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160:(NHI) system. The concept has broad cross party support, and is seen as a way of alleviating the cash-drain caused by underwriting public health expenditure. However, the proposal remains controversial amongst the public, not least because of the perceived cost to the public in a country with traditionally low tax burdens.
64:, there are day clinics to serve non-emergency medical needs of residents of those islands. Although there is periodic discussion about the possibility of building another hospital on Virgin Gorda, to date there has been no commitment to doing so. For emergency medical evacuations from other islands a boat is maintained.
163:
Legislation was implemented to bring NHI into effect in 2014. Although the most recently proposal was for NHI to come into effect in
October 2014, this did not happen. Implementation was pushed back first to January 2015, and then to September 2015. The most recent announcements have been to the
101:
Because of limited resources and problems of economies of scale, public health authorities will sometimes send critical cases overseas for treatment at larger facilities. In addition, many residents of the
British Virgin Islands maintain private health insurance which allows them to access health
137:
The
British Virgin Islands operates a mandatory social security scheme. In practice because of the large number of migrant workers who leave the Territory before claiming benefits, the scheme is heavily over funded. Social security benefits include maternity, occupational injury, sickness and
67:
Under the Public
Hospital Ordinance (Cap 195) free medical treatment is available at all public facilities to the elderly (being persons who are 65 or older), children (being persons aged 16 or under), police officers, firemen, prison officers, public health workers, the mentally ill, indigent
170:
NHI is intended to be funded by a mandatory 7.5% levy on salaries paid to person employed in the
British Virgin Islands up to a capped amount of US$ 5,791.50 per person. Half of this amount would be assessed against the employee and half against the employer. Where a person is married to a
247:"The budget estimates total revenue generation of $ 10.5 million, close to $ 1 million above last year's total. However, total expenditure is budgeted at $ 34.4 million, which means that the unfunded amount of recurrent expenditure is $ 23.9 million."
92:
All practising physicians are required to be registered under
Medical Act, 2000. The legislation covers doctors, dentists, related health care professionals and pharmacists. Nursing professionals are separately regulated under the Nursing Act, 1976.
171:
non-working spouse, they will be required to pay a contribution on behalf of their spouse as if the non-working spouse was paid the same salary as the working spouse (i.e. a working spouse will effectively pay double if their partner does not work).
80:
Public health care is effectively subsidised by pricing which is deliberately set below the actual cost of providing care. User fees are estimated to recover just 8% of the operating costs of primary and secondary health care services.
68:
persons and prisoners. All other persons must pay for medical treatment received from public health care facilities, although the cost of health care is usually less expensive than from private health care providers.
76:
The responsibility of operating the public health system is vested in a statutory body, the BVI Health
Services Authority Board (BVI HSA). Peebles Hospital and the various clinics managed by the BVI HSA.
151:
400:
174:
Treatment received under NHI will be subject to a lifetime cap of US$ 1,000,000 in treatment, and will remain subject to a co-pay requirement. Proposed co-pays are:
121:
are amongst the most prevalent of routine health issues in the
British Virgin Islands. The British Virgin Islands also suffers from periodic outbreaks of
211:
164:
effect that registration of persons will commence on 1 September 2015, and the scheme itself would come into effect on 1 January 2016.
36:
is predominantly provided by private healthcare providers with an overlay of public support. There is a single public hospital in the
352:
126:
270:
266:
156:
Since approximately 2005 various
British Virgin Islands governments have considered and commissioned studies into a proposed
291:
167:
NHI will be administered by the Social
Security Board. The deputy director with responsibility for NHI is Mr Roy Barry.
157:
380:
366:
225:
37:
26:
310:
193:
40% at overseas clinics out of network (needs to be pre-approved by Medical Review Committee)
41:
22:
338:
249:
52:. There is also one private hospital - the Bougainvillea clinic (also in Road Town). On
324:
84:
Expenditure on health accounts for approximately 17% of total government expenditure.
394:
61:
325:"Legislation For Implementation Of National Health Insurance Up For Debate Thursday"
305:
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survivor's benefits. The Social Security Board (SSB) also has the ability to make
122:
114:
57:
18:
339:"NHI Could Come On Stream By October; Plans Shrouded In Secrecy - Says Opponents"
142:
payments in case of need for uninsured persons requiring serious medical care.
45:
308:
recently stated that with the launch of NHI, Government will save $ 22M."
118:
110:
53:
49:
292:"Nearly 600 cases of Chikungunya reported; authority denies hiding #"
267:"Health Systems and Services Profile for the British Virgin Islands"
212:"No Hospital for Virgin Gorda just a larger Clinic - Premier Smith"
17:
187:
40% at private clinics out of network (with a US$ 100 deductible)
190:
20% at overseas clinics in network (with a US$ 500 deductible)
353:"Controversial NHI scheme to begin Jan 2015 – Roy Barry"
250:"Gov't Attempts To Justify Major Hike In Hospital Fees"
381:"Fully Prepared -NHI registration starts September"
367:"NHI likely to start in September, Skelton reveals"
226:"Boat ready for VG, but Skelton prefers helicopter"
152:National Health Insurance (British Virgin Islands)
8:
355:. Virgin Islands News Online. 5 June 2014.
304:"Minister for Education and Culture, Hon.
214:. Virgin Islands News Online. 30 May 2014.
401:Healthcare in the British Virgin Islands
34:Healthcare in the British Virgin Islands
203:
125:, and was also heavily affected by the
261:
259:
7:
102:care services in the United States.
25:is the main public hospital in the
14:
184:10% at private clinics in network
313:. BVI Platinum. 13 January 2014.
271:Pan American Health Organization
252:. BVI Platinum. 4 November 2014.
327:. BVI Platinum. 31 March 2014.
311:"Gov't To Pump $ 50M Into NHI"
238:BVI Health Services Act, 2005.
178:0% at community health clinics
1:
341:. BVI Platinum. 9 April 2014.
127:2013–14 chikungunya outbreak
294:. BVI News. 6 October 2014.
417:
369:. BVI News. 23 April 2015.
149:
383:. BVI News. 22 July 2015.
181:5% at the public hospital
158:National Health Insurance
146:National Health Insurance
106:Territorial health issues
228:. BVI News. 11 May 2014.
38:British Virgin Islands
30:
27:British Virgin Islands
21:
97:Overseas health care
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23:Peebles Hospital
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133:Social Security
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150:Main article:
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72:Administration
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62:Jost Van Dyke
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306:Myron Walwyn
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274:. Retrieved
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123:Dengue fever
115:hypertension
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58:Virgin Gorda
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32:
15:
276:13 November
198:References
88:Regulation
140:ex gratia
46:Road Town
395:Category
119:diabetes
111:Obesity
54:Anegada
50:Tortola
278:2014
117:and
60:and
48:on
44:in
397::
269:.
258:^
129:.
113:,
56:,
40:-
280:.
29:.
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