The law is very clear in California:
It is the responsibility of county governments to provide advanced life support services for residents. However, in San Jose, it is the city (specifically, the San Jose Fire Department) rather than the county that provides this vital service. San Jose taxpayers shoulder the burden of paying the overwhelming majority of the price tag as well: County reimburses the city $5 million of the annual $35 million expense. The $30 million difference takes away from the ability of city officials to hire more police officers or pave more roads.
I believe the County of Santa Clara should assume the responsibility of providing this service, as dictated by state law. Alternatively, San Jose could continue to provide this service, but should rightfully be reimbursed for the full and true cost of deployment, rather than the arbitrary amount that the County seems willing to pay. Fair is fair, and our residents deserve the most efficient solution possible.