeting Communiqué will be archived within the platform’s media center for permanent access.

For real-time engagement, the public can participate in discussions using the dedicated hashtag #50HGC across CARICOM’s social media channels, creating a complementary digital conversation around this milestone regional gathering.

Dominica’s electoral authorities have reported a significant public response to the ongoing voter confirmation initiative, with more than 10,500 citizens having already submitted their applications since the process commenced on October 15, 2025. Chief Elections Officer Anthea Joseph disclosed these figures while emphasizing the critical importance of electoral participation in the democratic process.

Joseph characterized voter engagement as both a fundamental democratic right and a essential civic duty, urging citizens not to delay their confirmation until the final deadline in October 2026. She specifically encouraged early participation, noting that the procedure requires minimal documentation: either a Dominican passport, Social Security Card, or valid driver’s license, accompanied by a witness from the applicant’s registered polling district.

In a significant transparency measure, the Electoral Office has published the initial confirmation list dated January 15 on its official website. This document contains the names of all individuals whose applications have been successfully processed and approved to date. Joseph clarified that the verification process operates on an ongoing, randomized basis across all constituencies without preferential treatment of any electoral district.

The Chief Elections Officer addressed concerns from applicants who have completed the confirmation process but do not yet see their names on the current list, explaining that the system reviews applications continuously rather than in batches. She assured citizens that approved applications will automatically appear on subsequent monthly updates, with refreshed lists scheduled for publication on the 15th of each month. The public is encouraged to monitor these regular updates through the official electoral website channels.