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Massachusetts already has too few nurses. New student loan limits could make the shortage worse. – The Boston Globe

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Massachusetts already has too few nurses. New student loan limits could make the shortage worse. – The Boston Globe


Now, though, Binfaah is reconsidering. New rules passed by Congress last summer as part of President Trump’s signature tax legislation cap what Binfaah and students who pursue some advanced degrees, from teaching to social work, can borrow for graduate work to $100,000. That, she said, is not enough to pay for graduate school.

“I come from a low-income background. I’ll have to rely on loans. I don’t think $100,000 is reasonable,” she said. ”If I don’t have the means by then, I think I would just delay it, push things back.”

The new loan limit is part of a push by the Trump administration to rein in runaway tuition costs and the eye-popping levels of student debt so many graduates are struggling to repay. The rules apply not just to nursing but to nearly all graduate programs except for 11 degrees the government deems as “professional,” such as medicine, dentistry, and law. But those, too, are held to a strict loan cap of $200,000, still unlikely to cover the cost of attendance.

Few industries stand to be affected more than nursing, and that in turn could have a huge domino effect on one of the state’s most important and prestigious industries: health care.

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Today, nurses are filling gaps in care left by other medical professions, providing a core function of care in a region where hospitals are among the largest employers and contributors to the economy.

And a greater number of nurses are responding to the need, attending graduate school to move up the career ladder, avoid burnout, and expand their earning power. Nurse practitioners, for instance, typically make around $120,000 a year in Massachusetts, 50 percent more than registered nurses without graduate degrees. By 2034, their ranks are projected to grow 60 percent here as physicians are in short supply.

Already, one in 10 nursing jobs in Massachusetts is vacant, according to the Massachusetts Health and Hospital Association. Studies warn that further reducing the ranks of advanced nurses would result in longer wait times, higher mortality rates, and greater reliance on emergency rooms that are already overwhelmed. Moreover, the loan caps could lead fewer people to pursue advanced degrees in specialties such as oncology, anesthesiology, and neonatal care at a time when that expertise is in great demand.

The new cap is “foolish and shortsighted,” said Joan Vitello-Cicciu, dean of the graduate school of nursing at UMass Chan. “It’s going to be a vicious cycle. People are not looking at all the unintended consequences.”

Medical equipment at the MGH Institute of Health Professions nursing class.
Suzanne Kreiter/Globe Staff

Federal officials say that leaving nursing and other fields outside the professional designation is not a “value judgement” on their importance. Only a sliver of the country’s 4.3 million nurses — including around 95,000 in Massachusetts — have graduate degrees, according to a fact sheet from the US Department of Education. Most who attend graduate school borrow less than $100,000, the department wrote.

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The rule change, according to conservative think tank the American Enterprise Institute, is simply a “practical decision to ensure that nurses avoid excessive student debt burdens.”

But a recent survey by the American Association of Colleges of Nursing found that 82 percent of nursing students believe the loan limits will make it harder to finance graduate education. The group warned the burden will likely land hardest on low-income students who tend to borrow more money for higher education.

Sarah Romaine, a nursing professor at Elms College in Chicopee, worries some students, particularly from working-class backgrounds, will eschew careers in advanced nursing.

“A fair number of the students that I have at Elms are working parents making basically minimum wage,” she said. “They really need a loan to get by … Plenty of nurses do very well, but the start is a struggle.”

In 2022, almost half of nurses pursuing advanced degrees used federally assisted loans, according to data from the Department of Health and Human Services. At least one-fifth of nursing graduate students borrow more than $100,000 to complete their degree, AACN found.

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“I had lunch with [nursing] students in December,” said Julia Mason, chief nursing officer at Brigham and Women’s Hospital. “And they were worried about the future, about what they would be able to afford.”

Another factor is the rising cost of graduate nursing programs. Some estimates show that average nursing tuition is up by as much as 15 percent since 2020. Academic courses are increasingly complex, training equipment is expensive, and faculty salaries gobble up a sizable chunk of the budget at nursing schools, which compete for labor with better-paying hospitals and biotechnology companies.

Supporters of the new borrowing rules, and some nurses, said the limits will put downward pressure on tuition — a notion most higher education administrators dispute.

At MGH Institute of Health Professions, nursing students gathered for class. Suzanne Kreiter/Globe Staff

“I would love to move away from a debt-financed higher education system,” said Persis Yu, deputy executive director and managing council at Protect Borrowers, a nonprofit dedicated to improving the student loan system. “But that requires real investment in higher education, both on the federal and state level. What this does is restrict access on one end, without providing the funding on the other end.”

Dr. Robbie Goldstein, commissioner of the Massachusetts Department of Public Health, said in a statement, “the federal loan cap has the possibility of dramatically changing the applicant pool and advancing only those who can afford the high cost of education, leading to less diversity and lived experience among those who are able to work in the state.”

There’s also concern the caps could force more students toward lower-quality graduate nursing programs, said Maura Abbott, dean of nursing at the MGH Institute of Health Professions in Charlestown. (Tuition for an MGH nurse practitioner doctoral degree costs almost $60,000, and housing, equipment, and other expenses can push the cost of attendance much higher.)

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“We know the outcomes for patients who receive care from those schools are not as strong as nurses who go to high-quality programs,” she said.

The rationale for excluding nursing and other professions from the list of “professional” degrees that are subject to the higher $200,000 borrowing limit dates to the Higher Education Act of 1965, which at the time designated just 10 graduate degrees that way. Among them were medicine, law, dentistry, theology, and podiatry, which typically require an advanced degree to practice. (Theology was included on the assumption students would pursue clergy positions with their degrees.) Fields such as business, teaching, social work, and nursing, where one could initially get a job with a bachelor’s degree or less, were left off the list.

That 1965 definition had never been used to determine who could borrow for federal loans, and how much — until now.

Congress pointed to this 1965 definition as a starting point to determine what fields should be considered in this professional category, although Congress did not explicitly say that only the original 10 degrees should be included. A committee writing the rules added clinical psychology, but no others.

Nursing students at the MGH Institute handled equipment in class. Suzanne Kreiter/Globe Staff

Workforce needs were not a part of the decision-making process, said Alex Ricci, president at the National Council of Higher Education Resources, a member of the rule-writing committee. Since Congress is explicitly trying to limit loans, the group largely deferred to their initial guidance, he added.

“There was no nod in law for exceptions for areas of high need, and so we were limited in how expansive we could be,” Ricci said. “If we got that wrong, Congress has every opportunity to revisit their legislative language and make it more clear to the department and to the higher education community what exactly they meant and who should get access to additional loans.”

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Now, some colleges are trying to drum up new sources for student loans, partnering with state governments, philanthropies, and both non- and for-profit lenders to supplement lost federal dollars.

Yale and the University of Pennsylvania have forged deals with private lenders in preparation for a dropoff in federal funding, Bloomberg reported. And at Regis College in Weston, donors stepped in to fund students in the Doctor of Nursing Practice program for two years.

“But there is still a significant loss of funding for future nursing faculty,” said Regis president Antoinette Hayes.

At the same time, other programs that help pay for advanced nursing degrees are disappearing. Public Service Loan Forgiveness — a program over half of nurses hoped to use in 2017, the most recent data available — has been scaled back significantly. Trump hopes to close the National Institute of Nursing Research, which helps fund some nursing PhDs. And the Nursing Faculty Loan Program, which offers loan forgiveness to nurses who teach for four years after graduation, is on an indefinite pause.

Together, the changes threaten to put a chilling effect on the pipeline for new nurses and nursing school faculty.

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Melissa Anne Dubois, a nursing PhD candidate at UMass Chan, said her faculty loan funding for her final year of school is gone, a year earlier than she expected, forcing her to seek out private loans.

“I’m in a good place because it is only a couple of semesters,” she said. “But if this started in 2023, if this happened when I was starting to go back to school, this might’ve been the thing that made me go, ‘I guess this isn’t going to happen for me.’ ”

Binfaah, the nursing student at BC, already somewhat feels that way.

”When it’s time for me to go back to school, things are not going to be the same,” she said. “It honestly feels like, they don’t want me to go to school. That’s what it feels like.”

This story was produced by the Globe’s Money, Power, Inequality team, which covers the racial wealth gap in Greater Boston. You can sign up for the newsletter here.

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Diti Kohli can be reached at diti.kohli@globe.com. Follow her @ditikohli_. Mara Kardas-Nelson can be reached at mara.kardas-nelson@globe.com.





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Western Massachusetts libraries celebrating National Library Week – Athol Daily News

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Western Massachusetts libraries celebrating National Library Week – Athol Daily News


As libraries across western Massachusetts celebrate National Library Week from April 19 to April 25, they are honoring “the last real third space where everyone is welcome,” in the words of Greenfield Public Library Assistant Director Lisa Prolman.

According to the American Library Association, National Library Week is “an annual celebration highlighting the valuable role libraries and library professionals play in transforming lives and strengthening our communities.” This year, several libraries in the region will be hosting events to highlight the roles they play in their communities.

The Athol Public Library is among the venues engaging in National Library Week festivities, with a whole host of events starting on Tuesday, April 21, with Silly Goose Story Time at 10:30 a.m. The library will hold multiple events each day, including “Free Book Friday” on April 24, which Assistant Director Robin Shtulman said is “really fantastic.”

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Shtulman said the week celebrates and emphasizes the “freedom to read, community outreach and celebrating the staff, without whom nothing would happen.”

The Athol Public Library said in an event announcement that “whatever brings you joy, the library has something for everyone,” and that aspect is being emphasized this National Library Week. To name a few of the events on tap, on Tuesday, April 21, from 3:30 to 5:30 p.m., there’s a volunteer opportunity where teens will make greeting cards for senior citizens; “A Minecraft Movie” will be shown at the same date and time; and on Thursday, April 23, the library will host Scavenger Hunt Bingo for all ages. For a full list of events at the Athol Public Library, visit atholpubliclibrary.com.

In Shelburne Falls, the Arms Library will feature a gallery from the Carlos Heiligmann Collection, a series of photos of public libraries across western Massachusetts. Also in collaboration with the Arms Library, Pothole Pictures and the Shelburne Falls Area Women’s Club will partner for a screening of “Free For All: The Public Library” on Saturday, April 25, at 2 p.m. at the Shelburne Falls Theater at Memorial Hall.

The documentary focuses on the evolution of the public library from its origins in the 19th century and the challenges it faces today, with modern-day issues such as book bans, funding cuts and debates over censorship.

It also explores the role that women’s clubs, like the one in Shelburne Falls, played in creating the modern library system. To serve their communities, women’s clubs took the lead in fundraising, collecting books and advocating for library legislation.

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“Our women’s club in this town started with a group of 60 women who were gathering for lessons. … Because of the support of women in the U.S., we established over 80% of the public libraries [in the country],” said Christin Couture, program chair for the Shelburne Falls Area Women’s Club. “This film … I hear it’s so fascinating.”

Following the film’s screening, there will be a panel of local librarians who will engage in “lively conversation” about the history and future of public libraries. Tickets are $6, though school-age children will be admitted for free.

In Charlemont, Tyler Memorial Library will host an open house on Saturday, April 25, from noon to 2 p.m. featuring refreshments, a tour of the library and sun catcher crafting.

The Greenfield Public Library, meanwhile, is taking National Library Week in a bit of a different direction, as it is offering a book repair demonstration with Tom Hutcheson on Thursday, April 23, at 3:30 p.m. The day marks William Shakespeare’s birthday.

Although the book repair session required registration and is currently full, those who are interested may be placed on a waiting list at greenfieldpl.libcal.com/event/16460179.

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Greenfield Public Library Director Anna Bognolo recognized the hard work that everyone has put into making the library a success, offering a “huge thank you” to the volunteers and staff who make its varied offerings possible.

“Stop by and support your library,” Bognolo said.

“Libraries, especially in this economy, are more important than ever,” Prolman said. Referencing the library’s role as a place where community members can go that is not work or home, she added, “They are the last real third space where everyone is welcome, and we don’t charge you for being here.”



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New Bedford MS-13 Member, Illegal Alien Pleads Guilty to Role in Brutal Murders In Massachusetts, Virginia

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New Bedford MS-13 Member, Illegal Alien Pleads Guilty to Role in Brutal Murders In Massachusetts, Virginia


A 28-year-old Salvadoran national and admitted member of the MS-13 gang, who was living unlawfully in New Bedford, Massachusetts, pleaded guilty in federal court in Boston to his role in three brutal murders committed to advance the gang’s violent agenda across Massachusetts and Virginia.

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Police shoot and kill man armed with knife in Lexington, DA says

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Police shoot and kill man armed with knife in Lexington, DA says


Police shot and killed a man who officials say rushed officers with a knife during a call in Lexington, Massachusetts, on Saturday.

Middlesex County District Attorney Marian Ryan said the situation started around 1:40 p.m. when Lexington police received a 911 call from a resident of Mason Street reporting that his son had injured himself with a knife.

Officers from the Lexington Police Department and officers from the Northeastern Massachusetts Law Enforcement Council (NEMLEC), who were already in town for Patriots’ Day events, responded to the call.

Police were able to escort two other residents out of the home, initially leaving a 26-year-old man inside. According to Ryan, while officers were setting up outside, the man ran out of the home and approached officers with a large kitchen knife.  

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She added that police tried twice to use non-lethal force, but it was not effective in stopping him. The man was shot by a Wilmington police officer who is a member of NEMLEC. The man was pronounced dead on scene and the officer who fired that shot was taken to a local hospital as a precaution.

The man’s name has not been released.

Ryan said typically in a call like this where someone was described as harming themselves, officers would first try to separate anyone else to keep them out of danger, which was done, and then standard practice would be to try to wait outside.

“It would be their practice to just wait for the person to come out. In the terrible circumstances of today, he suddenly rushed the officers, still clutching the knife,” Ryan said.

The investigation is still in the preliminary stages and more information is expected in time. Ryan said her office will request a formal inquest from the court to review whether any criminal conduct has occurred, which is the standard process.

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This happened around the same time as the annual Patriots’ Day Parade, and just hours after a reenactment of the Battle of Lexington, which drew large crowds to town.

This is a developing story. Check back for updates.



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