La santé à Antigua and Barbuda

Comment fonctionne le système

Antigua and Barbuda runs a two-tier system. Public care is delivered through Ministry of Health facilities — the 185-bed Mount St John's Medical Centre (now also known as the Sir Lester Bird Medical Centre) in St John's, the Fiennes Institute, and a network of community clinics organised across six medical districts — and is financed largely through the contributory Medical Benefits Scheme (MBS), which reimburses care for a defined list of conditions plus lab tests and medical procedures, and accepts claims for some overseas treatment for qualifying registered members. There is no universal state health-insurance system; the government has worked toward converting the MBS into a legislated National Health Insurance scheme. Alongside the public sector, private hospitals and clinics (e.g. Adelin Medical Centre) offer faster, broader services for out-of-pocket payment or private insurance.

A small private sector operates mainly in and around St John's. Adelin Medical Centre is a 24-hour private hospital offering general medicine, ENT, ophthalmology, obstetrics and gynaecology, paediatrics, orthopaedics, endoscopic surgery, dentistry, X-ray and physiotherapy. Private care is paid out of pocket or through private/international insurance, and the UK government warns that private clinics may not accept travel-insurance documents as payment and may require pre-payment or proof of funds before treatment. A private GP/specialist consultation typically runs about EC$50-150 (roughly EUR 17-51). For serious or specialised cases the island's capacity is limited and patients are often evacuated abroad; travel-health authorities (CDC Yellowbook) note emergency medical evacuation can cost well over US$100,000, so comprehensive medical and evacuation insurance is strongly advised.

The UK government describes the main government hospital as able to handle many types of treatment but with limited capacity, noting that serious cases may require emergency evacuation overseas. The US CDC similarly cautions that emergency care may not be available or may not meet US standards and that trauma care centres are uncommon outside urban areas, and recommends medical evacuation insurance. The cited >US$100,000 medevac figure is the CDC's general guidance, not an Antigua-specific published cost.