Because they all fit together somehow...
Excerpt:
As is typical in many large urban centers, many of Chicago’s poor were visiting hospital emergency rooms for non-emergencies. While she was a highly-paid Vice President at the prestigious University of Chicago Medical Center, Mrs. Obama duly concocted the Urban Health Initiative (UHI) as a solution.
Under the UHI, Medicaid/Medicare patients were redirected from the Medical Center’s ER, to small, faraway clinics — thus freeing up the Medical Center’s precious resources (critics say) for the exclusive use of wealthier patients with private insurance.