Massachusetts
580,000 in Massachusetts live in ‘pharmacy deserts,’ new report shows – The Boston Globe
Pharmacy shortages can be detrimental to both customers and the broader health system. Pharmacy closures are associated with older adults skipping heart medications and increased use of hospital and emergency department services.
“Without access to this source of care, residents may turn to higher-cost care settings like emergency departments, which further burdens our health care workforce, drives up spending, and leads to worse health outcomes,” David Seltz, executive director of the Health Policy Commission, said in a statement. “It is imperative for the Commonwealth to increase and sustain pharmacy access.”
The loss of nearby pharmacies affects access not only to drugs, but also to primary care. In Massachusetts, where the shortage of primary care providers has become acute, pharmacists can step in to provide some services, including administering vaccines.
Under contracts with prescribers called Collaborative Practice Agreements, pharmacists can answer patients’ questions, order labs, and even adjust medication doses, said Dr. Kaley Hayes, associate director of pharmacoepidemiology at Brown University’s Center for Gerontology and Healthcare Research.
“We are living in a very strained system that is getting more strained by the day, and we are running out of levers to pull to make sure that people still have access to care,” Hayes said. “Pharmacy deserts compound that issue by removing one more health care professional.”
Since 2019, the number of pharmacies in Massachusetts has shrunk by nearly 200, or about 17 percent. Small chain and independent drug stores and pharmacies operating in grocery stores saw the highest proportions of losses.
Some of the hit to independent pharmacies can be blamed on the consolidation of retail pharmacy chains and pharmacy benefit managers, the middlemen that negotiate drug costs between insurers and pharmacies, the Health Policy Commission said.
The report pointed to mergers, such as the 2007 combination of CVS and pharmacy benefit manager Caremark, as disadvantaging smaller pharmacies, since Caremark could give CVS preferred prices and steer customers to the large chain.
CVS and Walgreens are also cutting back, as they come under pressure from pharmacy benefit managers to control drug costs and retail profits decline. The number of Massachusetts stores owned by large chains fell to 578 from 630 to over the past year, according to the report.
The Health Policy Commission considered several factors in defining pharmacy deserts. Rural areas were considered a desert if they did not have a pharmacy within five miles. Urban areas were considered a desert if they lacked a pharmacy within one mile. Those distances were halved for areas with below-average vehicle ownership or more than 20 percent of households sitting below the federal poverty level.
Overall, the Health Policy Commission found that pharmacy deserts tended to be in neighborhoods with lower population density and a slightly higher proportion of residents over the age of 65.
New pharmacy deserts are appearing in Massachusetts’ largest cities. Springfield, for example, added six new deserts, while New Bedford added five.
Worcester was able to rid of two pharmacy deserts, but six others appeared after drug stores closed. Boston removed two pharmacy deserts, but five others popped up.
The report is the first by the Health Policy Commission to specifically evaluate pharmacy deserts. The next phase of the research will focus on understanding the factors that contribute to pharmacy closures, said Yue Huang, associate director for the Office of Pharmaceutical Policy and Analysis at the commission.
Huang said that different types of pharmacies face different kinds financial pressures and incentives, which her team is considering as they evaluate ways to combat the creation of deserts.
“It’s important that when we’re thinking about potential policy recommendations, we avoid painting with broad strokes,” Huang said.
Marin Wolf can be reached at marin.wolf@globe.com.
Massachusetts
‘That comes with a price tag’: How snow removal is busting town budgets – The Boston Globe
“The way we experience climate change is through extremes,” said Shel Winkley, a meteorologist at Climate Central. “All of that comes with a price tag.”
Across the region, officials are trying to figure out how to pay that price. The Massachusetts Department of Transportation has already spent more than $185 million on snow and ice removal this winter — about $20 million beyond what was spent during the “Snowmageddon” winter of 2015. State officials are weighing whether to seek aid from the Trump administration.
Providence has had to cap spending for the rest of the fiscal year after record-setting snowfall. In Boston, where officials have trimmed the snow removal budget, the city was on track to spend nearly double what it had set aside for winter cleanup — even before the February blizzard hit. Cambridge has spent $6 million, more than 10 times the placeholder amount it budgeted for winter cleanup.
“This is an additional pressure point on an already pressurized budget situation,” said Adam Chapdelaine, executive director of the Massachusetts Municipal Association. “In some communities, it’s likely going to force some hard decisions.”
In Edgartown, officials want to tap into budget reserves to make up the cost, a step that requires voter approval. If voters don’t support that move, it could mean raising taxes, said James Hagerty, the town administrator.
Local officials said federal funding would help, but they’re not counting on it. Some worried that partisan disparities in which states have received disaster funding under the Trump administration would put Massachusetts at a disadvantage.
“We are hopeful that the state and federal government might step in to assist, but it’s just waiting at this point,” said Gregory Berman, Chatham’s director of natural resources.
The skyrocketing costs are yet another reminder that winters here don’t feel the same. New England is largely trending toward shorter and milder winters. Massachusetts has lost about 30 days of snow cover each year over the last few decades.
However, experts say the relationship between climate change and total annual snowfall is more complicated. Think of it as two competing forces. On one hand, global warming increases the amount of moisture in the atmosphere; when conditions are cold enough, this added moisture can fuel heavier snowstorms. On the other hand, rising temperatures mean that winter precipitation falls more frequently as rain than snow.
The data reflect this mixed picture. An analysis of historic snowfall totals by Climate Central, a nonprofit that conducts climate change research, found that annual snowfall has actually increased over the past 50 years in Boston and parts of coastal Massachusetts, while inland areas have seen declines.
Looking ahead, researchers project that the most intense storms may become even heavier, producing more snow than blizzards past. This shift may already be underway. In the past 40 years, Boston has recorded 10 snowstorms that produced at least 20 inches of snow. In the eight decades prior to that, there were just three.
These massive storms can trigger extra expenses, as municipalities have to pay for equipment rentals, contractors, and overtime for cleanup around the clock.
Julie Wormser, chief climate officer in Cambridge, said that total snowfall data surprised her.
“Based on how quickly the ocean is heating up off New England, my bet is that the next 50 years of data will reverse that snowfall trend,” she said.
Cities and towns in Western Massachusetts, Cape Cod, and the North Shore were hit especially hard. This winter, they received more than two feet of snow above their average.

On Cape Cod, Sandwich officials overspent their snow budget by $250,000, driven largely by the February blizzard. Town Manager George “Bud” Dunham said a day of minor plowing and treating roads can cost about $10,000, but major storms push that figure past $50,000. The town is still cleaning up downed brush and tree limbs.
If not for the storm, Dunham said, the town might have invested in new snow equipment or set aside funds for retired employees’ health insurance costs.
Mattapoisett, a coastal community on Buzzards Bay, also blew through its budget, spending nearly triple what officials had set aside. Still, Michael Lorenco, the administrator, said the town should be able to absorb the hit within its $37 million budget without raising taxes.
“I’m not a scientist, but towns near the coast seem to be getting more snow than they normally would in the past,” Lorenco said.
That doesn’t change the city’s responsibilities.
“Climate change or not,” he added, “we have to clean up the roads.”
Ken Mahan of the Globe staff contributed reporting.
Kate Selig can be reached at kate.selig@globe.com. Follow her on X @kate_selig.
Massachusetts
Massachusetts bakery that made signature pizza trays for more than 100 years closes for good
A Framingham institution that has been in business for more than a century closed its doors for the final time on Sunday.
Framingham Baking Company, known for its signature pizza trays, has officially shut down permanently. Crowds have been lining up around the block in the shop’s final days, with Sunday serving as their last day in business.
“That’s a wrap! Special thanks to all of our loyal customers! It was a great run. We love you!” Framingham Baking Company posted on Facebook Sunday after selling its final slices of pizza.
Founded in 1917, the bakery on Waverly Street became known for the square pizza slices.
The third-generation owners say they couldn’t find anyone to take over the business.
“We’re closing today after 109 years in business,” owner Joan Thomas said. “My grandparents, my parents, and my siblings – three generations have run this bakery.”
Customers explained why they were willing to wait in long lines to get their hands on some treats one more time.
“So many years of eating this pizza, and the bread, and the cookies. You had to be there for the end,” one woman said.
“My grandfather was a delivery guy for a long time. My first job was riding around with him in the van delivering to all the local restaurants. It’s tough to see it close, but it’s had an amazing run. Here for my last delivery. Bring some pizza home to my family,” another man added.
One customer waiting in line said it wasn’t just pizza the Framingham Baking Company provided, it was memories.
“Brought it to the cousins’ every birthday party, every gathering. Any time there was family there was pizza,” he said.
Massachusetts
Massachusetts’ middle-class income range is highest in US., topping out at over $200K
Here are five ways how you can save some money when food shopping.
Here are five ways how you can save some money when food shopping.
Your household can earn more than $200,000 a year and still be considered part of the “middle class” in Massachusetts, according to a recent study by SmartAsset.
Massachusetts ranks as the top state with the highest income range for households to be considered middle class, based on SmartAsset’s analysis using 2024 income data from the U.S. Census Bureau. The Pew Research Center defines the middle class as households earning roughly two-thirds to twice the national median household income.
According to a 2022 Gallup survey, about half of U.S. adults consider themselves middle class, with 38% identifying as “middle class” and 14% as “upper-middle class.” Higher-income Americans and college graduates were most likely to identify with the “middle class” or “upper-middle class,” while lower-income Americans and those without a college education generally identified as “working class” or “lower class.”
Here’s how much money your household would need to bring in annually to be considered middle class in Massachusetts.
How much money would you need to make to be considered middle class in MA?
In Massachusetts, households would need to earn between $69,900 and $209,656 annually to be considered middle class, according to SmartAsset. The Bay State has the highest income range in the country for middle-class households. The state’s median household income is $104,828.
In Boston, the range is slightly lower. Households need to earn between $65,194 and $195,582 annually to qualify as middle class, giving the city the 19th-highest income range among the 100 largest U.S. cities. Boston’s median household income is $97,791.
How do other New England states compare?
Massachusetts has the highest income range for middle-class households in New England. Here’s what households would have to earn in neighboring states:
- Massachusetts (#1 nationally) – $69,885 to $209,656 annually; median household income of $104,828
- New Hampshire (#6 nationally) – $66,521 to $199,564 annually; median household income of $99,782
- Connecticut (#10 nationally) – $64,033 to $192,098 annually; median household income of $96,049
- Rhode Island (#17 nationally) – $55,669 to $167,008 annually; median household income of $83,504
- Vermont (#19 nationally) – $55,153 to $165,460 annually; median household income of $82,730
- Maine (#30 nationally) – $50,961 to $152,884 annually; median household income of $76,442
Which state has the lowest middle-class income range?
Mississippi ranks last for the income range needed to be considered middle class, according to SmartAsset. Households there would need to earn between $39,418 and $118,254 annually. The state’s median household income is $59,127.
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