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GRANITE SHOALS — Will Acuff stood outside his manufactured home avoiding the afternoon sun thanks to a mesquite tree. It’s cooler in the shade than inside.

IN PHOTO: Will Acuff understands the importance of the Burnet County indigent health-care program. It has allowed him to get prescriptions that help with his ‘extreme’ asthma and other illnesses that have left him struggling to work. Recent changes in federal programs may force local officials to expand the program, which could hit taxpayers in the wallet. Staff photo by Daniel Clifton