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Risks to the Puerto Rico health care system
Health is one of the essential services that the PR government provides to its resident population. Currently, the Puerto Rico health care system is facing a perfect storm. As if domestic headwinds were not enough, the political mess in Washington, DC is fueling more trouble for PR. All attempts to repeal and replace the Affordable Care Act (Obamacare) have failed and a bipartisan compromise to fix the US healthcare system may be in the works but it will take time. Failing repeal, President Trump has tweeted he prefers to implode Obamacare by eliminating the subsidies provided to health insurance companies in the exchanges. Puerto Rico did not participate in the insurance exchanges but will likely suffer anyway. Fiscal shortfalls, trimmed payments to health insurers, and growing uncertainty have inflicted damage to health providers and Mi Salud (the Puerto Rican version of Medicaid) is on the verge of collapse. This seems unfair to us, since the Island has managed its health needs with fewer funds than Mainland states. This issue highlights many health challenges ahead.