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Santa Clara

Santa Clara’s Public Hospitals Break the Mold with World-Class Care

In a powerful twist to the usual tale of public hospitals, Santa Clara County’s health system is now drawing national praise. The Santa Clara Valley Medical Center’s Rehabilitation Center has been ranked among America’s top ten, shining a rare light on care for the uninsured. While many still link public care with compromise, this county-run facility offers excellence in stroke, heart, and maternity services. With quiet strength and sharp focus, the system now stands as proof—world-class healthcare doesn’t always come with a high price tag.

STORY HIGHLIGHTS

• Santa Clara Valley Medical Center’s Rehabilitation Center ranked 7th in the U.S.
• Recognized for excellence in maternity, stroke, heart failure, pneumonia, and diabetes care
• Operates 4 hospitals and 15 clinics — 2nd largest county-run system in California
• Serves entire community, including uninsured and underinsured
• Wraparound services include behavioral health and housing referrals
• County recently restored trauma, heart attack, and stroke care at Regional Medical Center
• Half of all patients are Medi-Cal recipients; 1 in 4 residents enrolled in Medi-Cal

In an era where healthcare access remains a central concern for millions of uninsured Americans, Santa Clara County in Northern California is quietly rewriting the narrative — proving that quality medical care need not be limited to the wealthy or well-insured.

The Santa Clara Valley Medical Center’s Rehabilitation Center, a key part of the county’s public health system, has earned national recognition, ranked as the seventh-best rehab facility in the country in the 2025–26 U.S. News & World Report’s annual hospital evaluation. The report analyzed over 4,400 hospitals nationwide using data-driven metrics such as mortality rates, preventable complications, and nursing quality.

This accolade not only shines a spotlight on the county’s dedication to healthcare but also challenges longstanding assumptions about public hospitals — institutions often perceived as underfunded and overburdened.

District 2 Supervisor Betty Duong acknowledged the extraordinary efforts behind the hospital’s success.

“This is the incredible work of our staff,” Duong said.
“People who put their heart and soul into everything.”

She emphasized that the patients may be among the region’s most economically vulnerable, but that should not imply inferior treatment.

“Just because we serve the most vulnerable, it doesn’t mean that service has to be subpar,” she added.

The Rehabilitation Center, housed within the Valley Medical Center, has been treating patients with neurological injuries — including strokes, spinal cord trauma, and brain damage — since 1970. The 64-bed facility offers a comprehensive array of recovery and therapy services, enabling it to stand out in a competitive national landscape.

But the rehab unit is only one part of a larger public health ecosystem that Santa Clara County operates. The county’s health system also includes Regional Medical Center, O’Connor Hospital, and St. Louise Regional Hospital, along with a network of 15 outpatient clinics. Together, they comprise the second-largest county-owned hospital system in California — a significant infrastructure serving Silicon Valley’s nearly 2 million residents.

District 4 Supervisor Susan Ellenberg addressed the deeper significance of the rankings. She believes public perception often underestimates the caliber of care delivered by government-run hospitals.

“There are often, I think, presumptions made about county hospitals, the level of care, the populations they serve,” Ellenberg said.

But the rankings, she noted, paint a very different picture — one rooted in performance, not assumptions.

“Our system is recognized in multiple departments as top five, top 10 in the country,” she continued.
“And I think that is something for our entire community to be proud of. We serve the entire community. We don’t only serve the Medi-Cal, Medicare population. We serve everyone, and our efforts are recognized.”

The data backs that up. Roughly 50% of the system’s patients are covered by Medi-Cal, California’s low-income health insurance program. One in four residents of the county is a Medi-Cal enrollee. Others pay through a mix of Medicare or private sources. For many uninsured residents, this county system remains the only path to consistent care.

County Executive James Williams said the recognition underscores the importance of public investment in healthcare.

“As the operator of the largest public hospital system in Northern California, our entire region benefits from the critical, life-saving care that we provide in our emergency rooms, our trauma centers and our nationally recognized rehabilitation center,” he stated during a press briefing.

The county has also taken bold steps to expand its services. Last year, Santa Clara County acquired the Regional Medical Center from for-profit giant HCA Healthcare after widespread public backlash over the closure of its trauma center and reductions in emergency services. By April, the county had successfully restored critical trauma, stroke, and heart attack care at the facility — a move that further strengthens its regional healthcare reach.

But perhaps one of the most innovative aspects of Santa Clara County’s approach lies in what happens after a patient leaves the emergency room. Supervisor Duong explained that the county integrates essential social support into the medical experience.

“You may come in for emergency services, but then you may leave with a referral for behavioral health services,” Duong explained.
“You may leave with housing services.”

This wraparound model reflects an understanding that health outcomes are shaped not just by medicine, but by mental health, housing, and stability.

“When you are able to provide quality care for our most vulnerable,” she concluded,
“We elevate, uplift everybody in our community.”

In the heart of Silicon Valley, often known more for tech wealth than social infrastructure, Santa Clara County’s public health system stands as a reminder — access to exceptional healthcare doesn’t have to be a privilege.

Santa Clara County’s hospital system has quietly but firmly redefined what public healthcare can achieve. With nationally recognized excellence, especially in rehabilitation and critical care, it stands as a model of what is possible when service meets commitment. By delivering top-tier treatment to all, including the uninsured, the system dismantles outdated views about public hospitals. In an age where access often depends on income, Santa Clara offers a rare and remarkable reminder: quality care can be universal, dignified, and publicly led—without compromise.

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ICE Fear Spreads Through Santa Clara Fields as Growers Seek Clarity

South County’s summer harvest is sprouting amid a storm of quiet fear. As crops ripen under the California sun, growers and immigrant farmworkers tread a fragile path—watching the fields and watching for ICE. With immigration raids casting long shadows over East San Jose, anxiety grows across thousands of fertile acres. While the Trump administration pledges farm-friendly policies, the ground reality feels far from stable. Caught between hope and hesitation, the season now risks becoming a waiting game—where every delay could cost a crop, and every raid could cost a livelihood.

STORY HIGHLIGHTS

  • Santa Clara’s $371 million agriculture industry braces for possible labor shortages.

  • ICE raids have stirred fear among undocumented and immigrant farmworkers.

  • Growers say the psychological effects are already being felt, even if the labor force remains intact.

  • Farms increasingly turning to H-2A visa workers, despite higher costs.

  • Trump has promised to halt ICE raids on farms—but no formal directive yet issued.

  • Officials urge preparation and communication with workers amid growing fear.

As South County’s farms prepare for their critical summer harvest, the atmosphere in the region’s vast agricultural zones is heavy with uncertainty. The issue looming over the fields isn’t drought or pests—but fear. Fear sparked by recent U.S. Immigration and Customs Enforcement (ICE) operations in East San Jose, which have placed immigrant farmworkers, and the growers who depend on them, in a state of cautious tension.

The harvest season, which traditionally brings life and movement to South County’s fields, now finds itself entwined with questions of labor availability, potential delays, and rising costs. Though there’s no immediate panic, the signs of nervous anticipation are becoming increasingly visible among agricultural stakeholders.

Clouds of Fear Over Growing Fields

The Santa Clara County Division of Agriculture, which monitors harvest conditions and enforces produce regulations, acknowledges that it’s still early in the season to determine the full effects of ICE activity. But officials anticipate the real consequences will become apparent as the peak harvest approaches in late summer.

“The crops are still growing, but we may begin to see labor shortages or a delay on harvests and critical agricultural practices,” said Deputy Agricultural Commissioner Helena Roberts.
“We may see the cost of labor increasing because the pool of labor might not be as large, which could lead to higher prices. If the situation gets more critical and we have less workers able to work in the fields, we may have extreme cases of growers unable to harvest their crops.”

Agriculture plays a significant role in the county’s economy. The 2023 Santa Clara County Crop Report listed the gross value of agricultural production at more than $371 million, a 3.5% increase from the previous year. But without the labor force to sustain it, growers fear the harvest season may not live up to expectations.

Farms Moving Forward, But Cautiously

Despite the quiet unease, farm operations have not yet come to a halt. Workers are still showing up. But growers report a subtle shift—one that’s psychological more than physical.

Bill Christopher, managing partner at Christopher Ranch in Gilroy, a farm widely recognized as the nation’s largest garlic producer, described the climate among his workers.

“There’s a little bit of nervousness. That’s what I’ve heard from around the area as well—no one’s not working,” Christopher said.
“I think it’s on everybody’s mind and they’re not quite sure what’s going to happen. And neither are we.”

His farm, which relies on around 2,000 seasonal workers during the summer months, is still operational. But Christopher admits the situation is volatile and subject to rapid change depending on ICE activity and political developments.

In nearby Morgan Hill, Chiala Farms—specializing in garlic and various types of peppers—has yet to see any labor disruptions. But that doesn’t mean concern is absent.

“My employees are nervous in general. What’s happening is more psychological at this point for them,” said Tim Chiala, whose family runs the farm.
“There’s not a mechanical harvest yet for a lot of our products, so we rely a lot on the labor force to come in and harvest. And if you miss your windows—a day in the middle of the season—you never get it back. It’s always on our minds.”

Navigating a Tighter Labor Market

Chiala also serves as an officer with the Santa Clara County Farm Bureau, a coalition of about 300 local farmers. He noted that while no members have approached the bureau directly with labor shortage concerns, the possibility remains ever-present.

To manage this uncertainty, many reputable farms have increasingly leaned on the federal H-2A visa program, which allows them to hire seasonal workers from outside the U.S., particularly from Mexico. These workers, though still vulnerable in some ways, are seen as less likely targets for ICE.

“A lot of us did turn to H-2A because there was a time when labor was tight and we didn’t want to risk not having crews,” Chiala explained.
“But I can’t speak for everyone. It’s more expensive and frustrating.”

Trump’s Promises, But No Concrete Action

Former President Donald Trump has recently attempted to reassure the agriculture community. In public remarks, he acknowledged that ICE raids had affected “very good, longtime workers” and suggested that his administration would pause such operations—particularly during the harvest season.

“Trump just came out and said they’ve halted all raids on farmworker activity. So that’s good,” said Christopher.
“Especially during the harvest season right now. I’m sure the administration will get something done that’s not going to be adverse to the farmers. Trump’s been a big backer of farms and having a safe food supply in the United States of America.”

Still, no formal guidance has been issued. For many in the farming community, this leaves a gap between political reassurance and on-the-ground reality.

“Most of the agricultural people feel they can work with someone like (Trump) because he is a business person. But who knows what can happen,” Chiala said.
“A lot of the reason some of us supported him was to get government out of our lives—not having it be part of our lives every single second.”

The Workers Behind the Crops

Behind the figures and forecasts, the human cost of immigration enforcement is becoming clearer. The majority of America’s farmworkers are foreign-born, and many are undocumented. Their labor powers the agricultural industry but often comes with little recognition or protection.

Advocates like Darlene Tenes, who has long worked with immigrant farmworker communities, warns that the issue goes far beyond farms.

“The United States is dependent on immigrant labor—and when you take away that immigrant labor, it is going to affect every level of society,” said Tenes.
“Some people are just not going to care until it affects them—when the price of food goes up, when there’s no one around to take care of their kid, when construction is impossible to do.”

She emphasized that undocumented workers aren’t looking to break laws—they’re looking to survive.

“As much as people complain about immigrants, you need them,” Tenes added.
“Our agriculture industry benefits off the back of undocumented labor.”

Steps Toward Preparedness

Roberts and her department have tried to bridge the trust gap by offering training and resources to farmworkers. She noted that a recent session was “well-attended,” which she sees as a positive sign.

“That means people feel safe to come to us,” said Roberts.
“I see in other venues, the participation has been really poor. I think it depends on how you engage with them—and if they trust you. Right now, people are afraid.”

Her office is urging employers to educate workers about their rights and state protocols if approached by immigration agents. Resources, including Santa Clara County’s Rapid Response Network for ICE-related incidents, are also being promoted.

For now, the harvest continues. But beneath the rows of crops and the hum of tractors lies a quieter narrative—one of fear, resilience, and a system straining to hold itself together under the weight of uncertainty.

As the harvest season unfolds across Santa Clara County, the tension between agricultural needs and immigration enforcement continues to deepen. While farmworkers press on and crops ripen, the absence of clear guidance on ICE policies leaves growers operating in a cloud of uncertainty. The fragile balance between economic survival and workforce security now hangs on decisions yet to be made at the federal level. Until then, every planted row grows not just produce—but questions. And for many in the fields, the real yield this season may be fear over fruit.

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