Pittsburgh City Controller Rachael Heisler called the city's fiscal condition "precarious" last month, and Mayor Ed Gainey's administration concedes the concerns are real.
KDKA Lead Investigator Andy Sheehan examines how daunting the challenges facing the city are.
Is the city headed for a crisis, or is it already in crisis?
The city has a fleet of vehicles on its last legs and drastic understaffing, resulting in burnout and runaway overtime. The city is struggling to find the funds to protect the public's safety and provide basic services.
The problems are citywide, but can best be seen in the struggles of the city's EMS services.
"If you're having a medical event, or I'm having a medical event, do you want an ambulance that's older than the Bush administration to pick you up?" Heisl