Today’s news that medical referrals were down by 88% in 2025 (see related story) is in principle most welcome. This reportedly happened while upgrades at St. Maarten Medical Center (SMMC) continue.
Sending less people off-island obviously saves on travel- and accommodation costs for patients as well those accompanying them, while local admission and treatment rates may also be cheaper than abroad. This benefits both collective coverage provider Social and Health Insurances SZV and private insurers, reducing upwards pressure on premiums.
Things should get even better once construction of the St. Maarten General Hospital (SMGH) is completed. Being able to offer essential services without interruption even in case of disasters plays a role, aided by structures to withstand Category 5 hurricanes, 108 seismic base isolators to absorb earthquake shocks and independent power and water systems to ensure continued operations during crises.
The new building will no doubt be a major improvement with modern facilities and equipment. However, despite the advent of Artificial Intelligence (AI), quality healthcare to a large extent still relies on people.
It is therefore good to know that 238 staff were trained last year and a total of 648 since the project began. As the contract manager rightly put it, “we are not only building a hospital – we are preparing our staff for the future.”
On the other other hand, discretion must be exercised not to limit patients’ choice too much regarding treatment options, especially in an abrupt manner. Their well-being, both physically and mentally remains the ultimate goal.
