"Jackson deals with a lot of people who have huge trauma. Somewhere else is where they often go for rehab care. So having a rehab hospital that people will use here will attract medical tourism," says Migoya, noting that Miami is a gateway to Latin America.
An important factor in getting the bond issue passed was the creation of a citizens' advisory board ensure the funds will be used as intended. That's part of our transparency," Migoya says. "We will create a website where anyone in the community can see how much money [from the bonds] we've used, and for what purpose."
Focusing on the future will be important, he says, because the radical transformation of the healthcare industry will be a negative for Jackson, especially the health insurance exchanges and the fact that the state of Florida has not yet expanded Medicaid.
"Legislators are dragging their feet," he says. "If we have expansion, the negative impact to Jackson will be $75 million next year. Without it, the negative impact will be closer to $150 million. So that's one more reason to make this an attractive place for paying patients. We have to offset that and we won't get tax money to do it."