 AHF claims that the Department of Public Health has fallen short in managing several public health issues, including tuberculosis and syphilis, accusing it of having a corrupt, bloated and inefficient bureaucracy.However, the Los Angeles City Council has opposed this proposal, as Los Angeles City has contracted for public health services with the County since 1964, as part of a consolidation effort to reduce duplication and improve efficiency of services, and the City's desire to transfer financial responsibility for public health services to the County tax base.The city is considering a lawsuit over the validity of the AHF-backed ballot initiative, as it does not have the necessary funds or expertise to effectively enforce public health laws.