Interesting article and the lead in paragraph is really misleading; while the grants were used for building some of the specified clinics maintaining the staff to keep the doors open became problematic (there were never enough volunteers and professional people interested in sticking to a working schedule)...at least not in the ones around KCMO.
And then the Medicaid Administrators neglected or just didn't have a clue that in order to get the locals to utilize the neighborhood clinics (when and if they were open) you had to retrain them to use their local facilities instead of the years of family conditioning to just grab a bus to the emergency room and the quickest service available instead of sitting in a waiting room that may or may not be open if you should need to see someone! These low income families weren't used to a regular check up, used to seeing a doctor unless it was for an emergency service and just because the 'PLAN' look feasible on paper (as with most things in theory) the paper work went better then the implementation and working model!
But Steven Mangala wrote a good short story...to bad that the genre is 'FICTION'.