Similarly the establishment of the CARICOM Single Market and Economy at the end of 2008 may have led to greater mobility within the Caribbean region, and more migration of nurses from poorer to richer states, for example from Guyana, St Vincent and the Grenadines and Grenada to Barbados and The Bahamas. Though arguments have been made that this will be beneficial for the region as a whole, those states that are presently poorly served, notably Jamaica, Trinidad and Tobago, and Guyana, may be disadvantaged further, while ‘the danger is that each country competes with the other with the risk of selling what they have at bargain basement prices’ (Caribbean Commission on Health and Development 2006:77). The wider benefits are not evident.