For the past 10 years, I have been an avid reader about policies that have affected U.S. territories like American Samoa. I have lived in San Juan, Puerto Rico in 2009 and I have felt the recession that has propelled local tax increases, inflation cost of living and expenses, and doctors fleeing the island for better opportunities in the mainland.
The continuing political policies that have affected U.S. territories have never been in the forefront of news because this does not affect people in the mainland.
The troubles that many locals of Guam, American Samoa, Puerto Rico, and the U.S. Virgin Islands inspired me to look into how political policies affect the structure and operation of local government entities, the Affordable Care Act and how it’s different structure compared to mainland states.
This research will also focus on key aspects that are essential to the Quality of Care in US Territories, like:
- The number of locals leaving to the mainland for specialized treatment they were not able to find locally.
- Local hospital fiscal structure, debt, and yearly government annuities ( if it applies.)
- shortage of physicians, medicine specialization, supplies. etc.
- mortality and morbidity rate.
My hope is that this research can bring more attention to the disparities faced in these territories. We as a whole, neglected our neighbors in the US territories and have not been well represented as a whole.