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Policy Project
The Step Two Policy Project is a policy think tank that focuses on issues involving health, behavioral health, and human services in New York. Our goal is to make complicated subjects more understandable to general readers, while providing detailed insights for people who work in the health policy field.
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Mayor Mamdani’s budget gambit: Will Hochul and the Legislature deliver more for New York City?
Commentary #29

Paul Francis
Feb 22






New York City’s Budget Deficit
This commentary on New York City’s budget deficit introduces an article published in Vital City on February 3, 2026, under the title "Evaluating Mamdani's Diagnosis of New York City's Budget Deficit." The article/commentary points out that, notwithstanding Mayor Mamdani’s expressed surprise that the City was facing a large budget deficit going into Fiscal Year 2027, numerous budget observers in 2025 had identified this looming deficit.

Paul Francis
Feb 4


Thoughts on the FY 27 Executive Budget – Part I
Even a relatively noncontroversial State Executive Budget, which the FY 27 Executive Budget surely is, includes a wealth of important issues to be addressed in the areas of focus of the Step Two Policy Project. Rather than trying to comprehensively review all of these issues, I want to comment today on three such issues in the FY 27 Executive Budget, all of which we have written about in the past.

Paul Francis
Jan 28


The Days of Wine and Roses Are Back
When New York’s newly elected governor, Hugh Carey, delivered his first State of the State address in January 1975, he famously said, “Now the times of plenty, the days of wine and roses are over.” Gov. Hochul could have begun her FY 27 Executive Budget address by saying, “the days of wine and roses are back.”

Paul Francis
Jan 23


Tax Revenue is Destiny
This article appeared in Vital City on November 13, 2025.The piece is an excerpt from a longer Commentary called “The Mamdani Mayoralty,” which was posted to the Step Two Policy Project Substack and website on November 10, 2025.

Paul Francis
Nov 13, 2025


The Mamdani Mayoralty
In this Commentary, I want to address two matters: first, how the campaign proposals on affordability of Zohran Mamdani and Andrew Cuomo illustrated the divide between the Progressive wing of the party and the “Moderate/Often Technocratic/Traditional Liberal/Establishment” wing, which I describe collectively as “Traditional Democrats.”
Second, I want to discuss the threshold challenge Mr. Mamdani will face in implementing his affordability agenda, which is the fiscal conditi

Paul Francis
Nov 10, 2025


Back to School
The Back to School season led me to ponder a public policy paradox that has interested me for some time. That paradox is the divergent trajectories of the healthcare sector and the education sector in the United States over the last several decades – especially in the last decade. Healthcare and education arguably are the two most important sectors in American life: both sectors engage nearly every American at some point in their lives, are massive in size, and...

Paul Francis
Sep 8, 2025


What Happened? And What’s Next?
From the standpoint of healthcare in New York State, which is the principal preoccupation of the Step Two Policy Project, the passage into law of the One Big Beautiful Bill Act (OBBBA) on July 4, 2025, was highly consequential. What comes next for healthcare in New York is still a puzzle that policymakers and stakeholders are now beginning to confront.

Paul Francis
Jul 24, 2025


Letter from London
There is an old saw that the United States and Great Britain are “two great countries divided by a common language.”

Paul Francis
Jan 7, 2025


It Is Always Darkest Before the Dawn
At the outset of the Chinese Cultural Revolution, Chairman Mao reportedly said, “It is always darkest before it becomes totally black.”

Paul Francis
Nov 12, 2024


Year Two for the Step Two Policy Project
We have begun Year Two of the Step Two Policy Project. ...

Paul Francis
Nov 4, 2024


Rural Healthcare in New York
To be successful, New York’s health policies need to support the unique needs of rural communities.

Paul Francis
Oct 4, 2024


The Dog That Didn’t Bark: the House Select Subcommittee on the Coronavirus Pandemic
This Commentary builds on two others regarding the controversy about the Cuomo administration’s nursing home policies during Covid-19.

Paul Francis
Sep 17, 2024


Debunking the Empire Center Analysis Attributing Nursing Home Covid-19 Deaths to DOH Policy
There are two important facts that help account for why these transfers did not measurably increase deaths of nursing home residents ...

Paul Francis
Sep 8, 2024


Re-Examining the Cuomo Administration’s Nursing Home Policies During Covid-19
Four-and-a-half years after the Covid-19 pandemic began, people are still reckoning with nursing home policy decisions made by NYS officials

Paul Francis
Sep 5, 2024
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