Voters in Florida’s most-populous county will decide this week whether to pay higher taxes and sell a record $830 million of debt for their flagship public hospital to help it prepare for Obamacare.

Miami-Dade County’s Jackson Health System would use the proceeds to help lure more insured patients as it copes with an expected funding drop under the health-care law passed in 2010. The borrowing would be the county’s biggest to aid Jackson, which has its main hospital in Miami and faces cuts to the government subsidies it relies on to treat the poor and uninsured who make up 62 percent of its patients.

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