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MEDICC Review’s 10th-anniversary year approaches its close in an atmosphere that is, to say the least, turbulent. This issue goes to press while Cuba, several other Caribbean nations, and parts of the USA are still reeling from an unprecedented series of hurricanes. Irma hit Cuba hard, but by October 1, the electrical grid was fully functional again. In grim contrast, Puerto Rico is said to be looking at a full year before electricity can be completely restored. Cuba offered to send Puerto Rico four brigades of engineers and electrical workers (along with a fully equipped fi eld hospital and 41 disaster response specialists), but Washington has yet to acknowledge the offer. This lends ironic poignance to MEDICC Review’s April–July cover image of a young Cuban doctor ready to go to New Orleans after Hurricane Katrina with Cuba’s Henry Reeve International Medical Contingent. In 2005, that offer was refused; this one is simply ignored.