Melissa and her husband, both Christian missionaries from Mexico, had been living outside Austin for about a year when they discovered she was pregnant.
Melissa planned to deliver her baby at a birthing center — a licensed facility that accepts cash payments from low-income women.
But Ms. Rojas, who was helping her by providing naturopathic prenatal care, worried that Melissa would not make it nine months without requiring a medical intervention.
The next evening, in the darkness of her hospital room, Melissa asked about paying her bill in cash.
As the nurse turned down the lights in her room, Melissa closed her eyes, trying not to think about the future, but she could not sleep all night.
Melissa, Rojas, Josías, Lynsey Addario
Mexico, Austin, McAllen , Texas