Emergency health care on the island is nearly non existant. Without a functioning EMS system, which would include transportation, an assisted living facility can not function. And without a receiving hospital, it would be criminal.

And Harriet, within hours to Dallas or Houston, good luck with that. At best it will take nearly 16 hours from the time of emergency to arrival at a US hospital by private air ambulance.

This has been discussed many times here on the board. The island is in dire need of emergency medical care.