Challenges for public healthcare system


Auditor General Sue Winspear’s 2017 report stated that the Cayman Islands government has neither the resources nor the information available to properly manage an increasingly complex healthcare system for its resident population.

Private sector healthcare system users are increasingly shouldering more of the territory’s overall health costs. Standard health insurance fees – the rate doctors are reimbursed for services by insurers- have not increased since 2005, and Cabinet decided against a recommended fee increase in November 2016. A consultant’s study of the fees recommended that insurance companies’ payments be increased by 12.3 % and then reviewed annually after that.

A number of local doctors are concerned about separate but unequal medical professions in Cayman – referring to concessions a previous government provided to Health City Cayman Islands, that are not offered to other private practitioners.

Health City has been treating children from around the world for congenital heart defects. Since the hospital opened, more than 60 children from Haiti alone have undergone surgeries at Health City that they could not otherwise afford.

A 2016 deal allowed any Cayman hospital with under 50 beds to offer medical tourism in return for HCCI being allowed to treat locals.

Health City Cayman Islands is seeking to attract more medical tourists in partnership with the Cayman Islands Department of Tourism.




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