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“After an extended period of more than nine months following the departure of the previous Medical Chief of Staff in St. Kitts and Nevis, the Prime Minister Dr. Terrance Drew administration has finally chosen a replacement. This decision comes on the heels of mounting concerns voiced by medical professionals about the alarming state of the country’s healthcare system, particularly at the main general JNF Hospital where reports of patient fatalities have caused an outcry.The delay in making this appointment raises pertinent questions. Why was the appointment delayed for so long? It’s intriguing that the decision was taken only after a series of distressing deaths and a widespread outcry regarding mismanagement at the JNF Hospital. The vacancy had been advertised months ago, interviews conducted, and Dr. Daveen Wilkin, a well-qualified candidate with a distinguished leadership record, emerged as the only suitable choice.Curiously, the frustration arose as attempts were made to favor a politically appointed candidate, paralleling the situation with the hospital’s Director who lacked the qualifications for his role. The public and a prominent doctor’s outcry finally spurred the Minister of Health and Prime Minister Dr. Terrance Drew to take the necessary action and appoint the qualified Dr. Wilkin to the position of Medical Chief of Staff.However, concerns linger as an unqualified Director continues to hinder progress. The opacity surrounding the Director’s qualifications, in contrast to the transparent showcasing of Dr. Wilkin’s credentials, raises questions about their suitability for the role. It is crucial for the nation’s health that competent individuals are entrusted with leadership positions, steering the healthcare institution away from the challenges it has grappled with since August 2022.