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Ok how does a mayor solve cost of living and medical issues. I'm not American do Mayors there have special powers?
Mamdani ran on making the buses free [at point of use, in case someone felt the need to argue this], creating city owned groceries stores to close food desert gaps and provide competition to keep prices down at private stores, and doing something to stop landlords forcing people out of their rent controlled apartments.
Most of which is within a mayor's power
they can't directly. but indirectly they can have local tools to reduce costs. foremost is to increase supply. other ways would be tax credits/abatements, city-sponsored clinics, etc.
they can't solve it, but they can reduce costs. the problem, however, is often such programs are politically very unpopular and the voters tend to get bent out of shape over their 'unfairness'.
Bernie ran on medical issues, Zohran ran on cost of living and housing. https://www.zohranfornyc.com/platform