The county, for whatever reason, has decided it needs to compete with private practitioners in the area. In my experience, the excuses for it are numerous, but in the end it amounts to growing the size of government for the purposes of self-aggrandizement for the elected officials. As side benefits, they pull down grant money from various sources and find employment for their friends and family members.
When re-election time rolls around, Stanley Smith will be able to pound his chest and sing his own praises in getting the clinic re-opened. Almost no one will ask why.
Bread and circuses, my friends. Bread and circuses.