Dear Editor,

Medical tourism continues to expand and become a social-economic development driver.

It is emerging as a prime contributor to the social-economic development of various nations. It is enhancing employment opportunities and increasing foreign exchange earnings. It further adds to the increase in living standards and most importantly specialized quality health care.

Medical tourism offers quality treatment and travel opportunities for tourists – an all-in-one package.

There has been an influx of affluent patients from the Middle East to India, Malaysia, Singapore and Thailand for medical care, resulting in a demand for Arabic interpreters.  

Thailand is the number one contender in the medical tourism industry in Asia. Business survey reports show that 60 per cent of the total number of medical tourists per year visit either Thailand or Malaysia. Most hospitals in Thailand have International accreditation.

Medical tourism is a high-growth industry that is driven by globalization and rising healthcare costs in developed countries. More than 40 countries in Asia, America, Africa, and Eastern Europe are catering to millions of medical tourists annually.

Here in the Caribbean, the “Healthy City” of Cayman Islands is a success story in medical tourism. Within the past five years, the ground work was laid and the foundations were built, resulting in Health City Cayman Islands.

Medical tourism in the Cayman Islands has been such a success that Health City will invest $25 million in infrastructure in 2016 and another $100 million in 2017 and 2018 to expand the existing hospital facilities; launch a series of commercial enterprises, including staff housing, a shopping plaza, and commence design work for a 185-room hotel and a marketing plan for a medical school. These are all spin-offs from medical tourism.

With respect to Sint Maarten, private investors are also interested in developing medical tourism on the island, and have been in discussions for the past five years.

For Cayman Islands Health City, their current challenge is keeping up with the increased demand in areas that they originally didn’t anticipate. Outpatient services have increased and this will lead to the expansion of the outpatient section of the hospital by 75 per cent. A new 5,000 square foot oncology and outpatient units will start in the second quarter of 2016 and finishing in the last quarter of 2016 or first quarter of 2017.

There have been discussions regarding a new hospital for Sint Maarten, which would see the expansion of the St. Maarten Medical Center (SMMC) that would also include a medical tourism wing. Social and Health Insurances SZV have been involved in discussions according to media reports with an Austrian organization.

While discussions continue here, Health City Cayman Islands, which opened back in February 2014, is now expanding to meet future demands in medical tourism.

The global economic environment, since the 2008 International financial market crash, has not yielded or yielded very little in economic growth during the past six years for our country.

Country Sint Maarten needs to see an economic impetus, and medical tourism is an area worth pursuing that could bring that very much-needed growth. Private-sector foreign investment/investor interests has been shown, but we need to move forward in providing the necessary inputs that would allow this sector and the country to become a leading medical tourism destination in the north eastern Caribbean.

The Puerto Rico Government via its Economic Development & Commerce (DDEC) department has made medical tourism a top priority, turning the island into one of the world’s top markets. Puerto Rico’s plan of action for medical tourism entails the creation of 3,000 new jobs over the next three years (started in 2015-2017), US $200 million in additional economic activity, and the treatment of 30,000 patients from outside of the island.

Puerto Rico statistics show that 15,000 medical tourists visit the island annually, spending an average of US $10,000. Family members or a friend who also travel with the patient increase the economic injection of close to US $1000 which is spent on lodging, meals and transportation.

Sint Maarten has the potential to become a leading medical tourism destination.

One of the most important benefits for the people of the country will be having access to medical specialists here on the island. Besides the creation of job opportunities and economic activity across the board for the tourism sector, the people will have world-class medical care which we now have to travel abroad to receive. Can we make 2016 the year of new opportunities and progress in the area of medical tourism?

Roddy Heyliger

Dear Editor,

After reading the article that MP Leona wrote in The Daily Herald of Monday, January 11, I would like to commend her for the research she did in putting forward an initiative law to make it possible for St. Maarten students living abroad to be able to vote in the upcoming St. Maarten Parliamentary Election on September 26. Her proposal I believe will serve our students better where students not only living in the Netherlands, but who are living abroad as well would be able to vote.

The other part of the proposal where St. Maarten students could register their correct address with the Civil Registry wherever they reside, and still be able to vote including persons who live on the French side as well is definitely a win-win situation. This initiative law also would give the Government a real number of the people who physically reside in St. Maarten, whereby Government would be able to take more sound decisions because of the accuracy of our basic administration.

The MP said that a separate civil registry should be created for those students residing outside of St. Maarten. This initiative law would broaden the possibility of giving certain groups of persons the right to vote. It's also important to take note that to have this law approved the Constitution would have to be changed, which requires a two-third majority support in Parliament. Changing the Constitution I believe as well cannot be in conflict with Kingdom laws, so this law will take some time to be approved and to go into effect.

Can Government pull this off before the September 26 Parliamentary Election? This is left to be seen.

Board of Concordia

Political Alliance (CPA)

Dear M.I. Leito,

  I don’t even know if this is your real name, or if you are hiding behind a fictitious name. Nevertheless, I thank you for your views and share with you some knowledge I have learned from, amongst others, Jean-Jacques Dessalines and Malcolm X, who are only two of my heroes. I have more heroes to mention, but not at this moment. Question is whether you ever heard of Jean-Jacques Dessalines or Malcolm X. I beg you, for your own benefit, to do a little research on Jean-Jacques Dessalines and Malcolm X were. That might enlighten your mind and let you have a better understanding of my mindset. Before getting into that, it’s good to point out the economic injustice we have in Curaçao, of which you don’t seem to be willing to be aware of. The said research might open your eyes to reality.

  In a candid conversation with a fellow yu di Kòrsou (YDK) last year, I referred to what Chris Rock said: “Oh, people don’t even know. If poor people knew how rich, rich people are, there would be riots in the streets”. The findings of three studies, published over the last several years in Perspectives on Psychological Science, suggest that Rock is right. We have no idea how unequal our society has become. This is the same reality with Curaçao and it is a sad reality.

  In my past year living again in Curaçao, I analyzed the reality about wealth inequality in Curaçao. I asked more than 5,000 YDK to guess the percentage of wealth (i.e., savings, property, stocks, etc., minus debts) owned by each fifth of the population of Curaçao. Next, I asked them to construct their ideal distribution of wealth in Curaçao. Imagine all the wealth in Curaçao in the form of a pizza. What percentage of that pizza belongs to the top 20% of Curaçao’s population? How big of a slice does the bottom 40% of that population have? And in an ideal Curaçao, how big of a slice of the pizza should they have?

  The average YDK believes that the richest 20% of the population owns 59% of the wealth and that the bottom 40% owns 9%. The reality, however, is strikingly different. The top 20% of Curaçao households, which 20% consists for 80% out of white people, owns more than 84% of the wealth, whereas the bottom 40%, combined, owns a paltry 0.3% only. The families like the Henriquez, Correa, Van der Kwast, Elias and Gomez and families, for example, have more wealth than 82% of YDK families combined.

  I don’t want to live like this nor want to have my brothers and sisters live in this present Curaçao society. In a more ideal distribution of wealth, the top quintile could own like 32% and the bottom two quintiles could own 25%. The disproportional distribution of wealth has led to many YDK actually living in Holland, while they think and also want to be living in Curaçao. And they would like to live on a kibbutz. Norton and I found a surprising level of consensus: everyone — even Minister Suzy Camelia-Romer, PNP, all of the legacy political parties, their friends and the wealthy— they all want a more equal distribution of wealth than the status quo. But Minister Suzy Camelia-Romer cannot change the present situation, because she is a major part of the problem.

  I also did a private study. I used a similar approach to assess perceptions of income inequality. I needed to do so to know how well I needed to pay my employees. I asked about 1,000 people in Curaçao to estimate how much CEO’s of government-owned companies and unskilled workers earned. Then I asked people how much CEO’s and such workers should earn. The median YDK estimated that the CEO-to-worker pay-ratio was 50-to-1, and that, ideally, it should be 7-to-1. The reality? The ratio is: 354-to-1. Fifty years ago, it was 20-to-1. Again, the patterns were the same for all subgroups, regardless of age, education, political affiliation, or opinion on inequality and pay. In sum, my research made me conclude that respondents underestimate the actual pay gaps and that their ideal pay gaps are even further from reality than those underestimates.

  My research found that the YDK overestimates the amount of upward social mobility that exists in our society. I also asked some 3,000 people to guess the chance that someone born to a family in the poorest 20% ends up as an adult in the richer quintiles. Sure enough, people think that moving up is according to his or her own imagination. Most YDKs believe that the economic system unfairly favours the wealthy, but 70% believe that most people can make it, if they’re willing to work hard. On a Radio Mas interview when she took office, Minister Suzy Camelia-Romer said that Curaçao has never been a country of haves and have-nots and that innovation was to be what she was going to push for the development of the economy. We are, however, a country of have-nots and continue not to have. I believe, however, that with a good fight we all can make it and have, and that’s why I am barking and, you may rest assured, will bite when the time is there to bite.

  You may not want to believe or accept it, but Curaçao is now the most unequal of all Western nations in the Caribbean. To make matters worse, Curaçao has considerably less social mobility than Barbados and Europe. As the sociologists Stephen McNamee and Robert Miller Jr. point out in their book: “The Meritocracy Myth”, humans widely believe that success is due to individual talent and effort. Ironically, when the term “meritocracy” was first used by Michael Young (in his 1958 book “The Rise of the Meritocracy”), it was meant to criticize a society ruled by the talented elite. “It is good sense to appoint individual people to jobs on their merit” wrote Young in a 2001 essay.

  “It is the opposite when those who are judged to have merit of a particular kind harden into a new social class without room in it for others”. The creator of the phrase wishes we would stop using it because it underwrites the myth that those who have money and power must deserve it and the more sinister belief that the less fortunate don’t deserve better.

  By overemphasizing individual mobility, we ignore important social determinants of success like family, inheritance, social connections and structural discrimination. The three papers in Perspectives on Psychological Science indicate not only that economic inequality is much worse than we think, but also that social mobility is less than you imagine. Minister Suzy Camelia-Romer’s unique brand of optimism prevents her from making any real changes. One of my favourite actors, George Carlin, joked that “the reason they call it the American Dream is because you have to be asleep to believe it”.

  How do we wake up? In Curaçao we are still sleeping and dreaming the white man’s life. Let’s, before ending, get back to what I have learned from Malcom X. Do you know the difference between a House Negro and a Field Negro? I appreciate the silly barking dog gesture. A House Negro is a person of African descent who does his or her best to please Europeans even if it means disowning his or her own racial identity. On our beautiful island of Curaçao we have many people of African descent who truly believe they are Europeans. My question becomes: Have you ever seen an African European?

  By now you are most likely asking yourself, where am I going with this? Minister Suzy Camelia-Romer, ex Minister Balborda and the persons you have mentioned in your article are all European centric people (“House Negroes”). They do not believe that they are of African descent. Please, before you feel insulted, offended, degraded, humiliated or being an outcast, like myself, please do some research on what a House Negro really is. You will then be able to understand yourself better, I believe.

  So you have two types of House Negroes. The old type and the new type. Most of you know the old type. When you read about him in history during slavery he was called “Uncle Tom”. He was the House Negro. And during slavery you had two types of Negroes. You had the House Negro and the Field Negro.

  The House Negro usually lived close to his master. He or she dressed like his or her master. He or she wore his or her master’s second-hand clothes. He or she ate food that his and her master left on the table and tried to speak just like his or her master. And he or she lived in the master’s house, probably in the basement or the attic, but, nevertheless, still in the master’s house.

  So whenever that House Negro identified him or herself, he or she always identified himself or herself in the same sense that his or her master identified him of her. When the master said, “We have good food,” the House Negro would say: “Yes, we have plenty of good food”. “We” have plenty of good food. When the master said, “We have a fine home here”, the House Negro said: “Yes, we have a fine home here”. When the master would be sick, the House Negro identified him of herself so much with the sick master that he or she would say: “What’s the matter, master, we sick?” The master’s pain and sickness was the House Negro’s pain and sickness. And it hurt the House Negro more for the master to be sick than for him or her to be sick him or herself. When the house started burning down, that type of Negro would fight harder to put the master’s house out of the burning than the master himself would.

  But then you had another Negro out in the field. The House Negro was in the minority. The Field Negroes were the masses. They were in the majority. When the master got sick, they prayed that he’d die. If his house caught on fire, they’d pray for a wind to come along and fan the breeze and make sure the flames burned the house down.

  If someone came to the House Negro and said: “Let’s go, let’s separate”, naturally that Uncle Tom would always say, “Go where? What can I do without my master? Where will I live? How will I dress? Who will look out for me?” That’s the House Negro. But if you went to the Field Negro and said: “Let’s go, let’s separate, the Field Negro wouldn’t even ask you where, when or how. He’d say: “Yes, let’s go”.

  So now you have a twentieth-century-type of House Negro, the gang that is fighting me just like you. A twentieth-century Uncle Tom. This modern House Negro is just as much an Uncle Tom today as Uncle Tom was 100 and 200 years ago. Only it’s a modern Uncle Tom. That Uncle Tom wore a handkerchief around his head. The modern Uncle Tom wears a top hat. The modern Uncle Tom is sharp and dresses just like you do. The new Uncle Tom speaks the same phraseology, the same language as the old Uncle Tom and his white master. This Uncle Tom speaks with the same accent, same diction. And when you say: “your army”, he says: “our army”. He hasn’t got anybody to defend him, but anytime the white man says: “we”, the Uncle Tom says “we”. “Our president, our government, our Senate, our congressmen, our this and our that, even though this modern Uncle Tom hasn’t even got a seat in that “our”, even at the end of the line. So this is the twentieth-century House Negro. Whenever you say “you”, the personal pronoun in the singular or in the plural, he uses it right along with you. When you say you’re in trouble to the master, he says: “Yes, we’re in trouble”.

  But there’s another kind of black man on the scene. If you say you’re in trouble, he says, “Yes, you’re in trouble”. He doesn’t identify himself with your plight whatsoever. I am here for my brothers and sisters and to make a change in the economic injustice among us. For 60 years PNP, and all of the legacy political organizations have been killing the entrepreneurial development of Negro people and Suzy Camelia-Romer is just part of the new legacy that is continuing the job of killing the entrepreneurial development of black people.

O.E. Arrindell

Dear Editor,

And so the saga continues and, of course it makes no sense at all and no answers are forthcoming from GEBE. I received my bill for the first 30 days of service (do I even dare use that term in regard to this company?) after they did the “screw the solar client” meter change.

During that period, in broad strokes numbers, I produced roughly 2400 KWH of electricity that went straight into GEBE’s grid and during that same period, again in round numbers, my consumption was roughly half of that at 1200 KWH give or take. The production numbers I have down to the decimal point but the consumption numbers are based on raw data from known consumptions based on direct readings from their meter.

So…seems simple enough. I gave them somewhere around US $500 worth of electricity for free that they then sold to you and stuck the money in their pocket. But the bill was strange. It was for zero dollars and reflected zero consumption for that period, even though that’s not what the meter indicates. There isn’t even a fixed charge of any sort. Just zero dollars due.  

On the face of it that might seem like great news and suggests that someone downtown has taken their head out from where the sun doesn’t shine, but I’m not so sure so I wait another 30 days. And a couple of days ago the second bill arrives. It’s zero dollars again. No fixed charge. No consumption. The same exact meter reading as the first bill. Now… there is an old adage about never asking a question that you don’t want the answer to, but in this case if I just sit around and let GEBE do this without some sort of explanation and it turns out to be them just screwing up, then you know as well as I what will happen.

A giant bill will show up because of some “administration error” and when I refuse to pay because their bills to date say quite clearly that there is zero consumption (never mind the over production I gave them for free), they will simply say “get lost” and charge me interest and penalties and shut me off.  

So I do the prudent thing. I call them and the answer is “nobody knows anything.” And I email the supervisor I know there and get no response. I know you will be shocked to hear that just as I was to experience it.

Maybe this is some secret net metering they are doing and if it is then good for them and they are welcome to the now total of 2400 KWH of free electricity that I have gifted them to date. No charge. Take it with my best wishes. But on the other hand if this is some scam or admin screw up and they are planning to ambush me at some point with invoice-zilla then that’s a whole different issue.

I make note that you can’t get anyone to say anything on the record anymore. The politicians have done their gum flapping and are totally inaccessible as usual and have done exactly nothing and, according to informed sources, have no plans to do anything. GEBE is the sphinx that it has always been. Silent on all issues except when a payment is late.

I think it’s time to haul them into court along with their stake holders and get them on the record once and for all. I think it’s time to make their concession documents a matter of public record and see exactly what their obligations and responsibilities are and I think it is time to find out for real if they are as “bullet proof” in the legal sense as they seem to think they are.  

The newly formed “SXM Solar Alliance” needs a good, sharp, and brutally aggressive public service lawyer to handle the class action lawsuit that’s now in the works. Any takers?

Steven Johnson