A Vision for Healthcare

In Barbados many think of the healthcare sector has those services delivered by the Queen Elizabeth Hospital and to a lesser degree, the polyclinics. This is wrong. The video provided (16 min) is worth watching to dispel such thinking. As an educated nation in 2013 we need to keep pace with how progressive countries are managing healthcare to deliver a QUALITY result.

0 thoughts on “A Vision for Healthcare


  1. David
    I started the film and stopped. he is sounding like one of these tele evangelists who is about to cry before the offerings are called for. I have to get past this; he is also sounding like one of those “american experts” who make a living talking, talking and talking; it is difficult to get past this performance stuff. maybe later some one could detail what his main points are.


    • @Lemuel

      Interested it what Doc GP has to opine on the concept as espoused. BU never dwells on style.


  2. Coming from the prospective of a health professional, His subjective recalling of his experience bears little resemblance to the health care system we are familiar with. I admit the american healthcare system is vastly different from the rest of the world, but the ‘clash of medical titans’ he describes would be considered a significant hyperbole by anyone’s standards.
    A patient-focused approach or ‘personal-health system’ to healthcare is no revolution and it is considered the gold-standard overseas and in Barbados as recently announced by the BMC. He used the argument of a self conducted kidney ultrasound to reinforce his ‘personal-health system’ argument. However this has several limitations.
    Firstly, he does admit the average person will not be able to conduct an ultrasound scan (although he does make it look terribly easy), let alone having access to a household ultrasound probe. This is for good reason as ultrasound scans of particular organs are notoriously difficult and very dependent on the operator. His example of an ultrasound of his transplanted kidney would be far easier than an ultrasound of a normal kidney insitu as it is just below the skin, (the normal kidney being at the back of his abdomen and far more difficult). This demonstration is therefore of little relevance to his argument of a personalized health service.
    He carried on with a subjective argument against hospital care which is not unreasonable as there is strong evidence for the use of local polyclinics in a community, however, he provides not the slightest inkling of evidence to support any of this argument. He makes an argument regarding the cost of traditional hospitals but does not reflect or compare the speculatively torrential cost of a personal-healthcare system. He also makes an important point about infection rates in hospital, a big problem admittedly, by it is recognized that he should never have been admitted to hospital for an uncomplicated fracture. The american system produces an financial incentive to admit patients but most every other system (with all due respects) has patient discharge second only to patient safety. Thankfully, as he partially highlights, these two concepts are closely related.

    My friends, although he does highlight important issues about healthcare, he has not climbed any overlooked great hurdle. At absolutely best, he has pointed out the pink elephant in the room, The american system of healthcare is very different in its philosophy from the rest of the developed world. I’m not sure how much relevance this bears to ours. I have only had time to review the first of this view but as always, a health dose of skepticism is quite valuable in these circumstances.


  3. Using technology to assist in healthcare can work if we have the people who can use it. The QEH records are not computerized so that is where the problem begins. We are using 15th century skills in the 21 century. We will NEVER catch up unless we do a 180 degrees turn around. We are an indisciplined society with an indisciplined workforce. Can we make that happen? The government hasn’t fully computerized all their departments, many of their websites are down for several months or they haven’t been updated for years or not working properly. We are still using donkey carts and want to compete in the Grand Prix.


  4. David
    Critical has said what I suspected would have been said by the presenter. He comes across like one of the doom day preppers pretending to a lover of all thing normal which would be impossible.. Style has nothing to do with it; in communication the narrative is very important and I suspected his.

    At least Hal Austin would have copied from all around the place and something would have been said.


  5. DAVID
    RE In Barbados many think of the healthcare sector has those services delivered by the Queen Elizabeth Hospital and to a lesser degree, the polyclinics. This is wrong.
    HOW IS THIS WRONG? WHY IS THIS WRONG? PLEASE EXPLAIN

    The video provided (16 min) is worth watching to dispel such thinking.
    HOW DOES THIS VIDEO DISPEL SUCH THINKING?

    As an educated nation in 2013 we need to keep pace with how progressive countries are managing healthcare to deliver a QUALITY result.
    WHICH PROGRESSIVE COUNTRIES YOU TALKING ABOUT DAVID?
    WHAT IS QUALITY HEALTHCARE? HOW DO YOU REALLY ACHIEVE SUCH?
    CERTAINLY NOT BY THE BOVINE EXCREMENT IN THE VIDEO
    I TEND TO AGREE WITH CRITICAL


  6. @ Lemuel

    If i were to extrapolate on your infantile reasoning per the voice, style and delivery of a message so affecting your ability to listen to the underlying message being given, then, by extension, i could as easily say that if the structure, verbs, grammar, poetic expressions of a blog do not meet my standards, i am not prepared to read the whole submission.

    @ Georgie Porgie Ditto my comment to Lemuel.

    I have spanned 81 years on this planet and i have seen how the “slate” has been replaced with the IPAD, the morsecode and Cable and Wireless Booths by laptops and cell phones, kerosene lamps by environment friendly intelligent lighting that turns off when no one is in the room, water boiled on wood for caveman baths with Solar Dynamic powered heaters.

    I have read many comics during these fourscore years and am amused that Dick Tracy wrist phones with video exists today.

    How is it so hard for you lot of imbeciles to see that the tricorder that Spock used on Star Trek is just iterations away and that the logical progression of remote intervention as is promoted by the American in the video is not so outlandish?

    Where there is no vision the people perish.

    Let me break it down for you trogolytes.

    The application of this concept that the American “in his effete voice” speaks of is, potentially, the proliferation of a remote monitoring tool that a diabetic, (borderline, full blown or potential patient) among the “one in every five Bajans” who our CMO indicates has it, with their sing song Bajan accents (or to quote the said american denizens “our non english speaking banana boat accents” can use their LIME, DIGICEL or FLOW smartphone to upload their medical condition to the Diabetes Foundation or to the offices of their futuristic thinking, technologically advanced Dr Branker in Belleville.

    The problem with rocks like you is that you are “Legion”, in great quantity, and abound in great quantity all over the face of Barbados. You are not to worry though Lemuel and Georgie Porgie, there are many more of your ilk, occupying space, every increasing.

    You are incapable of any form of eclectic reasoning and adaptation, incapable of grasping a concept and adapting it to our circumstances.

    That is why the white man who was at the Future Centre, Colin ?? is the inventor of the cane harvester that ploughs Barbados’ canes every year and not dimwits like you Lemuel, Georgie Porgie because you are incapable of extrapolation. If it is not written in BIG BREADFRUIT LETTERS FOR YOUR SIMPLE MINDS, all is lost.

    @islandgirl246 (she who has jilted me but for whom i hold a lantern at my window in one hand and my Bushmaster in my other hand for those other suitors)

    I am surprised that Lemuel did not take issue with your sentence with its repetition (you used indisciplined twice).

    My grammar teacher would have corrected you and said that you should have written “We are an indisciplined society with an undisciplined workforce”

    Remember oh “Island in the Sun” princess that i shall be awaiting you on the Hill (hopefully not that “hill Far Away”)


  7. @GP

    What was impactful, if we look past the histrionics of the presenter, is the collaborative approach between all stakeholders in the process to establish goals and not afraid to ride leading edge technology as part of the solution. It is a lofty goal obviously. In Barbados one gets that impression there is a unidirectional feel to the doctor patient relationship.


  8. Piece Uh De Rock, Yeah Right!! | April 17, 2013 at 11:41 AM |
    Quid scripsi scripsi It is interesting that my dear departed friend Dr Hudson thought that Georgie Porgie was brilliant and forward thinking..


  9. The mention by the presenter that remote intervention can act to protect sick people from ever present bacteria resonated given a recent Hal Austin blog.

    @pieceuhderock

    Our comments crossed.


  10. OOOps thank you piece of the rock for pointing out my grammatical error, I will pay attention to how I write in future. 🙂


  11. David | April 17, 2013 at 12:04 PM |
    Please explain how remote intervention can necessarily act to protect sick people from ever present bacteria? My understanding of microbiology indicates that bacteria are all around us.

    The collaborative approach between all stakeholders in the process to establish goals is nothing new. How does this ensure anything.

    I can assure you that the collaborative approach between all stakeholders is commonly used in the process to establish the goal of participants to become very rich


  12. @David [BU]

    That is precisely the point, a novel approach of using existing, ubiquitous resources, whether they be local or from Amurica, to address a problem which is at the forefront of our problems.

    Even if one were to stop a while and consider the novel “barter of services” in place of cash that is presented!!

    DT Thompson, Margret Thatcher and Chavez thought i was briliant too. You get my drift, endorsements from dead people are meaningless.

    Focus on the subject matter for a few seconds.

    Devolving Health Care to suit local needs. Is it possible to evolve a local flavour of this proposed remote intervention using available HR?

    In my day, we had the district nurse who would ride her Raleigh Bicycle through the district and provide first tier Health Management services to people in the outlying communities. (some of them had some lovely steppers)

    How many nurses, or qualified doctors are unemployed, or retired, are living across our island and who, like the 1-800 Care Line in Jemmotts lane, would be prepared to provide virtual interventions (at the times they indicate that they would be available) to dwellers in these districts, for free?

    As long as you are accredited by the relevant health authorities and CMO St John, LIME or Digicel, or any of these telecommunications highway robbers, could be encouraged to support a virtual phone bank, providing phones, land-line or cell phones, with special phone rings where a patient could call a list of first tier interventionists, 24/7, and, if needed, get a 2nd tier doctors service.

    Now here is where i will push the envelope a little
    .
    Suppose, the persons paying din had nuh money but, being a self employed were prepared to sign a paper, for equitable exchange, and agree to clean de doctor yard or sumting?

    And there is where I will be one of the first to say, “Dat wuk in Barbados, a black bird would get elected to the House of Parliament first. Though that is not a good analogy to use causing Patrick Todd and Noel Lynch, too bird brains, did get elect dey.

    12 gone, time for the insulin, wunna cud always tell when de medication wearing off causing i does talk some strange tings…but soft anon … a little while longer and shall be a memory within these dreams.


  13. Sorry David {BU} some of the comments were/are meant for Georgie Porgie

    @ IslandGirl246

    You have responded to me o fair princess from the “Gem of the Caribbean Sea” and it that response you smiled on this now fortuned old man.

    Onions and Bushie (and Lemuel) thou are undone,the hand of the fair damsel is mine (said in a low voice so that the madam does not hear my keen keystrokes)

    I knew that with time of fair Princess thou wouldst had responded to my representations for thine hand, and, mindful of the representations of those lesser men, realised that “many a flower is born to bloom and waste itself upon the desert air” and in with that knowledge, forsaken all else and chosen me.

    Remember that i shall be wearing blue on that Day on the Hill when we chall meet. With you wearing yellow we shall conjoined be a spartan representation of the flag of Barbados.

    Let us hope that the missing black trident shall not come in the form of those hearts, those suitors whom thou hath not ever requited their inferior intentions, with this singular smile you have given me, let me hope that they dont come to the hill with black pitchforks or worse still, cutlasses!!

    Be still my beating heart!!


  14. @david, Lemuel, Piece uh de rock.
    I have listened carefully to the spiel of this “evangelist”. I haavae difficulty with some of his presentation. Why did he have to go to hospital with a broken elbou and have an operation? Why did he develop bed sores? this points up something he is not saying. Bed sores develop when a person lies on a bed withoug being turned, when the sanitary conditions of the bed linen is questionable. Why would he have been lying in bed for an elbow iinjury and not be up walking around instead of lying in bed.The self administration of an ultra sound, using the portable device is not feasable as he was wont to point out on a global scale.
    One thing he points out and with which I agree is the need for each person to take control of his own health. In othere word, monitor your health habits; how much exercise you get, what type of diet you are following etc. As far as the use of technology I can say with a degree of certainty tht although the Health system in Barbados may not be able to do individual gene sequences, the QEH has been involved in teleconferencing with regard to patient diagnosis and consultations with specialists at hospitals overseas.
    The speaker speaks of “guess sork in diagnosis” but he never mentioned the use of the laboratory in the diagnosis. I found his “lecture” going in a directon that would be unhelpful and misleading to the average person; with the possibility of greater damage to the situation, due to inexperience with the possible dangers that result from self diagnosis etc.
    More later.


  15. Piece ah de Rock
    I do not normally take on asides, but when they are so lathered with infantile doo doo, I have no choice. Firstly, you do not even know what is meant by a “narrative” within the framework of the communication of am message. Yes, it could that piece of propaganda that so infuses your yardfowlism hope. So why expose your puerility for all to see. No I shall not explain anything to you.


  16. Piece of de Rock
    Now that you have broadcasted your designs for my Island girl. Do not let me try another treatment with nefarious techniques to rid your mind of the lovely Island.


  17. David
    i did not want to say it ,but i think you were taken by this man and his “story”. Could you imagine the money he makes doing this stuff all around the USA and wherever he may be invited.


  18. What new way David? New ways are discussed and tried in medicine every day. Some are adopted with out proper clinical trials and are recalled. Dont you see the ads by the lawyers on tv daily that result from COSTLY FAILED NEW WAYS.

    Those steeped in the traditional way of doing things are not minded to embrace a ‘new’ way IN A WILLY NILLY SLAP DASH HODGE PODGE AS THE MAN IN THE VIDEO WAS DOING. IN HIS COMMERCIAL.

    yOU ASKED FOR MY OPINION
    WELL RESPECT IT NUH AND RESPECT MY INTEGRITY AND THE FACT THAT I HAVE NOT MISLED BU IN OVER FIVE YEARS IN MEDICAL MATTERS


  19. IN EVERY DISCIPLINE THERE IS 123 ABC AND DOH RAY ME.
    THESE MUST NE UPHELD WHAT EVER NEW THING IS DONE


  20. THIS IS BIG BUSINESS FOR THIS MAN
    “ALL OF health care is based on one idea from the 1850s,” says social scientist Eric Dishman, Intel’s director of health innovation. “That it has to be delivered in a face-to-face setting.” His research on aging is behind evolving systems to provide more effective home care. His goal is to enable 50% of care in the U.S. to be delivered in the home by 2020. “That’s game-changing for quality of life, and a trillion dollars in potential savings.” This January, his work inspired a spin-off company, Care Innovations GE, a joint venture between GE and Intel.


  21. @GP

    Because you are being asked questions it does not mean you are not respected Doc GP. What about the medical actors associated with the presented?


  22. Mr. GP, I hope you won’t mind IF I SHOUT AT YOU IN NEEDLESS UPPER CASE AND MAKE MYSELF LOOK LIKE A DICK.

    I HAVE SIMPLE QUESTIONS. Do you actually have a degree in medicine (not some daft master’s in physiology or pharmacology or allied trades)? An actual degree in medicine, do you have one? And which institution conferred this degree on you, Mr. GP?

    I ask these questions because whenever I read your writings on BU, you sound LIKE A DUNCE WHO SHOULD TURN DOWN THE VOLUME by 10 percent or so. Questions asked with all due respect.


  23. David
    There are several actors within a healthcare system: nurses, doctors, dentists and other health care professionals. It is not about doing things the old way or new, it is about a paradigm shift within health care itself. The team concept in the provision of care is paid lip service to. Then the whole issue of cost and financing the delivery of health services. In the Caribbean we are yet to understand that not every new technique will be useful to us or affordable by us. Patients themselves have to start learning more about their health conditions and how to treat or control them as opposed to presenting themselves at some care institution to be told what to do. Technology sometimes is not enough. OSA used to talk about doing the fundamental things well and most of the time that is all that is required.


  24. Jack
    GP is for real do not be put off by his style; he knows his stuff. But in your ignorance you do not even know that biochemists and micorbiologists know more about the human system than trained doctors. Those who venture into the limbic system know even more.


  25. LEMUEL
    RE But in your ignorance you do not even know that biochemists and micorbiologists know more about the human system than trained doctors.

    Having studied medicine for 5 years and practiced for 2o, I then started teaching medical students over 11, and found that I have probably learned more the second time around. Teaching and learning several of the basic sciences especially in the detail now in the texts is a real eye opener.

    re In the Caribbean we are yet to understand that not every new technique will be useful to us or affordable by us.

    In fact one of the things we were taught is NEVER BE THE FIRST TO ADOPT THE NEW OR ABANDON THE OLD

    JACK
    I WISH I HAD A DAFT PHD IN PHYSIOLOGY OR PHARMACOLOGY. ID GET SO MUCH ONLINE TEACHING OVER HEAR I WONT HAVE TIME TO SLEEP OR INTERACT WITH MORONS ON BU.


  26. David | April 17, 2013 at 3:50 PM |
    @GP

    Because you are being asked questions it does not mean you are not respected Doc GP.

    YOU ARE NOT ASKING ME QUESTIONS
    YOU ARE NOT ANSWERING THE QUESTIONS I ASK.
    AND THEY ARE ASKED FOR A REASON.

    ONE WAY TO TEACH IS TO ASK QUESTIONS TO HEAR WHAT THE STUDENT KNOWS AND TO ASCERTAIN IF THEY CAN THINK CRITICALLY.

    iT IS FASHIONABLE ON BU TO GO AFTER BIG PHARMA
    HERE WE HAVE A MAN PUSHING BIG TECHNOLOGY IN MEDICINE.


  27. So, “Dr” GP is that a yes or a no? Some institution conferred on you a degree in medicine. Is that correct? It’s a really easy question.


  28. @Doc GP

    Surely you know that questions posed to David on medical issues will taken for rhetorical? What the hell do we know about these matters.


  29. Just to get this straight, because it’s very, very important. You are not, GP, licensed to practice medicine in any jurisdiction on this entire planet. That’s correct, is it not?

    I do hope that THIS QUESTION DOESN’T CAUSE YOU any distress or anything.


  30. Proverbs 26:4-5 (King James Version)

    4 Answer not a fool according to his folly, lest thou also be like unto him.

    5 Answer a fool according to his folly, lest he be wise in his own conceit.


  31. lemuel | April 17, 2013 at 4:01 PM |

    If it’s ok with you, I will “be put off by his style”. His style IS THE STYLE OF A SHOUTING DICKHEAD and doubtless you’ll excuse me if I am PUT OFF by it. A dickhead.

    I don’t know which particular INVISIBLE GUY IN THE SKY non-Doctor GP has chosen to believe in. As a medic, I just don’t give a shit. But the man COULD HAVE SOME MODESTY. Don’t SHOUT at us. And NEVER SHOUT ABOUT YOUR INVISIBLE GUY IN THE SKY. It just makes you look like a dick who isn’t licensed to practice medicine in any jurisdiction on this plant.


  32. Mark, 79: 7¬–19 (King James version)

    “And there came among them a fool who did sayeth that he could cure the sick, though he could not. And the Lord spoke to all those present, saying, ‘whence come this fool? Be he from the land of Jor-Dan or the land of Bar-Ba-Dos?’” And the multitude, verily, pretended that they had a degree in medicine even though, verily, they did not. And the Lord he did wax wrath, or something, saying unto them “on the call-in yesterday, interesting to read the comment yesterday, ZR, lesbian immigrants.”


  33. Georgie Porgie | April 17, 2013 at 6:48 PM |

    http://www.cyberhymnal.org/htm/l/d/ldalexcl.htm
    BOWMAN IM HERE SINGING MAN I LOVE STAINER”S TUNE THE BEST WHAT DO YOU THINK.

    OK, Georgie, take it easy now. Be calm. Try to be calm.

    Would you trust your healthcare to this idiot? Indeed, would you even buy a second-hand car from this idiot?

    Mark 17, 4-19: “and there came among them a fisherman from Judea with fish to sell, but the Lord did speak, saying: ‘thou wilst not eat of the fish of the Judean fishermen, for they are unclean’.

    He didn’t say anything else after that. The Lord was always enigmatic.


  34. Good to hear that you’re feeling calm.
    To make it simple: has any academic institution in the world conferred on you a degree in medicine? Any place? Ever?

    There are precisely two answers to the question. One is yes. The other is no.

    Has any recognized authority licensed you, GP, to practice medicine in any jurisdiction on this plant?


  35. Not only do I have the DEGREE BUT THE TRANCRIPT (WHICH IS WHAT THE AMERICANS LOVE TO ASK FOR) LOL

    ALSO PASSED THE USMLE TOO LOL

    JACKASS HOW DO YOU THINK I PRACTICED IN BIM DUMMY

    CAN YOU CONTRIBUTE ANYTHING TO DAVID”S BLOG EXCEPT YOUR POOR PITHY PUERILE PAEDESTRIAN PLOY TO ATTACK ME? LOL


  36. Good to know. YOU DON’T HAVE TO SHOUT AND MAKE YOURSELF LOOK LIKE A DICK. Er, lol.

    Wouldn’t approach you for healthcare if my life depended on it.

    For is it not said (Jeremiah 14: 2-19) that “there shall come among them those of the tribe of Dyck-Hed, and they will prosper, er, thus. For did the prophets not say that this shall be so?”

    And later, in Isaiah, we learn that “the tribe of Dyk-Hed was driven from all of OY-Stins, yea unto the land of Lu-See where the Kay-Fsee did not dwell in those days. For it was written that since time immemorial and forever more, a man would come from the tribe of Dyk-Hed to publish infantile opinions about pancreatic cancer.”


  37. Guys get back on track and discuss. Jack I am sure you had some questions and I am sure GP can answer them.


  38. Baffy
    The thing with technology is when it works every one jumps up and down, but when it mal functions and people die or are made worse then there is the out cry. remember the out cry when things started to go wrong with nuclear power plants, but it is the safest and most abundant source of energy.


  39. LEMUEL, BAFFY
    ON TV HERE IN THE USA THE LAWYERS ARE ASKING FOLK WHO HAD OPERATIONS VIA ROBOTICS AND HAD COMPLICATIONS TO CONSULT THEM

    THERE IS ALSO A SITUATION WITH A VAGINAL MESH OR SLING


  40. Well, at least we know for certain now that “GP” is licensed to practice medicine. We know it from his own words AND WE KNOW IT FROM HE OWN WORD. And so forth. Er, lol. Er, ROFL in de turd worl’, er smiley face.


  41. GP
    You do not have to worry; lawyers in Barbados only work for a fee. They do not work to be paid when the case is won.


  42. lemuel | April 17, 2013 at 4:01 PM |

    “Jack
    GP is for real do not be put off by his style; he knows his stuff. But in your ignorance you do not even know that biochemists and micorbiologists know more about the human system than trained doctors.”

    Possibly true, but at least in my ignorance I know how to not misspell, twice, “microbiologists”.


  43. Jack
    Don’t you know that I am a twit. Why would you expect me to spell correctly or know any thing about the rudiments of grammar. When I used the word ignorance I meant medically Jack. That is something that few people know about the true ability of micorbiologists. Thanks for the lesson in spelling Jack. Maybe in googling I got my stuff all messed up.


  44. @ Islandgirl1246

    I honestly believe that the healthcare system in Barbados can be overhaul overnight; I’ve seen it done in numerous facilities. And I am quite confident that it can as well be accomplished here in Barbados. The question is; however, does the government of Barbados have financial resources to undertake a task of this magnitude?


  45. @Jack Bowman
    Jusst had a thought for a slogan on a T Shirt: “Microbiologists see things that others do not/”
    Mr. TED talked foolishness/ How often would the ordinary layman be required to conduct ultrasound testing on himj/her self to justify the purchase of this type of equipment?


  46. Mr. Clyde Mascoll, in his column in today’s Thursday Nation Newspaper, writes about a prized set of cutlery that is kept by a family unit until a special occasion arises when its uses becomes available by the said family. While Mr. Mascoll compares this with the foreign reserves of the government of Barbados – and which is said to be so many hundreds of millions in Barbados dollars by the Governor of the Central Bank of Barbados – they are yet still – according to him – accumulating but not being utilized (what soporific nonsense!!!) While Mascoll’s attempt to write in this metaphorical allegoric manner falls short of the standard expected by the PDC as a supposed intellectual leader it is clear that Mascoll has accepted this false notion that there is about BDS $ 1.4 billion in foreign reserves ( 2013 Central Bank Report on the Barbados political economy’s performance for the first quarter), and that he has therefore conveyed to the readers of his missive the unspoken impression that there are about BDS $ 1.4 billion in foreign reserves. .Mascoll and the Central Bank’s are indeed publishing totally false, erroneous and misleading impressions. The fact of the matter is that the Barbados Government does not even have as many as BDS $200 million in foreign reserves in its possession. Hence, the reason why – as Mascoll relates in his said column – the Minister of Finance and the Governor has jetted off to New York to borrow $ 350 million (US or BDS?), because there are not that many foreign reserves in Barbados’ possession as Mascoll, this DLP Government and the Governor of the Central Bank want many Barbadians believe. It is therefore a bare-faced lie for the Governor of the Central Bank of Barbados or any body else to suggest that the government of Barbados has so many foreign reserves!!


    • If we did not sell Emera plus Republic shares what would our forex position be like? Selling assets to boost forex and not through growth, where are we?


  47. “Selling assets to boost forex and not through growth where are we?”

    Living on borrowed time David and it will catch up with us when we do not have any more family silver to pawn.


  48. We suggest how forward and educated a Nation we are and then one reads the quality of our thoughts in the contributions to this blog. I read the 81 year old persons contribution to the video and I agree fully with his comments; there is nothing I can add to support or contradict his comments, well said. What always amazes me is that some of these bloggers cannot stand up and be counted in the face of scrutiny and contradiction, they hide behind aliases and castigate the reputation of persons e.g Dr Hillary Beckles, who are stepping up and seeking to make a difference in our land. I’m certain that Dr. Beckles or anyone else who is above board will be more than willing to engage in an open discussion relative to their performance and accountability on any issue but not when the commentators are hiding and making spurious accusations which have no substance and is not supported by evidence; you should not be afraid to call out these persons and have them support/justify their positions. Some of us Barbadians need a world view rather than the myopic vision which some of us have and share among our friends, associates and colleagues.


  49. David, it is pleasure being back on this blogsite. It is only recently that we have been back on here. Since last september and up to this week were not on here. During our stint away we have deepened and broadened our ideologies and philosophies in greater ways along certain lines. For instance, we can tell you that the COST OF USE OF US DOLLARS IN BARBADOS AT THIS JUNCTURE HAS REACHED OVER 79 per cent. As such this means that it is costing over 79 per cent of our incomes, payments and transfers to use every US Dollar here in Barbados. The more the government and private sector interests in Barbados get transferred to them US dollars from foreign sources and that they have to give to them at later points in time in equivalent and other amounts, the higher the HIGHER THE COST OF USE OF US DOLLARS IN BARBADOS AT THIS JUNCTURE. The higher the cost of use of US dollars go in Barbados, the greater the implications are for the significant increasing in domestic costs to our incomes, payments and transfers esp at those points in time when Barbadians are going to be importing more goods and services. The greatest advantage that was derived to the people of Barbados from the use of the foreign exchange that was got through the transfer of use of such dollars by Emera and Republic Bank to the Barbados government has been its contributing to our paying for the Barbadian people’s use of US dollars here in Barbados and elsewhere.

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