On Wednesday, Miami-Dade Mayor Carlos Alvarez said that Jackson can be sanctioned a short-term loan but they need to work on a recoup plan.

Alvarez wrote to Eneida Roldan, Jackson Chief Executive, ``At this point, delays are simply too costly to accept lightly’’. Roldan has urged Public Health Trust for consent of $160 million by March 22.

``I strongly urge you to continue to meet daily, including weekends, to ensure you can submit a realistic plan'', Alvarez wrote.

Meanwhile, Katherine Fernández Rundle, Miami-Dade State Attorney, said that she has reported complaints to a Grand Jury regarding ``gross mismanagement'' at Jackson. Grand Juries will inspect the matter and decision will be announced after a thorough investigation. It has started hearing witnesses.

It might take a grand jury to arrive at a decision but at the moment Jackson's fund problems are genuine and pressing. It needs at least $67 million loan to keep going until it gets a payout in state-federal funds for about $90 million in late April.

The Mayor said that Jackson's financial problems can result in cuts ``from existing county services in areas such as public safety, human services and economic development”.

Meanwhile, on Tuesday, Jackson Executives said that the system was lagging behind in giving money to vendors and increasing numbers of patients are avoiding Jackson because of negative media hype.