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The Ventura County Taxpayers Association (VCTA) has long supported responsible stewardship of County resources and transparent oversight of the Ventura County Medical System (VCMS). As we prepare to address the Board of Supervisors, it has become increasingly clear that VCMS is facing a financial crisis — one driven not by outside forces, but by management’s persistent failure to address its ongoing structural cash-flow deficit.
The Core Problem: A Structural Cash-Flow Deficit Getting Worse …

In a decisive move that prioritizes taxpayer dollars and essential services, the Ventura County Board of Supervisors rejected key elements of Item 43 on August 26, 2025. This proposal sought to allocate millions in public funds for immigration-related initiatives, including a $250,000 Immigration Legal Defense Fund, seven new positions in the Public Defender’s Office Immigrant Defense Unit at an annual cost of about $1.3 million, and up to $1.9 million over three years for a migrant education program.

The Ventura County Taxpayers Association opposes the proposed California mileage tax for vehicles for several reasons.
We acknowledge that the gasoline excise tax finances 80% of California road repairs. The state collects $1.28B per month from this tax. Yet, it doesn’t seem to be enough for Sacramento. (In fairness, only $600M per month is for road repairs. The other $680M goes to different purposes. See a breakdown below).

With 2024 behind us, we can now assess whether any shifts in the momentum of regional economic growth have occurred in early 2025.
The County’s labor market generated 4,692 jobs in 2024, representing a growth rate of 1.5 percent, which was similar to the aggregate of other Southern California Counties.

How Ventura County Medical System is Draining Taxpayer Dollars
Ensuring efficiency and accountability in government spending is often a slow and complex process. However, the Ventura County Taxpayers Association (VCTA) is dedicated to making sure taxpayer dollars are managed responsibly and transparently in our public institutions.
This newsletter aims to inform Ventura County residents and encourage action from the Board of Supervisors and other decision-makers to adopt three steps it must take to restore public trust and ensure responsible financial management at the Ventura County Medical System (VCMS).