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When thousands of rapid COVID-19 tests were delivered to the South Texas city of Laredo late last month, it looked as if a visiting dignitary had arrived. With lights flashing and sirens blaring, Webb County sheriff’s deputies escorted a red tractor-trailer carrying the tests to a local emergency room, whose owner had purchased them from a Chinese manufacturer.

Longtime Laredo Congressman Henry Cuellar, who helped facilitate the arrival of the tests, smiled broadly as he carried boxes of them inside the clinic. Believing the tests would detect an active infection, Laredo leaders hustled to set up a drive-through testing site to welcome anxious residents the following morning.

But the promise of the 20,000 tests would soon become a bitter example of what can go wrong when local governments and private medical firms try to buy supplies on the open market from unknown manufacturers, as policies from the U.S. Food and Drug Administration shift and anxiety increases over a lack of test kits from official sources.

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