You're in the living room of a family you've been visiting for three weeks through a home-care program. Tomás, seven, has Type 1 diabetes. His mother, Yolanda, is devout — the wall behind her is covered in saints' candles and prayer cards. She shows you tonight's glucose log: 380, 410, 390. She's been reducing his insulin doses because her pastor, Rodrigo, told the congregation that full faith requires releasing medical intervention. Rodrigo is sitting across the table from you right now, Bible open, watching your face. Tomás is in the next room, and you can hear him humming to himself. If this continues, he's days from a serious DKA episode. Yolanda trusts Rodrigo more than she trusts you — you can see it in how she angles her body toward him. You have your bag, your phone, and whatever you say next.