Suffering with the blood cancer Hodgkin’s Lymphoma, Betancourt was deteriorating fast on an island where hospitals have been badly damaged, doctors and nurses have emigrated and electricity outages are still widespread.

She is now on Florida’s Medicaid plan, which pays for her daily radiation treatments. Living in a cramped Orlando hotel room, the family has no plans to return to the island. “We are staying for good,” Betancourt said. “I cannot get the best medical help in Puerto Rico, and it has become even worse after Hurricane Maria.”

Keyshla Betancourt, 22, who suffers from brain cancer, takes off her wig after her first radiotherapy treatment, at a hotel in Orlando on Dec. 11.

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