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Patient Care at St. Maarten Medical Center in Deplorable Conditions --- Medical Director Fleecing Foundation through his Functions.

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Philipsburg:--- The Inspector General of Health Dr. Earl Best and his team at the Health and Labor Inspectorate have complied a report based on an extensive investigation conducted at the St. Maarten Medical Center (SMMC). According to the findings of the investigation, the Inspectorate indicated that had there been another Medical Institution on the Dutch side of the island then it would have been best for the Government of St. Maarten to close down the St. Maarten Medical Center until the institution could conduct repairs to the facility and equipments so that it can reach proper medical standards. "Right now, patient care is at high risk and while the SMMC is focusing on getting monies to expand, they need to focus on the quality of care they are providing to the citizens of St. Maarten," one source said.

Dr. Earl Best gave the Council of Ministers a presentation earlier this week on his findings and it is also understood that a copy of the draft report was given to the Minister of Health and to the St. Maarten Medical Center for their comments. The source said that the inspectorate has given SMMC two weeks in which to respond their findings. It is expected that the final report will be presented to the Minister of Health and Council of Ministers in the near future.

Reliable sources have informed SMN News that Dr. Earl Best made mention about the functioning of the supervisory board which is operating against its own bylaws. One such violation is the age of the Chairman of the Supervisory Board, Clarence Richardson. The SMMC bylaws state that anyone who reaches 70 years of age cannot be on the supervisory board. It should be noted that Richardson should have been off the Supervisory Board of the SMMC since last year. However, Richardson is the one leading the negotiations on behalf of SMMC with SZV and APS to obtain a loan for the expansion. Because of the inadequacies, SZV has decided to question the management of the SMMC and its functions which the institution did not take lightly. Instead, they went to plead with the Council of Ministers to convince SZV to give them the monies they need to expand the much needed medical facility on St. Maarten.

Concerns were raised on the quality of patient care, the upkeep of the building and the medical equipments, and the recruitment of nurses and specialists at the St. Maarten Medical Center (SMMC). Another concern mentioned by Dr. Best is the amount of functions the Medical Director of the St. Maarten Medical Center Dr. George Scot is holding and the services his company ANG Consulting N.V. is providing to SMMC. It should be noted that Dr. George Scott is also the director of ANG Consulting N.V.

The draft strategic plan 2008- 2010 with the heading "SMMC Working Towards Friendly Health Care" was done by Siegfried Victorina, George Scot, and Izzy Gersterbluth just prior to SMMC signing Scot's contract with ANG. It should also be noted that Victorina is the adviser to Dr. George Scot as well as the Supervisory Board of the St. Maarten Medical Center, a clear conflict of interest based on the analysis of the Inspector General Dr. Earl Best.

In 2008, the Supervisory board chaired by Robert Velasquez signed a contract with ANG Consulting N.V. Dr. Scot's basic salary amounts to Naf. 252,912 as a consultant which according to the contract is equivalent to 12 months salary. Dr. Scot also later received a bonus of three month's salaries which amounts to about Naf. 70,000.

Besides these consultancy fees, Dr. Scot's schooling in the Netherlands is paid for by the St. Maarten Medical Center including all of his traveling and other expenses. "Dr. Scot travels first class to and from the Netherlands twice a month. Even though he is the Medical Director of the SMMC, he spends two weeks each month in the Netherlands claiming that he is attending school there."

The annual reports that was compiled by Price Water Coopers shows that in the year 2009 under various sub-headings "other" SMMC declared Naf 429,072. For example, Medical training "other" Naf. 246,583, Faculty Expenses "other" Naf. 289,738. Further it is recorded in the annual accounts that the training of personnel decreased by Naf 132,450 in 2009 compared to 2008.

Based on annual accounts of 2008, the SMMC declared Naf. 941.731 as other expenses which are unexplained expenses. In 2009, they declared under the same heading Naf. 999.140 which is also unexplained and in 2010 Naf. 929.476, all of which are unacceptable for any foundation as well as the creditors such as government and SZV.

Based on the 2009 annual reports, the SMMC declared over one million guilders under the heading other expenses, while the managers' fees for 2009 was Naf.310, 633. The 2010 annual reports showed that managers' fees increased to Naf. 403,593. While the remuneration fees increased from Naf. 444,897 to Naf. 510,842.

Further breakdown of the annual accounts showed that in 2008 the management fee was Naf. 174,806, in 2009 it increased to Naf. 310.633 and by 2010 the same fee increased to Naf. 403.593. In 2008, training of personnel had a price tag of Naf. 207,107 while in 2009 it decreased to Naf 74,625.

The remuneration for the supervisory council and board of directors in 2008 was Naf 434,616, in 2009 Naf. 444,807 and in 2010 it increased to Naf. 510.842.

It is clear based on the figures provided to SMN News and the information SMN News obtained on the draft report that the Government of St. Maarten needs to take urgent action if health care is one of their main priorities on St. Maarten.

Last Updated ( Friday, 17 August 2012 00:31 )  
Comments (45)
  • snookered
    avatar

    Everything government control is fleeced. Put government in control of the Sarah desert, in five years it will have no sand.

  • In Sorrow
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    Halloooooo, the government no longer is in control of the hospital.

    The only man is in control is yes, you guessed it...........Dr.Scot

    Sarah don't have a damm thing to do with this. get your facts straight

    This is a bit strange that after reading such a detailed article, you still want to blame Sarah, and her goverment. Even a elementary school child would understand the content of this article

    Hope you are not one of the supervisory board members sucking the hospital dry

  • terrible
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    Expansiion of the st maarten murder center ?

    I hope its for the criminals we shoot in the a**.

  • Hold up one minute!!!!!: ...
    avatar

    ;-)

    @ "snookered:"

    That was funny but oh so true.

    However, word of advice. Check your spelling. It could get you in a lot of trouble with the various political supporters :D ;-)

    @ "In Sorrow:"

    Your post was even funnier. Don't be so "politically" touchy. ;-) :D ;-) ;-) ;-)

    Last I checked .... "Sarah" did not have any sand LMAO.

    He/she ( "snookered:") was referring to "the Sahara Desert" in Africa (well, at least I think they were ;-) ) ... but guess you never heard of it. ;-) ;-)

  • fix it
    avatar

    If this sory id correct, we need to fi the SXM medical center. I hope that Minister will deman a clear view of those funds which are unaccountable. What gaurantees does the Medical center have that Mr. Scot, after his studies will continue to serve the Medical center. Traveling 2x's per month is just crazy. I'm sure his family is happy with this deal, but we need a director who is more visible at the facility. How in the world can Mr. Scot be a consultant and at the same time the Director. The SZV and APS are asked to invest in the expansion, but these people who run these two organizations are not stupid, ofcourse they will question how the instituion is mananged. Would you buy a house when the seller is also the appraiser of the property? Let's fix the problem and make our medical center the best of its kind with proffesional health care providers. Time to demand a change in the board and make management accountable for their spending.

  • kel
    avatar

    I am sick of Dr. Scot! Aftet all the issues and complaints this man is still there stealing and bullying people. Why isn't this man removed? I can't believe that training for employees was cut while management fees was increased every year. I can't believe that these people actually believe this man is going to the Netherlands every month for two weeks flying first cla** having everything being paid for him. Then he got his firm which too is benefitting from the hospital. All this is not new news....Why is doctor Scott still there? Why is that supervisory board still there? The people of St. Maarten in a bad place. Lord protect my family and friends cause i hope they never need to go to SMMC.

  • Shooz
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    Not good.....Not good at all.....

  • LALA
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    What do you expect when smmc is full of lazy people??

    All they do is sitt and pong melee all week long ant wait for time to reach so they can go home....

    Condolences to the grieving families of the victims that again lost their lives due to human error

  • In Sorrow
    avatar

    To LALA:
    If you do not have anything constructive to say about such a serious matter, please find a public toilet filled with a load of stinkin shit, and flush yourself down with it.

    the way you speak, it sound like you just farting through your damm mouth, and it sound like you part of the problem down there

  • LALA
    avatar

    @ in Sorrow

    Thanks for your respond you also sound like one of the lazy individuals in sxm that sits all day, mind people business, pong melee and yes spread bad rumors! But sadly to say the truth hurts!!! yes it hurt you in such a way,thats why you respond to my post............

    Face the facts......all you do is sit and complain "in sorrow" and suck what u can while you can!! anyway you can....thats why people can come to sxm and do what they want with low minded people like you!! cause people like you got BIG MOUTHS and less action....

    toedeldoe ;-)

  • Observer
    avatar

    Dr. Scott remuneration is not that high as some might think. It falls in line with the fees they are paying consultants in St. Maarten. What the government should do is to make a listing of all government and semi government companies what they are paying to the executive managers and the supervisory board members and compared it to the performance. If the organization performs well they should rewarded. But everyone's know that Scott has the supervisory board members in his pocket by paying those huge board members fees.

  • are we for real
    avatar

    Are you telling me we are building a causeway to nowhere, and we have such a deplorable
    situation at our hospital.
    Soon you will hear they are killing people.
    Scott studying?
    What are we proef konijnen.

    If this is the case maybe the blogger with sand is correct.

    Maybe people do have sand in their head.

    This article needs to be corrected or updated.

    This situation is the rich will live and the poor will die.

  • Alston Lourens
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    a common problem here, is that we need to stop the bullshit... and start governing our society properly... all this conflict of interest is hurting our island.... headbutt that!

  • snookered
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    Thanks Hold up one minute!!!!!:,

    Yes, I meant Sahara Desert.. ;-) ;-)

  • Sushhhhh
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    SMN has gotten very detailed financial and background info here. It begs to question who was the source. Someone high up on the information chain. And why did they leak it to SMN? Highlighting the main conflict of interest where Scot is providing SMMC with labor through his own company would be lethal information in most institutions and normal countries. Instead he/she is tossing this information out to the general public and nothing even shows up in the main newspapers. Obviously this person does not believe the normal legal channels can be approached or depended on to deal with Dr Scot. The staff and the union have been tooting their horn for years, highlighting the disintegrating situation and the fleecing for years in many articles. The Council of Ministers were even officially approached to investigate and intervene. Nothing became of it. The comment about his salary being in line with other consultants pay is not incorrect. What is not being said here is that he was hired as an employee with a much lesser salary and resigned to become a self appointed consultant. And that he continues to collect all benefits attributed to staff only, including Cost of Living. And that on top of the fact that no salary increases for the staff were justified while his bonus gets bigger each year. SMMC cannot attract or keep good staff because salary scales remain low in comparison to other islands and the staff has long become demotivated. Now the latest trend is to bring in retired medical specialists through this company. And only now people are noticing that quality of care is going down….. Why complain now? You will see that once these articles lose their 15 minutes of fame nothing will change. No governmental organization is willing to tackle the problem. That is why this source was willing to toss out this information knowing that it will all come to nothing in the end. Anyone else noticing that unlike before…. Staff aint bothering to comment any more???? Should the staff stand up and strike you wont find anyone standing with them. So we sushhh, work our hours and go home. We live with the problem. You'll forget it in five minutes.

  • Vigilante
    avatar

    Ppl the issue at hand is that the SMMC is being ripped off by the director, and his partners in crime, the ageable board of directors. No adequate staff training. What do you expect. If the TOP has a problem, the bottem will be clueless. All the big boys are doing is check, how many clients we have presently or can expect in the years to come. The more the better, that speaks of growth, MO MONEY for WE, not of a unhealthy, sick of the bull community. Imagine travelling first cla** 2x a month to visit your wife and kids and make it look like visiting school. All expenses paid. BOY WE RICH IN THIS COUNTRY. What a priviledge. Is it not nice??? Better your OWN stealing from you than a FOREIGNER. The money stays here unless he or they (the culprits) get tired or fired and they will be footsey, bye bye, gone with the wind from our overfriendly , keeping a blind eye on our own, friendly island.

  • What a kosa!
    avatar

    @ sushhhhh You could not have said it better buddey!!!

  • Hold on my compardres nurses
    avatar

    It's a shame that certain things like this have to happen for people and ofkores the right people that can and have the power to take necesary measures and fix up that god-forsaken place man conjio..while every other hospital in the dutch caribbean is thriving we here in sxm is stuck in 1998. When you have one person covering or " managing" 5 different departments. Awel don't you think some departments will get more attention then the others?? SOoooooo damn sick and tired. Nurses like LPN's Or NA's working in SMMC more than 15 years and a new RN just comes and makes more than them? No por man No por. Nurses are demotivated and devistated. Can't blame em.. working like a D.O.G and go home with S**** salary's. Hopefully some good can come out of this bad. Before it's to late!...

    And wie blijft the dupe van? Ahhh well ofkores the nurses and the Patienten

  • soon
    avatar

    Indeed very sad. It would be nice if some one can publish the legal frame work of the Sint Maarten Medcal Center and all its related bylaws and policy. Nevertheless the issue is that every struture has a body which control that structure. If that body is corrupt and inefficient the result is that the people will suffer. Especially an institution that suppose to provide quality health care for the island. Government also plays a major role in this issue because as government they have the responsibility to the people and must see to it that all those that provide health care for the people must be qualified and capable of given the service that the people deserve. The government need to establish a AUDIT GROUP which sole objective is to monitor and report any and all ineffeciency of those institutions which on behalf of government give service to the people. I do hope that those that are in power listen and act.

  • are we for real
    avatar

    This is very disturbing, now including the death of my good friend Ruth.

    Are we animals,
    Is the saying the rich will live and the poor will die coming to pa**.
    God will make sure when these rich take in, that there will be such bad weather
    that they won't get to leave the island, and they will be at the mercy
    of St.Maarten Medical Center.

    God have mercy on us.

  • mmm
    avatar

    The hospital has a**istant nurse playing like they are real nurses. They hardly check the patients. What i dont understand, sxm has no nursing school. I see some people who never left the island to study acting as nurses.

  • madea
    avatar

    helllllllllllllllllleurr

    why u all cussing elkaar?

    Dr. scottie en all the a**isti nurses them that dont have a diploma have been wukking dere since longgg donkey years now......

    Do u know how many ppl hazz die of human stupid mistakes....en te was ignored

    Why all a suddenn becaz herr sister happin to be ministurrr in sxm that wants to do onderzoek what took place......we alllllll wanna pick at eachother throat

    I betttt u if it was a haiti or jammi not a minister would have open it boka to onderzoek what happen.....

    We all a buncha darnfool, soo stopppp cussing among ourselves and let us form as one!!! and throw these ppl out...............sxm is going down the drainnn ppl

  • crazy
    avatar

    why now depleting old pensioneers APN fonds too ???

  • ugh
    avatar

    As for the hospital ... if the truth be known you do have some very good people working there. Highly trained and experienced that are and will never be known to the general public.. until you need them..... and you have others that show up for a pay check and they are dangerous... but remember medicine is not a perfect science. It is not a TV show, it's real life.... and life aint fair some times....

    The problem is that the politicians and the board have failed to keep up with the times.... We could build a state of the art hospital for 100 million US dollars or so but instead we build things that make the politicians look good and will stand for many years so that their legacy may live on long after they are gone...

    Vote for the right people to do the right thing... regardless of skin color.... some things are more important and good government is one of those things...... YOUR VOTE HAS MEANING....

  • Huh?
    avatar

    Yet another symptom of a govenrment run amok! GEBE, The Airport, the Cruise Ship pier used as private piggy banks. The Pelican Saga, the ridiculous OchoCinco embarrasment, the Causeway and perhaps tunnels...the abortion that we call our public schools, and now the SMMC. Any of us living here have known that it was a disaster and has cost many lives.

    But the cause of all this mayhem are the very people we have voted for to care for these a**ets in our behalf. It is past time to throw the scoundrels out! Is there a mechanism to "recall" the government, either from the voters, or if not, from The Netherlands? The greatest danger that we now face is from our own, who have chosen to screw thier brothers and sisters to make another buck. Time to make them pay.Recall the government, hold them accountable.

  • watating
    avatar

    The hospital needs upgrading yes but i feel more this article is to get brenda tourist hospital build to pa**.. Anyways they all a set of snakes in the gra**

  • proef konijnen
    avatar

    SXM people are only proef konijnen in Dr. Scot eyes. That is why he bring in all those so-called European Dutch and American doctors to the SMMC to pratice on our citizens. We are only proef then turned konijnen.

  • WELCOME TO THE CLUB OF HART BR
    avatar

    WE ARE SADDEN FOR TH ELOST OF ANY FAMILY MEMBER.
    IT IS EVEN MORE SAD WHEN A POPULAR PERSON DIES ONLY THEN WE REALISED HOW SERIOUS THIS SITUATION IS, MANY HAS GONE IN RICH,MIDDLE CLa**, POOR AND NOT WALK OUT BECAUSE OF NEGLIGANCE AND NO ONE SPEAKS OUT.
    TODAY TELL ME WHAT WILL CHANGE.
    MY FAMILY MEMBER BLEED TO DEATH BECAUSE A DOCTOR CANNOT BE FOUND, AND STILL TODAY OVER 5 YEARS NO CHANGES WERE MADE TO CORRECT THESE ISSUES AT OUR MEDICAL CENTER. WELCOME TO THE CLUB OF THE HART BROKEN
    DOCTOR STILL AT MEDICAL CENTER AS IF NOTHING HAPPEN

  • Nathan
    avatar

    The NA is MUM on what is happening at SMMC. You know why???? Dr.Scott and his father are big NA members, reason for their silence. MP George Pantophlet I expected to hear something from you. I thought better of you. It's time to send home board and director. Mr. Gregg Arrindell, you should be a shame of yourself. You should be looking out for the workers. Not only the CLA but what happen to the training for the nurses. Do you fall under the heading "other" to keep you quite? Government send home the board and the director, bring in the group who wants to bring medical tourism to run the SMMC. Let them invest in the SMMC.

  • DM
    avatar

    @Terrible.. you are right with that one. "St. Maarten Murder Center." Patients Check in but they dont check out.

  • what a shame
    avatar

    YOU'LL CAN SEE NOT EVEN WILLIAM MARLIN DON'T TAKE HIS WIFE DOWN THERE IN THE HANDS OF SCOTT MURDER PLACES ;-) ;-) SET OF F..KING MURDERER DOWN THERE ,THE LAW SHOULD LOCK THEM a** UP ..ALL THOSE NURSES, DOWN THEIR LIKE IS TO DIG UP IN YOUR a**HOLE ,THAT IS WHAT THEY GOOD AT .AND THE FIRST THING THEY DO WANT TO KNOW IF YOU'RE INSURED.OR GIVE YOU A BIG BILL FOR NOTHING ,IS BECAUSE HELP THEY CAN'T DO ,BUT KILL YES .SOME NURSES AND DOCTERS ARE PERFECT ALCOHOLIC,EVEN DRUGIES,,,F..K THEM DOWN THERE

  • Nurse
    avatar

    I just dont understand you guys. You dont have the slightest idea how a hospital works. You got to understand that sometimes it is cheaper to let patients perish than to go through the expense it takes to save them. The SMMC has to economize sometimes too.

  • to nurse
    avatar

    You cant be a nurse it is impossible, they should investigate your IP number and get rid of you . i believe you kill a lot of people down at the medial center

  • Marcus
    avatar

    Don't worry everybody,
    the hospital is a disaster but we will have the best useless bridge of the Caribbean soon...
    then you can chose SMMC or a rope tied to a rock and around your neck and the middle of the lagoon, that's real democracy.... having an alternative!

  • HT
    avatar

    @ DM
    Then why bother going to the SMMC; stay home with your sick fat a** and die there, you stupid moron. Don't you know that people die in all hospitals all over the world, despite the good possibilities and services they have. Here in SXM people do whatever they like, neglecting health rules, eat whatever they like, walk around with there fat a**es and when calamity strikes they expect doctors to save their lives. Well there is good news for yall: that ain't always possible, so stop talking about St Maarten Murder Center, because the murderer is your own self!!!!!!

  • Observer
    avatar

    The more negativity about the hospital, the more people do visit !!
    ER overcrowded with patients, more they can handle! Hospital beds constant occupied to the fullest 100% .OR functions 6 days a week till late afternoon! And it's YOU negative bloggers making use of the hospital services, with or without insurance. So stop acting like internet gangsters because we know it's you visiting daily for help !!!! Hahahahahaha, till your next visit. Don't forget to bring your insurance card and ID, just policy! God bless SMMC and it's workers!

  • observer
    avatar

    you full of shit ,you'll =o and will stay oooooooooo murderers that is what you'll are .nothing is working good down there.you make test on any machine and it comes out that nothing is wrong ,and then you'll send me home ,but still am feeling pain by the time i end up marigot hospital and take the same test it comes out that am full bloom cancer ...so you see you'll are killers down there...all you do sit on you'll fat or drunken a** and melee about the sick patience ....

  • Observer
    avatar

    Yeah because SMMC gave you tha cancer noh !!!!!

  • OBSERVER!!!
    avatar

    NO YOUR DAME FOOL YOU'LL EQUIPMENT IS OLD ...THAT IS WHAT AM TALKING ABOUT YOU'LL MACHINE=OLD NEED SOME NEW EQUIPMENT,NEW NURSES,NEW DOCTERS,AND WE NEED A NEW HOSPITAL, INSTEAD OF A DAME BRIDGE :sad: :sad:

  • Vigilante
    avatar

    The Prosecutorial Dept. should be charged with an investigation of the Director and board of the SMMC the earliest possible and all those found guilty should be held accountable. But as we are already aware, on SXM there is two types of Justice. One for the RICH, and one for OTHER. Don't expect anything immediate.

  • Really
    avatar

    Had Theo build a new funtioning hospital, he would of been elected one time, again.

    I hope he will show the master plan in 2014, and keep the promise like he did with the bridge.

    Then we all can vote...right?

  • nathan
    avatar

    HT, you should be a shame of your statement. You sound like Greg . If you don't know Doctors took the oath to save lives. SMMC issues are huge. From poor management , service is getting worse by the day. While upper management is miss spending the funds. No wonder the nurses are in slow mode. They are under paid and their needs are not met. No training. Yet Scott wants to expand the hospital and has failed to adequately run the SMMC. Hope the governor intervene and see the bigger picture and not his cousin's picture.

  • Roots
    avatar

    Sad situation. Send home the management, clean house. Get the right people in place. This is nonsense.

  • Dr.Who
    avatar

    Everybody forget that our hospital was bankrupted years ago and that Dr.Scot get the hospital on his feet’s again? Forgotten? Yes he is a boss and that what it need a Boss that is not paying money under table …..Politicks don’t like that ha ha ha

  • Nurse
    avatar

    I am willing and able to take over the job of Mr. Scot. I was trained in America and have a masters degree in nursing and the experience to run that hospital the way it should be ran. And yes,I am a born St. Maartener. So U see there are born St. Maarteners with the education but just need the chance.

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