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Protecting UMC, Trauma Care, and Health Care Accountability in Clark County
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Most people do not know this: the same seven commissioners you elect are the governing board of University Medical Center, Nevada's only Level I trauma center.

Health is not a distant issue for this seat. It is a literal duty of it.

It's not widely known, but the same seven commissioners elected to this seat also sit as the governing board of University Medical Center Nevada's only Level I trauma center, and the hospital this entire region depends on when the worst happens. A serious crash or emergency anywhere in Southern Nevada goes to UMC, regardless of which part of the valley it happened in.

That oversight role comes with real budget pressure: UMC, like every hospital system, has to balance its safety-net mission against its own financial sustainability, and the Commission's votes directly affect which way that balance tips.

Manny treats that board responsibility as a core duty of the seat, not a footnote most candidates never mention. He wants UMC's trauma and safety-net mission protected from budget pressure, and he wants commissioners who actually engage with that responsibility instead of treating the

Construction Blueprint Illustration

Manny's Five Action Items.

1.

Prioritize the off-Strip, neighborhood economy in county economic policy — not just tourism.

2.

Demand real accountability on public dollars in stadium and resort development deals.

3.

Push to diversify the county's economic base beyond tourism dependency.

4.

Scrutinize one-time budget transfers, like the $56M move, with public explanation.

5.

Support small and local employers through the same lens as small-business permitting reform.

Manny on the other Issues.

Revitalizing Commerce


The county has spent $12M+ acquiring property here, with residents still waiting.

Manny's Position: 

A plan only counts once it has a date attached.

What he'll do: 

Publish a real timeline — lighting, safety, parking, code compliance, first.

 

Property Tax and the 3% Cap


A simple refinance can quietly reset a homeowner's tax cap higher.

Manny's Position: 

Homeowners shouldn't lose protection by accident.

What he'll do: 

Defend the 3% cap and make sure every homeowner knows how to keep it.

 

Homelessness and public safety


Clark County counted 7,900+ homeless residents in 2024, over half unsheltered.

Manny's Position: 

Compassion and order aren't opposites.

What he'll do: 

Fund real shelter and outreach, paired with enforcement — reported quarterly, by area.

 

Education and Technology


The county doesn't run schools, but it shapes digital access and local jobs.

Manny's Position:
 
The county can't run schools — but it can open doors.

What he'll do: 

Expand digital access and grow tech/trade jobs through real partnerships.

 

Human Services


A roughly $893M safety net — foster care, eviction help, senior care — runs largely unseen.

Manny's Position: 

It should be easy to find, not hidden.

What he'll do: 

Run it by outcomes and make 2-1-1 the front door people actually know.

 

Healthcare


The same seven commissioners on this ballot also govern UMC, Nevada's only Level I trauma center.

Manny's Position: 

That mission is non-negotiable.

What he'll do: 

Protect UMC's funding and oversight as a core county duty.

 

Our local economy


The Strip is technically unincorporated county — but the off-Strip economy pays east-valley bills.

Manny's Position: 

The neighborhood economy matters as much as the Strip.

What he'll do: 

Hold public money in stadium and resort deals to real accountability.

Roads, transit, and traffic


Most valley roads, the Maryland Parkway transit line, and the airport are county business.

Manny's Position: 

Getting around the valley shouldn't be this hard.

What he'll do: 

Push the transit line and pedestrian-safety fixes forward — no more stalling.

Transparency and accountability


Contracts and spending decisions are easier to track than most residents realize.

Manny's Position: 

Results should matter more than relationships.

What he'll do: 

Tie spending to outcomes — and stay reachable: 702.277.1072.

 

Fiscally responsible decisions


The commission oversees a $10.1B budget across county funds.

Manny's Position: 

That's not the county's money — it's yours.

What he'll do: 

Account for every dollar like a business owner would.

 

Affordability and cost of living


Median home price in Clark County is near $490,000 — pricing out working families.

Manny's Position: 

Affordability gets solved by supply, not slogans.

What he'll do: 

Expand housing supply and cut the delays driving up build costs.

Small Business and Permitting


The county runs the permit process Manny built five businesses through.

Manny's Position: 

Permits take too long and nobody can see why.

What he'll do: 

Publish a public dashboard showing permit times — targets vs. actuals.

 

Public Safety


Crime trended down in 2024, and a new East Valley police station is coming.

Manny's Position: 

Fund what works, not what's familiar.

What he'll do: 

Hold every safety contract to results and keep that station on schedule.


 

Water Shortage


Southern Nevada has already cut per-person water use 58% since 2002.

Manny's Position: 

Residents come before resorts when supply tightens.

What he'll do: 

Defend the conservation rules that work and keep rates fair.

 
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