We are doctors, not politicians. We have spent our careers caring for Santa Clara County residents on their hardest days and working to protect public health. We know what happens when care is close and accessible and when it is not.

This November, our community faces a critical choice. Federal budget cuts in HR1, passed by Congress and signed by President Trump, have taken billions from Medi-Cal and left a hole in our county health system that’s projected to grow to $1.3 billion annually by fiscal year 2029-30. Medi-Cal covers more than 450,000 county residents. When funding is cut, patients do not disappear. They turn to emergency rooms, the only places where they can still get care. That crowds hospitals and drives up costs for everyone.

Our public health system serves one in four res

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