An array of medications taken daily by siblings Jose, 52, and Josie Arraya, 48, share a small table with stacks of bills, presciption instructions and cheap decor. The adult brother and sister both suffer from developmental disabilities and mental health issues and struggle to receive proper care. Even before Hurricane Maria hit the island in September 2017 Puerto Rico suffered from poor health infrastructure, a shrinking healthcare workforce, high debt, poverty and unemployment. Following the storm, conditions have worsened as some medical professionals choose to find work elsewhere and others grapple with insurance companies often unwilling to reimburse.