On Tortola the new hospital structure is already built.

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So no worries other than money there. Most medical tourism in the Carribean takes place in smaller private clinic like settings.

I could cut and paste from McKinsey & Company, Booz Allen, and many others. Without daily direct jet service from the east coast of the US. The BVI cannot hold onto what they have with little hope for the future. The current airlift across all the VI does not meet the demands of the next generation of visitors. Just read the hundreds of posts on TTOl. How do I get from X to Tortola or Virgin Gorda. Magic Kevin can only be the savior of so many each day. To sustain the economy the BVI must continue to attract more than 300,000 "discerning" visitors each year. A working jetport is table stakes.