Rob is an emergency room nurse at a local hospital in Texas. On a weekly basis, he will serve a number of patients who are not legally U.S. citizens. Many of them are giving birth to babies. Fortunately, Rob speaks enough Spanish to communicate with the patients. Rob is experiencing the realities of the social environment in some states.

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The passage states that Rob serves patients who are not legally U.S. citizens, many of whom are giving birth to babies, and that he speaks enough Spanish to communicate with them. This suggests that he is experiencing the realities of the social environment in some states.

Rob Is an Emergency Room Nurse at a Local Hospital