When the sun rises over the Rio Grande Valley, the cries of the urracas — blackbirds — perched on the tops of palm trees swell to a noisy, unavoidable cacophony. That is also the strategy, it could be said, that local officials, health care providers and frustrated valley residents are trying to use to persuade Gov. Rick Perry and state Republican lawmakers to set aside their opposition and expand Medicaid, a key provision of the federal health law.
The Rio Grande Valley has a load of troubles: high unemployment, low-paying jobs, warring Mexican cartels, a meager tax base and legions of people without health insurance. While many of those woes seem incurable, expanding Medicaid to the region’s uninsured is, to , who runs several local health clinics, a no-brainer. “I think if we’re not ready, if Texas doesn’t buy in in the next three months, shame on us,” she says.

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