In this July 24, 2017 photo, Noel Sola, a cultivation worker at Natural Ventures inspects germinated marijuana plants in Caguas, Puerto Rico. In addition to buying licenses for medical marijuana, everyone ranging from patients to growers pays an 11.5 sales and use tax, with 10 percent of those revenues going to the trauma center at Puerto Rico's largest public hospital, which faces a shortage of funds.(AP Photo/Ricardo Arduengo)