You're the one who constantly questions people's ability to reason. If you're going to be discussing how a so-called "multiplier effect" might influence the state economy of California, you have to be talking about more than 20 hospitals.
Ah, the multiplier effect.
Well, it works locally as well as globally...especially in communities dominated by few employers or industries.
But, now that you mention it, a 15% cut in state expenditures will certainly have a multiplier effect on the state economy (what sort of effect is endlessly debated by "economists" :)). Think about the multiplyer effect of a 15% cut in taxes if you doubt it.