Opinion: San Diego County’s budget is more than numbers — it’s a care plan  ...Middle East

News by : (Times of San Diego) -
The historic San Diego County Administration Building as seen from its waterfront-facing side. (File photo by Thomas Murphy/Times of San Diego)

When San Diego County adopts a $9.16 billion budget, it is easy to see it as a government document filled with numbers, departments and line items. But for many families, seniors, people with disabilities, caregivers, social workers and unhoused residents, the county budget is not abstract.

This budget determines whether help arrives on time, whether a family can keep food on the table, whether a senior can remain safely at home, and whether a person in crisis can find support before the situation becomes an emergency. 

That is why the county’s fiscal year 2026-27 budget deserves more public attention than it often receives. A budget is not just a financial plan. It is a moral document. It shows what we value when resources are limited, costs are rising and families are already under pressure. 

This year’s county budget comes at a difficult time. The cost of living in San Diego remains high. Families are struggling with rent, groceries, transportation and health care. Workers who serve the public are carrying larger caseloads and more complicated responsibilities. At the same time, counties are being asked to respond to uncertainty from state and federal funding decisions while still protecting essential services. 

That makes the county’s choices especially important. 

Among the most meaningful investments in this budget is funding for In-Home Supportive Services, known as IHSS. These services allow older adults and people with disabilities to remain safely in their homes instead of being pushed into institutional care. IHSS is often discussed as a program, but in reality it is a lifeline. It supports daily dignity — bathing, meals, mobility, medication reminders, supervision and personal care. 

When in-home care is supported, families are supported. Hospitals and emergency systems are relieved. Seniors can age with dignity. People with disabilities can remain connected to their homes and communities. And caregivers, many of whom are family members or low-wage workers, are recognized as part of the essential care infrastructure of this county. 

The budget also includes significant funding for eligibility and self-sufficiency services, including CalFresh, CalWORKs, Medi-Cal and General Relief. These programs are often the difference between stability and crisis. When a family loses food assistance, health coverage or cash aid, the effect does not stay inside one household. It shows up in schools, clinics, emergency rooms, shelters and workplaces. 

That is why protecting the safety net is not charity. It is prevention. 

San Diego County is also investing in housing and homelessness services, including rental assistance, supportive housing, safe parking and programs for vulnerable residents. This matters because homelessness is not only a housing issue. It is also a health issue, a disability issue, a senior issue, a family issue and an economic issue. When people lose housing, every other part of life becomes harder to stabilize. 

At the same time, the county’s behavioral health investments are crucial. San Diego families know that mental health and substance use challenges do not wait politely for appointments or perfect systems. People need access to treatment, crisis response, housing support and culturally responsive care. Behavioral health funding must be measured not only by dollars spent, but by whether people can actually receive timely help. 

But even as we acknowledge these investments, we should not stop asking hard questions. 

Are services reaching people quickly enough? Are county workers and social workers carrying sustainable caseloads? Are caregivers being respected and supported? Are families able to understand and access programs without getting lost in paperwork? Are rural communities, immigrant families, seniors, people with disabilities and working-class neighborhoods seeing the benefits of these investments in real life? 

A budget can be balanced on paper and still feel out of reach to the people it is meant to serve. 

That is why transparency and public engagement must continue after the budget is adopted. Community members should not only be invited to speak during budget hearings. They should be heard throughout the year, when programs are implemented, when delays happen and when families report that the system is not working for them. 

The people most affected by county services often have the least time and energy to attend meetings, read budget documents or navigate public comment systems. A parent caring for a child with disabilities, a senior trying to stay housed, a worker managing hundreds of cases or a family applying for benefits may not be present at the podium — but their lives are shaped by these decisions every day. 

San Diego County deserves credit for maintaining investments in vulnerable populations, housing, behavioral health and public services during a challenging fiscal environment. But the real test of this budget will not be the press release announcing it. The real test will be whether residents feel more stable, more supported and less alone. 

Budgets reveal priorities. They also reveal whether government understands the daily realities of the people it serves. 

For San Diego County, the question now is not only how much money has been allocated. The question is whether those dollars will reach the families, workers and communities who need them most. 

Because behind every budget line is a person. Behind every program is a household trying to hold together. And behind every investment in care is a chance to build a county that does not simply balance its books, but also protects its people. 

Shikha Bansal is a San Diego-based writer.

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