From the Key Takeaways: " Counties are uniquely positioned to drive economic recovery, organize vaccine distribution and execute the local public health response.  COVID-19 [coronavirus disease 2019] response costs are outpacing local revenues across the nation, leaving communities short on services, programs and jobs.  The high demand for local public health and safety services throughout the pandemic has increased local expenditures, especially as local governments seek to respond with 1 million fewer workers.  Counties are essential to the national strategy to vaccinate residents throughout the U.S., and county leaders are overseeing indispensable health and human services systems.  Long-term unemployment is increasing at concerning levels, further placing demand on local government services and increasing costs.  As county governments are forced to take austerity measures due to declining revenues and increased expenditures, the economy -- and therefore local communities and residents -- increasingly suffers, and will continue to suffer for years to come.  Counties invest funds responsibly and efficiently, injecting a much-needed boost to GDP [gross domestic product] and providing targeted aid to residents in need."
National Association of Counties
National Association of Counties: https://www.naco.org/