In spite of the best efforts of the past two leaders of the Health Services Authority – both summarily fired
because the HSA board is polluted with narrow-minded fools and political buddies of the government of the day – it seems that accurate financial data STILL is not available from the major provider of health services in the Cayman Islands; proving yet again that the HSA is the most financially dangerous “organization” in the Cayman Islands.
Here's the short version of that: money in - nothing out.
Let’s just go ahead and get this out of the way right off the bat: Al Ebanks is wholly unqualified, undereducated, and lacking in the vast majority of even the most basic of skills that might allow him the slightest semblance of even being able to contribute to the proper oversight of the HSA.
No matter how much he loves God – or how much God loves him – he’s WAY out of his element when he sits at the HSA table.
Never mind the fact that the HSA still can’t produce any usable financial data; never mind the fact that the HSA still can’t make a deadline for the production of said data; never mind that Ebanks doesn’t know the financial standing of the HSA; never mind that the multi-million dollar Cerner system is STILL useless due to systemic human incompetence; never mind that the HSA fired the guy that gave them the most recent financial data and basically built this three-year budget forecast Ebanks talks about… never mind all of this.
The HSA has been, is, and always will be run by idiots until the people of Cayman stand up and say “enough!” And it’s time for us to stand up.
The tragic farce of a board of directors is now overseeing doctors who are trying to kill us; and a PR department who is trying to cast the blame of a bad medical decision on the patient.
Just after a HSA doctor (allegedly) advised a pregnant woman that it would be okay to fly to Jamaica in spite of possibly being in labour and because the doctor and the nurse haven’t a clue as to what insurance does and does not cover - and because having a baby is cheaper in Jamaica - Ebanks says in the Caymanian Compass, “The authority has in place arrangements to facilitate patients that are unable to pay immediately for care to receive medically necessary treatment and a financial plan worked out for ongoing payments.”
Yeah, thanks Al. That arrangment is called HEALTH INSURANCE you pin-head.
Statements like this only serve to highlight the board’s total lack of involvement in the proper oversight of the functioning of the HSA.
The entire HSA board has no idea what the HSA doctors, nurses, staff, etc… are doing. The board hasn’t the foggiest idea of the rampant lack of professionalism which abounds at the George Town Hospital. The board has no clue how to manage the hospital. The HSA is categorically unqualified to in any way, shape or form oversee even the most basic of operations of the largest part of our health care system.
“Prove it!” you say. I think I will.
In the same Compass story in which it is written that the authority has procedures to help people pay their bills, it states that former minister of Health Gilbert McLean "does not believe the political will exists to challenge the prevailing attitude that people don’t need to pay their hospital bills.”
So let me see if I get this. The HSA has a system in place to help people pay their bills but neither they nor the government have a clue as to how to communicate the importance of patients actually paying their bills. Hmmmmm...
In layman terms this is described as a lame-ass cop-out by people who don't know what’s going on. The right hand doesn’t know what the left hand is doing. More appropriately, the right hand doesn’t know that the left hand has been amputated – probably in Jamaica because it’s cheaper.
Put simply: the HSA board has no idea how to use local laws to ensure timely and appropriate payment for services rendered – which is why the HSA doesn’t, hasn’t and won’t ever be able to appropriately and accurately account for the goings on at the hospital.
Why is that? Because undereducated, under-qualified, unintelligent people keep getting posted in positions of authority in the one “organization” that can save our lives or kill us. And recent events prove that the staff can be very calculated and efficient at killing us or at the very least putting our lives in danger.
It’s almost to the point of bad comedy now. Seriously, I’m a pretty creative person but even I can’t create stuff this ridiculous.
Not only can the HSA not produce timely financials, but the ones they do manage to scratch out several years after they’re due are – in the words of the auditor general – “effectively incomprehensible.” And you wonder why healthcare costs so much… It’s not the insurance companies – it’s the providers. It’s the HSA.
Not only do HSA doctors and nurses apparently not know how insurance works, but they have no concept of what the standard government contract covers – a contract that, dare I say, a vast majority of the people in Cayman have as their coverage.
And absent the knowledge of our insurance scheme or patient financial aid, some doctors seem to lack even the most basic level of common sense when it comes to making prudent medical decisions. I’m no doctor, but if a woman is in labour, or about to go into labour, I’m not putting her on a plane - nor am I letting her on a plane (CAL).
Again I say – the problem is not financial, it’s systemic. The wrong people are in the wrong positions doing the wrong jobs – and doing them poorly; and it starts at the top.
Gilbert McLean will say it’s Anthony Eden’s fault, Eden will blame McLean, the HSA public relations department will blame the patients… and no one will take responsibility because if they do the HSA board will fire them!
As a result, these idiots are costing us not only money but quite possibly a reduction in the quality of life and an increased probability that the system upon which we rely to maintain our health may, in fact, hasten our demise.
So to Al Ebanks I say this: Quit. Retire. Resign. Do whatever you have to do to make a spot at the boardroom table for someone who deserves to be there. Someone who is qualified by education, experience and training and NOT simply qualified because of who they know.
To government I say simply this: set your pride aside and hire a qualified team of professionals to run the HSA. Your pride is leading the hospital down the road to financial ruin and placing our lives in jeopardy in the process.
Al, you’re a man of God, yes – no one can deny that. In spite of that I must say that the only uneducated, unqualified, non-degreed professional I would ever trust with my life was crucified 2000 years ago. Please let us know if you need help getting that last nail in – until then, step aside and let an educated and qualified person right the ship.