Recent reports about the construction of a new hospital were obviously welcome. Most would agree that the existing St. Maarten Medical Center (SMMC) has surpassed its lifespan and something needs to be done.
The issue had been a hot topic in several earlier election campaigns, but these plans failed to materialise. Things appear to be different now, as negotiations with the designated contractor are to be completed by the end of the month.
Still, the price gap between the chosen lowest of three bids at US $59.5 million and the highest at US $138.9 million raises questions. A member of the local press rightfully called the difference of almost US $80 million “absurd” during Sunday’s presentation.
It was explained that the three parties involved – the third offer was for US $80.1 million – had worked out distinct concepts, although based on the same requirements. Five independent evaluation teams were said to have been unanimous in their selection, so one would be hard pressed to second-guess the decision.
As projects go, money plays an important role and a Government loan is the preferred option being worked on primarily because of more favourable conditions. However, Social and Health Insurances SZV will provide the financing in the meantime should that process take too long.
The latter may spark a bit of concern, because it regards collective funds and SZV already has bought the unfinished not-so-new-anymore Government Administration Building. In addition, the public agency also provided a short-term US $10 million loan to the Harbour not too long ago.
However, an envisioned return of five per cent is claimed to be much better than that on SZV’s current investment portfolio. The expected savings of not having to send so many patients abroad for treatment should ultimately help pay for it all.
Time will tell, but indications are that building a new general hospital on the Dutch side may soon become a reality. If that can be done without increasing the cost of health care, it certainly could prove a worthwhile endeavour.
