How about another alternative. Keep the same number of elected district board members and newly appointed 'technical' board members. Create a 'technical advisory' board of, for instance, nine members, three of which will be the present appointed technical members. The overall technical board would give advice and make recommendations. The regular board would have to specifically address everything coming from the technical board. All advisories and recommendations would be publicly discussed and recorded for public perusal. This system would allow the taxpayers to keep control over the Hospital and our tax expenditures while bringing in and utilizing expertise.

What does this mean for taxpayers and care? I'm kind of over the fast food approach to medical care and plan to never return to El Camino hospital in the future. The only Emergency care we have is El Camino or Stanford. Not much choice considering the large area. These facilities seem ok if you have an acute issue that can be treated, but virtually useless for a chronic turned acute condition. I'm guessing this is really indicitave of all healthcare for the moment. It would be nice to have other options. Seems like we should be investing in more than one site, maybe spread the money around a bit.

The structure of the two organizations is crazy. Tax money goes to the district which pours it all into the hospital which uses it to fund hospital operations - freeing up other funds so the hospital can spend $$ on their Los Gatos hospital which doesn't serve people in our district.

I agree with Abe-Koga that the need for a district is questionable given that the hospital is so profitable and wants to be independent.

It was my understanding the hospital, not the district, bought land in South San Jose to build a new third campus. This about a mile from Kaiser's San Jose Medical Center which is getting a new hospital in 2021.

The proposals put the public in the minority of the board. At a minimum this should go to the ballot. Also why not go all the way and dismantle the whole special district?