Puerto Rico Electric Power Authority (PREPA) employees fix power lines in Santurce, San Juan, Puerto Rico, on Thursday, Oct. 19, 2017. For longer than most can remember, Puerto Ricans have paid some of the highest energy costs in the U.S. to a notoriously unreliable utility that neglected their grid for years and runs fossil-fuel plants that may be damaging their lungs. A month after Hurricane Maria devastated the island, power lines still lay slack along roads, utility poles are snapped clean in half, and most Puerto Ricans remain in the dark. Photographer: Xavier Garcia/Bloomberg via Getty Images