It’s difficult to imagine large parts of San Diego County that were once so sparsely populated that communities needed to tax themselves in order to build a hospital. But about 70 years ago, that’s exactly what went down.
In the mid-1940s, California drew boundaries for what later became health care districts. Today, four districts exist in San Diego County: Tri-City, Palomar, Grossmont and Fallbrook.
Think of them like school districts, but for health care. District hospitals are publicly subsidized and function like county hospitals — only the county is divided into subsections.
A portion of residents’ property taxes can go toward building and modernizing hospitals, and the district can sell bonds to shore up construction capital.