She heard men’s voices outside, and two men came in. She turned from where she crouched near Tia Yana’s bed and rose to her feet. “What’s wrong with her?” the shorter and squatter of the two men demanded. Both men were wearing high quality clothing and boots—they weren’t villagers. “Rafi.” Tia Yana tried to sit up, but Zoe eased her back down. “She’s very sick,” Zoe said. She fought to keep the judgment out of her voice and off her face. “Who are you?” “Rafael Garcia. This is my ranch.” “Señor Garcia, I’m Doctor Zoe Rodriguez and this is Ana Vasquez. We’re from Médecins International. One of your men came to us downriver and asked us to come see his grandmother.” She swallowed her anger at this rich man who lived in sight of so much poverty, and profited off it. “Were you aware that Señora Crespo has been suffering with an umbilical hernia for months now, with no medical treatment?”