Signal Type: Transformation

The Deprescribing Capital

Posted by Leah Sciabarrasi | Sep 30, 2026 | People & Community |

New York’s single-payer system pays for outcomes, so Buffalo becomes the first city to treat too many prescriptions as a public health problem. A medication-review service on the Medical Campus, plus longevity technology adapted from pro sports and youth injury programs, turns the East Side’s neighborhood health hubs into a model for healthy aging. The open question is whether the system, and residents’ trust in it, can hold.

Sacred Ground Becomes the Neighborhood Commons

Posted by Leah Sciabarrasi | Sep 30, 2026 | Place & Environment |

Buffalo stops treating cemeteries and shrinking parishes as problems to manage and starts treating them as shared ground. Burial grounds become biodiversity reserves, and former churches become community centers with indoor farms downstairs and conversations about dying, grief, and care upstairs. The result may be a distinctive Buffalo institution, or a patchwork that differs from one neighborhood to the next.