In addition to providing a wide range of human services that are delegated to the counties by the State, counties in New York State are unusual in the diversity of services they provide, including police protection and road maintenance.
Like the other counties in New York State, Tompkins County is in charge of providing services to help persons who are struggling financially, are at risk of abuse or exploitation, have mental illnesses, or have developmental impairments. In order to safeguard the general public's health and safety, counties serve as the State's first line of defense. In addition to running jails, counties also prosecute offenders, offer free legal representation to those who cannot pay it, and monitor probationers. Counties oversee elections and act as the primary repository for public documents.
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Several Medical and Law experts gathered together and debated the formation of a new half government half privatized department to assist the Fire Department and Police in the field faster than the hospital could. In fact back then even experts debated to make a law that drivers must yield to emergency vehicles. However that law didn't become official until 1996 when a Paramedic was struck and killed by another vehicle.
