– 

 

_PLEASE EMAIL US & INTRODUCE YOURSELF_     

(For More Detailed Info)

We have room for you whether as a promoter, investor or operator.

Please make contact & introduce yourself for more info!

 

Our Mission Statement:

Access to an entire range of women’s wellness health care is becoming unavailable because of southern states brutal attitudes, policies & laws, endangering the health & even the lives of women in the entire Gulf region.  Our goal is to facilitate that access  via  an offshore clinic on a classic  cruise ship…& do so confidentially and at rates lower than land-based clinics. Won’t you be part of the plan?

 

 

 

       AUDIO INTRO by AVA*                                                                                            AUDIO INTRO by AVA*

1.png 

Use Links:for Section Pages

Introduction

 

 Success Criteria    FAQ

 

Pro Forma, Schedule, Floorplan

 1

Full Summary Flipbook

(Please register for this info)

Fight Back!  -  Read More

Untitled.png
Support w/a Donation

Click Picture or Scan QR Code for 9 minute audio summary of the project

To listen to the asdio & view script,

Click the audio control, then Click HERE  (or HERE for PDF)

 

 

 

CLICK FOR CONTACT FORM

Dial 1-712-432-9900 for pre-arranged conferences
(from a cell phone, dial 1-712-832-2986)
Use Conference ID 541838

To Freedom Dawning

Freedom Dawning is a non-profit, New Mexico entity. This website, project & information is ©2024 Freedom Dawning, Quest Consultants & OSoifer  Request permission to reconvey, corpy or save  *Ava's voice is AI generated

 

 

MARINER MEDICAL WOMEN'S WELLNESS CLINIC INTRODUCTION:

The Mariner Medical plan is launch & operate a maritime clinic in int'l waters (out of reach of US & State authorities/courts) to provide strictly confidential, comprehensive women's "wellness" health care +5 days/week over a repeating 21-day itinerary (...14 days w/o Florida) covering the virtually the entire US Gulf coast. Follow-up exams will be available at multiple stops, when needed.

The clinic will share space on a classic ship, offering the only cruise services along the entire Gulf, along with a jaunt to Mexico, to a lucky few pampered retail guests.

To enable a 5-day staff work-week, 2 stops will be at half staff level. As a ship tenant, the clinic has no hotel or maritime operational / legal duties or responsibility. Facilities will be those of a full clinic, including exam/surgical procedure/recovery & mammography rooms; plus lab, pharmacy & more. The ship's dining room (open to all) is immediately adjacent to the clinic, which is 1 deck below the spacious ship lounge.

Anticipated daily capacity is about patients/day, based on the facilities & an equal number (6) of doctors & nurses on duty, plus lab & other staff. Standard services to include: Wellness Exam, mammogram PAP & other lab tests for all; dispensing of medication abortion tablets &/or vaccinations, as appropriate; plus up to 2 early trimester surgical or other procedures/day in each of the 2 ambulatory surgical rooms;. Space will be available to house a limited numbers of patients for up to a weekif their post-procedure or other circumstance warrants it.

To be able to maximize ability to claim full clinic status (vs being branded an "abortion clinic"), all patients receive full a "Well Women" exam, incl. a mammogram & PAP test. Controversial services will not be discussed or scheduled except onboard, between patient and doctor.

Patients fees are mostly inclusive, (incl lab expense, outside lab consults, F&B/amenities), only excl a $60 R/T ferry cost...well under land-based medical charges. Compare Mariner to Mercy Ships, that perform less than half the anticipated annual Mariner Medical patients, with costs 5 time higher than projected for Mariner...but whose staff staffers work for free (& even contribute to R&B cost). Our staff compensation will exceed average US maritime wages, ans include uniform, travel & certification allowances: a contract-completion bonus for 6-month contracts; & primarily the same R&B & amenities as Retail Cruisers. 

Thanks for visiting our website. We hope you will join us in launching this service. If you haven't done so, please listen to Ava'aaudion introduction, and then you are invited to peruse the extensive info availabe herein; as well aato register & view the even more extensive project plans.

 

 

 

HOME

 

To view an extensive project summary flipbook, please register by email.
Then click HERE or the pictures below,  & enter the password provided  

 

 

HOME

 

 

SUMMARY POLICIES & CRITERIA FOR SUCCESS:

Accepting that there is a definite need for an offshore women’s health facility, because of (particularly Southern US states’) restrictions on women’s care, the following summarizes the major mandates that MUST be met to establish the facility; to remedy the multitude of issues hindering its establishment; & to assure its success & ensure its security from outside intervention. Though not an inclusive list, here are the major critieria items that must be met to secure the best chances for initial & continuing enterprise success:

HOME

 

PRO FORMA, PROPOSED SCHEDULE & CONCEPTUAL FLOORPLAN

 

(Please note:  SIX-month pro forma shown, matching proposed crew/staff contracts)

 

HOME

         

Mariner Medical FAQ:  Frequently Asked Questions About this Project

 

10.pngTarget for the services:: The intent is to provide, affordable, confidential, comprehensive, health services topatients from within a two-hour drive and half-hour ferry ride of nearly the entire US gulf coast, from Fort  Myers, FL to Brownsville, TX.

Where will the actual services be provided: Service will be accomplished via the clinic-ship transiting between 9-10 approximately equally spaced venues that are within international waters, approximately 12 miles offshore, with patients transiting  to& from the ship by a company-owned ferry.

What services will be available:  Complete wellness health to women (&, upon request, men) that will  always include a full health & reproductive examination, Pap test, mammography, STD & other  blood & urine tests; with sonograms, contraceptive services, inoculations & other drug dispensing, medication/surgical reproductive services & more.

Clinic/Ship Components: In addition to addition to staff quarters & some patient rooms, this complete clinic will include: multiple exam & surgical rooms, a lab, offices, store & break rooms. The retail operation will serve over 70 guests, with cabins, lounge, restaurant, sun deck, etc. When previously operating as a cruise ship, it was rate over 3.5 stars, etc.

Why make this proposal, when others have done so? While well-intentioned, the other proposals, more or less “knee-jerk” reactions to the dismembering of Roe v Wade, failed to conceive a plan that was actually “doable”: Valuable but affordable, confidential, operationally practical, safe & secure for patients & operators, as well as able to be quickly implemented.

How will the instant promter profit: This proposal is not being sold in the traditionsl sense. Nor is the promoter expeting to bea partner with the clinic or maritime operators. Rather, the promoter will receive the normal commisons on the funding, vessel & equipment sales, engagement fees, business advisory services, etc. 

What about operating in the Federal zone, less than 12 miles out? Operating within the 12-mile Federal limit leaves the ship vulnerable to lawsuits brought in Federal court, even though most lawsuits would have not basis, and the vessel could be subject to potential search & seizure. Plus, transit time to the ship would be over an hour, in a boat unlikely to have proper navigation equipment, which is impractical & dangerous. The clinic equipment & medications would also have to be from US sources, & comply with dozens of Federal regulations, at 2-10 times the cost of imports. 

Sadly, another proposal, applauded at first was not been implemented more the 2.5 years after it was proposed, stemming from its weaknesses and the government limitations that would have remained, from proposed operations within the Federal zone, etc.

What is the idea behind charging engagment fees & then loaning them back? The engagement fees, representing about 1/3 of the project cost, solve the issue of investor-lenders never funding 100% of a project's cost. Together with good collateral value, & justiiably adequate income projections, as well as above-market interest rates, funding becomes very likely. On the other hand, lending back most of the  engagement fees, to be used solely as operating reserves, also boosts underwriting chances, and will not be considered a "kickback". It also means the operations don't have to be "run on a shoe-string" at the time of startup. In effect, this policy forces the operators to have adequate reserves at the time of launch. 

What is proposed for the ferry when the main vessel proceeds to Tampico for refueling & reprovisioning? As the ship can dock in Tampico, there is no reason for the ferry to accompany it after its visit to the Brownsville service venue. Budgetting presumes that the ferry & its 3-4 person crew will remain behind in Brownsville, and live onboaard there, (with them provided with meals allowances) to await return of the ship in about 3 days. This requires that the ferry have full sleeping and bath facilities for the crew.

Can the subject porposed host ship be toured? It is possible to tour it at its current layup location in the southern US. However, videos are also available, as are great reviews from cruise passengers in its last incarnation as a full cruise vessel...rated  over 3.5 stars by passeegers who did not favor the mobbed environment of today's "megaships".

What was  involved in devising this plan? In deriving the Mariner Medical plan, scores of project solutions (some noted herein) conflicted with each other and, as noted, resolving those conflicts was like a game of “whack-a-mole” that took over a  year. In the end a comprehensive plan was conceived that meets the above requirements, including a 60-day implementation and a cost less than half others anticipated..

.What are some of the issues we think other planners failed to anticipate?

It is presumed that  the Women on Waves operation in Europe was the idea source for other proposals. But that operation provides nothing but “abortion pills”, almost certainly to less than 10% of Mariner Medicals presumed capacity. WoW also enters ports to pick up & drop off patients which, as noted below, would be extremely risky to accomplish in the US. As noted elsewhere, It was decided that operating  the vessel like an offshore casino  ship, which just closes ship" when in port would NOT work, nor can the clinic & maritime operating entities be one & the same. 

To avoid the risk of a state seizing the ship, or other risk from the neighboring states, a Gulf coast clinic ship must operate beyond the state’s maritime limit. But, the normal 3-mile Gulf state limit is 9 miles for TX & FL. Plus, the numerous Federal regulations, that would still apply up to 12 miles offshore would impose crippling costs & liabilities including the potential for lawsuits brought in Federal Courts. Hence, operations must be confined  to international waters.

Terrorist Danger: Plus, if a non-mariner could reach the ship in a small boat, it would be ulnerable to attack by fanatics opposed to the ship’s operations, especially if it is advertised specifically as an abortion clinic.

Patient Transit Danger: It would be dangerous for the average desperate patient to rent a boat & motor to transit to 9-12 miles back & forth in the Gulf.

And, the potential for 80 boats to be transferring patients to and from it on a daily basis, than anchoring in deep water while the patient is receiving service is among the most dangerous of maritime activities.

Even if operated in international waters, a ship capacity of over 12 requires compliance with multiple IMO, SOLAS & environmental regulations, plus maritime training for all crew members even if having no patient contact. The practical & technical skills required are far beyond those possessed by a bunch of doctors & nurses. And, the cost to maintain the maritime & hospitality crew, and feed the staff, will double the operational costs.

Operating in the manner of a gambling ship that merely locks up the casino when in port where gambling is not legal, would not  work. No-one could guarantee that the ship is not seized, & medical staffers arrested, when in port even if the clinic was closed then. Hence, the ship must be fueled or provisioned beyond the risky states…which means outside of the US, because no US state without abortion bans is within range. And that means having a range much greater than the average ship candidate. In addition, provisioning must be  facilitated, since the ship can’t dock to pick up supplies either.

Why not run this as a non-profit, clinic only operation: If operated like Mercy Ships, it becomes very hard to hire crews/staffers that work for free, in competition with paid maritime or clinic employers. Plus, doctors can’t be expecte to know how to run a charity. Plus, the inability to access southern health services has more to do with availability than cost, so affordable clinic ship’s services will not be a barrier, especially since, for patients that qualify, there are already multiple third-party sources of funds for medical services. Think about it, how many OB-GYN's  fund  their startup via contributions or operate as non-profit entities? Even Planned Parenthood offices are not run as "free clinics". As structured, the operations should profit +$4MM even with lower than land-based clinic rates...whereas, operating as a charitable clinic only would have an annual net loss in excess of $10MM. In fact, expecting to fund it solely via contributions "killed" another clinic ship proposal. 

Operations: By operating an affordable, but for-profit clinic (as a foreign registered tenant on the ship), as a tenant on a ship with a separate US–registered maritime & retail cruise operation, not only are the maritime, legal & hospitality responsibilities covered for the clinic, there is further isolation from state & Federal authorities, but still full compliance with the US-PSVA. As noted above, It is inconceivable that a clinic could comply, by itself, with the multiple maritime regulations that apply even international waters, nor could it afford to do so.

Staffing: Staffing on any vessel is difficult, because of competition with hundreds of other passenger vessels seeking crews, the usual long work hours of staff, and the generally low pay. If structured like WoW or Mercy Ships, whose crews mostly work for nothing, it is even harder to staff up a vessel. [For that reason, Mariner Medical is structured to pay competitive wages & other incentives, including not forcing staff to work 11-14 hous/day, & 7 days a week for 6 months straight.]

Funding & Incentives: As structured, there are incentives for promoters, operators, substantial rates for, lenders/investors; while still setting clinic rates significantly below land-based clinics, even including patient meals & transits. By requiring engagement fees from the clinic & maritime operators, but loaning back most of it as operating reserves, such reserves are ensured to be in place…with profits still expected to exceed the engagement fees in under a year.

The Passenger Vessels Services Act (often incorrectly referred to as The Jones Act) prohibits passenger vessels from servicing serial US ports unless they were built & registering in the US & manned by a US crew. Foreign vessels are only exempt if a stop in a foreign port is included in every itinerary & the passengers must travel to that port on the subject ship.

The cost to build a large enough ship (ie: a yacht) in the US, which complies with all maritime regulations, is prohibitive, as is the cost to convert a ferry or cargo ship. The proposed host ship, in contrast, is both US-built & large enough for the intended use, as it is certified to transit up to 20 miles offshore, & is already USCG, SOLAS & MARPOL compliant...whereas the cost to reproduce it in today's morket is likely to exceed $25-30MM w/o the clinic FF&E. In checking, the subject ship is the ONLY US-built ship currently available that is the right size, practical and affordable for joint clinic & passenger service, as well as either currently, compliant with international & US environmental standards, & compliant with International Maritime & SOLAS (Safety of Life At Sea) current standards, or quickly, & affordably able to be made compliant.

Together with importing the clinic’s FF&E & medications  from governments certified, but non-US sources, Mariner Medical’s startup budget is less than half of the $20MM others have proposed (which, as noted, was not adequate for other vessel options)…and that startup budget includes over $1.6MM in operating reserves.]

 

HOME

 


Hello! This is Ava. . I hope you will allow me about 9 minutes to introduce you to the Mariner Medical plan, to launch a maritime clinic that will provide affordable, women’s reproductive and other health care that will be as comprehensive as that provided by comparable land-based clinics. This is a response to the brutal restrictions of US Gulf State governments, including policies that extend well beyond outright abortion bans, and remain even after state constitutional amendments. The result is that the health, and the very lives, of women in these states is endangered, as is the well-being of their entire families. .

With the proposed host ship’s 5,000-mile cruise range, and with the transport of provisions and people to and from it to be only via high-speed ferry and records encrypted to secure them from theft or seizure, the offshore operations are ensured to be safe and secure, by confining operations to be beyond US Gulf limits, except for refueling and some reprovisioning and periodic down-time in Tampico Mexico. Comprehensive service is expected to be convenient to almost the entire gulf population, from Fort Myers Florida to Brownsville Texas, that is within 2 hours of the coast. This scenario is based on a presumption that an option of a maximum 2-hour drive & half-hour ferry-ride to a modern clinic, for affordable, comprehensive & confidential health care, together with a relaxing day on a classic cruise ship, is preferable to a costly, multiday trip to a distant state’s clinic, for more expensive, more limited and not fully confidential care. .

Careful planning included locating ten approximately evenly spaced offshore service venues along the coast, that are each about 12 miles offshore of a ferry-capable port. This will facilitate access to the ship, which will transit overnight, from most of those venues to an adjacent one, so as to be ready for services there, early the next day, while also facilitating day excursions to the coast, by the retail cruise guests. It will also facilitate 2 visits to almost all venues, during each repeating 21-day itinerary of 2,200 miles. With the clinic being merely a ship tenant, that’s registered as an independent entity in corporate secrecy Bermuda, and operations restricted to international waters, the operations, staff and patients will be beyond US & State government or third-party control, except for international safety mandates that apply to all ships that have more than 11 persons onboard, in all waters. .

Furthermore, the proposed host ship already is, or can affordably be made to be, both environmentally and IMO compliant. And, it’s US-built, registered and owned, and will have an American maritime crew. That makes it virtually the only available, affordable and appropriate-size vessel in America, that complies for exemption from the Jones-Act and other regulations that prohibit foreign vessels from servicing serial US ports, even if they never actually enter the ports. .

Resembling a large yacht, the clinic’s proposed host is an existing but fully rehabbed small classic cruise-ship, with 100% exterior cabins. The clinic will be adjacent to this ship’s sparkling restaurant, with a super-comfortable, multi-purpose ship lounge one deck higher, and a spacious top sun-deck with a bar, lounge chairs, fishing-equipment, kayaks and other water-sports gear available.

A separate onboard operation, serving up to about 80 retail cruise guests and with its own crew of 48, will handle all hospitality and technically-complex maritime obligations for the clinic, saving it extreme effort and expense. This will leave basic S T C W maritime certifications, internationally mandated even for non-maritime shipboard workers, as the clinic’s only non-medical obligation. .

Patients and guests will enjoy meals prepared by talented, culinary graduates and patients will have access to all ship amenities during their day on-board. Patient day-fees will be inclusive of the full exam, pap & other tests, mammogram and outside lab consultations, in addition to those meals and amenities. Excluding other services, the only other cost will be $60, for the high-speed-ferry round-trip, snacks & beverages, charged because the ferry is a completely separate entity from the clinic operation. .  

The clinic staff of 18, will include an equal number of 6 doctors and nurses, plus technicians and other workers. The clinic facilities will consist of seven exam, surgical procedure and recovery rooms; plus a lab, office, pharmacy, mammography, waiting, staff-break and store-rooms, plus staff quarters. At least 6 patients will be able to be accommodated simultaneously for up to a week, if warranted by their post-procedure condition or other reason. Other services will include sonograms & hysteroscopy, vaccinations, dispensing of contraceptives, and up to 4 or more early-trimester or other surgical procedures, per day, in each of 2 ambulatory surgical rooms, and even male health care. For their security, patients may only initially engage the clinic for the mandatory Well Woman exam, and or a recreational day at sea. Though freely available when appropriate, the patient can only agree to controversial services with an onboard doctor. .
  
Based on capacities, transit and other down-times, clinic operations will be more than 5 days a week, and 21 days per month. At a daily capacity of about 80 patients, including follow-up visits, that equates to about 22,000 annual 90 minute appointments. That may sound like a lot, but it’s less than 10% of the estimated need within the total service area. Thus, demand for the clinic’s service is sure to exceed its capacity.

It is instructive to compare Mariner Medical to the Mercy-Ship floating clinics, whose medical staffers work for free (and also must contribute to their own room and board). In addition, the larger Mercy-Ships handle less than one third of Mariner Medical’s anticipated patient-load, but have least 5 times it estimated operating budget. In comparison, Mariner Medical staff incentives will include wages exceeding the US maritime average, plus generous allowances toward staff uniforms, travel and their mandated certifications. They’ll have paid off-ship excursions on some days-off and will receive a bonus for successful contract-completion. Plus, during their 6-month contracts, staffers’ average workdays will be less than 9 hours, (far below the maritime average), and they’ll enjoy the same room, board and amenities as Retail Cruisers. .

This proposal required over a year of extensive research and analysis, far in excess of just creative finance structuring, as the planning process had to deal with the solution to each challenge bringing new challenges. Asa tedious cobra chain, like a game of whackamole, this intensive forensic planning was needed, to avoid the failure of similar well-intentioned, but flawed proposals. They failed because of more than double the up-front cost, a smaller service area, and not being structured specifically to attract investors, promoters or operators.  The means to actually comply with international maritime law, while still being safe and secure from third party intervention, was poorly envisioned, as was how to overcome dozens of other complications, including that Texas and Florida offshore state limits are nine miles, not the three miles of other coastal states. And, since patients can’t be picked up in port, lacking the means to overcome the extreme danger of ship to ship patient or personnel transfers, assures the failure of similar proposals. .
 
As a result of this farsighted planning, Mariner Medical’s comprehensive strategy, synergistic team, state of the art facilities, classy fully-certified ship and company-owned high-speed ferry, will facilitate a more comprehensive and affordable service than land-based clinics provide. But it will do so safely and confidentially, profitably but affordably, while offering competitive staff wages and incentives, as well as significant commissions, interest and returns, or profits for successful promoters, investors and the clinic and maritime operators. Plus, the associated classic retail cruise service, is, currently, completely missing along the entire gulf coastal region. While the plan was conceived to attract a profit-oriented medical operator, the clinic could be non-profit, if the operator has the wherewithal to source adequate contributions.

If excluding Florida is ever appropriate, 50% more itineraries, of 14 days each for the smaller service area, would be facilitated. If ever appropriate, general medical-surgical service could be extended to the coast of Central & northern South America, where such service is limited. Or, the ship could easily and affordably be reverted back to 100% retail cruising. This flexibility promises good investment returns under any future scenario. .

The operators will be handed turn-key modern facilities without a large initial capital investment. and most engagement fees will be loaned back as initial operating reserves. The complete operation start-up and out-fitting can be accomplished within 60 days of initial capitalization. Profitability is expected within 6 months and the anticipated pre-tax income of all operations, capitalized at 8.5%, imputes a total enterprise value of 2 to 3 times the initial project cost. .
 
If I’ve peaked your curiosity, please register for more information. Whether as a promoter, investor, lender or operator, we hope you’ll help to get this vital service on the water! That’s it for now. Thanks for your kind attention!
 

HOME