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The correct option is the one that does not align with the major goals of Healthy People 2010. This initiative aimed to improve the health of all American citizens and address significant health disparities, focusing on access to health care, chronic disease prevention, and health education among other objectives.

Providing free clinics for underprivileged children directly supports the goal of increasing access to health care and reducing health disparities, particularly among vulnerable populations. Educating elderly patients on smoking cessation aligns with disease prevention efforts aimed at reducing smoking-related illnesses and promoting healthier lifestyles for older adults. Creating nutritious meal plans for schools is in line with the initiative's goal of improving nutrition and physical activity among the youth, which is crucial for preventing obesity and related chronic illnesses.

In contrast, implementing a unit specifically for positive HIV patients does not align as closely with these overarching goals. While addressing the needs of individuals with HIV is important, the focus of Healthy People 2010 was broader, emphasizing preventive measures and health promotion across the population rather than establishing targeted units for specific health conditions. This makes that option less representative of the overall aims of the initiative.