Unfortunately the US gov’t has always seemed to enjoy taking federal tax dollars (except income tax, which Puerto Ricans do not pay) from Puerto Rico without having to spend money to provide services.

Six years ago it was hit hard by huricane Maria and last year, while still recovering from that, it was hit by Fiona.

Experts say the island’s economic crisis is rooted in twentieth-century legislation that encouraged Puerto Rico’s reliance on debt to fill federal funding gaps. It did this by giving bond investors higher returns and loosening borrowing limits. Since 1917, lenders to Puerto Rico have been exempt from local, state, and federal taxes—the so-called triple tax exemption—effectively boosting their profits and making the island a more attractive investment. The territory’s constitution also allows Puerto Rico to balance its budget with its debt, among other provisions that facilitate borrowing.

The debt problem accelerated after 1996, when the U.S. government began phasing out Internal Revenue Code Section 936. This provision had allowed American businesses to operate tax-free in Puerto Rico, which critics viewed as a windfall for wealthy corporations. Section 936’s repeal triggered a deterioration of Puerto Rico’s manufacturing sector, and the territorial government increasingly turned to debt to cover its spending.

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Medicare is Federally managed, Medicade is state-by-state. To qualify for Medicaid in most states you have to be at or near poverty levels of income - that’s around $11k to $15,000 a year maximum in order to qualify for it.

My buddy has* VA healthcare. The rest of us don’t even get to see a doctor, dentist or anything else.

Corrected.

The, obviously immoral, institutionalized racism in America (I said OBVIOUSLY for those in the back) has also had, and still does have, geoplitical ramifications as well. Further compounding the issue is the media, on the rare event it does get reported, it’s almost always relegated to the back pages and never followed up on.

When the Nazi’s (for clarity, that is the anachronistic 20th century spelling used to describe the German wave; the current 21st centuries spelling is NatC’s - for Christian NATionalists, generally located in southeastern North America, tho not always, and not always just in the Americas).

I’m sorry, that aside aside; When the Nazi’s received criticism from the Roosevelt administration about their treatment of the Jews (which was, in fact, reported on extensively during the war, the only surprise was the efficiency and extensiveness of the Germans, today much appluaded, record keeping), the Nazi’s immediately clapped back with how America treats its black citizens. German officials spent a good amount of time in the mid 1930s, before any hostilities broke out in Europe, studying the souths Jim Crow laws for themselves so they could best implement their future aparteid state. Backed up with passport stamps and photographic evidence, Germany’s rebuff effectively humiliated American opinion off the world stage.

Not known for learning from their mistakes, America continued doing what it does best, convincing the working class that they’re the source of all their problems.

At the same time, the other never reported topic that America leads the world in, was amped up to 11. And that’s rewriting history thru domestic propaganda campaigns. America did so well at this, that early in the 21st century it once again tried it’s hand on the world’s moral stage…

And was quickly reminded by the Chinese, who’re deflecting their own allegations of crimes against humanity in their treatment of the Uyghers, that once again America’s institutionalized racism, as shown evident thru its prison system, is a “functioning” aparteid state against non-white and poor white Americans, and forged the way, and that China was merely doing what has been shown as acceptable.

…when the rule of law is so corrupted that it’s applied unequally, no one, rich or poor, respects the law. Those without the means to defend themselves may fear it, but no one respects it