When it comes to Northern California\u2019s largest public hospital system, Santa Clara County leaders fear they\u2019re building a sandcastle at low tide. The county\u2019s largest stream of federal money and funding source for its public hospitals will be washed away if Congress follows through on its proposed $880 billion in spending cuts to Medicaid, known as Medi-Cal in California. The decision threatens to undo decades of progress made to ensure the region\u2019s poorest residents get the health care they need. This comes as county officials work to expand the system significantly. Next month, the county will restore trauma, heart attack…<\/p>\n