What is the downside of living in Puerto Rico?

The main downsides of living in Puerto Rico are imported food costs, infrastructure issues, and natural disaster exposure. Groceries run 15 to 25 percent above mainland US prices because so much is imported. Power outages are frequent and prolonged, especially during hurricane season from June through November, and many residents budget for backup generators. The electrical grid has not fully recovered from Hurricane Maria in 2017. Healthcare access is solid through ASES insurance but specialist care sometimes requires travel to the mainland. Job markets for local employment pay significantly less than mainland US salaries, which is fine for remote workers earning in dollars but tough for those relying on local income. Spanish dominates daily life outside tourist areas. For the full cost and lifestyle picture, see our Puerto Rico page.