Marin Healthcare District bond issue, Measure F (November 2013)

From Ballotpedia
Jump to: navigation, search
Voting on Bond Issues
Bond issues.jpg
Ballot Measures
By state
By year
Not on ballot
A Marin Healthcare District bond issue, Measure F ballot question was on the November 5, 2013, election ballot for voters in the Marin Healthcare District in Marin County, which is in California.[1] It was approved.

A 2/3rds supermajority vote was required for approval.

The bond money was designed to go towards partially paying for a $500 million project to complete Marin General's building plan which would include:[2]

  • a 300,000 sq. ft. replacement building with two wings
  • 100,000 sq. ft. ambulatory services building
  • two new parking structures with 919 spaces
  • 662 sq. ft. total in additional building structures on the hospital campus

The construction was expected to bring the Marin General Hospital campus up to the state's stricter seismic-safety standards.

This bond issue was estimated to cost property taxpayers $20 per $100,000 of assessed valuation, resulting in a cost of about $10-$12 per month for the average household with a home worth $650,000.[2]

In 2012, 34,879 patients received treatment in Marin General's emergency department, compared with 25,577 patients at Kaiser's San Rafael Medical Center and 14,802 at Novato Community Hospital.[2]

Election results

Measure F
Approveda Yes 31,136 68.49%
These final, certified results are from the Marin County elections office.

Text of measure

The question on the ballot:

To make seismic upgrades to Marin General Hospital to meet stricter California earthquake standards and keep open Marin County’s only Designated Trauma Center; to expand and enhance emergency and other medical facilities; to provide the latest lifesaving medical facilities for treatment of heart, stroke, cancer and other diseases, and to reduce ER wait times, shall the Marin Healthcare District issue $394,000,000 in bonds to improve Marin General Hospital and related facilities with new construction, acquisitions, and renovations?[1][3]



  • League of Women Voters of Marin County
  • the North Bay Leadership Council
  • the San Rafael Chamber of Commerce
  • Marin County Supervisor Katie Rice
  • Larkspur City Councilman Len Rifkind
  • Gregory Adams, president of the Northern California Region for Kaiser Foundation Health Plan Inc.
  • Kaiser Foundation Hospitals. Kaiser Permanente San Rafael Medical Center is Marin's second-largest hospital. About 40 percent of Marin residents elligible to vote on Measure F are members of Kaiser.
  • Marin County Fire Chief Jason Weber[2]
  • Katie Rice, Supervisor of Kaiser Foundation Hospitals, is on the committee for the Measure F campaign.[2]

Arguments in favor

Supervisor of Kaiser Foundation Hospitals Katie Rice said, "People say, 'Why should Kaiser folks support Measure F?' Well, Marin General is our only trauma center. Kaiser patients go there all the time for emergency and intensive care. And Marin General is the only hospital in the county that provides obstetrics and gynecology. The function Marin General plays as one of our community's two primary hospitals is essential."[2]

Proponents argued that it was important that Marin General Hospital stayed open and up to date because it was the only hospital in the county that performed cardiac surgery, neurosurgery and spinal surgery. They also argued that it was vital that Marin General was up to date with all of the states seismic-safety standards so that in the event of an earthquake the hospital would be able to remain open and available to give medical care to the injured.[2]

Bjorn Sandberg, member of the steering committee for the Measure F campaign supported Measure F. After Sandberg's son was injured playing baseball and the boy received treatment at Marin General, Sandberg said, "Other than that, it [Marin Hospital] wasn't a big part of our lives, and then something terrible happened to us, where it became the most important place on earth for us. Who knows what would have happened if it hadn't been here; I can only imagine it would have taken a lot longer to get care for our son. There is no other trauma center in the North Bay between here and Santa Rosa."[2]

Fire Chief Weber said, "In the event of a large-scale disaster, an earthquake being one of them, it is absolutely paramount that our hospitals can handle the magnitude of patients that we will be bringing them. We are really going to need to hold our own here in Marin."[2]

Media endorsements

The editorial board of the Marin Independent Journal endorsed a yes vote on Measure F, writing:

Measure F is a significant investment to meet a significant community need.

Marin General's leadership has proved the hospital can succeed as a community-run hospital. Just as local taxpayers did in 1952, it's time to invest in Marin General.

Measure F represents that investment and it is the right prescription for making sure Marin has a top-quality, seismically safe community hospital.[4][3]


Marin United Taxpayers Association (started 01/01/1977) logo


Two separate organisations, both called "Marin United Taxpayers Association" were opposed to Measure F. One faction was lead by Joe Salama, a San Rafael lawyer and two time candidate for Marin Healthcare District board. Salama wrote the official argument against Measure F that appeared in the voter's pamphlet.

David Randolph presided over the other group.

Arguments against

Opponents argued that the Marin General Hospital was run by a private board that did not have the best interest of the district residents in mind.

Salama wrote, "Marin General should not get any public money because it is operated by a closed, private board with a $1.2 million CEO and board members with known financial conflicts of interest."[2]

See also

External links

Suggest a link

Additional reading