Violence in Rural Mexico Ensnares Doctors, Causing Worker Shortages

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MEXICO CITY — Dr. Espinoza, a general practitioner in a rural patch of Chihuahua state in northern Mexico, was at home recently when a gunman showed up at his door. A gang member, the gunman told him, had been badly wounded in a shootout and needed immediate help.

It was not the first time Dr. Espinoza had been ordered at gunpoint to provide medical care. There is no option. So he went to the injured man’s home.

“They abduct you, and you have to go,” said Dr. Espinoza, asking that his full name be withheld for fear of reprisals. “When an armed group comes for you, you know it’s not going to be good.”

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