In the mountain town of Juyaya, Puerto Rico, last October, children watched as U.S. Army helicopters brought a team of physicians to assess the medical needs of the local hospital and residents. Going forward, health economists say, the U.S. territory will need continued federal help to deal with its overwhelming Medicaid expenses.

In the mountain town of Juyaya, Puerto Rico, last October, children watched as U.S. Army helicopters brought a team of physicians to assess the medical needs of the local hospital and residents. Going forward, health economists say, the U.S. territory will need continued federal help to deal with its overwhelming Medicaid expenses.