Nurse Natalie has hit the nail on the head. The first responders have boats, trucks, atv's etc at their disposal via a network of volunteers - but the poly clinic isn't open 24 hours per day, the private clinics are open only during regular hours too. So if there is an emergency in the middle of the night a doctor must be located and willing to open up his clinic.
Again this boils down to money. When the private doctors open up their clinics to emergencies there is no guarantee that there will be a form of payment/reimbursement for the supplies utilized during the emergency. And yes this might sound very materialistic - but if the doctors can't pay their bills they are forced to close up shop.
The poly clinic is simply a clinic - not a hospital and as such is not fully equipped or manned to handle emergencies 24/7.
We need to work as a community to lobby the government and secure private funding etc to get the clinic converted into a hospital. This should be a high priority for the town.
And this may not seem "fair" but I believe that all of the doctors on the island should offer a few hours each week to be not simply available on call, but actually stationed at the poly clinic - and of course they should be paid for those hours of duty. Yet another doctor should be available on call in case of multiple injuries or illnesses.
In a town of 20,000 residents there should always be at least one doctor available to assist in emergencies or respond to illnesses.
We have plenty of wonderful folks that are willing to volunteer their time, vehicles etc. but these volunteers are not all certified and licensed physicians. Those that are qualified really do need to band together and figure out a workable system to support the town.
If we co-ordinate all efforts, monies and equipment etc into one central location we will attain the goal much quicker than if we continue with small, private, semi-equipped clinics with doctors that are often absent over weekends and holidays.
This is truly a dire situation that the towns people should be up in arms over.
Of course, there are a few other critical amenities that need to be addressed and it seems that slowly but surely each situation is beginning to receive the attention they deserve.