← Back

Your message to the BLOGMASTER was sent

vaccinationBU wonders why as consumers we respond to the rising cost of living by identifying rising food and fuel costs and the like but we are willing to ignore professional fees which have been galloping out of control in recent years. At the top of the list are legal and medical fees which seem to be fixed by arrangement.

Doctors and lawyers are worshipped by Barbadians. We make appointments to seek their sacred services and behold when we arrive we have the mandatory wait before we can get an audience.

For many years we have known that some of our doctors dispense drugs from their desk’s drawers. Many of the drugs are known to be samples distributed by the pharmaceutical agents to promote their respective drugs sales. Barbadians not to offend the goodly doctors meekly open purses/wallets to pay for drugs which should never, never be sold.

In some other countries, by other people this behaviour maybe deemed unethical, criminal even? In the prevailing depressed economic climate BU sources have advised of another practice which we find disturbing.

All parents of children have to ensure that their children are vaccinated. It is a requirement to gain admission to our schools.  There are other vaccinations which parents may give their children to build their immune system. We are aware that BU family member ROK has challenged how our society meekly receives vaccinations.

We understand that the going rate to have a vaccination administered by a doctor ranges between $100-$120. Additionally, the consulting fee can range between $80 -$120.

We question why our doctors need to fix such high fees for this reason:

We understand doctors in Barbados currently purchase bulk supplies of vaccines at a rate which is less than $40.00 per vaccine. Let us not forget their consulting fee. How should BU describe this state of affair? Should we call it profiteering? Maybe we should call it criminal!

It is amazing to BU that the officials in the relevant government departments e.g. The Barbados Drug Service management would be aware of how our doctors price their services for administering vaccines to our children yet they elect to participate in the price gouging conspiracy. What will it take to expose the free for all practices by many doctors which is contributing to our cost of living.

We could easily have blogged about a few of our well known pharmacies that price gouge – cartel behaviour we call it.

Our advice to Barbadians is to suppress their foolish pride and go to the Polyclinics, they deliver vaccination for free!


Discover more from Barbados Underground

Subscribe to get the latest posts sent to your email.

286 responses to “Our Doctors Can Do More To Help The People”


  1. Well, be careful what you wish for! Barbados is on a fast-track to destruction, thru ignorance of self, arrogance and its monkey-see-monkey- do attitiude. Long gone are the days of our shamans or medicine men/women who could work in harmony with nature that the Almighty so graciously endowed us with. We take to whitey’s medicine & education and we are physically developing the land for whitey to enjoy and take over. For a lack of knowledge our people are dying. We eat poisons which are destroying our temples and then turn to the white man’s medicine which make us even sicker and prolong our life to make these ‘doctors’ and pharmeceutical companies richer all in our quest to ‘develop’ according to the UN and World Bank’s directives. Some of the most filthy criminal beings in today’s society are LAWYERS and DOCTORS.

    Black folks do not NEED to be vaccinated. Our bodies have a natural immunity. Vaccines were created to decimate human populations. Vaccines are poison. Why is it that certain religious sects i.e. Jehovah Witnesses do not vaccinate and they have no DIS-eases?

    Sheeple wake to hell up!


  2. David I sincerely admire your resolve to post at least two interesting topics daily.
    But it seems the ones on medicine dont fly. But I will try to contribute here, so here goes……

    David David
    The fellas will call you a naughty naughty boy man! They will ask you………..
    Do you know that registration fess for doctors went up from $750 per annum to $2500 recently, and that you pay double if you don’t pay by January 31st?

    They will ask you………..David you don’t want the boys to sell their samples man? Do you know how much time they had to give up to acquire same? And aint time=money?

    They will ask you………..
    David how you know that the boys sell their samples?

    I remember one rep who owns his own Pharmacy now would tell you in the early 80’s. If you buy 24 Velosef, I will give you 24 free from my sample stock.

    David I agree that Bajans should swallow their pride and go get treatment free at the Polyclinics, but how could you deprive the people from talking of their “Paediatrician” or their Gynaecologist”?

    They will ask you………..David are you saying that Drs should not dispense drugs from their desk drawers? You think that the druggists know more pharmacology than the doctors?

    They will ask you………..David you want the Barbados Drug Service management to police the doctors now man?
    How will you stop free for all practices by many doctors and how will you stop the cartel behaviour by the pharmacists.

    As I understand it – there is real fun in Bim in medicine these days!


  3. I find this article very interesting, I believe all of this stems from elitist system we have here on this island. I am not sure if the general public is aware, but many many qualified doctors are not given the opportunity to practice here, just to keep numbers as small as possible and fees as high as possible, limited doctors means limited competition, which translates to being able to set any prices they see fit. Selling drugs from their desk is just another way to keep as much money coming in as possible and milking everyone for as much as possible. I have to agree with Georgie Porgie that that practice would be a hard one to curb. I can’t think of any plausible solution right now. As for the vaccination issue, if persons can get it free and they are willing to for it. Well by all means let them continue. I believe the free vaccination programme has been well promoted over the years. So if persons rather pay hundreds I wouldn’t bother to much about them once the opportunity is out there for those individuals who cannot afford to pay.

    Oh by the way Georgie, we engineers have to pay the $2500 too and most of use make much less than doctors and currently I have nothing in my desk to sell other than files, calculator and a stapler.


  4. Hopi, seriously dood, I usually disregard your posts as I determined a long time ago that you are someone that I would always disagree with BUT you have now gone and said something so completely ridiculous that I feel compelled to respond. What research/scientific documentation can you provide to back up your assertion that black people don’t need innoculations and that vacines are poison?
    Do you have any idea where humanity would be today without innoculation against, rubela, typhoid, polio, diptheria, tetanus, mumps, pertussis and the measles?? Are you aware that most children died before the age of five without these innoculations? You talk some bare shite.


  5. Why do we not hesitate to challenge the mason, mechanic , plumber, electrician, carpenter, bodywork man or the fellow who cut the grass charge us for doing a job and we think the price is too high?
    Is it because they are
    not real “professionals”?
    Please notice how the real “professionals” lobby the authorithies to implement policies that keep them relevant and ensures that there is a never-ending stream of income from consumers.

    Doctors who operate next to a pharmacy, tend to prescribe the more expensive drugs when cheaper alternatives are available.

    People should try to stay away from doctors and pharmacists as much as possible, they will probably live longer and die richer.


  6. @PiedPaper…….Dude obviously you love my shite because you’ve responded. FYI, Hopi has learned to think outside the box, that prison in which we are locked.’Children died……’ LIES, LIES. This lie is promulgated by the medical/pharmaceutical INDUSTRY for them to make a bigger profit. These people are in the business of DEATH & PROFIT. My documentation is my children, others’ children and the Jehovah’s Witnesses. Go tell the parents of autistic children that vaccines are GOOD.


  7. It is so easy to stay in good health it is amazing. It is a myth that we need the doctor so often.

    It is like having a car which you take to the mechanic every time it wants oil or gas.

    We get sick because of what we eat. The biggest generator of sickness is meat and not to many will say no to meat. Even so, certain practices can make you confident about yourself.

    1. make sure the alimentary canal keeps it rolling. If you eat get out the waste. How to do that? Drink water on an empty stomach as soon as you get up; clean up before you go again.

    2. Make sure you eat fresh raw (not cooked) vegetables; and not two slices of tomato and cucumber and a piece of lettuce, eat at least a handful of vegetables.

    3. Make sure you supplement zinc, potassium and magnesium in your diet.

    Take it from me, the doctor would be a thing of the past if you stick to these three basics and furthermore, the body will not succumb as easily to disease, because you would have fortified it.

    No doctor will tell you that but the proof of the pudding is in the eating.


  8. RE Engineer
    I know that engineers have to pay the $2500 too, but I have no idea about the extent of their fees. As you say the free vaccination programme has been well promoted over the years, but many prefer to show off by attending high priced GP’s. In fact good medicine is/or at least used to be practiced in the polyclinics. If times are hard there is no reason for Bajans not to go there. You might be surprised who used to attend during 85-96.

    RE Engineer could you explain what you mean by “but many many qualified doctors are not given the opportunity to practice here.” Is it really a question of keeping numbers as small as possible and fees as high as possible, or does it have to do with the doctors qualifications, or origin thereof.

    RE Engineer Selling drugs from their desk is just another way to ensure that the patient get the exact medicine the patient needs. What you think of that? I agree that it can increase the doctors income, but it does not have to be a way of milking the patient.

    I once saw a patient when I was beginning and gave her samples to boot and charged her a lower fee because I thought she was poor. She was actually my only patient that morning, and the fee I charged would give me some gas for my car. She told me point blank that I was very cheap—and never returned!

    I will say that they are more doctors practicing in Barbados than ever before, and the competition is stiff, I understand. It must be a real rat race down there.


  9. ROK next the doctors will get you banned from BU. Lol. BUt you have spoken some truths there.


  10. Dr.Porgie Sire!

    Are you saying that it is alright for Doctors in Barbados to dispense drugs from their desks and to charge when the drugs are samples they would have gotten for free?

    Are you saying that because doctors may do a patient a favour it gives them the right to do as they pleaseth?

    Are you saying because there was an increase in the license fee for doctors which if prorated over 12 months is negligible at best, it should provoke doctors to price gouge?


  11. Well Hopi, lemmuh see if I got this right. You say you KNOW these things because your children, by the grace of God, the one you always callin on, have not yet become ill and a few people that you know in small little Barbados. Hopi, I would direct you to history, the history of the bubonic plague, the hundreds of thousands that died in the great flu epidemic in the early 1900’s, the thousands that still die every year in India of typhoid and cholera, the thousands of children who have been born with severe mental handicaps because their mothers contracted measeles while pregnant because they not been innoculated against measles in their childhood.
    The most recent report in the Journal of Medicine has stated that there is no proven scientific connection between certain vaccinations and autism. These children were vaccinated at an age when their autism was not yet evident. If you must pontificate, then do so with evidence and not unsubstantiated “I know” shite.


  12. Georgie Porgie

    Correct me if I am wrong, but I find it hard to believe that doctors trained at UWI are sooooo superior to those that have trained in Cuba, India and some other developing nations are soooo inferior that they are not allowed to practice. That Cuban doctors go all over the place helping people and the Prime Minister of Trinidad, a man who could go anywhere for treatment decided to go to Cuba. Indian doctors have been using some of the most sofisticated procedures and still there are issues with those qualified from there. Mind you no other Caribbean nations has these problems or stipulations, even Cuba trained doctors practice in the USA along with countless ones from India. So what makes the docs here so superior. Evidently I am missing something.

    Selling drugs from one’s desk just screams unethical to me. Unless the doctor’s office has a full pharmacy I find it hard to believe that a doctor can be better stocked than a pharmacy which leads me to think that the doctor will try his best to prescribe what he has rather than what is best for me. But again this is just my opinion maybe you can shed some light on that as well.

    As for competition, if there are more docs than ever, there is still a serious shortage, the QEH is in a mess, there is soon to be one urologist, only one or two gastroenterologists and the list goes on, we have a population of 270,000 and an increasing number of elderly, I assure you the competition isn’t stiff enough.


  13. You talking about ‘ethical?’ ? ? ? how about when you have been attending a doctor for several years, have an appointment for (say) January 5th … and you turn up and a receptionist tells you “Dr X” is away. You don’t quite get it, so you mention this to a friend who tells you “Oh, I heard him being interviewed on the radio. He said he decided to emigrate because his practice wasn’t going anywhere…”

    In other words — he absconded.

    Not a word to any of his patients. Nothing said. The ‘receptionist’ can’t/won’t say anything more except “he’s away.” He just ups and leaves, permanently.

    What do you call this? “unethical” or “evil?” ? ? ?


  14. @PiedPaper……did you hear me say anything about ‘the grace of god and my children not becoming ill?’ Did I say anything about small Barbados? I said I did not vaccinate my children. Does the Jehovah’s Witnesses vaccinate? How many of them have contracted any of these DIS-eases? Look at the millions of this sect in the world. What more proof do you need? I don’t just talk the talk I also walk the walk , that’s why I can speak of it.
    ‘These children………’ Jackass, you just proved that autism set after they were vaccinated. A pure unadulterated-harmonious diet and a clean environment keeps out diseases except for those that are man-made.


  15. Poison can you give dates and names or are you mongering


  16. @ David

    Re Are you saying that it is alright for Doctors in Barbados to dispense drugs from their desks and to charge when the drugs are samples they would have gotten for free? I HAVE SAID NO SUCH THING.

    Re Are you saying that because doctors may do a patient a favour it gives them the right to do as they pleaseth? AGAIN I HAVE SAID NO SUCH THING.

    Re Are you saying because there was an increase in the license fee for doctors which if prorated over 12 months is negligible at best, it should provoke doctors to price gouge? AGAIN I HAVE SAID NO SUCH THING.
    I SAID THE FELLAS WILL ASK YOU THESE QUESTIONS, and they just might?

    RE Engineer
    I am not going to get into an argument about the standard of UWI trained doctors via those trained in India or Cuba or at any of the Poles. But what is fact is that the Medical Council of Barbados has its rules concerning who can be licensed to practice medicine in Barbados.

    Man I live in FL. For me to practice here, I would have to do a residency and specialize. To get a job as something called a Physician’s Assistant I would have to go to PA school in FL. To get a job taking blood I would have to go train as a phlebotomist. So if Barbados has its rules about who should practice in Barbados, why are you up in arms?

    And frankly I dont care about the standards the other islands have for licensing doctors.

    I find it funny that the Prime Minister of Trinidad would seek treatment in Cuba instead of going to the Mount Hope Complex. Is he paranoid?

    Please note that for doctors trained at UWI, Cuba, India or Timbuktu to practice in the USA (where some of the worse medicine is practiced anyway) one has to go through the hoops. This includes taking the three parts of the ECFMG exam including a Test of English. Applying for a residency ( a very competitive process) and then do a three year minimum residency.

    The docs at home might not be soooo superior,but the Medical Council of Barbados has its rules concerning who can be licensed to practice medicine in Barbados. Simple as that!

    Selling drugs from one’s desk does not necessarily need to be unethical, nor does a doctor need to have a full pharmacy to be helpfull. Even small pharmacies cant afford to stock every drug. Its too costly. In my time I used to buy drugs from the reps and sell at cost to certain patients with chronic illnesses to save them money. I stopped when they could get the same drugs from the Government pharmaciers free of cost. I guess that was unethical too.

    Why should a doctor try his best to prescribe what he has rather than what is best for the patient? That would be stupid. At any rate many of the competing brands tend to be comparable. eg the topical steroids, the different brands of certain NSAIDS etc

    Many doctors might prescribe one appropriate brand over a next for many reasons. I certainly made a conscious effort not to write drugs distributed by reps who didn’t think it was important to come see me. If I didn’t see a particular rep, I didn’t write his drugs as long as there was a suitable substitute. Was this unethical too?

    I cant see how there could be a serious shortage of doctors in Barbados. I can understand how there might be a shortage at the QEH, and I can understand why the QEH is in a mess.

    The way you talk it seems I should come and put back up my shingle. But I find that $2500 registration fee plus high rents seem most inhibitory.

    It seems you fellas having real fun down there with healthcare.


  17. Georgie Porgie

    There is a huge difference between jumping through hoops and a blatant no you cannot practice here. Yes every medical council will have its rules, along with engineering council, law councils etc. But when you just say no it raises suspicions and I refuse to believe that medical practitioners here are so top notch that they can just shut out some people from practicing and give them the run around.

    Additionally, I do care about other islands’ licensing practices because Barbadians seem to have this intrinsic arrogance and it bothers me, what makes us sooooo much better than the other islands, that our rules must be so varied and special. Regulations are based on models and experience. And frankly we can learn from other islands that have the experience, be them bad or good. The current medical programme at Cave Hill is modeled after the one at Mona so evidently we still needed to care what goes on in other islands. You learn from your own mistakes and that of others because you can never live long enough to make all your own mistakes. India has a rising population of over a billion and Cubans the longest lifespan of any developing country and many developed ones, so they must be doing something right. Ironically, many of the docs here who trained in Jamaica would have been under doctors who trained in those very places. So what are these rules I would like to see them because stuff isn’t adding up. Even if you have to jump through hoops in the US you know which ones you have to and for how long.

    If you can’t believe there is a shortage believe it, maybe not of general practioners, but specialists trust me there is a shortage. Try making some appointments sometimes and see what happens.

    “Why should a doctor try his best to prescribe what he has rather than what is best for the patient? That would be stupid.”

    It would unethical but it would be great for his pocket I am sure. To someone who seems passionate about the practice it may be stupid to you but the almighty dollar speaks volumes to most, so it would be naive of me to think otherwise. Don’t get me wrong I think Barbados has some fine, good intentioned docs but I would have a problems with the under the desk methods. Pharmacies were created for a reason. But that is just my opinion. If small pharmacies can’t afford to stock every drug then how can a doctor who has other more expensive overheads? Why would a doctor find the need to become a small pharmacy?


  18. You guys complaining about fees. Check the ZRs. Permits $3500 (they gone up too?) and compulsory insurance is anywhere from $10,000 up and they doing it at $1.50 per head with 14-seater vans paying a chauffeur and conductor sometimes as well as a loan from the bank. Not to mention the amount of times one of those vans must be serviced and maintained; parts, etc.


  19. some docs are not all that bad. i know of one who gives you the medication free of charge as long as he has it in his office. i know of another who instructs you how to use the medication, then writes the prescription for your child so you may have it free as long as it is in the Drug Formulary. yes it may be wrong but ….


  20. REE
    I agree with you that technically there is indeed a huge difference between jumping through hoops and a blatant no you cannot practice here. But in the USA it is almost the same thing, for many IMG’s don’t pass the USMLE exams or get matched. And many who get through a residency don’t get a license anyway.

    You might believe what you wish or refuse to believe what you wish, but I can tell you that the Barbados Medical council determines who are registered in Barbados – period! Regulations for licensure here and there are based on peculiar regulations of Medical Boards or Councils not necessarily on models and experience.

    If stuff is not adding up to you, you should discuss it with the Medical Council. I certainly cant help you. I came and found the rules as they are, and I abided by them.

    If there is a shortage in specialists it is because there are no posts to train them locally or in the region, or it has become more difficult for our graduates to get residencies abroad, or our graduates prefer not to study further- or all of the above.

    I suppose that we will now hear that it is unethical for our young graduates to stick to “cough and cold and nail juck” than to engage again all the intracacies of renal pathology etc or whatever to specialize.

    Why should they go study more to please the Bajan public? Or why should they return from more lucrative jobs abroad?

    I find all this talk about under the desk sales so very funny. Pharmacies were created for a reason, you say. What was that reason? Who created pharmacies? What is the difference when there is a pharmacy in the medical complex owned by the doctor/s?

    You ask “ If small pharmacies can’t afford to stock every drug then how can a doctor who has other more expensive overheads?” No one said that doctors need to become small pharmacies, or stock many drugs, but doctors need and ought to have certain drugs in their offices- and you should hope that they do!

    I have generally been playing the devils advocate in this post. I know that many of my colleagues are not saints, but I love to hear folk who are total medical illiterates pontificate about what doctors should and should not do, when they do not know one thing about doctors or doctoring.

    Please tell me about the expensive overheads that doctors have. With a sphygmomanometer a stethoscope, an examining table and a few other things, one can easily start an effective practice man.

    But of course in Bim , if you not set up real good, they wont come. Lol But when you put the money in expensive offices and overheads and charge high fees, you start to bawl.


  21. WOW! Total medical illiterate interesting. I would never ever come on the blog and say I know everything because I don’t. And when something makes little sense to me I ask questions in search of answers. Many persons talk about technical stuff and may not know the whole story and I try to educate if I can and I find it very disheartening that someone on the inside could just come and say it is so because it is so, so deal with it!

    I am amused by the fact that the Barbados Medical Board determines who gets registered period! And that is so cause it is so. That is the exact manner in which they behave, we say it is so so it is so. And you actually would like members of the public to accept that? Mind you no other profession gets this liberty. I know some down and dirty stuff most of your collegues have done that I would not even get into on this blog. Seems like you guys hold more power than the PM himself who has to answer to the public and give reasons for his actions. Discussions have been made with the medical councils and they refuse to give any real answers. I know this for a fact!!

    But I think we are both off topic somewhat. As I said in my first post, maybe I am missing something about the dispensing of drugs at the doctor’s desk. As I said it seems odd to me. Direct questions now.

    What would be the reason for this? Is it true as David suggested that these may be samples to which they gain high profits?

    Why are vaccinations in the doctors’ offices so expensive?

    What would you suggest be done to combat the specialist shortage?

    I have heard quite a few things from the horses mouths, but maybe the horses are liars. So please enlighten me.


  22. The average cost of a doctor’s visit now is Bds$ 120.00. The average client visits per day is 30 persons. That means a doctor grosses approx Bds.$ 4,800.00 per day at six (6) days per week he/she grosses Bds.$ 28,800.00 which results in a monthly gross pay of Bds $ 124,800.00. This is a conservative analysis of an average M.D. These guys could easily pay the Bds. $ 2500.00 annual fees. Most of these doctors don’t issue receipts unless you ask for one and NO VAT is registered. The attorneys are also ripping off their clients. It is time something is done aout this. They need us as much as we need them.


  23. @The Scout

    Your point about doctors issuing receipts is interesting. Again in Barbados it is known that doctors keep alot of cash. Why is this Dr. Porgie? We don’t want you playing devil’s advocate. Does it have something to do with avoiding taxes maybe?


  24. Re Engineer

    “I am amused by the fact that the Barbados Medical Board determines who gets registered period! And that is so cause it is so. That is the exact manner in which they behave, we say it is so so it is so. And you actually would like members of the public to accept that?”
    *************************

    Actually, these are remnants of our colonial past which we still allow in this here called demoracy.

    Imagine, if you want to export sugar out of Barbados, your permission must come from the Sugar Producers and not the Ministry of Trade where everything else to be exported is approved. That is first hand experience. The Officer at the Ministry of Trade sent me to a white man to get permission to take out a few pounds of sugar and his answer was no. I could not take out the sugar.

    Secondly, if you want to be a shipping agent, you have to get permission from the Shipping Association before the Government would give you a license.

    I can’t be sure that it is the same way right now, but up to three years ago, it was so and I am sure that you will find more examples, wherever there is money to be made to shut out the majority.

    It keeps certain business in the hands of a privileged few and shuts out black people in our own country. That is why the Taximen have to line up from the night before in the port and sleep with the vehicle until next morning to get a job and the white man sleeps to his heart’s content in his bed and gets up the next morning and send out coaches which will fill up before any taximan gets a job; after waiting in line all night.

    These things are not fair and don’t ask me to be understanding It makes me as well as thousands of Barbadians feel that we don’t belong. How could these things still be happening in our country? Only one answer, our politicians allow them to happen; maybe for their own pockets and self-interests.


  25. David, GP

    There was and probably still is a competition among doctors to see who could collect the most money in a year.

    This is a shameful act. You ever noticed how many doctors will refuse you treatment unless you have the money? That is a criminal act considering the amount of money they collect from people who could least afford.

    I remember a few years ago, a lady stopped me and ask me for bus fare to get to work. She went to the doctor with $80 in her pocket. She said that the doctor charged her exactly $80 and she did not even have the money for the medication.

    So after this rich doctor robbed her, poor me had to give her bus fare and I was so pissed off that I still took her to her work place so she would have something extra for lunch and get back home. This is more than criminal. As much as we look up to doctors, Lord help them on judgement day.

    Many people have criticised Hammie La for giving, but any man with a conscience would do the same thing.

    I like Dr. Thompson from the Ivy. I feel that if he runs as an independent he would probably get in and I sure he would not have a problem at the pearly gates.


  26. Having normally, to pay to see a doctor or obtain a vacination is a disgrace and would n’t be allowed if I, were PM!!


  27. When one considers the bubonic plague and even before that, for example, the diseases spread by the white man to kill out the Aztecs, they were into biological warfare for a long time and has used it to their own profit.

    I have to agree with Hopi, in a day and age when science and technolgy has made such advances, we are still trying to innoculate our children gainst ancient diseases, with the risk of the same vaccinations diminishing our quality of life.

    Not going over the argument again, but there is good reason to rationalise the vaccinations. I think we live by too many myths that only serves to rob us and enrich the imperialists.


  28. It would be good if somebody someday wrote a book called “life as an imperialist”. I am sure it would be filled with stories, for example, of how they could plant diseases in different countries to make people sick and then have the drugs to treat the sickness on the market.

    One could just imagine how a citizen would feel after getting sick and finding that miraculouly, the drugs to fix the sickness is on the market. Then we would get up and say, wow boy, Barbados real advanced; not knowing you fell into the trap.

    You think these things don’t happen? Then you should write another book called life as a citizen, because you will find out how different those two worlds are and that we trust people who are perpetrating evil against us in order that they may live in luxury and privilege.


  29. @ David
    I cant tell you if or why doctors keep a lot of cash in Barbados, because I never had that privilege Sir. I worked for the Government for 7/8ths of the time I practiced in Barbados. Perhaps you should ask The Scout who has been able to produce some most alarming statistics. Seems I should return to Barbados and set up office.

    @ RRE

    I certainly don’t know everything, but I can tell you that in most countries the Medical Board or Council determines who should be registered or licensed. In the USA for example, EACH state board is autonomous and determines who may even be allowed to even do a residency in their state. You may find that very amusing too—but that’s how it is.

    I also know some down and dirty stuff most of my colleagues have done that I would not even get into on this blog.

    I am sorry that you are having problems with the Medical Council. Everyone has had problems with somebody or the other. I certainly have.

    I know persons who have been fired from the Ministry of Health for no good reason except that the Minister had a run in with that person. That’s life as they say! That person lost thier house and more as a result!

    Certainly you jest when you suggest that doctors can make high profits from dispensing samples. How many samples do you think that the reps give an individual doctor? Some of those little bottles have in two tablets- 10 at the most. Many times the samples received are of drugs that the individual doctor uses sparingly. E.g I have seen samples of many drugs that expire in my colleagues office. I used to keep mine in a box in my kitchen for the giving to friends and family, as necessary. Many of them expired long before I used them.


  30. ROK, sad as it was, I don’t think the white man set out deliberately to eliminate the Aztecs by giving them thier diseases! They were probably as surprised as the Aztecs at the result of their associating, with the natives!

    Anyhow, the point is that Bim should, by now, have a sufficiently, sophisticated Social Security system in place, that nobody had to pay to see a doctor, at least, under that scheme!!


  31. Quite recently, I had my annual medical check, it lasted for about ten (10) minutes. When I got to the cashier to pay, she told me Bds.$ 265.00. I was soooo surprised and as I was walking through the door, I counted 13 people waiting and I wondered how many ,ore were there for a medical check.


  32. LOL this article and most of the following comments are full of ignorance… IMHO you should not talk about what you know nothing about and present it as truth. I addition thie article exemplifies why BU can never beconsidered a legitimate news source since there is no balance , there is no investigation , there is simply ranting and raving to disparage a needed profession.

    The follwing are facts
    1. Doctors registration fess have jumped in 1 year from 500/750 to 2500 due by January 31st. This fee is doubled if not paid by then. This applies to all doctors including those who have now started.
    2. New Mds do not make the kind of money that finds 2500 dollars as chump change. Ask and Im sure they will tell you the truth.
    3. The Medical Council licenses all Doctors to allow them to practice. You must be registered to practice. You are breaking the law if you practice without registration.
    4. Registration is an attempt to ensure that you are qualified in training and ethically. Thus Doctors who have criminal records or have a history of negligence etec would be weeded out. In addition doctors who have questionable qualifications would also be weeded out.


  33. cont’d
    5. You can be trained wherevr you wish, however LIKE IN MOST OTHER CIVILIZED countries Barbados has STANDARDS… therfore what may be acceptable in Timbuktu would not be acceptable here.
    6. Barbados is not a communist country, Barbados is not Congo , it is not the middle of the Sahara…
    7. Some doctors do make a good living especially in certain specialities such as cardiology, urology, neurosurgery etc… But please recognise that 1. these individuals have spent in some cases over 12 years of their lives after secondary school learning while being paid very little. 2. these specailties also require oftentimes the use of specialised equipment ( that carry significant costs to run and maintain). 3. they also require the employment of several nurses/ ancilliary personnel and increased salaries relative to more basic doctoring.
    8. All vacinations are available at the Polyclinics and they are free to all children.
    9. Alternative medicine, witch doctoring , voodoo, obeah are all chocies that we all have… use them as you see fit
    10. Any doctor that can see 30 patients a day everyday and collect from each one is SUPERHUMAN and deserves what he makes..

    …..Thats it for now… but Im sure more ignorance will be forthcoming from this BLOG!


  34. @me

    We read your comment with interest. The two key points which we articulated in this blog is the ethical position of doctors who sell samples from their desks and the relative high costs which doctors sell vaccines to Barbadians given the cost of the procurement in these hard times. In your comment you have not seriously addressed the two points raised, some may say you have supported the argument that the medical profession is untouchable. You maybe surprise at what we know, we have to be careful to protect our sources.

    Despite the fact you are BU’s biggest critic we welcome your contribution and loyalty 🙂 maybe since you know so much you may want to comment on the cost and time doctors take to prepare accident reports and some who make a good penny in that arrangement.


  35. My point David is that you are generalising.

    In every profession there are unethical people.

    Why did you not call the Barbados Medical council to ask for information before disparaging an entire profession.

    If you are the victim of unethical practice have you sought redress?

    Are you aware of how much it costs to educate an MD?
    Are you awar that not all MD won Barbados scholarhsips or obtained their degrees through government funding.

    have you considered the costs of medical education nowadays?

    Do you know how much money Mds pay in taxes each year?
    Can you say for certain that most doctors hold cash and do not pay taxes?

    Re: the charging for medical samples… yes I agree that this is unethical BUT what percentage of MDs do this and how do you know?


  36. Medical Reports… agreed it is unetheical to overcharge for these but what is overcharging and who determines that. Check with the medical council and then come back andwrite an article that is factual! And how many doctors are involved in this arrangement.


  37. The beauty of Barbados is that unlike a communist country you do have choice. You can chose who you go to. And in addition the polyclinics are there to help those most in need as well as ALL children unedr 18.

    If 120 is too much find someone who will do it for 40… its that simple.

    Universal healthcare ..we can all work towards but I dont think that this article does any good in that regard!


  38. @me

    We are very aware that trying to extract information from the Medical Council maybe more difficult than doing so from the BAR association. They close ranks and protect their own just like all the other professional bodies in Barbados. Our blog addressed the practice by some doctors to sell samples and the cartel pricing which the profession engages when administering vaccines. It is a stretch to conclude that we disparaged the whole profession. Who don’t you contact the Medical Council and get them to respond.

    Are you saying that because it is very expensive to medical train they should not price their services reasonably because vaccines are available free from Polyclinics? That is a little arrogant dont you think? They are doctors for life so why should they try to recoup their educational costs in the shortest time? For too long doctors, lawyers, architects, engineers and other professional have been taking Barbadians for a ride as they protect their circles of influence. It is time we place them under the microscope. If we are wrong we will readily admit it.


  39. @me

    I am so tired of persons saying Barbados has standards, Barbados has standards. I am well aware we are not communists and we are different to many nations. I am not saying that anyone from anywhere should come here and set up shop. Tell me something I do not know. Tell me what provisions have been put in place for medical doctors who were trained from these backwater societies that you try to make them sound like, to be able to practice here in Barbados!! Please note I did not mention Congo or any such nation in my previous comments, I made reference to two countries with undeniably, very well documented world renown medical programmes.

    FYI, registration fees have gone up for ALL professions and even some non-professional many of whom do not make nearly as much as doctors be them now starting out or practicing for 20 years.


  40. FYI the medical council is duty bound to respond. This is law.

    your response and article is filled with hyperbole and exaggeration and very little facts. Cleaerly you have a personal issue with some doctor and now ar using your pulpit to disparage the entire profession. That is the problem!

    Are doctors free to tell you how to charge for your services? Can they tell carpenters, masons etc how mucvh to charge?

    And who determines reasonble? The facts remain that the costs of evrything has gone up. So are you saying that doctors as a group should not charge more when as a group they are required to pay more . Are they any other groups that ar required to do such?

    I used the costs of medical education an other expenses that some doctors hav to carry to show that you should not make claims about all doctors overpricing when you do not know the particular circumstance.

    You will note that I said that there are UNETHICAL people professions and all areas.

  41. Rev Dr. Dick Hertz Avatar
    Rev Dr. Dick Hertz

    me asked “have you considered the costs of medical education nowadays?”

    Well it costs the public of Barbados a damn lot to train doctors. There are very few BARBADIAN doctors who actually paid for their training. Most are trained at UWI at public expense and their post graduate work is mostly done working in a hospital during which they are paid. The government should ask back for every cent spent on these doctors when they start with that bullsh#t argument about the cost of their training. Yeah it cost a lot but it was paid for by every citizen of this country.


  42. excuse the missing letters. There are unethical people in all professions and all areas…

    FYI look at contractors ( there is no registration requirement for contractors)


  43. The issue of payback is dear to my heart and I agree that they should payback more …this does not however change the costs of business!


  44. @me

    Since you appear to be close to the profession please tell us approximately how many doctors have been disciplined by the council and we know you know the answer so bring the info.


  45. @me
    If we use your logic for the price model doctors use then Barbadians should benefit from a scale of fees. Why do we have the situation where they ALL charge practically the same fee for vaccines?

  46. Rev Dr. Dick Hertz Avatar
    Rev Dr. Dick Hertz

    If that jackass Liz thompson had not listened to the doctors and tried to choke off the training of doctors Barbados could be like Cuba with a doctor on every street. Prices would have dropped like a stone in a pond. Also the Government should not allow private practices to operate from the public hospital. Let the blasted doctors truly bear the true costs of setting up a facility and maintaining and then charge me an arm and a leg and talk about business costs. MOST doctors have no other overheads other than rental of premises and utilities, insurance and maybe a receptionist oh yeah a stethascope. Food vendors have higher overheads.


  47. FYI there are several doctors that have been disciplined by the Medical Council but so that you know it is a legal process.

    Explain what you mean by scale of fees.

    Don’t buy into the Cuban propaganda.

    Yes there are great medical tretments occuring in Cuba but does that mean that everyone qualified in Cuba is up to Barbados standards.

    What do we truly know about Cuba??? and Cuban medical education?


  48. LOL let me leave this blog now as the IGNORANCE starts to erupt!

    BU shame on you!


  49. Next time please get someone to investigate and present a balanced and factual article. I am not saying that the medical profession is untouchable indeed i hvaemnay issues with it. I think that unethical doctors should be dealt with more swiftly. I think the Medical Act needs to be updated so that patients concerns are more readily addressed and so that the quality of medical services continue to be of a decent standard.

    But to present idea that doctors as a group are pillaging the country and abusing their clients is nonsense and speaks to either your jealousy at not being a doctor, or to some other incident between you and a doctor and has nothing to do with moving the profession forward or finding ways to provide universal health care.

    All aspects of life in Barbados carry significant costs. Period!


  50. @me

    The only difference between “alternative” medicine and western medicine is that we trust one and not that the one we trust is best. More and more people are moving to alternative medicine, which, by the way, is just as expensive.

    I predict, that except for surgery, a lot more people will go to alternative medicine as they get more familiar with it. You see, it has more guarantee than western medicine, the latter is for people who have money and think that money could fix anything. It is a mere quick fix.

    As we move more towards the concept of food security and health security, a doctor will not be able to practice without some training in alternative medicine. When this happens we can look forward to some major savings on the importation of drugs and medicines.

The blogmaster invites you to join the discussion.

Trending

Discover more from Barbados Underground

Subscribe now to keep reading and get access to the full archive.

Continue reading