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20 years later: How Massachusetts health care reform changed access

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20 years later: How Massachusetts health care reform changed access


This week marks 20 years since Massachusetts passed a landmark health care reform law that reshaped how residents access medical care and helped pave the way for national changes.Signed on April 12, 2006, the Massachusetts health care reform law — often referred to as “Romneycare” — expanded insurance coverage through a combination of Medicaid expansion, subsidized private plans, and an individual mandate requiring most residents to carry insurance. According to the Commonwealth of Massachusetts, the law led to one of the highest insured rates in the country, with coverage now exceeding 97% of residents.Two decades later, doctors say the impact is still being felt, especially when it comes to how patients enter and navigate the health system.Dr. Daniel Chandler, a primary care physician and associate chief medical information officer at Tufts Medical Center, says the law fundamentally changed access to care.“Health insurance really allows people to have a primary care doctor and a medical home,” Chandler said. “And the alternative to that is often the emergency department, which can be very expensive.” With expanded coverage, more residents are now able to see primary care providers, allowing for earlier intervention and preventive care.Chandler says that shift can make a significant difference.“You can get some necessary screening done and preventive care when it’s relatively easy to fix and it’s less expensive,” he said.Despite high coverage rates, affordability remains a top issue for many patients.“Patients complain about cost all the time,” Chandler said, noting that premiums are only part of the financial burden. “Often, there’s a lot of co-pays that can add up if you choose the wrong plan.”For patients, navigating insurance options can be overwhelming, especially during limited enrollment periods.“The topic is incredibly complex,” Chandler said. “If you have resources like family members or friends who are knowledgeable, I always recommend that you ask them.” Doctors warn that financial pressure can lead patients to delay or skip treatment — a decision that can have long-term consequences.“It can be really catastrophic to avoid treatment,” Chandler said. “If a problem is easy to fix early, that can get more difficult and more expensive over time if you don’t fix it early.”To help address those challenges, many health systems — including Tufts Medicine — now offer support services such as social workers and pharmacy teams to help patients find lower-cost medications, financial assistance or other resources.

This week marks 20 years since Massachusetts passed a landmark health care reform law that reshaped how residents access medical care and helped pave the way for national changes.

Signed on April 12, 2006, the Massachusetts health care reform law — often referred to as “Romneycare” — expanded insurance coverage through a combination of Medicaid expansion, subsidized private plans, and an individual mandate requiring most residents to carry insurance. According to the Commonwealth of Massachusetts, the law led to one of the highest insured rates in the country, with coverage now exceeding 97% of residents.

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Two decades later, doctors say the impact is still being felt, especially when it comes to how patients enter and navigate the health system.

Dr. Daniel Chandler, a primary care physician and associate chief medical information officer at Tufts Medical Center, says the law fundamentally changed access to care.

“Health insurance really allows people to have a primary care doctor and a medical home,” Chandler said. “And the alternative to that is often the emergency department, which can be very expensive.”

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With expanded coverage, more residents are now able to see primary care providers, allowing for earlier intervention and preventive care.

Chandler says that shift can make a significant difference.

“You can get some necessary screening done and preventive care when it’s relatively easy to fix and it’s less expensive,” he said.

Despite high coverage rates, affordability remains a top issue for many patients.

“Patients complain about cost all the time,” Chandler said, noting that premiums are only part of the financial burden. “Often, there’s a lot of co-pays that can add up if you choose the wrong plan.”

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For patients, navigating insurance options can be overwhelming, especially during limited enrollment periods.

“The topic is incredibly complex,” Chandler said. “If you have resources like family members or friends who are knowledgeable, I always recommend that you ask them.”

Doctors warn that financial pressure can lead patients to delay or skip treatment — a decision that can have long-term consequences.

“It can be really catastrophic to avoid treatment,” Chandler said. “If a problem is easy to fix early, that can get more difficult and more expensive over time if you don’t fix it early.”

To help address those challenges, many health systems — including Tufts Medicine — now offer support services such as social workers and pharmacy teams to help patients find lower-cost medications, financial assistance or other resources.

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List of towns canceling 2026 Memorial Day parades due to rain

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List of towns canceling 2026 Memorial Day parades due to rain


(WGGB/WSHM) – With the rain continuing on Sunday night into Memorial Day, some towns across western Massachusetts have announced they will be canceling or rescheduling Memorial Day parades and ceremonies;

List is as follows:

Amherst Parade canceled, Memorial Day ceremony moved inside Bangs Community Center at 9:30 a.m.

Belchertown – Memorial Day parade canceled, outdoor ceremony will be held at South Cemetery on 143 Mill Valley Road at 8:30 a.m., indoor ceremony will be held at 20 Park Street at 10:30 a.m.

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Deerfield – Memorial Day ceremony will be hosted inside Frontier Regional School at 8:45 a.m.

Easthampton – Memorial Day parade and ceremony has been canceled

Granby – Memorial Day parade canceled, Ceremony will be held at Granby Veterans’ Memorial at 9 a.m.

Hadley – Memorial Day parade canceled, Hadley Veterans and Fire Department will still host ceremonies at these cemeteries;

  • 11:00 a.m. Russellville Cemetery 442 River Drive
  • 11:15 a.m. Plainville Cemetery 137 Mount Warner Road
  • 11:40 a.m. Olde Hadley Cemetery 12 Cemetery Road
  • 12:05 p.m. Hockanum Cemetery 199 Hockanum Road
  • 12:40 p.m. Holy Rosary Cemetery 134 Huntington Road
  • 1:10 p.m. North Hadley Cemetery 254 River Drive
  • 1:40 p.m. Hadley American Legion 162 Russell Street

Holyoke Parade canceled, observance ceremony will be held at the Holyoke War Memorial at 8:30 a.m.

Ludlow – Memorial Day parade canceled, candlelight vigil postponed until later date that will be announced.

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Montague Memorial Day ceremony will be held inside Montague Common Hall at 11:15 a.m.

Monson – Parade, ceremony canceled

Palmer Parade canceled, rescheduled for June 20th to be a part of Mass. 250th anniversary festivities. Ceremony will be held inside at Amvets Post 74 at 2150 Main Street in Three Rivers at 11 a.m.

Southwick – Parade canceled, ceremony will held in held at Town Hall Auditorium at 10 a.m.

Suffield, Conn. – Memorial Day parade cancelled, ceremony will be held at Suffield High School auditorium at 10 a.m., doors will open at 9:15 a.m.

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Copyright 2026 Western Mass News (WGGB/WSHM). All rights reserved.



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In Massachusetts governor’s race, it’s the economy, stupid. For Healey, it’s abortion, too. – The Boston Globe

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In Massachusetts governor’s race, it’s the economy, stupid. For Healey, it’s abortion, too. – The Boston Globe


In a Globe interview, the first-term Democrat said preserving access to abortion is not just a social issue, but also an economic one, a framing that appears intended to tap into residents’ deep-seated concerns about being able to afford to live in a state that’s simultaneously emerged as a major national provider of abortion care.

“Make no mistake about it, abortion is economic, and the ability to access abortion care or not has real consequences for women across this country,” she said. “It has consequences in terms of their health — sometimes consequences are life or death — and it does have economic consequences.”

Healey is facing pressure to find ways to help ease Massachusetts’ high costs. Residents are leaving the state, some in search of lower-cost locales; energy bills are reaching new highs; homeownership is out of reach for many; and child care costs here are among the nation’s highest.

“Lowering costs should be the focus of every elected official in America,” Healey said during her State of the Commonwealth address in January. “It’s certainly mine.”

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Scott Ferson, a Massachusetts-based Democratic political strategist, said Healey is “most comfortable” discussing protections for reproductive health care because of her background as a former attorney general who sued the Trump administration over access.

“There’s enough crises here to occupy voters’ . . . time,” Ferson said of fears over both abortion access and the economy. “And so she’s right to talk about both.”

Healey has long argued for increased access to abortion.

The state stockpiled 15,000 doses of mifepristone in 2023 amid an early legal challenge to the drug, and Healey issued an executive order in 2024 confirming access to emergency abortion care in the state. Last year, she signed a bill that bolstered protections for doctors providing reproductive health care from legal repercussions in other states.

Jane Rayburn, a Massachusetts-based pollster who has worked with New York Mayor Zohran Mamdani and Maine US Senate candidate Graham Platner, agreed that access to abortion has economic consequences, as people consider whether they can afford to have a child.

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“Restricting economic freedom, removing folks’ autonomy from making these choices on how they build their family and their family’s future, cuts right at the heart of the cost of living and affordability issues that we’re all experiencing firsthand,” Rayburn said.

Dr. Angel Foster, co-founder of Massachusetts Medication Abortion Access Project, talked about where her organization provides care. Charles Krupa/Associated Press

Healey has tried to bring her work on reproductive rights into sharper focus this year as two Republicans battle each other for their party’s nomination.

Brian Shortsleeve, who led the MBTA under former governor Charlie Baker, said he supports the US Supreme Court’s decision to maintain, at least temporarily, access to mifepristone through the mail. He also said he supports abortion rights, including the state’s “current law as it is.”

“I wouldn’t change it,” he said.

Mike Minogue, who won the Mass. GOP’s gubernatorial endorsement last month, has described himself as a “pro-life” Catholic.

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He runs a nearly $23 million family foundation with his wife, Renee Minogue, that has donated to groups that have touted pro-life stances, including $8,000 between 2018 and 2024 to Prager University, a conservative media organization whose founder, Dennis Prager, has said most abortions are not moral.

The foundation also gave $5,000 in 2015 to the Massachusetts Family Institute, an antiabortion “pro-family” advocacy group, and $55,000 between 2023 and 2024 to Taylor University, an Indiana-based Christian institution that promotes a “sanctity of life statement.”

Minogue did not respond to questions about the donations, but said Healey ”and the liberal media will try to weaponize” abortion politics.

“I cannot change the Massachusetts abortion law. Politicians approach this issue to drive hate and divisiveness,” he said in a statement to the Globe. “As a leader with faith, I have compassion and will support women with counseling, financial aid, and medical care.”

Healey cast both Republicans as threats to access here, arguing that neither will proactively stand up for reproductive rights.

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“I’m going to be there to protect abortion access, and my opponents are not, and that’s demonstrated by their actions, their words, their records,” she said.

Healey’s campaign has capitalized on the abortion-related court rulings in fund-raising emails, casting a federal appeals court decision restricting medication abortion by mail as “dangerous.” (The US Supreme Court later issued a ruling preserving access to the drug.)

The Massachusetts Democratic Party has also targeted Minogue directly, dubbing him “Anti-Abortion Mike Minogue” because of his “pro-life” beliefs.

Claire Teylouni, interim executive director of Reproductive Equity Now, an abortion rights group, said voters have a lot on their minds this election cycle and accused the Trump administration of “creating chaos and uncertainty” on a range of issues, including reproductive rights.

“It might not be that abortion is the only issue shaping this race,” she said, “but we do really believe it will be a significant one.”

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Voters, too, say that the Massachusetts economy is a top issue, and likely Democratic voters said cost of living should be Healey’s top focus, according to an April Suffolk University/Boston Globe poll.

But they also have mounting concerns about the future of abortion access. A UMass Amherst/WCVB survey from 2025 found a decrease in the number of people – from 70 percent in October 2024 to 62 percent in February 2025 – who believed abortion would remain “safe, legal, and accessible” in Massachusetts following the US Supreme Court’s decision to end the constitutional right to an abortion in 2022 by overturning the landmark Roe v. Wade ruling.

Erin O’Brien, a political science professor at the University of Massachusetts Boston, said abortion, at the very least, is a good “wedge issue” for Healey. But she said the gubernatorial race will largely focus on affordability.

“Having [abortion] there helps her for turnout,” O’Brien said, “and to prevent people from going to the GOP.”


Chris Van Buskirk can be reached at chris.vanb@globe.com. Follow him on X @byChrisVan

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Celtics Heavily Tied To Legendary Massachusetts-Born UConn Prospect | NESN

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Celtics Heavily Tied To Legendary Massachusetts-Born UConn Prospect | NESN


There are few things we Boston sports fans love more than a hometown hero story. The latest report coming out of the Boston Celtics camp indicates that general manager Brad Stevens and the Celtics front office have taken particular interest in one Massachusetts-born prospect. 

Alex Karaban is a legendary University of Connecticut player in his own right. The 6-foot-7 forward was a key piece of the Huskies back-to-back National Championship-winning squads. Nobody in the history of college basketball won more tournament games than Karaban.

In addition to national collegiate records, Karaban’s name is all over the UConn record books. Karaban holds the university record for games played (151), starts (150), three-pointers made (292) and most minutes played (4,909). 

The 23-year-old was born in Southerborough, Mass. He attended St. Peter-Marian High School, Algonquin Regional and North Hampton School in New Hampshire. 

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Karaban is currently on the fringe of being a first-round draft pick with a consensus prospect ranking in the low 30s. 

He is a perimeter scorer in nature, taking more than five threes a game during his four-year college career. He is praised for his basketball IQ and passing ability, which is to be expected from the face of Dan Hurley’s team. 

Karaban is knocked for his defensive ability and pure athleticism. He is not a day-one starter for many, if any, teams in the league, but has a chance to carve out a role if he’s able to hit shots over NBA defenders. 

More NBA: Celtics Predicted To Add ‘Fast-Rising Center’ Who Could Elevate Frontcourt Next To Jayson Tatum

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