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20260617 Because county health departments are plagued by the same workforce shortages seen nationwide, they naturally prioritize their own brick-and-mortar clinics, county jails, and psychiatric hospitals.rtf
20260617 Berkeley, Long Beach, and Pasadena have their own, grandfathered, public health depts but don’t avoid county-city prob entirely because state and federal funding flow through the county.rtf
20260617 Busing the homeless to other states is currently done (“Homeward Bound”), but on a small scale. Most LA homeless are from LA.rtf
20260617 In CA, counties act as administrative arm of state for 1. Cities control 2:  1 social safety net programs, public health, and behavioral health. 2 land use, zoning, local policing, and standard municipal services.rtf
20260617 In October 2025, Los Angeles County’s Department of Mental Health reported that there were just 882 active clients in their program that provides physical and mental healthcare to people in interim housing – just 4% of 2,000.rtf
20260617 Other areas in the country have solved the city-county division of powers problem.rtf
20260617 Private funding is probably not adequate to expand URM to the size needed and they'd still need to hire away psychiatrists.rtf
20260617 Redrawing a county’s boundaries to align with the city’s is often discussed by frustrated mayors but the hurdles are large.rtf
20260617 Why do counties face healthcare worker shortages? todo1.rtf
20260622 ChatGPT says that Rick Caruso’s plan to create a mental health department within the city of Los Angeles compliant with laws granting health care administration to counties, not cities.rtf