With strained labor relations in the wake of 400 job cuts and leaders still grappling with a $26 million budget gap, there seems to be no panacea for the woes at Westchester Medical Center. The medical center is dealing with the same financial problems as other hospitals—declining Medicaid and Medicare reimbursements—but because it's a public-benefit corporation, it has the added pressure of state pension payments, said Kevin Dahill, president of Northern Metropolitan Hospital Association, which represents hospitals in the Hudson Valley.