Bahama Pundit

Medical Tourism and Medical Oversight in the Bahamas

by Larry Smith

 In a recent Tribune article, heart specialist Dr Conville Brown complained about Bahamians spending millions of dollars in the US for medical care that could easily be obtained at home.

He was arguing in favour of local healthcare providers building a large-scale medical tourism industry here. "The same things that all tourists do," he said, "the medical tourist has to do. (And) if the ownership is Bahamian, then the economy really wins because those funds will stay here."

But at the same time he felt constrained to point out that Bahamians were offsetting the income from foreigners by flying off to get treatment in the US. "We boost their economy big time. We are reverse medical tourists. Several hospitals in South Florida say their biggest international clientele is from the Bahamas."

Medical tourism is a multi-billion-dollar growth industry that hospitals, doctors and tourism marketers around the world are eager to tap into. By some accounts, more than half a million Americans travel to other countries for medical treatment - partly for cost reasons and partly to take advantage of procedures not yet approved in the US.

There can be no disagreement with Dr Brown’s position in terms of the Bahamian economy. And for patients, the benefits are equally obvious and compelling. If Bahamians obtained their medical treatment at home they would significantly reduce the logistics, expense and stress of being treated abroad. 

Why then, do so many of us spend so much money overseas for treatments that are available right here at home? We can answer that question fairly confidently - given a choice, patients will seek medical care from the doctors, hospitals and clinics they trust the most.  

Majority Rule at Forty-Five

by Simon

The success of great political events and movements inspire all manner of grandstanding by secondary figures who played tangential or minor roles in such events.  As often, those who played more critical roles, and are disinclined to preen and prance, are not given their fuller due.     

Thankfully, in the light of greater historical accuracy, the pretensions of the airbags desperately attempting to inflate themselves into great leaders are often deflated.  And, the extraordinary contributions of the great men and women of history are recorded for accuracy and posterity.

Three events of the past few weeks highlighted aspects of the struggle for and legacy of Majority Rule.  They include the 45th anniversary of January 10th, 1967, the passing of Sir Clifford Darling, and the opportunity for ordinary Bahamians to own shares in the new Arawak Port Development (APD).

The 1958 General Strike and the Making of the Modern Bahamas

by Larry Smith

Last Friday marked the 54th anniversary of the 1958 general strike, one of the seminal events of the modern Bahamas. On January 13 of that year hundreds of public and private sector workers walked off their jobs, shutting down New Providence for almost three weeks and forcing some much-needed social and political change.

The key labour leaders of the time are no longer with us, but both have left behind a rich legacy in the form of their personal memoirs. Those leaders were Sir Clifford Darling, who died last month at the age of 89, and Sir Randol Fawkes, who died in 2000 at the age of 76.

Sir Randol's 1977 book, The Faith that Moved the Mountain, gives his personal (and what historian Michael Craton described as "somewhat self-serving") perspective as a leader of the Bahamas Federation of Labour, the umbrella union which called the strike. A memorial edition is available online at http://sirrandolfawkes.com.

Sir Clifford's 2002 book, A Bahamian Life Story, provides much of the background necessary to form an appreciation of this unique event. In addition to his personal perspective as leader of the Taxi Cab Union, which instigated the strike, his account includes secret communiques from the colonial authorities, as well as contemporary newspaper reports.

Understanding Bahamian Parliamentary Democracy—Part 1

by Simon

Today, 45 years to the day after the attainment of majority rule, there is chronic and widespread ignorance of our system of government and national constitution.  Sadly, no longer surprisingly, so-called “informed” people in civil society, academia, business and the press corps are among the woefully uninformed. 

Many of them regurgitate effluvia on the supposed problems of our parliamentary democracy on matters ranging from “checks and balances” to collective responsibility and the constitutional powers of the prime minister.

Mesmerized by American politics including the theatrics that substitute for news on US cable news, some local commentators cannot utter “checks” without mindlessly adding “balances”, with seemingly limited appreciation for either term.

The supposed corrective measures to repair our supposedly broken democracy are, to paraphrase attorney Andrew Allen in the context of shallow arguments for term limits, superficial non-solutions to imaginary problems.

The Right and Duty to Vote

by Simon

Those Bahamians who take for granted our democracy and their right to vote with smug or shallow excuses for not registering or voting, might wish to read the cover story of the December 26 edition of Time Magazine announcing its 2011 “Person of the Year”.

 Instead of a single person, Time selected “The Protestor” in tribute to protestors around the world, and especially across North Africa and the Middle East who are forcing democratic change, including the right to vote.   

What has been termed the Arab Spring is unfolding in different ways from the Maghreb to the Levant, perhaps even stirring protests for fairer elections in Russia.  Still, no matter the country, protestors are bound by the shared goals of political enfranchisement and greater economic empowerment. 

The choice of The Protestor has a double-significance: It links collective action with individual choice, which is the ideal of free and fair elections.  Just as it may require a mass of protestors to gain the right of an individual to vote, it takes a mass of voters to continually secure those rights by exercising their franchise.

Dig Up, Dig Up

by Simon

The once in a generation road transportation and road corridor programme is more than a decade old.  The New Providence Road Improvement Project began in the 1990s but did not significantly progress from 2002 to 2007.  Restarted under the current Ingraham administration, the programme went into higher gear beginning in 2007.

Geno D’s popular and witty single “Dig Up 2011” captures the mood of many residents of New Providence on the ambitious road works and utilities upgrades on the capital island:

“They doing some serious diggin’.../They stressing out my life, all kinds of dust in my nose, all over my car and my clothes/They say it’s all for my good, but not right now in my neighbourhood.../ Everywhere they diggin’ mornin’, noon and evenin’.../You gat to go north to go south/You gat to go east to go west/Gat to past my house to get home...”