LOIZA ALDEA, PR - NOVEMBER 05: A nurse (R) from Iniciativa Comunitaria, an HIV/drug assistance program, cleans the sores of a heroin addict November 5, 2001 in Loiza Aldea, Puerto Rico. Puerto Rico was an outpost of Spanish colonialism for 400 years, until the United States took possession in 1898. Today Puerto Rico's Spanish-speaking culture reflects its history - a mix of African slaves, Spanish settlers, and Taino Indians. Puerto Ricans fight in the U.S. armed forces but are not entitled to vote in presidential elections. They passionately debate their relationship with the U.S. with about half the island wanting to become the 51st state and the other half wanting to remain a U.S. commonwealth. A small percentage feel the island should be an independent country. While locals grapple with the evils of a burgeoning drug trade and unchecked development, drumbeats still drive the rhythms of African-inspired bomba music. (Photo By Amy Toensing)