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Massachusetts and Rhode Island hospital occupancy lead the nation, report says, putting them at highest risk of bed shortages – The Boston Globe

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Massachusetts and Rhode Island hospital occupancy lead the nation, report says, putting them at highest risk of bed shortages – The Boston Globe


Richard Leuchter, the lead author of the paper and an assistant professor at the David Geffen School of Medicine at UCLA, told the Globe occupancy is calculated by dividing the number of admitted patients at a hospital with staffed hospital beds, meaning beds that are open, available and ready to be used where a patient can be treated by a nurse and a doctor.

The research revealed that the US had a mean bed occupancy of about 64 percent prior to the pandemic. That went up to 75 percent in the year after the official end of the pandemic. Meanwhile, there was a 16 percent decline in health care workers staffing beds during the same period.

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The concern, Leuchter said, is that with demographic trends showing that adults over 65 years old will outnumber children under 18 by 2035, hospitals around the country could face significant pressure.

“That is a huge, unprecedented, demographic shift,” he told the Globe. “What that means is that as the population ages, the need for hospitalizations will also increase. Older adults are hospitalized at five times higher than their younger counterparts.”

This could mean that by 2032, the US could hit 85 percent hospital occupancy, a threshold that experts use to determine that a country is experiencing bed shortages.

Massachusetts and Rhode Island registering the highest post-pandemic hospital occupancy suggests that they are at the highest risk of getting to that level, Leuchter said.

“Which is kind of a scary prospect,” he told the Globe.

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Hitting that 85 percent threshold removes a safety buffer for hospitals, especially when faced with unexpected surges, such as a pandemic or a natural disaster.

It may also lead to longer wait times before patients can see a doctor, which could exacerbate the stresses on health care workers.

“All those physicians are going to be overburdened. The nurses are going to be stretched thin. The pharmacists are going to be feeling the impacts of that,” Leuchter said. “All of that basically has the potential to lead to more adverse events in the hospital, more medication errors, more delays in care, things of that nature that can have real impact on patients.”

Leuchter pointed out that high occupancy appeared to be driven by a decline in staff at hospitals and not by a rise in the number of patients admitted for care. But another additional factor could be due to an increase in hospital closures and bankruptcies seen across the country, driven in part by what he said was private equity’s foray into healthcare.

“So that’s another issue here. So when we talk about staffed hospital bed shortage, it’s the actual people, but it’s the bed themselves, and we have to address both of those things to avoid a hospital bed shortage,” Leuchter said.

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The prospect of a bed shortage hitting the country could be accelerated by how sick people get over the coming years, with trends showing that obesity levels and Americans with cardiovascular diseases rising.

“If people get drastically sicker over the next decade and require more hospitalizations that could precipitate a hospital bed shortage, make it happen even sooner,” Leuchter told the Globe.

But on the flip side, if medical breakthroughs come to the fore that help the country get healthier, it could help delay states hitting that threshold, he added.

One thing that could help, Leuchter said, is an initiative being tried at UCLA called Next Day Clinic, where patients who need more time at a hospital can be referred to specialized clinics, a process than can free up beds at facilities.

“That’s another thing nationally we can implement these models to reduce the demand for hospital beds by about 10 percent over the next decade,” he said. “That’s enough to avoid this potential shortage.”

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John Hancock of the Globe Staff contributed to this report.


Omar Mohammed can be reached at omar.mohammed@globe.com. Follow him on Twitter (X) @shurufu.





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Massachusetts

People are moving out of Massachusetts but the population still grew

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People are moving out of Massachusetts but the population still grew


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More people left Massachusetts than moved in from 2024 to 2025, with the state ranking fourth in the nation for net domestic migration loss, according to data from the U.S. Census Bureau.

Thousands of residents left the Bay State for other states during that period. Regionally, the Northeast experienced a net domestic migration loss of 205,552, according to the data.

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Despite the domestic outflow, Massachusetts’ population still grew by 15,524 when factoring in births, deaths, and international migration.

Here’s what to know about the states with the highest and lowest net domestic migration across the country:

Massachusetts’ net domestic, international migration from 2024 to 2025

From July 1, 2024, to July 1, 2025, Massachusetts had a net domestic migration of -33,340, with 33,340 more people moving out of the state than moving in, according to data from the U.S. Census Bureau.

Meanwhile, the state had a net international migration of 40,240, as 40,240 more people moved into Massachusetts from abroad than left.

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States with highest net domestic migration from 2024 to 2025

Here were the states with the highest net domestic migration from July 1, 2024, to July 1, 2025, according to U.S. Census data:

  1. North Carolina: 84,064 residents
  2. Texas: 67,299 residents
  3. South Carolina: 66,622 residents
  4. Tennessee: 42,389 residents
  5. Arizona: 31,107 residents
  6. Georgia: 27,333 residents
  7. Alabama: 23,358 residents
  8. Florida: 22,517 residents
  9. Idaho: 19,915 residents
  10. Nevada: 14,914 residents

States with lowest net domestic migration from 2024 to 2025

Here were the states with the lowest net domestic migration from July 1, 2024, to July 1, 2025, according to U.S. Census data:

  1. California: -229,077 residents
  2. New York: -137,586 residents
  3. Illinois: -40,017 residents
  4. New Jersey: -37,428 residents
  5. Massachusetts: -33,340 residents
  6. Louisiana: -14,387 residents
  7. Maryland: -12,127 residents
  8. Colorado: -12,100 residents
  9. Hawaii: -8,876 residents
  10. Connecticut: -5,945 residents

New England states’ net domestic migration from 2024 to 2025

Here’s how New England states ranked on net domestic migration from July 1, 2024, to July 1, 2025, according to U.S. Census data:

  1. Maine: 7,406 residents (ranked 18th nationally)
  2. New Hampshire: 6,554 residents (ranked 22nd nationally)
  3. Vermont: -726 residents (ranked 34th nationally)
  4. Rhode Island: -1,551 residents (ranked 36th nationally)
  5. Connecticut: -5,945 residents (ranked 42nd nationally)
  6. Massachusetts: -33,340 residents (ranked 47th nationally)

Census regions with highest net domestic migration from 2024 to 2025

Here’s how the four Census regions ranked on net domestic migration from July 1, 2024, to July 1, 2025, according to U.S. Census data:

  1. South: 357,790 residents
  2. Midwest: 16,040 residents
  3. West: -168,278 residents
  4. Northeast: -205,552 residents



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Planning a staycation? Tripadvisor recommends this MA city

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Planning a staycation? Tripadvisor recommends this MA city


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Are you thinking about spending some time off but don’t want to splurge on a big international vacation?

A summer 2025 report found that many Americans are choosing nearby staycations over changing time zones.

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And Tripadvisor said one of the best travel experiences you could have in the United States would actually be a guided walking tour in Salem, Massachusetts, and the Freedom Trail walking tour in Boston.

As part of 2025 Travelers’ Choice Awards: Best of the Best Things To Do, Tripadvisor said that History and Hauntings of Salem Guided Walking Tour is the second-best experience in the U.S.

As we move on from 2025 onto 2026, here’s what you need to know about this Bay State travel opportunity.

Tripadvisor said Salem has the second best experience in the U.S.

Tripadvisor said the History and Hauntings of Salem Guided Walking Tour is one of the best experiences in the United States. Its AI summary tool said the tour guides paint a vivid portrait of one of America’s most macabre towns.

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Here’s what Tripadvisor said about it: “There are many Salem tours out there but few are as compelling as this one, led by a local historian who brings alive the city’s history at the time of day you choose. For a spookier experience, pick a nighttime tour led by lantern light. Visit the Burying Point Cemetery, Witch House, and Ropes Mansion garden as your guide tells stories of the haunted history of Salem, Massachusetts.”

The itinerary says the tour begins at Salem Old Town Hall and ends at Hamilton Hall, visiting sites like the Bewitched statue of Elizabeth Montgomery and The Witch House at Salem on the way.

You can book History and Hauntings of Salem Guided Walking Tour at this link here. Be aware that this event is booked 23 days in advance, the tour’s Tripadvisor page said.

Kathleen Wong contributed to the reporting of this story. Rin Velasco is a trending reporter. She can be reached at rvelasco@gannett.com.

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Massachusetts beach towns look to ease ‘overly strict’ conservation rules: ‘Common sense’

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Massachusetts beach towns look to ease ‘overly strict’ conservation rules: ‘Common sense’


As certain shorebirds rebound in population along the Massachusetts coast, beach towns are pushing for the state to strike a healthier balance between conservation and recreation.

State Rep. Kenneth Sweezey, a South Shore Republican, is leading the charge on Beacon Hill, authoring legislation to untangle what he describes as “overly strict” regulations hindering his region’s access to its beaches.

Over the years, Duxbury Beach, in particular, has borne the brunt of protecting recovering bird species, including piping plovers and terns, limiting business and recreational opportunities at the prominent South Shore coastline.

The Duxbury Beach Reservation, a private landlord, has had to close certain roads and portions of the shoreline while birds are nesting. Residents and visitors are also required to have an oversand vehicle permit, which costs more than $150, for beach access.

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Under one of Sweezey’s proposals, the state Division of Fisheries and Wildlife would only restrict over-sand vehicle access or other recreational activities if the bird species is listed as endangered or threatened under the federal Endangered Species Act.

Sweezey has said that piping plovers are the only species nesting on Duxbury Beach, which his district includes, that are federally endangered, while other birds carry a state designation.

“Birds may be federally protected because they’re doing poorly in one region of the nation, even though they may be thriving in the Commonwealth,” Sweezey said at the State House last week. “Those differences sort of create problems when you’re looking at human access, recreational opportunities on the beaches and conservation on the beach.”

Sweezey made his appeal to the Joint Committee on Environment and Natural Resources, touting shorebird management expert Chris Kennedy for helping him craft his proposals.

Kennedy, a wildlife biologist who has worked for the state Environmental Police and Division of Fisheries and Wildlife over the decades, is championing an equal balance between conservation and recreation.

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In response to a post in the ‘Save Duxbury Beach’ Facebook page, Kennedy highlighted how the Bay State has seen a nearly “tenfold” jump in nesting plovers since 1986, going from 140 to over 1,200 last year. Roseate and common terns are also “strongly increasing,” while least terns are “slowly climbing.”

“Reasonable public access is not anti-birds,” Kennedy stated. “It is simply common sense.”

The 1,221 nesting pairs of plovers identified in 2025 marked a record high for the species’ population, up even from the 1,196 in 2024, numbers show.

According to the state’s Natural Heritage & Endangered Species Program, Duxbury Beach had 149 days of recreational activity last year.

Sweezey is also calling state regulators to conduct a review of their recreational management guidelines that protect piping plovers, terns and their habitats across the state at least once every two years. Part of that process would include two public hearings.

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Patrick Parquette, a government affairs officer for the Massachusetts Striped Bass Association, called the state’s current shorebird management program “long outdated,” having been adopted in 1993.

Parquette pointed out how, decades ago, nests of certain shorebirds needed to be a minimum of an eighth of a mile apart. Today, species, including the piping plover, are nesting within 100 feet of each other.

“At the time, it was based on the best thinking that we had,” he said. “I don’t think there’s a reasonable human being in this building, no matter the ilk or philosophy they come from, that would say that our knowledge base 33 years ago could compare with today’s knowledge base.”

Andrew Marshall, founder of the Save Duxbury Beach nonprofit advocacy group, centers his concerns around climate change and its effects on the Plymouth County town of roughly 16,000.

“We’re being unfairly punished due to climate change, with some of these southern birds moving up to the north here,” Marshall told lawmakers. “These birds aren’t rare or threatened. They’re just new in our area.”

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A third piece of legislation that Sweezey has crafted would ban state regulators from prohibiting any beach management program from using all legally authorized shorebird nesting mitigation tools under the state’s habitat conservation plan.

Sweezey said a goal of the bill would be to promote parity among Massachusetts beaches.

“These bills,” the representative said, “are critically important to our environment, our coastal traditions and local economies down in Duxbury, but really along the entire coast.”

A woman takes in the shoreline view at Duxbury Beach. (Staff Photo By Faith Ninivaggi/Boston Herald/Media News Group, File)



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