Over three months have passed since the 155 mph winds of Category 4 Hurricane Maria tore through the American territory of Puerto Rico. The island’s power was knocked out. Hospitals and dialysis centers were shut. Entire towns were stranded by mudslides. Water ran dry.

In the days following the storm, Puerto Rico, already facing $73 billion in, was desperate for assistance. And while President Trump by October ranked federal recovery efforts as 10 out of 10, for many Puerto Ricans — still without roofs, water, food or medical care — the recovery process hadn’t even begun yet.

Dec. 28 marked the 100th day since the storm devastated the island. Despite months of federal and local efforts, over a million people are still living in the dark, hundreds are bunkered down in shelters, and the health infrastructure remains crippled.

In this Dec. 21, 2017 photo, a mountain of rubble remains in front of the house of the Oliveras Gonzalez family, in Morovis, Puerto Rico. (AP Photo/Carlos Giusti)

Since the storm hit Puerto Rico, a lack of communication and blocked roads has made the true death toll a mystery. Bodies piled up at morgues and hospitals were unable to transfer them to funeral homes. When Trump visited the island in October, he was told just 16 people had died. Days later, a Puerto Rican physician told VICE News that the number was at least in the hundreds and that that was “a conservative estimate.”

Researchers, journalists, and humanitarian aid organizations have gone to great lengths to document the true death toll that Maria caused. In November, after calling more than a hundred funeral homes across the island, CNN found at least 499 deaths related to the storm. In December, the New York Times estimated 1,052.

Jesus M. Montijo poses with his son Damian Kaleb, 1, in the shelter for Hurricane Maria victims where they currently reside, in front of the shelter's Christmas tree on Christmas day, December 25, 2017 in Toa Baja, Puerto Rico. (Photo by Mario Tama/Getty Images)

The island’s power authority, PREPA, responsible for rebuilding the power grid, has come under significant scrutiny during Puerto Rico’s recovery. Failed and canceled contracts, including the $300 million Whitefish contract, mismanagement, and a July bankruptcy, led to the resignation of PREPA’s chief Ricardo Ramos in November.

Today, the longest blackout in U.S. history is still keeping at least a third of all Puerto Ricans in the dark.

A man bikes past refrigerated FEMA trailers, which served as a morgue overflow following Hurricane Maria, outside the Institute of Forensic Sciences on December 23, 2017 in San Juan, Puerto Rico. (Photo by Mario Tama/Getty Images)

With the Federal Emergency Management Agency (FEMA) enduring its longest activation period in history, Governor Ricardo Rossello asked Congress in November for an additional $94 billion in assistance. Rossello wrote a letter to President Trump saying, "The scale and scope of the catastrophe in Puerto Rico in the aftermath of Hurricane Maria knows no historic precedent.”

Rossello also urged Congress to make adjustments in its tax reform bill, warning there would be an “exodus of companies that currently generate 42 percent of Puerto Rico’s gross domestic product, the loss of jobs on the island and exacerbate the outward migration of island residents moving to the mainland.”

Today, however, tax reform passed without adjustments for Puerto Rico, and the aid package that would have helped Puerto Rico and other regions affected by natural disasters died in the Senate.

In this Dec. 21, 2017 photo, six year old Melanie Oliveras González remains seated on the balcony of her house, in Barrio Patrón, Morovis, Puerto Rico. Their home lost its roof and most of their belongings during the passing of Hurricane Maria and they still have no power. (AP Photo/Carlos Giusti)

In the meantime, hundreds of thousands of Puerto Ricans have left the island for the mainland. Since Oct. 3, 269,000 people arrived to Florida alone, according to the Florida Division of Emergency Management.

Many are faced with the difficult choice of abandoning their homes for the mainland, or sticking it out with the dimming hope things will get better.