Opinion Transformation of Long-Term Care Possible From Fiscal Cliff Vote Health News Florida | By Paul Gionfriddo Published January 2, 2013 at 10:37 AM EST Facebook Twitter LinkedIn Email The Florida Channel Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel. Health consultant Paul Gionfriddo writes that a new commission created by the vote on the fiscal cliff could radically change the long-term care system in the country.