An elderly woman who dies from complications from diabetes that has been poorly treated, a young athlete who got hurt and cannot be evaluated with x-rays, a community leader with cancer who has to travel on a dirty cot in the back of a plane because, in Vieques, they cannot tend to complications due to surgery, a sick newborn who is transferred by helicopter in an emergency because there is no equipment on the island municipality to monitor his oxygenation, women who have to plan their deliveries and end up doing c-sections because they can no longer give birth in Vieques. They are all victims of the lack of adequate medical services in Vieques, a municipality nine miles East of the “big island” of Puerto Rico, aggravated after Hurricane María destroyed the only Diagnostic and Treatment Center (CDT, in Spanish), and a maritime transportation system that barely works. Some basic services have been temporarily reestablished in a school that served as a shelter. But the health care needs of the “Viequenses” require a permanent medical facility, better than the one there was two years ago, which was already precarious. The cost of replacing the Vieques CDT destroyed by Hurricane María in September 2017, was estimated at $70 million.