Forty years ago I received my medical degree from Cornell University Medical College on a similar spring day at the NY Hospital in Manhattan, epicenter of my known universe.
Several years ago, when the New York Knicks were desperate for LeBron James to come to Manhattan, the NY Post summed it up best as to why his agents were smart to move to Miami.
The optimal combination of solutions for specific critical facilities or neighborhoods in Staten Island NY, and Point Pleasant NJ will not necessarily resemble those for Manhattan and New Orleans, or London and Sao Paulo.