The downgrade is the result of narrow operating reserves, below average income indicators and an elevated debt burden, due in part to retirement pensions for full-time firefighters and police officers.

While this is a good problem to have, the question going forward is what to do with the gains.

The trend has proven to be a win-win for all involved, boosting, among other things, patient engagement.

Labor leaders are now readying efforts to raise the minimum wage for a second consecutive year, increase paid family leave and institute better pay and benefits for retail and service workers.