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The Nation's Health: A Key Priority says G.G.


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Tuesday, April 20, 2004 - The nation’s health, internal security and youth. These are what Governor General, Her Excellency Dame Pearlette Louisy says will be the government’s key priorities for the fiscal year 2004/05. Delivering the Throne Speech at the opening of the fourth session of the Eighth Parliament today, Dame Pearlette told the nation via a joint sitting of the Upper and Lower House of Parliament that her Government proposes to create a new framework of health provision, that will radically change access to health care for the vast majority of St. Lucians.

She says the establishment of a Task Force on National Health Insurance (NHI) has completed its proposals, leading to a universal health care program, aimed at providing access to quality health care to all St. Lucians regardless of social status, while allowing the exercise of choice in the selection of caregiver. That task force, Dame Pearlette explains has been mandated to commence the widest public discussion and sensitization, so that all St. Lucians will be familiar with the advantages and responsibilities associated with this national imperative.

“In this endeavor Mr. President, Mr. Speaker, we must all face up to reality. Universal health care is a necessity. No civilized country can allow the right to health care to be contingent on economic means. The right to health care is a human right. But there are costs associated with this and that is where the presence of the theme of this independence year assumes a more profound dimension”, the Governor General said. Administering the plan which incorporates general, psychiatric, emergency care, diagnostic services, pharmaceutics and overseas care will require an annual amount of $30 million, and Dame Pearlette made it clear that government could not be expected to bear the full cost. The commitment of all she said would be imperative, making for a national koud-main.

Commenting on the inevitable changes facing the region come 2005, Dame Pearlette says January of next year will see the entire English speaking Caribbean becoming a single market and economy, signaling a new political geography that will usher in the free movement of people, goods and services. In light of that she says a radical review of how St. Lucians think, move and behave in the new Caribbean space was necessary. She notes that governments, private sector, and civil society will also be equally challenged to make the inescapable adjustments

“Above every twist in the accustomed channels of our thought and behavior, the most challenging is going to be the acceptance of that type of reciprocity, the acceptance that we can no longer expect to have our cake and eat it. We cannot be free to seek jobs abroad and not have others come here seeking work too. We cannot own land in their islands and not have them claim a piece of St. Lucia also. We cannot seek their investment but protect ourselves from their competition,” laments Dame Pearlette.

She notes that 2006 will see major changes in the banana trading regime as what remains of preferential access comes to an end, to be replaced by what is expected to be a tariff only system. “The precise operation of that new regime is still uncertain, but what must clearly be anticipated and understood is that no-one is going to fight costly battles on our behalf to secure privileges that all global trends seek to reverse.”

In light of those developments Dame Pearlette has called on St. Lucian farmers to play their part, by taking responsibility for the development and survival of the industry.
 

 


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