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flag California counties spent $45bn on employee pay and benefits last year, with Santa Clara ranking 2nd despite smaller population due to public health system expansion.

flag California counties collectively spent $45 billion on employee pay and benefits last year, with Santa Clara County ranking second after Los Angeles despite its smaller population. flag Santa Clara's public health system expansion has led to higher staffing costs, averaging $2,084 per resident. flag However, this system generates approximately $3 billion in annual revenue. flag Since 2010, statewide public employee costs have surged by 80%.

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