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SAN DIEGO (CNS) - County supervisors voted 4-1 today to have the chief administrative officer direct the Health and Human Services Agency to develop a plan for in-house medical care of jail inmates and possible outsourcing of those duties as well.Sheriff Bill Gore will review the plan, and officials will also put out requests for proposals from private contractors to handle those duties.Supervisor Dianne Jacob made the motion to examine both an in-house model and outsourcing.``I don't think we should go with just one approach,'' Jacob said, adding she is a proponent of outsourcing county services, if it results in good service for less money.Gore has cited his department's million annual health care bill for inmates as a reason to explore cost-saving strategies. He asked supervisors to consider possible vendors for the county's health care needs in its jails and other facilities.Gore told supervisors that his goal was simply to get the best care at the best value, with an aging population of inmates and other serious issues.``I am proud of our response to these challenges, but I'm not one to assume that I have all the answer to these challenges,'' Gore said.Gore also objected to waiting 180 days for a staff appraisal of outsourcing. ``If it's a good idea in sixth months, it's a good idea today,'' he added.He also praised the 300 men and women who provide medical care to inmates as outstanding employees.Supervisor Nathan Fletcher, who is opposed to any privatization of services and proposed having HHSA handle inmate care, cast the lone no vote.Before the board voted, Fletcher said outsourcing to a for-profit entity would not lead to a better outcome.``As a board, we are the ones who are on the hook,'' in terms of lawsuits if an inmate doesn't get the appropriate care, Fletcher said. ``We should have input.''Fletcher asked the board to vote on his proposal to have the HHSA administer medical and behavioral health services in jails, but the motion died for lack of a second.Board Chairman Greg Cox said he was encouraged that HHSA would develop its own proposal.Cox praised both county medical employees and contractors for working in such a demanding field, but said the system right now is too bifurcated, adding that several legal items on Tuesday's closed-session agenda involved inmate care.Supervisors voted after a lengthy public hearing, in which nearly every person who called was opposed to private outsourcing. Health care workers mentioned low morale at some detention facilities, and the risks workers are taking during the COVID-19 pandemic.Most speakers identified themselves as members of Service Employees International Union, Local 221. 2697

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SAN DIEGO (CNS) - A motorist was killed in a fiery solo vehicle crash off Interstate 5 in the Barrio Logan area, authorities said Monday.The crash was reported shortly after 9:30 p.m. Sunday on southbound I- 5 near Cesar E. Chavez Parkway, California Highway Patrol Officer Tommy Strickland said.Investigators determined a pickup truck hit the center divide, then went down an embankment before ending up on a nearby street and catching fire, Strickland said.The truck's driver was pronounced dead at the scene, but no details about the victim were immediately available.The crash shut down the right two lanes near Cesar Chavez Parkway until about 11:45 p.m. Sunday. 675

SAN DIEGO (CNS) - Ernest and Evelyn Rady Thursday announced a 0 million gift to Rady Children's Hospital to redevelop and expand its existing facilities. Hospital officials and board members began formulating a master campus and system plan last year and created the Rady Reimagine Fund to help support the hospital's expansion efforts. Hospital officials said the matching fund could surpass a total of 0 million. The Children's Hospital of San Diego was renamed in Ernest and Evelyn Rady's honor in 2006 following their first gift of million to support the construction of the hospital's Acute Care Pavilion. In 2014, the Radys gave 0 million to support the establishment of Rady Children's Hospital's Institute for Genomic Medicine. RELATED: San Diego Padres sign Rady Children's cancer patients for spring training``Evelyn and I have gotten a great deal of pride and satisfaction from the wonderful care that the people at Rady Children's Hospital have provided to the children of our community,'' Ernest Rady said. ``We are fortunate in San Diego to have easy access to the best doctors, nurses, scientists, technicians and care providers for children in the world.'' The billionaire made his fortune in the insurance, investing and real estate industries. He founded American Assets Inc., now American Assets Trust, in 1967 and Insurance Company of the West in 1971. Wachovia purchased the latter in 2006. The Radys has given millions of dollars to causes around San Diego, including UC San Diego, the San Diego Zoo, Jewish Family Services of San Diego and the Salvation Army of San Diego. RELATED: San Diego's smallest patients getting help from 3D technology at Rady Children's HospitalPlanning for the re-imagined campus is scheduled to conclude by June 2021, after which construction will begin, according to Rady Children's officials. Rady Children's president and CEO, Dr. Patrick Frias, called the gift ``a landmark day for pediatric health care.'' ``This is a top-to-bottom transformation," Frias said. "Our focus is on building a healthier future to serve the needs of current and future generations. ... This investment will allow us to do exactly that.'' 2192

SAN DIEGO (CNS) - California’s gubernatorial candidates, Lt. Gov. and Democrat Gavin Newsom and Republican John Cox, brought their campaign bus tours to San Diego Friday.Newsom, a California State University Trustee, held a rally with the California Faculty Association. Newsom has expressed support for a more diverse CSU faculty and balked at the idea of raising tuition costs for California's public universities, two issues paramount to the CFA.For Newsom, the final pitch is focused on educating children in the first three years of life and on his pledge to stand up to Trump. He's has largely ignored his rival, focusing his attacks on the president.YOUR VOICE, YOUR VOTE: Complete Coverage of Election 2018"A bully calls you out, you gotta push back," he said of Trump. "We don't have to be navel gazing. We're not a small isolated state. This is California."Cox brought his bus tour to the Registrar of Voters office in Kearny Mesa. He expressed confidence, despite polls showing him with a double-digit deficit. As people get to know him, he said, they'll like what they see.For his closing argument, he's sticking with a message he's been hammering for months — California is too expensive, and it's the fault of politicians and interest groups invested in keeping it that way."The cost of living has just been so elevated by the political class that people can't afford it," Cox said told reporters.RELATED: Gavin Newsom, John Cox battle it out in debateWith much of the nation gripped by the fight for control of the U.S. House, so too are the candidates for governor in a race that's often taken a backseat to the congressional races that will determine whether Democrats gain the power to investigate President Donald Trump and thwart his legislation.The Associated Press and City News Service contributed to this report. 1844

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