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AJPH First Look, published online ahead of print Feb 28, 2007
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April 2007, Vol 97, No. 4 | American Journal of Public Health 606-615
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.091637

PUBLIC HEALTH THEN AND NOW

Crisis & Commitment: 150 Years of Service by Los Angeles County Public Hospitals

Michael R. Cousineau, DrPH and Robert E. Tranquada, MD

Michael R. Cousineau is with the Center for Community Health Studies, Department of Family Medicine, Keck School of Medicine, University of Southern California, Alhambra. Robert E. Tranquada is with the Department of Medicine and Public Policy, Keck School of Medicine, University of Southern California, Alhambra.

Correspondence: Requests for reprints should be sent to Michael R. Cousineau, DrPH, Keck School of Medicine, University of Southern California, 1000 Fremont Dr, Rm 7406, Alhambra, CA 91803 (e-mail: cousinea{at}usc.edu).

The Los Angeles County University of Southern California Medical Center will open soon, replacing the county’s current 74-year-old facility with a modern, although smaller, facility.

Los Angeles County has provided hospital care to the indigent since 1858, during which time, the operation of public hospitals has shifted from a state-mandated welfare responsibility to a preeminent part of the county’s public health mission. As this shift occurred, the financing of Los Angeles County hospitals changed from primarily county support to state and federal government sources, particularly Medicaid.

The success of the new hospital will depend on whether government leaders at all levels provide the reforms needed to help the county and its partners stabilize its funding base.






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Copyright © 2007 by the American Public Health Association