 Each precinct elects a commissioner to sit as a representative of their precinct on the commissioners court and also for the oversight of county functions in their area.Other elected positions in Galveston County include a county clerk, a district attorney, a district clerk, a county clerk, a sheriff, nine constables, a tax assessor-collector, a county treasurer, and every judge in the county except municipal judges, who are appointed by the officials of their respective cities.Galveston County is served by a major medical complex in Galveston and a private for-profit hospital in Texas City.