CIUDAD JUAREZ, Mexico – It’s 6:41 Sunday morning, the phone rings and Pastor José Antonio Galván is on the line. He is the founder of Vision in Action, a mental asylum on Juárez’ western edge that cares for about 100 patients. I’ve written a number of articles about Galván. I visit the asylum often and am always astonished that he has been able to maintain the facility with almost no government support for 17 years. On this Sunday morning, however, I feel doubt in his voice for the first time.