Reaching disenfranchised clients who are either underinsured or who have no insurance presents unique challenges for healthcare providers and organizations. To reach clients experiencing disparities in healthcare access, a social determinant of health, innovative models of healthcare delivery must be developed. The Juntos for Better Health project directly focused on the social determinant of lack of access to care for prevention and treatment of diabetes, depression, and obesity. In the article, we discuss the background that provided the framework for this project, reviewing literature related to mobile vans and traveling nurses, and then describe the geographical traveling healthcare team setting. The article discusses the Juntos for Better Health project, including several phases of implementation, services of the traveling healthcare team delivery system, and partnerships that included four healthcare providers and a state university in a United States-Mexico border town located in Texas. Partnering agencies included a community-based federally qualified healthcare center, the local state mental health authority, the city health department, and the local drug treatment agency. The conclusion briefly describes plans for the future.

Trust between government entities and the public is critical; without it, communities become paralyzed in their ability to act collectively and for the greater good. Establishing and maintaining this trust, however, can be difficult. The outreach and coproduction performed by the coalition of organizations described in this article provide examples of how to address several interrelated problems of public distrust in the government. When viewed in their proper light, these examples enrich the theoretical understanding of contract failure theory. Rather than take advantage of their advantages in power, governments increasingly leverage the power of reciprocity to accomplish their goals by relying on preexisting community trust in nonprofits. Self-interest well understood is a critical component of this reciprocal relationship: it works best when government secures resources, funding, and access to policy processes, in return for nonprofit resources such as service delivery, political support, buy-in, and legitimacy. In this indirect way, nonprofit coproduction can help to foster perceptions of legitimacy and trust in government.