INTERESTING STORY: Medical schools in region fight Caribbean flow

Dr. Janine Reinhardt, a graduate of a Caribbean medical school, is a resident at Stony Brook University Medical Center. * Photo credit: Maxine Hicks for The New York Times

For a generation, medical schools in the Caribbean have attracted thousands of American students to their tiny island havens by promising that during their third and fourth years, the students would get crucial training in United States hospitals, especially in New York State.

But in a fierce turf battle rooted in the growing pressures on the medical profession and academia, New York State’s 16 medical schools are attacking their foreign competitors. They have begun an aggressive campaign to persuade the State Board of Regents to make it harder, if not impossible, for foreign schools to use New York hospitals as extensions of their own campuses.

The changes, if approved, could put at least some of the Caribbean schools in jeopardy, their deans said, because their small islands lack the hospitals to provide the hands-on training that a doctor needs to be licensed in the United States.

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49 Comments

  1. BUBBLES
    December 28, 2010

    HOPE DE APPARTMENTS AND VILLAS WILL MAKE MONEY AFTER ALL FALL DOWN

    • MOT
      December 28, 2010

      i know :-D

  2. salopet
    December 27, 2010

    give any one of allu a green card allu packing n heading to south beach or atlanta in a jiffy so shut allu damn mouth,,,wat u read dere can’t do ross nothing cause ross is american run n all their criterias are met on american standard,,,sheeessshhh do you all know that ross is with devry univ. ok so nuff said,,,stop panicking!!!!!

  3. Sout Man
    December 26, 2010

    Under the Lome Convention, the African, Caribbean and Pacific countries, (ACP), had duty free access to the European Community for their agricultural and mineral products. The United States fought against the preferential treatment the former colonies received from our former colonial masters.They competed for the 3% market share for our bananas. They have always worked against us if it does not contribute directly to their vital interest.

    They placed an economic embargo against Cuba and forced the OAS to expell Cuba in the 60’s.They place rigorous standards for our ships and airlines in their ports while their airlines force our governments to grant them duty-free access to our ports or else, they won’t do business in our islands. St. Lucia, for example, has to pay American Airlines millions of dollars in order to continue serving their international airport.

    They continue to sell us lead-based paints, asbestos products and weedicides that are banned in the USA. They pay “third world” prices for our raw materials, manufactured goods and human services while charging us “first World” dollars for their manufactured goods and technology. That is the basis for outsourcing American jobs to China, India and elsewhere. It’s all about money. They will realize, sooner or later, that their continued prosperity depends on the rapid development of our (ACP) people. That’s why we need ALBA so we can speak with an authoritative voice. Those who abandoned Cuba in the 60’s now realize who their friends are. We would be foolish to abandon China and Venezuela while the USA gets loans from China and oil from Venezuela.

  4. look jokes
    December 26, 2010

    America will let the world believe that any one or Country who do not believe in there views nare bad or dangerous but thats just a bunch of crap a form of mental control, if you have your own views and do not suport them then you are singled out, we should learn from the past, what did we get supporting Regan all these years nothing, we need to take it where we can get it and have a mind of our own, stick together and develop self as caribbean countries.

  5. negre bord la mer
    December 26, 2010

    Student toattend has actually addressed the issue quite well.
    One Love, you should get a copy of the financials of this country and you will realize that Ross University is extremely important to the Dominican economy. In fact, I would suggest that you do NOT let anyone from Portsmouth know your true identity.
    We need to take The medical school on island seriously. My singular on school is deliberate. If our politicians play with it by giving permission to other, possibly substandard, schools permission to operate here without consultation with Ross as per the agreement you are playing with a whole lot of people’s livelihoods. We can do exactlty the same thing that we did, but do it the proper way. Now we have the new school we have to untie the politics from it so that it can have a fair chance to grow.
    My thought has been, as was mentioned in a earlier comment is to have a specialty hospital in Dominica. In this hospital we would the best or one of the best, internationally. at one or two small subsectors of medicine.
    I believe that this could be a great area to invest some brain power and look into the possibilities. Cuba has great specialists, but there is still a problem for us citizens to go there for medical care. Build up Portsmouth’s hospital to be this specialist institution and work with Cuba to get specialists. Go into everything with an open mind.
    The quality of both Ross University and St. Georges is of a high enough quality to compete.

  6. ws
    December 26, 2010

    Hope people opening their eyes to all this cause the U.S going after all U.S companies in international jurisdictions to get that taxable income back. They want to be getting a cut, in everything and if they cant then you hear embargo talk, pressure from other developed countries. Then they say they give us tourism but tourism isnt sustainable.

    We need to make our own, grow our own.
    We can raise livestock, pigs, cows, goats hence we can make our own milk, meat and other diary products. Then provide incentives to local business to use local, place tarriffs on goods that can be produced in d,ca.

    Think of all the jobs that will be created in doing so.

  7. james
    December 26, 2010

    The Medical schools that are losing money can start looking at the salary range of their executives and cutting them instead of pursuing a fight that could bring injustice to another set of people.
    http://www.caribbeancruiseshipjobs.net

  8. well
    December 26, 2010

    another reason y america has done nothing for us and will continue to squeeze out the little we have…then u want me to support them over chavez? i wont do that..

  9. Anonymous
    December 25, 2010

    the gov of dca really need to start thinking about saving the economy..since banana died it has been a rollacoaster for us….start thinking of some strategical future plans to save dca….diversify, new industries…etc

    • magwe sah
      December 26, 2010

      legalise Marijuana and create a new industry.

      • Anonymous
        December 26, 2010

        Dominica should try focusing on manufacturing so as to ease our major trade deficit and help our economy

  10. student to attend
    December 25, 2010

    Ross is an American school with it’s headquarters in East Brunswick NJ. It is an American medical school with a campus in Dominica and teh vet school in St Kitts. Ross is one of 3 medical schools in the Caribbean that is actually American owned and ran. So, I should hope that these new revelations not affect it and my country. Since it is technically not a Caribbean med school.
    The US based schools make their schools so difficult to get into, just based on hardcore grades,and GPA and not if the person can and will actually make a good doctor, this is the reason so many students are opting for school outside the US. Shame on these people for attempting to crush the dreams of so many young aspiring doctors that can have such great effects in patients lives. America has a shortage of doctors and not enough space in medical schools, and these Caribbean schools are helping meet quota. Ross students have a 99% match rate and placement.. so say 100 students apply for residency in the US, 99 of them get jobs! that is alot of doctors also compared to a lower rate for their own medical students!!
    This article deeply concerns me

  11. watchthat
    December 25, 2010

    well thus the reason for 290 acres to be give to All Saints?

  12. Mc Carthy MARIE
    December 25, 2010

    L
    “The dispute also has far-reaching implications for medical education and the licensing of physicians across the country. More than 42,000 students apply to medical schools in the United States every year, and only about 18,600 matriculate, leaving some of those who are rejected to look to foreign schools. Graduates of foreign medical schools in the Caribbean and elsewhere constitute more than a quarter of the residents in United States hospitals”.

    THe quotatioon above taken from the full story in the New York Times contains the real reeason for the attempt to curtail medical schools in the caribbean. AS you will notice less than 50% of the students who apply to study medicine in the United states are accepted.. Any dumb person would conclude that the response to this high level of demand, particularly in the heartland of capitalism, should be to build more schools and/ or expand existing schools in the US. Why is this not happenning? The answer is simple. The monopolistic control which the American Medical Association (AMA) exerts over medical education in the US is deliberatley restricting the number of persons who can enter the field. The standard reason given is that Foreign trained students are not up to par with their counterparts who were trained entirely in the US This restriction of numbers is intended to maintain the ridiculously high fees of US Doctors.Those who are practicing have every incentive to keep out competitors for fear of driving down the price which doctors can charge.

    It is interesting to note by the way that France is rated as the country with thge best overall healtcare in the world while Doctors’ remuneration in France is actually quite low while american Healthcare is rated some where in the mid 30%. Overall Healthcare for the population in Dominica is actually rated higher in Dominicva than the US ( we are not talking about ” miracle’ medicine here but the care that is available to the general population. JUst check our expected lifespan)

    This is not the first time that efforts to close down med schools in the caribbean have been tried. Efforts have been made to limit students’ access to Government financial aid to study medicine abroad; The quality of teaching has been denigrated. Congresional hearings have ben convened with Vists to Dominica by Congrees men and women. So far the AMA has failed to close down our schools.. This is just another attempt. using a new tactic. It behoves us to use every diplomatic tool at our governments’ disposal to thwart this new effort by the AMA and its supporters.

    [Reply]

  13. gwo bek
    December 25, 2010

    Well build the needed hospitals….That will be a win win situation for the people of the Caribbean and the medical schools…A wise investment…

  14. All is not lost
    December 25, 2010

    This has nothing directly to do with Dominica or it’s government. However, by requiring these schools have options of different states where their students can complete the medical education will protect the islands from any one state’s law. This is already a reality for most foreign medical schools including Ross, whose students study also in Maryland and Florida,

    • Annonymous Reader
      December 28, 2010

      Seriously????????? Nothing directly to do with Dominica??? Are you for real?????? Have you taken a ride through Portsmouth lately????? Do you honestly believe that Ross University had nothing to do with Portsmouth’s development???????? SMDH!!!

  15. only
    December 25, 2010

    And behind all of this medical turmoil are the Rockefellers and their foundations, the elite. They will get top medical care, but you will not. It is all in their plan.

  16. only
    December 25, 2010

    That has always been a major hurdle for any student choosing to go to medical school in the Caribbean or a foreign country, althought certain countries have priority, like England, Germany and France.

  17. Anonymous
    December 25, 2010

    This is the USA people want DA government to support. People will understand one day that the small Islands states of the caribbean must do what is right for it,by that i mean have relations with any government In the world.

    We cannot be looking up to USA as ours god,all the care about is what they can get our small Island states.

    If we get help from Cuba,Iran or Libya we must take it.

    • get real
      December 25, 2010

      totally agree!

    • prissy
      December 25, 2010

      I’M WITH YOU ON THIS ONE 100%.

  18. president
    December 25, 2010

    As i said before The US only cares about there own interest. They will try their best to make life very difficult for small islands.Dont worry.God take care of his own.

  19. Urban Maroon
    December 25, 2010

    Donkey do have right in horse race. These inadequate “medical schools” which are popping up all around
    the islands are inadequate and mediocre. Take for example this refurbished health center now “medical school” in Roseau. This is an INSULT to the people of Dominica..a BIG JOKE!! THis does not even qualify as a day care.Our standards in Dominica are too low. It’s just a matter of time that these so called medical schools will all be abandoned.

    • prissy
      December 25, 2010

      YOU SHOULD CHANGE YOUR NAME TO URBAN MORON. OR IS THAT WHAT YOU MEAN?

  20. One Love
    December 25, 2010

    TO HELL WITH THOSE DAM FRESH MEDICAL STUDENTS – WE HAVE AGRICULTURE AND TOURISM

  21. Anonymous
    December 25, 2010

    Let’s hope that the new hospital will be of standard which will attract patients from the other islands and as a result absorb some of these students. I know the PM is thinking along those lines but we need to have several specialists in the various fields to make DA an attractive medical center.

  22. Anthony P. Ismael
    December 25, 2010

    This is a death blow.

  23. HATERZ
    December 25, 2010

    You think China would have done that to us in the Caribbean?
    Where the iron is hot beat it there.

  24. Dominican
    December 24, 2010

    Take away bananas, now schools, wha next?

  25. Dominican
    December 24, 2010

    u.s bent on tightening the rope on all money leaving their country going outside. the expense of two wars and all that just have them hungry now and lobyist will do anything right now to get what their bosses want.

    • hmm
      December 24, 2010

      yet still some ppl still believe in the US as the great saviour especially now that they have “brother Obama”
      smh

    • only
      December 25, 2010

      With ObamaCare you will get poor medical care and if you are over 55 you can virtually forget medical care. They have almost completed the control grid in the US with control over your medical services (Major insurance corporation), control over your food (Food Safety Act – Monsanto Corporation) and control over the currency (Federal Reserve Corporation).

    • ABDULL BAYO BOIS
      December 28, 2010

      i dont think dominicans should discuss u.s financial policies(money leaving their country). cause ever goverment wants what is better for their country, but instead we should think of ways to prevent the same from leaving dominica… for example imports are to high in d/ca, government needs to boost agriculture and manufacturing, which are two crucial aspects of our development. AND STOP BEGGING, BEGGING, BEGGING

  26. Mc Carthy MARIE
    December 24, 2010

    L
    “The dispute also has far-reaching implications for medical education and the licensing of physicians across the country. More than 42,000 students apply to medical schools in the United States every year, and only about 18,600 matriculate, leaving some of those who are rejected to look to foreign schools. Graduates of foreign medical schools in the Caribbean and elsewhere constitute more than a quarter of the residents in United States hospitals”.

    THe quotatioon above taken from the full story in the New York Times contains he real reeason for the attempt to curtail medical schools in the caribbean. AS you will notice less tha 50% of the students who apply to study medicene in the states accepted.. Any dumb person would conclude that the response, particularly in the heartland of capitalism, should be to build more schools and/ or expand existing schools in the US. Why is this not happenning? The answer is simple. The monopolistic control which the American Medical Association (AMA) exertts over medical education in the US deliberatley restricting the number of persons who can enter the field.. This restriction of numbers helps to maintain the high fees of Doctors.Those who are practicing have every incentive to keep out competitors.

    This is not the first time that efforets to close down med schools in the caribbean have been tried. Efforts have been made to limit students’ access to Government financial aid to study medicine abroad; The qualityy of teaching has been denigrated.. So far the AMA has failed to close down our schools.It behoves us to use every diplomatic tool at our governments’ disposal to thwart this new effort by the AMA and its supporters.

  27. Gary
    December 24, 2010

    Here we go again the Strong arm tactics of The American Medical Association flexing it’s muscle. This boils down to Money, control and Politics. The Medical Schools in the State of New York are losing money and so they are turning to the American Medical Association to help them. The AMA has always being the enforcer and controller and regulator of whole Medical Industry in the US they command tremendous power, doctors are scared of them. Doctors are dependent on them for their livelihood, no wonder the state of NY York are turning to them.

    This is going to be an all out battle, the Medical Schools involve have their investments to protect and i do not see them giving up that easy, in the mean time it is the students and the Governments who are in the middle of all this fiasco. The Governments involve may loose income and revenue the students less choices as to where they can go and study especially the students who were not accepted at traditional Medical Schools.

    • Mc carthy MARIE
      December 25, 2010

      You have it dead right. The entire thing is at the instigation of the AMA which operates like any cartel. They control the price of medical services by restricting the number of service providers in the same way that OPEC controls the price of oil by controlling the supply. The existence of offshore schools erodes their monopoly power and they will come up with one scheme after the other tom try to regain full control over the supply of Doctors in the US

      Here is where the members of the Diaspora who have contacts with people in the right places can make a difference by lobbying the politicians who finally make the decisions. A strategy might have to involve not just Dominicans resident in New york , but the entire Caribbean American group who should join their political forces to stop the AMA from shutting down our livelihood. It Is not just Dominica and Ross that will be affected after all.

  28. AMAZED !
    December 24, 2010

    Let that be a wake up call for the Dominican govt !
    Keep depending on the resourses of the medical school !
    Do Dominican’s have a plan B ?

  29. pedro
    December 24, 2010

    Spreading them across the Caribbean is not an option. its not just the numbers, but the standards and quality of care, methods, equipment etc are different in the Caribbean as well, and (from an American point of view at least) can not be a substitute to US training. Beyond that the supervision and standard of training would have to be accredited. That is not to say there is no value in exposure at local hospitals, indeed it is already done, but could never substitute for US training. By the way, there are over 1000 students at just one medical school in DA.

  30. Democratic lover
    December 24, 2010

    Forget it, the bil will be passed, we have become dispensable,it is always about America, and as Pasteur have pointed out, the reasons for the schools no longer exist. Cuba is no longer a threat, there is no cold war, and America owes china too much money, so chu poule, stroke two America against the caribbean region, noting changes. First they took the banana, now they taking back their medical schools, then when they have us begging on our knees they will take us hostage.

  31. hmmm
    December 24, 2010

    we must never be complacent about what is not our own

  32. Gee
    December 24, 2010

    ************************How DA & Ross will survive***********************

    For so many years we have made our economy so somewhat dependent on Ross!! We don’t even care to diversify our economy!! Ross University will always be there in Dominica. That’s the impression our politicians want us to believe in.

    I wonder if the politicians knows about this new reverlations and what would be the next plan…should Ross be a victim thus DA. Are they being pro-active???

  33. v
    December 24, 2010

    true its all about the dollars

  34. Louis Pasteur
    December 24, 2010

    Even if this campaign is not successful, the effect it can and will have on prospective students could be devastating to the economy where these Caribbean schools are located.

    Although this is only a New York state issue, the possible uncertainty of being accepted on the US mainland could be a deciding factor for some students.

    Perhaps the quick fix would be for the Caribbean students to be spread over other states, (and not concentrated in NYC) where there are many other hospitals to provide the required hands-on training, this would be less of an issue.

    For argument sake, remember these schools were established as an excuse for sending troops to “protect our citizens” in case we want to invade one of these islands. Now Fidel is no longer a threat, we just don’t need them as much.

  35. stupesist
    December 24, 2010

    devil-upment continues. dollar dollar bill ya’ll

  36. Patat
    December 24, 2010

    hmmm! Boy , I wonder if that was part of d eason why d government turn down d doc application?

    Trust me, that one have all kind of risks in it.

  37. Anonymous
    December 24, 2010

    what a sad situation

  38. Monti
    December 24, 2010

    Its all about $$$$$$; the Cbben sch are robbing them of students. Hope this bill can be stopped – it will have a negative effect on the islands economy

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