MARIN CITY, Calif. ― A small band of volunteers started the Marin City Health and Wellness Center nearly two decades ago with a doctor and a retired social worker making house calls in public housing high-rises. It grew into a beloved community resource and a grassroots experiment in African American health care.

“It was truly a one-stop shop,” said Ebony McKinley, a lifelong resident of this tightknit, historically black enclave several miles north of the Golden Gate Bridge. “And it was ours.”

By early 2020, the center had a multimillion-dollar annual operation with two clinics, in Marin City and Bayview-Hunters Point, a predominantly black community in an industrial section of southeastern San Francisco. The clinics offered primary care geared to low-income residents of

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