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Healthcare affects businesses in St Lucia in various ways, both positively and negatively. On the positive side, healthcare can improve the productivity and well-being of workers, reduce absenteeism and turnover, and enhance the reputation and social responsibility of businesses. On the negative side, healthcare can impose costs and challenges for businesses, such as taxes, insurance premiums, regulations, and compliance issues. Moreover, healthcare can be affected by external factors that impact businesses, such as the COVID-19 pandemic, which has severely disrupted the tourism sector, the main source of income and employment for many businesses in St Lucia(1)(2). Another factor is the remittance inflows from migrants, which help support the health expenditures of many households, especially the poor(2). However, these remittances have also declined due to the global economic downturn caused by the pandemic(2). Therefore, healthcare is a complex and dynamic issue that influences and is influenced by the business environment in St Lucia. Achieving universal health coverage, which is one of the goals of the government, could help balance the costs and benefits of healthcare for businesses and society(1)(3).

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