St. Lucia has launched a universal health coverage initiative as the government grapples with soaring medical expenses. Prime Minister Phillip J. Pierre stated that healthcare on the island-nation remains “extremely expensive,” revealing that the state spent an estimated EC$200 million (US$74 million) last year alone.
As the national budget is prepared, two hospitals have already requested an additional EC$70 million (US$24.5 million) in funding.
To help offset costs, the government introduced a 2.5 percent Health and Citizen Security Levy on imports and select services in August 2023. While the levy is expected to generate EC$45 million (US$16.65 million) this year, Pierre noted that sum is less than what a single hospital requested in extra funding.
He emphasized that despite heavy subsidies – describing care as “90 percent free” – the system is financially unsustainable without better tax compliance, noting the state is owed nearly EC$200 million (US$74 million) in unpaid taxes.
Health Minister Moses Jn Baptiste confirmed that draft legislation to establish a Universal Health Coverage Authority is being finalized, aiming to fulfill long-delayed promises. He acknowledged frustration among healthcare workers but pledged progress.
Since 2022, the program has provided free antenatal care to over 3,400 women and cancer screenings to thousands more, according to SLUHC Director Alisha Eugene-Ford.
