Puerto Rico’s more than $70bn in debt is casting a shadow over recovery efforts on the Caribbean island, which was badly destroyed by Hurricane Maria.
Puerto Rican Governor Ricardo Rosello, who is seeking federal funds, warned of a “massive exodus” without aid.
US President Donald Trump wrote on Twitter on Monday night that the island was in “deep trouble”.
He added that its debts, “sadly, must be dealt with”.
In May, Puerto Rico declared a form of bankruptcy, seeking to restructure more than $70bn (£52bn) in debt.
Analysts said a chief risk is that the storm will accelerate the population decline on the island, exacerbating its economic problems and hurting its ability to repay.
Puerto Rico’s population has already fallen by more than 8% since 2010 to about 3.4 million.
“Really, the fundamental thing is if people leave the island, will they be willing to come back,” said Cate Long, founder of the research firm Puerto Rico Clearinghouse.
Puerto Rico is facing the collapse of its electricity and communications network as it evacuates flooded families and examines damaged infrastructure. A major dam is at risk of failure.
Insured losses across the Caribbean are already estimated to range from $40bn to $85bn, with about 85% of the damage found in Puerto Rico, according to disaster modelling firm AIR Worldwide.
President Trump said the priorities for federal relief were immediate needs for food, water and medical assistance.
In his tweets, he did not address longer-term rebuilding plans, but he contrasted its situation with Texas and Florida, which have also been hit by major storms this season.
“Texas and Florida are doing great but Puerto Rico, which was already suffering from broken infrastructure & massive debt, is in deep trouble,” he wrote.
The federal panel that oversees Puerto Rico’s finances said it would work to speed recovery funds.
But the island’s debt means that it cannot borrow money for the emergency on its own.
Some Democrats have said relief is coming too slowly.
“The situation is desperate. Puerto Rico has taken a serious punch to the gut and they need our help,” Sen Chuck Schumer said in a statement.
‘Completely different set of circumstances’
Credit ratings agency Moody’s issued a report on Monday examining the impact of the disaster on the debt. It noted that the federal response was key.
“Severe damage to infrastructure and private property that is not offset through federal relief efforts will signal reduced economic capacity,” the report said.
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