What really seems to irk most people is where the money’s going: straight into the coffers of the county government of president Todd Stroger, whose name, fairly or not, has come to mean something like “wasteful, bumbling, and incompetent.” For example: “the Stroger tax hikes,” “the Stroger administration,” “It’s really Stroger to keep the water running when you’re brushing your teeth.”

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“Not everyone agrees with my decision, but the purpose of my vote was, number one, to help stabilize the government so it’s not some embarrassment like the state has become, and number two to change the course of the one-third of the government that the health bureau makes up,” he says. “You can’t continue to run it on millions of dollars in deficits, and you can’t turn away from all those people who need health care.”