{"id":91484,"date":"2020-07-17T18:29:16","date_gmt":"2020-07-17T23:29:16","guid":{"rendered":"https:\/\/news.medill.northwestern.edu\/chicago\/?p=91484"},"modified":"2020-07-17T18:34:23","modified_gmt":"2020-07-17T23:34:23","slug":"failing-healthcare-on-the-island-of-vieques","status":"publish","type":"post","link":"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/","title":{"rendered":"Failing healthcare on the island of Vieques"},"content":{"rendered":"<p><strong>By Arnab Mondal<\/strong><br \/>\n<em>Medill Reports<\/em><\/p>\n<p class=\"dropcap\">Thousands of concrete blocks are lined up, side by side, on the edges of Luis Mu\u00f1oz Rivera Plaza in Vieques, a tiny island in Puerto Rico. Some of the blocks are dyed with color, and most have names scribbled on them.<\/p>\n<p>At first glance, the colorful blocks, red ribbons and heart decorations on the stage at the end of the plaza seem like part of a festival. However, the sheer number of names on the blocks is reminiscent of memorials. At first glance, one might wonder if the names on the blocks belonged to victims of Hurricane Maria. Not only did Vieques suffer mass destruction due to the hurricane, but the island almost entirely lost contact with the outside world for about two weeks.<\/p>\n<p>After Maria, Vieques was left without proper water and power supply for a long time. Combined with the flooding of its only hospital, the Centro de Diagnostico y Tratamiento de Vieques, the resulting death toll on the Viequenses was severe. Hence, the idea that the local community might be building memorials to the victims hardly seems like a stretch.<\/p>\n<p>However, a few of the blocks stand out from the rest. These blocks don\u2019t have any names scribbled on them. Rather, each one contains only a single letter. Put together, they spell out messages like \u201cHospital\u201d or \u201cNi\u00f1os Muriendo\u201d (\u201cChildren Dying\u201d).<\/p>\n<p><!--more--><\/p>\n<figure id=\"attachment_91485\" aria-describedby=\"caption-attachment-91485\" style=\"width: 1100px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-91485\" src=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP+Media+Folder+-+medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores01.jpg\" alt=\"Vieques healthcare 1\" width=\"1100\" height=\"825\" srcset=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores01.jpg 1100w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores01-300x225.jpg 300w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores01-1024x768.jpg 1024w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores01-768x576.jpg 768w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><figcaption id=\"caption-attachment-91485\" class=\"wp-caption-text\">The Luis Mu\u00f1oz Rivera plaza in Vieques, decorated with banners and ribbons. (Arnab Mondal\/MEDILL)<\/figcaption><\/figure>\n<p>This initiative was started after Jaideliz Moreno Ventura, a 13-year-old girl living on Vieques, died due to lack of proper healthcare early this year. Geisha Rosa, who started this initiative with her father Geigel Rosa Cruz, said that the names on the blocks belong to the people who set down the blocks on the plaza, and the goal of this entire project is to demand the construction of a new hospital in Vieques.<\/p>\n<p>\u201cEach block here is a symbol of the foundational block for the hospital we need,\u201d Geisha said. \u201cPeople buy a concrete block from the local vendor, which costs only 80 cents, and they set it down in the plaza with their names on it as a collective demand for a proper hospital.\u201d<\/p>\n<p>She also said that the goal was to reach 10,000 blocks. As of now, there are 7,400 blocks on the plaza.<\/p>\n<figure id=\"attachment_91486\" aria-describedby=\"caption-attachment-91486\" style=\"width: 1100px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-91486\" src=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP+Media+Folder+-+medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores2.jpg\" alt=\"Vieques healthcare 2\" width=\"1100\" height=\"1467\" srcset=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores2.jpg 1100w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores2-225x300.jpg 225w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores2-768x1024.jpg 768w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><figcaption id=\"caption-attachment-91486\" class=\"wp-caption-text\">Geigel Rosa Cruz (left) and his daughter Geisha Rosa (right). (Arnab Mondal\/MEDILL)<\/figcaption><\/figure>\n<p>A deeper inspection of the plaza would also reveal that the decorations on the stage were not from any festive celebration. They were, in fact, ribbons commemorating the fight against cancer. The banners around the stage had messages like \u201cHospital para Vieques ya\u201d (Hospital for Vieques now) and \u201cVieques exige un hospital digno; a lucha continua\u2026\u201d (Vieques demands a decent hospital; the fight continues\u2026).<\/p>\n<p>Cancer rates in Vieques have been disproportionately higher than the rest of Puerto Rico. Yet, Vieques has no proper facility to deal with cancer. Vieques\u2019 old hospital has been shuttered ever since 2017.<\/p>\n<figure id=\"attachment_91487\" aria-describedby=\"caption-attachment-91487\" style=\"width: 1100px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-full wp-image-91487\" src=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP+Media+Folder+-+medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores3.jpg\" alt=\"Vieques healthcare 3\" width=\"1100\" height=\"825\" srcset=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores3.jpg 1100w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores3-300x225.jpg 300w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores3-1024x768.jpg 1024w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores3-768x576.jpg 768w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><figcaption id=\"caption-attachment-91487\" class=\"wp-caption-text\">The Centro de Diagnostico y Tratamiento, Vieques&#8217; old hospital. (Arnab Mondal\/MEDILL)<\/figcaption><\/figure>\n<p>The only operating hospital in Vieques, Centro de Salud de Vieques, was originally the only emergency shelter on the island during Hurricane Maria; it was later turned into a public community health center. The health center, however, has one emergency room, no pharmacy, and one birthing room with spotty air conditioning.<\/p>\n<p>There are a handful of primary care doctors on the island, but no specialists who can treat the growing number of patients undergoing dialysis. Viequenses in need of dialysis or chemotherapy have to travel to San Juan for treatment, which is an 80-mile trip over sea and land. As such, the people of Vieques have been petitioning the government for a proper hospital for years.<\/p>\n<p>\u201cAs soon as you lay the first stone for the hospital, we\u2019ll move all these blocks,\u201d Geisha said. \u201cBut the more you make us wait for the hospital, the more blocks we\u2019ll bring in.\u201d<\/p>\n<p>Vieques is also home to some of the highest sickness rates in the Caribbean. The residents blame the U.S. Navy. For over 60 years, the U.S. Navy used Vieques as a test bombing range and site for military-training exercises. The Navy also admitted to using heavy metals and toxic chemicals like depleted uranium and Agent Orange on the island but has denied any link between their presence and the health conditions of the people who live there.<\/p>\n<p>While many residents feel strongly that the contamination left by the Navy is to blame for countless health problems, the government requires a particular standard of causal evidence before it will provide compensation or demand stricter cleanups of pollution. Yet independent groups cannot necessarily provide that proof because the federal government still owns the land previously occupied by the military and controls access to it.<\/p>\n<p>The Navy stopped its testing in Vieques in 2003, after an intense international protest movement following the accidental bombing death of a civilian contractor on the base.<\/p>\n<p>Under the Navy\u2019s withdrawal agreement signed in 2003, it was also tasked with cleaning up any unexploded ordnance remaining from decades of weapons tests in and around Vieques. However, the cleanup process involves detonating the unexploded shells, which ironically is in direct violation of the 2003 agreement.<\/p>\n<p>Myrna Pagan, the spokesperson of Vidas Viequenses Valen (Vieques Lives Matter), a movement inspired by the Black Lives Matter, said that the community has been regularly organizing protest demonstrations against the remediation process outside the U.S. Navy\u2019s Restoration Advisory Council building.<\/p>\n<p>\u201cAfter six decades of bombardment and contamination, Vieques denounces this practice and we demand the use of existing alternatives for the cleaning of our lands and sea,\u201d she said.<\/p>\n<p>The presence of toxic chemicals within the unexploded ordnance has made the detonation of these shells even more concerning for the community. In July 2017, two such explosions close to the community released toxic chemicals into the air. The community was neither notified about the detonations nor advised of any precautionary measures they could take. The Navy claims that the cleanup process is safe for the community. Monisha Rios, an army veteran and activist living in Vieques, however, doesn\u2019t trust them.<\/p>\n<p>\u201cAn organization that is accused of so many war-crimes, yet remains self-policed, cannot be trusted,\u201d she said.<\/p>\n<p>The people of Vieques also accuse both the federal government and their local government of long-standing neglect, describing their small island as &#8220;a colony of the colony&#8221; of Puerto Rico.<\/p>\n<p>Geisha\u2019s father, Geigel, said that while every politician talks about building a hospital during their electoral campaigns, nobody acts on it. \u201cWe don\u2019t trust the government,\u201d Geigel said, \u201cThey lie to us every time.\u201d<\/p>\n<p>Another banner on the stage read, \u201cNi una vida mas! Justicia para Jaideliz\u201d (Not one more life! Justice for Jaideliz). Jaideliz Moreno Ventura, the 13-year-old girl who died due to lack of proper healthcare, first showed flu-like symptoms in early January. With no specialist doctor on the entire island of Vieques, Jaideliz\u2019s parents had to take her to a hospital on the main island for observation, a two-hour journey away that includes a ferry and a car ride. But after she tested negative for influenza, they returned to Vieques<\/p>\n<p>On the morning of January 12, however, Jaideliz began convulsing and had difficulty breathing. The family rushed her to the Centro de Salud, but the facility didn\u2019t have a respirator. Doctors had to fly her to a main island hospital in an air ambulance while family members were asked to assist with manually pumping oxygen into Jaideliz. Jaideliz, however, passed away before they could make it to the hospital.<\/p>\n<p>Jaideliz\u2019s mother, Jessica Moraima Ventura Perez, blamed the government\u2019s negligence for her daughter\u2019s death. \u201cShe could have been saved,\u201d she said, \u201cMy daughter didn\u2019t just die; she was murdered by the system.\u201d<\/p>\n<figure id=\"attachment_91488\" aria-describedby=\"caption-attachment-91488\" style=\"width: 1100px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-91488\" src=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP+Media+Folder+-+medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores4.jpg\" alt=\"Vieques Healthcare 4\" width=\"1100\" height=\"1098\" srcset=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores4.jpg 1100w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores4-300x300.jpg 300w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores4-1024x1022.jpg 1024w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores4-150x150.jpg 150w, https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores4-768x767.jpg 768w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><figcaption id=\"caption-attachment-91488\" class=\"wp-caption-text\">Jaideliz Moreno Ventura, a 13-year old girl who died in Vieques. (Courtesy Jessica Moraima Ventura Perez, Jaideliz\u2019s mother)<\/figcaption><\/figure>\n<p>The cost of replacing Vieques\u2019s old hospital was estimated at $70 million. However, the Federal Emergency Management Agency (FEMA) did not agree with that figure and reassessed the grant with the Central Office of Recovery, Reconstruction and Resiliency (COR3) to reach a preliminary agreement of $46 million.<\/p>\n<p>However, it was only after the young girl\u2019s death that FEMA finally approved $39.5 million in federal funding to build a new hospital in Vieques.<\/p>\n<p>\u201cIt is tragic that this funding was not released until after we lost one young life due to inadequate medical service on Vieques,\u201d said Rep. Nydia Vel\u00e1zquez (D-NY), one of the few lawmakers who had been pushing for aid in Congress for a new Vieques hospital for months. Vel\u00e1zquez had also invited Ventura Perez to speak at the State of the Union last January.<\/p>\n<p>Vel\u00e1zquez accused the Trump administration of neglecting the needs of Puerto Rico. \u201cThe delay in restoring health services on Vieques is symptomatic of how the Trump Administration has so callously treated Puerto Rico, first after Maria, and now, following the earthquakes,\u201d Vel\u00e1zquez said.<\/p>\n<p>Even after FEMA\u2019s approval of the funding, Vieques won\u2019t get a new hospital anytime soon. Vieques mayor V\u00edctor Emeric said it&#8217;ll take four years before the new hospital opens. \u201cMany bad things can happen for this community within these three to four years, but really that is how long it will take to build the hospital,\u201d Emeric said in an interview with Radio Isla.<\/p>\n<p>Ventura Perez has been organizing weekly vigils at the same Luis Mu\u00f1oz Rivera Plaza every month to commemorate the death of her daughter as well as to demand justice for all those who have died for the lack of proper healthcare in Vieques.<\/p>\n<p>\u201cMy family has suffered an unspeakable loss,\u201d said Ventura Perez, \u201cMy daughter did not receive the appropriate medical services that could have saved her life when she needed it the most. Her death at such a young age, will not be in vain. We will make sure of that&#8221;.<\/p>\n<p>She also said that the people of Vieques deserved an explanation of why the funds for a proper health center have taken so long to be approved and disbursed. The people also need to know why the existing health center does not have the proper equipment, medicines and protocols.<\/p>\n<p>\u201cWe demand a dignified hospital, with medical equipment and supplies,\u201d Ventura Perez said, \u201cSo that no other mother will have to go through what I am dealing with now.\u201d<\/p>\n<p><i>Arnab Mondal covers social justice at Medill. You can follow him on Twitter at <\/i><i>@arn_mondal.<\/i><\/p>\n<div class=\"featurecaption\">Photo at top: Thousands of concrete blocks are lined up, side by side, on the edges of Luis Mu\u00f1oz Rivera Plaza in Vieques, an island in Puerto Rico. Each block is a symbol of the foundational block for the hospital that Vieques needs. (Arnab Mondal\/MEDILL)<\/div>\n","protected":false},"excerpt":{"rendered":"<p>By Arnab Mondal Medill Reports Thousands of concrete blocks are lined up, side by side, on the edges of Luis Mu\u00f1oz Rivera Plaza in Vieques, a tiny island in Puerto Rico. Some of the blocks are dyed with color, and most have names scribbled on them. At first glance, the colorful blocks, red ribbons and [&hellip;]<\/p>\n","protected":false},"author":632,"featured_media":91498,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29,30,4753,675],"tags":[],"class_list":["post-91484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-and-science","category-public-affairs","category-puerto-rico-2019","category-social-justice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Failing healthcare on the island of Vieques - Medill Reports Chicago<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Failing healthcare on the island of Vieques - Medill Reports Chicago\" \/>\n<meta property=\"og:description\" content=\"By Arnab Mondal Medill Reports Thousands of concrete blocks are lined up, side by side, on the edges of Luis Mu\u00f1oz Rivera Plaza in Vieques, a tiny island in Puerto Rico. 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At first glance, the colorful blocks, red ribbons and [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/\" \/>\n<meta property=\"og:site_name\" content=\"Medill Reports Chicago\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-17T23:29:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-17T23:34:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores-5.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1100\" \/>\n\t<meta property=\"og:image:height\" content=\"825\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"arnabmondal2020\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"arnabmondal2020\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/\",\"url\":\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/\",\"name\":\"Failing healthcare on the island of Vieques - Medill Reports Chicago\",\"isPartOf\":{\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores-5.jpg\",\"datePublished\":\"2020-07-17T23:29:16+00:00\",\"dateModified\":\"2020-07-17T23:34:23+00:00\",\"author\":{\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/#\/schema\/person\/029fba89b4d553aeef616d7405bffaf4\"},\"breadcrumb\":{\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/news.medill.northwestern.edu\/chicago\/failing-healthcare-on-the-island-of-vieques\/#primaryimage\",\"url\":\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores-5.jpg\",\"contentUrl\":\"https:\/\/s3.amazonaws.com\/medill.wordpress.offload\/WP%20Media%20Folder%20-%20medill-reports-chicago\/wp-content\/uploads\/sites\/3\/2020\/06\/Explores-5.jpg\",\"width\":1100,\"height\":825,\"caption\":\"Thousands of concrete blocks lay lined up, side by side, on the edges of Luis Mu\u00f1oz Rivera plaza in Vieques, an island in Puerto Rico. 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Some of the blocks are dyed with color, and most have names scribbled on them. 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