US healthcare is defined by the greed and inequality that its patients must battle, but Puerto Rico’s calamity is unique. Thanks to a combination of colonial neglect, a disastrous legacy of privatization that has given health insurance companies outsize control, and a series of devastating austerity measures in recent years, it’s not just patients who are feeling the impact; it’s also the people who are supposed to look after them. Puerto Rico has seen a mass exodus of doctors that has left it struggling to provide even the most basic level of care. And no medical specialty has been affected more than pediatrics.