It says "America is not just the United States"
"ay si yo estoy enfermo por que te amo y que quiero hacer el amor ay si poe eso estoy emfermo ay si"
"ay if I'm sick because I love you and I want to make love to and if so I'm emfermo poe y if"
Well, either Google translate has failed me or the meme is just nonsense. Both are equally likely.