As Puerto Rico’s fiscal crisis grows into a humanitarian one, health care looks like the first big casualty

Until recently, Puerto Rico's fiscal crisis has been like a slow-motion hurricane churning toward land, in that the damage was more potential than real. Yes, there have been minor bond defaults,  government jobs have been cut, and public-employee pensions slashed. Meanwhile, the economy has been in a decade-long funk, keeping the unemployment rate in double figures and prompting tens of thousands of Puerto Ricans to decamp for the U.S. mainland.