The McDonald's at the Truman Medical Centers' main campus in Kansas City, Mo., has closed, ending an epic, two-decade stint inside the hospital and making it the fifth health facility in the past few years to give the Big Mac the boot.
Immediately after last week's election, Missouri Gov. Jay Nixon announced the state would not be setting up its own health insurance exchange. Next door in Kansas, Gov. Sam Brownback announced that Kansas will have no involvement in running a state exchange either. The moves open the door for increased federal involvement in health care in staunchly Republican territory.
On one side of a wall inside the Truman Medical Center cafeteria in Kansas City, Missouri, the menu features low-calorie, low-fat and low-sodium meals. On the other side of the wall is a McDonald's, featuring hamburgers and french fries.
Free health clinics have long been places people turn to when they don't have health insurance or any money to pay for care. But the health law's expansion of coverage puts free clinics in uncharted territory.
While the law goes before the Supreme Court this week, health providers are already gearing up for a surge in patients with insurance.
Around the country, hundreds of free clinics have been established over the past 50 years to treat patients like Patsy Duarte.