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County official links outbreak response strain to broader budget shortfalls, urges Prop U support
Summary
Dr. Page framed the cyclospora response amid what he called a 'structurally broken' St. Louis County budget, said federal cuts have hampered public-health capacity, and urged voters to support a local use tax (Prop U) to sustain public safety and services.
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At the close of the briefing, Dr. Page moved from the outbreak update to discuss county finances, describing a long-standing structural budget problem and arguing that local revenue (a proposed use tax, Prop U) is needed to avoid cuts to public safety or public health. "A budget is your values," he said, and added, "We have a fundamental structural problem with our budget in St. Louis County that's been there for 15 years."
Page said most of the county's budget is devoted to public safety and police salaries, and framed the choice as between cutting officers or raising revenue. "Our choices are to cut police officers or to raise revenue," he said. He also told the audience that when federal and state public-health resources are reduced, local governments must cover more of the response costs — a point he tied to the earlier discussion of delays in information sharing and capacity for outbreak investigations.
Page urged voters to support Prop U to address the county's budget gap, and said officials will continue to make trade-offs to preserve essential services. He did not propose a specific reallocation or new line-item funding for public health during the briefing.

