To show me what rural poverty looks like in Hidalgo County, Planned Parenthood promotora (outreach worker) Dora Alicia Proa takes me to a colonia nearly 15 miles away from McAllen, in San Carlos. Colonias are unincorporated subdivisions founded in the 1950s by predatory developers who sold lots of barren and flood-prone land to poor Latin American migrant workers without installing basic infrastructure. They are synonymous with poverty. Literally. The Texas Secretary of State defines these communities as “residential areas along the Texas-Mexico border that may lack some of the most basic living necessities, such as potable water and sewer systems, electricity, paved roads, and safe and sanitary housing.”
Last year, Hidalgo County’s Planned Parenthood offered free birth control, STI testing, Well Woman exams and men’s health screenings at the San Carlos Community Resource Center. Now, to get the same services, patients have to drive up to 20 miles to the Edinburg clinic, where a physical, HIV test and Pap smear costs at least $60 and a monthly supply of birth control pills costs $20 at minimum.
The Hidalgo County Health and Human Services Department runs eight clinics where people of all ages can get a range of services, from tuberculosis treatment to newborn screenings. However, wait times are reportedly brutal, and the health department’s STI testing site is located in McAllen. Ostensibly to fill the void created by Planned Parenthood closures, the University of Texas Medical Branch opened a maternal health clinic in Hidalgo. But that site is also in McAllen; it specializes in pregnancy and prenatal care, and it doesn’t have weekend hours.
In one San Carlos household Proa and I visit—a cramped trailer on concrete blocks where the kitchen sink collides with bunk beds—Proa informs two young women that the Edinburg clinic is running a special on annual exams. They shake their heads at the mention of cash, then tsk tsk at six young boys and girls who are smiling shyly, pointing and calling me chocolate.
Next, Proa introduces me to a young woman standing in front of a three-room track house with dirt floors, a chunk of the roof missing and the toilet located in a crumbling shed next door. My Spanish is pitiful and neither Proa nor the homeowner speaks much English. But I can see that four small children and two adults share this space.
Within this context, it’s unclear how defunding conveniently located sources of free birth control, STI testing, Pap smears, clinical breast exams and other women’s health care is a pro-life activity. But this is what counts as logic in today’s abortion wars.