We hope your health is good as you plan your move to Puerto Rico. Did you know Puerto Rico is home to the world's most expensive health system? Its government spends 21% of its budget on it, or $3,324 per inhabitant.
If that's the case, why would the town of Manatí be home to a hospital mostly staffed by doctors who fly in from Florida, stay a couple of days, and fly back?
That is because Puerto Rico ranks 49th among the states in number of specialists. In 2010, for example, there were two registered oncologists and two registered obstetricians. Fast forward to 2022 and numbers have not improved much.
Why have they left? Most specialists and many general practitioners have moved out of PR in search of better compensation, since there is a huge gap between what insurance companies pay in PR vs the mainland. Doctors looking to do residences in the island run into the challenge that there are very few. Another reason is burnout. A very high percentage of residents is either elderly, has disabilities, diabetes, or psychiatric illnesses.
So if you are planning to retire in PR, make sure you are healthy, or start a separate fund for travel to the states.
Source: Demand and Supply of Physicians in Puerto Rico: Historical trends and forecasting 2013 to 2019
José I. Alameda Lozada Ph.D
Noise
In a Puerto Rico online forum, when Puerto Ricans were asked about the cultural practice they found most annoying on the island, the number one complaint was noise: preachers on loudspeakers, car alarms, reggaeton at the beach, cars with no muffler, music coming out of giant speakers at home during the week, and more.
It's a tropical climate, so windows stay open. You will hear everything while sitting at home and at the most secluded beaches. Even at 3.7 million, Puerto Rico's population density is several times that of Hawaii's big island (the island with an area closest to PR). That makes for a lot of noise! And don't think boricuas will take kindly to noise complaints. They don't.