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It's like we never heard of running a small scale pilot program - what a concept!
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This is a repetitive refrain that shows lack of knowledge of community health programs
in various states, counties, and cities, not to mention countries on our border and/or overseas.
Maybe some diligent research and definition of "small pilot program" would help,
otherwise it's just "we never heard" wiggle-words.
Start with "MDRC"