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Letter from London
There is an old saw that the United States and Great Britain are “two great countries divided by a common language.”
Paul Francis
Jan 7

It Is Always Darkest Before the Dawn
At the outset of the Chinese Cultural Revolution, Chairman Mao reportedly said, “It is always darkest before it becomes totally black.”
Paul Francis
Nov 12, 2024

Year Two for the Step Two Policy Project
We have begun Year Two of the Step Two Policy Project. ...
Paul Francis
Nov 4, 2024

Rural Healthcare in New York
To be successful, New York’s health policies need to support the unique needs of rural communities.
Paul Francis
Oct 4, 2024

The Dog That Didn’t Bark: the House Select Subcommittee on the Coronavirus Pandemic
This Commentary builds on two others regarding the controversy about the Cuomo administration’s nursing home policies during Covid-19.
Paul Francis
Sep 17, 2024

Debunking the Empire Center Analysis Attributing Nursing Home Covid-19 Deaths to DOH Policy
There are two important facts that help account for why these transfers did not measurably increase deaths of nursing home residents ...
Paul Francis
Sep 8, 2024

Re-Examining the Cuomo Administration’s Nursing Home Policies During Covid-19
Four-and-a-half years after the Covid-19 pandemic began, people are still reckoning with nursing home policy decisions made by NYS officials
Paul Francis
Sep 5, 2024

The Medical Indemnity Fund and the Price of Good Intentions
The principal focus of this paper is the Medical Indemnity Fund , which was created in 2011 as part of the Medicaid Redesign Team...
Paul Francis
Aug 8, 2024

Fiscal Frameworks for New York State Government
By “fiscal frameworks,” I’m referring to two different types of frameworks...
Paul Francis
May 8, 2024

Transparency and Openness in Government and Public Policy
...this Commentary is more of a rumination about the challenges of creating not only transparency but “openness”...
Paul Francis
Apr 8, 2024

California Dreaming and the MCO Tax - Addendum
The purposes of this Addendum to my March 19 Commentary titled California Dreaming and the MCO Tax are to ...
Paul Francis
Mar 26, 2024

California Dreaming and the MCO Tax
The Health section of the one-house budgets the Senate and Assembly released last week upended the usual pattern.
Paul Francis
Mar 19, 2024

Analyzing Complex Public Policy Issues
I want to use the analysis of this proposal as an example to describe the process of analyzing complex public policy issues.
Paul Francis
Feb 21, 2024

The Dynamics of the New York State Budget Process
What I want to talk about today is the dynamics of the Budget process...
Paul Francis
Feb 6, 2024

Over-Engineering Against Risk
Governor Kathy Hochul presented the FY 25 Executive Budget for State fiscal year 2024-25 on Tuesday in Albany.
Paul Francis
Jan 31, 2024

Commentary #5: Week of January 15th, 2024
Governor Kathy Hochul presented the FY 25 Executive Budget for State fiscal year 2024-25 on Tuesday in Albany.
Paul Francis
Jan 19, 2024

Commentary #4: Week of January 8th, 2024
In the Health sector, the most significant announcement in the SOS was that the State has received approval from CMS of its 1115 waiver...
Paul Francis
Jan 12, 2024

Commentary #3: Week of December 25th, 2023
We think it’s important to understand the background of the increasing numbers of financially distressed hospitals in New York...
Paul Francis
Dec 29, 2023

Commentary #2: Week of December 18th, 2023
Here is a preview of our theory of the case, which we will set forth in a fair amount of depth next week.
Paul Francis
Dec 21, 2023

Commentary #1: Week of December 11th, 2023
This is the first of what I hope will become more frequent updates on issues of interest to the Step Two Policy Project (S2P) readership.
Paul Francis
Dec 14, 2023
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