One of my first experiences with culture shock here in the United States, was when I first got really ill here after leaving college and finding myself without access to the NYU clinic: I came down with a really bad throat infection and needed medical assistance. So I asked around where was the public clinic and people looked at me like I was insane. This was the end of the 1980s and not only did Ed Koch do away with almost all of them, but most people who'd go to the public clinics would do so because they ahd AIDS.
I was shocked and confused, to say the least. In Puerto Rico I had always had access to medical care. After my parents divorced and my mother found herself needed to go to public assistance, the public clinics where always there for us to use. Sure, they weren't convenient or brand spanking new but they were access to health care for all. At no point in the 20+ years I lived in Puerto Rico --and even as a young adult with no health insurance-- was I ever denied access to health care.
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