"This report highlights 5 major fiscal issues facing New York State: 1) New Yorkers are the most heavily taxed Americans; 2) the State’s debt burden is among the highest in the nation; 3) New York has large and recurring budget gaps; 4) the budget process lacks timeliness, transparency, and responsibility; and 5) improvements in fiscal practices are hampered by unresponsive governmental institutions. In addition, the report offers solutions to these important issues."