Well, in this scenario, the city would fund more long term solutions (ICF/ID, group homes, and for short term, a couple wings at a hospital. The problem is: aside from out patient care, of which is actually swimming in money from grants currently but also of course has staffing issues, funding long and short term solutions is off the table, because medicaid doesn't pay anything in PA, so it's simply not profitable and will lead to really bad quality homes/facilities.
So yeah, I don't really care what a mayor proposes. It's going to be lip service until state and federal officials get a long term plan and no one wants higher taxes.