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Miguel Gutierrez Jr./The Texas Tribune “It scared me.” Lynda Langford and her husband, Ray, raised their son on their 4,000-acre ranch in Uvalde, about 90 miles west of San Antonio. She taught English and computer skills at the local high school before retiring two decades ago. In 2019, 74-year-old Lynda took a spill in their home out in the country and broke her arm and shoulder. The pain medication made her dizzy, and even after she stopped taking the meds, her falls happened more frequently. Home care was hard to come by in their rural area. When the pandemic hit, the couple was close to making a difficult decision to move Lynda into long-term care so she wouldn’t be home alone while Ray was working on the ranch.

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