Authors: Isabella Alcantara, Quinn Burke, Andres Caballero, David Cepeda, Reese Dains, Adriana Duran, Isaac Forson, Julia Gudis, Sean Huynh, Natalie Loo, Claire Murphy, Jolie Robison
This past June, the Fordham Honors Program sent twelve students on a Global Outreach (¡GO!) trip to San Juan with the goal of learning about Puerto Rican culture and the social justice issues present in Puerto Rican communities. Throughout the two-week trip, a mix of community engagement opportunities, reflective moments, and competitive Exploding Kittens games brought us together to create an unforgettable trip.
In the semester before our trip, our team met weekly to learn a little about Puerto Rico’s history, fundraise donations for the organizations we were working with, and practice our Spanish. By the time June rolled around, we were excited and ready to go. After a smooth flight over, we were immediately thrust into a hectic schedule. The average day looked something like this: wake up for breakfast at 6:30am, head to the first activity by 8am, break for a quick lunch around noon, then head to our second activity until dinner at 6pm, followed by a group reflection and an early bedtime to make sure we were ready to do it all again the next day.
Most of our mornings were spent with the Dr. Garcia Rinaldi Foundation, shadowing neurosurgeons and plastic surgeons as they operated. We were particularly inspired by the passion of all the medical professionals in the neurosurgery rotations. Everyone cared about their coworkers like family and readily welcomed us into the surgical rooms as if we were their own students. The Foundation also took us to the San Juan Bautista Medical School, where we attended talks with professors and met with current students. Another day was spent touring Castañer Hospital, a hospital serving Lares and the surrounding mountainous area. There, we heard from more doctors and learned about the history of Lares, which played a pivotal role in the resistance movement against Spanish colonial rule.
Through the places we visited and doctors we spoke with, we had the chance to learn firsthand about the Puerto Rican health system. Many of the doctors would talk about Puerto Rican “brain drain,” a term referring to the mass exodus of medical professionals from Puerto Rico to the States, largely due to the struggling higher education system and the difficulty of pursuing a fulfilling, well-paying medical career in Puerto Rico. We also discussed the health insurance system, learning that Puerto Rico insurance reimbursement rates are drastically lower than in the mainland. All these issues are largely tied to the island’s history of colonization and current problematic status as a U.S. territory. We continued to see the effects of brain drain beyond the medical field when we spent a morning in Ceiba volunteering with geriatric patients. Many had not seen their children and grandchildren in years as they, like so many others, had left the island in search of better professional opportunities. It was a privilege to eat, talk, and even dance with these elderly Puerto Ricans, many of whom were almost 100 years old.
Our afternoons were typically spent at ACUTAS, or Asociación Comunidades Unidas Tomando Acción Solidaria, a community center founded in the wake of Hurricane Maria to serve the Toa Baja community, which was largely neglected in the government’s recovery efforts. As the community continues to recover from the 2017 hurricane, with the local public school reopening only last year, we got to help revitalize the organization’s space by scraping off old paint and mold and laying a fresh coat of paint on their walls, ceilings, and fences.
Amidst the sweaty, physical activity, we got to hear about the personal experiences of those working and volunteering at ACUTAS. One woman, who has struggled firsthand with the flawed healthcare system, has dedicated her entire life to serving her community through ACUTAS. She and many others had personal experiences with Hurricane Maria and were passionate about the political and social change they hoped to see and create in Puerto Rico. Like with the neurosurgeons, we were struck by the strong sense of community at ACUTAS and their initiative to take care of one another. We’re glad we got to contribute a small part to this organization filled with people who so clearly love their community and are committed to serving others before themselves.
Between our time at ACUTAS and with the Foundation, we found time to visit the island’s beautiful beaches, grab some ice cream at a local shop, and take a tour of Old San Juan, where we learned more about Puerto Rico’s history, visited an art gallery, and did a bit of shopping. Throughout all our activities, the eventful van rides between them, and the meals we cooked together, our team formed lasting friendships and countless valuable memories.
This trip was an incredible opportunity to immerse ourselves in Puerto Rico’s beautiful culture — from the music and food to the warmth of the community — and learn about the history and inequities on the island. We are grateful to our ¡GO! leaders for all their planning, our chaperone for her patience, and of course Global Outreach and the Honors Program for making this all possible.