WILLEMSTAD – The implementation of key reforms in Curaçao’s healthcare and social security sectors is making little progress, according to the first Implementation Report of 2025. 

The report highlights significant delays across multiple reform tracks due to the complexity of the changes and the lack of critical decision-making. Several priority initiatives—such as the restructuring of mental health services, the organization of hospital care, and the development of a long-term healthcare vision—are currently behind schedule. 

One of the most notable delays is in the establishment of the Curaçao Health Authority, an independent regulator intended to oversee the quality and affordability of healthcare services. 

"Although efforts are being made to achieve cost savings and greater efficiency, there is a lack of timely decision-making and clear progress," the report states. It further emphasizes that course corrections are necessary if the goals of the Landspakket (country reform package) are to be met. 

Achieving those objectives, however, will require sharper choices, improved planning, and a long-term vision—something the report suggests is currently lacking.