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I can't speak for its quality, but in terms of cost it's much more affordable than the US equivalent.

According to the article, finding specialists in certain medical fields is apparently beginning to become a problem.

Yup can confirm. Almost all of the rares specialist is in the metro area. Some of them have a wait of a few months. Some even don't take health insurance and are cash only since Insurances pay so low.

I would imagine an authority on Puerto Rico would know what country they were in.

And I would imagine that somebody smart enough to be so certain that Puerto Rico is US territory that they have to comment multiple times asserting their knowledge of the fact would also be smart enough to realize that the poster probably does know that but considers them distinct regions for most intents and purposes and refers to them as such, and that you would choose to just move on and still somehow understand what is being communicated. But I could be wrong. I'm not an authority on the matter.

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