Trump did nothing to help Puerto Rico and as a result 4600 American citizens died
https://www.bloomberg.com/view/articles/2018-05-30/trump-a-10-no-say-puerto-rico-s-4-600-dead
On Tuesday the New England Journal of Medicine published a new estimate of the lives lost on Puerto Rico due to Hurricane Maria: about 4,600. That stands in stark contrast to the 16 deaths the president cited in October, and the official death toll of 64 that the Puerto Rican government has stood by for months.
To put the tragedy in context, consider the death tolls from other recent hurricanes.
Hurricane Camille, one of the most brutal hurricanes to hit the U.S. in the late 20th century, made landfall in Mississippi in 1969 and left about 260 dead. Hurricane Andrew killed about 65 people when it swept across the Bahamas and Florida in 1992. Hurricane Irma left about 130 dead last year; Hurricane Harvey, a companion of sorts to Irma, killed about 110. Hurricane Katrina, which Trump cited as benchmark of catastrophe, left about 1,800 dead after it made landfall in Florida, Louisiana and Mississippi in 2013. Some 3,000 people died in the terrorist attacks on the World Trade Center in September, 2001.
Compared to all of these events, Hurricane Maria represents an epic loss of life. And the New England Journal noted that its estimate of about 4,600 dead on Puerto Rico “is likely to be an underestimate.” It said that the “mortality rate remained high through the end of December 2017, and one third of the deaths were attributed to delayed or interrupted health care.”
Reporters on the ground in Puerto Rico last fall saw this coming. As they toured the island after Maria hit, it was obvious that Puerto Rico’s heavily damaged hospital system and unreliable power grid would conspire to produce deaths well in excess of the government’s (and Trump’s) lowball figure of 16.