 However, this system presented substantial costs to the government while generating increasing criticism from the public and media citing a sluggish bureaucracy and poor services from unprofessional government workers.In 1994, then Governor of Puerto Rico Pedro Rosselló proposed and implemented the privatization of the public health system under the name "Health Reform".The privatization plan included selling the government-owned hospitals and medical centers to local and United States investors and then implementing a universal free and/or low-cost health insurance plan for poor and needy citizens.