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Massachusetts’ primary-care crisis requires urgent action – The Boston Globe

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Massachusetts’ primary-care crisis requires urgent action – The Boston Globe


Slots for primary-care training, including family medicine, pediatrics, and internal medicine, also increased by 877 positions this year, offering up to 20,300 positions for the nation. This seems like promising news for a city like Boston, where the wait for a new patient to access primary care is at least 40 days, twice as long as in 15 other studied cities, and up to half of the primary-care workforce is close to retiring age. The most recent primary-care dashboard from Massachusetts Health Quality Partners, a measurement and reporting nonprofit organization, shows that these shortages are driving up visits to emergency departments, spiking Massachusetts’ total cost on health care, and disproportionately affecting low-income people and people of color, further aggravating our state’s health inequities.

The small increase in slots to train future primary-care physicians nationally will not come close to fixing our primary-care crisis in Massachusetts, however. In a state that has more physicians per capita than any other in the United States, only 22 percent of Massachusetts medical school graduates were providing primary care six to eight years later, as of 2023.

Further, not all primary-care training programs are equal in terms of generating practicing primary-care physicians. According to a recent study, 97 percent of family-medicine residents conclude their training in primary care, whereas only 54 percent of pediatric residents and 35 percent of internal medicine residents conclude their training in primary care. In other words, the vast majority of new primary-care physicians in the United States are family-medicine physicians. Given the robust training of family-medicine physicians, including caring for prenatal, postpartum, pediatric, adult, and geriatric patients, this workforce is crucial.

However, while 13.4 percent of first-year residency positions were in family medicine nationally, Massachusetts only provides 3.9 percent of its first-year residency slots in family medicine. Given that studies show the vast majority (68.7 percent) of family-medicine graduates continue to work in the state where they trained after graduation, this anemic number is a poor harbinger for our future.

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A significant barrier to training more family-medicine physicians is the lack of academic medical support. Apart from Boston Medical Center, there are no family-medicine departments in Boston’s academic medical centers, where the majority of graduate medical education occurs. The rationale often cited is that it is the responsibility of community-based institutions to train future primary-care and family-medicine doctors. However, it is exceedingly difficult for community-based hospitals and community health centers to take on this responsibility with already tight profit margins, a lack of internal infrastructure to support residency programs, and traditional residency program funding flowing to academic medical centers.

If Massachusetts wants to have adequate access to primary-care physicians, it needs to prioritize and organize state-level partnerships between large academic institutions and community-based institutions, particularly community health centers, to develop infrastructure and funding for new family-medicine residency programs. Academic medical centers must include investments in developing family medicine as part of their larger primary-care investment plans. Legislators must also reinstitute Medicaid Graduate Medical Education funding in Massachusetts that is targeted to support family-medicine training programs. Currently, Massachusetts is one of only seven states that does not fund residency programs through this program.

Furthermore, to attract more motivated and capable medical students to enter the field of family medicine, health care leaders, educators, and policy makers must work to make the job more sustainable. This includes actions such as statewide policies increasing reimbursements for family-medicine services from all payers, streamlining the number of health care metrics family-medicine physicians are accountable for, and reducing the administrative burden of family-medicine physicians by accelerating the use of AI to complete forms for items such as durable medical equipment, prior authorizations, and messages generated through electronic medical systems.

We are grateful to Governor Maura Healey for her recent remarks on prioritizing primary care; to the Legislature for the development of the Primary Care Task Force, which will focus on primary care access, delivery, and financial sustainability; and to the recent Massachusetts legislative hearings on Senator Cindy Friedman’s Primary Care for You bill. However, we cannot wait for the group’s recommendations to start addressing our state’s primary-care crisis. Legislators, payers, hospitals, and community health centers must work now to strengthen and grow the family-medicine workforce, build a stronger pipeline, and pay for a health care system that will build a healthier Commonwealth.






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Massachusetts

State health officials announce two confirmed cases of measles in Massachusetts – Boston News, Weather, Sports | WHDH 7News

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State health officials announce two confirmed cases of measles in Massachusetts – Boston News, Weather, Sports | WHDH 7News


BOSTON (WHDH) – State public health officials have announced two confirmed cases of measles in Massachusetts this year.

The first case came from a school-aged resident who was exposed and diagnoses while out of state. This person has remained out of state during the infectious period.

The second case was diagnosed by an adult in Greater Boston. Officials say this person had recently returned from international travel with an uncertain vaccination history.

This person visited several locations. Both local and state health officials are working with the locations to identify and notify those who were potentially exposed.

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“Our first two measles cases in 2026 demonstrate the impact that the measles outbreaks, nationally and internationally, can have here at home. Fortunately, thanks to high vaccination rates, the risk to most Massachusetts residents remains low,” said Public Health Commissioner Robbie Goldstein, MD, PhD. “Measles is the most contagious respiratory virus and can cause life-threatening illness. These cases are a reminder of the need for health care providers and local health departments to remain vigilant for cases so that appropriate public health measures can be rapidly employed to prevent spread in the state. This is also a reminder that getting vaccinated is the best way for people to protect themselves from this disease.” 

(Copyright (c) 2025 Sunbeam Television. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.)

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Fire hydrants ‘buried’ in snow as crews respond to Taunton house explosion

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Fire hydrants ‘buried’ in snow as crews respond to Taunton house explosion


Several Cape Cod and South Coast communities in Massachusetts are still digging out three days after a historic blizzard buried neighborhoods in several feet of snow, complicating emergency response efforts and prompting additional state support.

Cities and towns including Brockton, Taunton, New Bedford and Fall River received outside assistance Thursday as crews continued to plow streets and clear critical infrastructure. While road conditions have improved in many areas, officials said buried fire hydrants remain a serious concern.

NBC10 Boston obtained Taunton police body camera footage that captured first responders scrambling to locate a hydrant during a house fire on Plain Street.

“Looking for a hydrant now,” one first responder can be heard saying. “They’re all buried.”

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At one point, an officer asked a bystanders for help.

A home was burned to the ground after an explosion that left two people injured.

Officials said the home exploded after a gas leak Wednesday, leaving a family of three displaced.

The mother and daughter were treated for serious burns.

William Shivers, who helped firefighters dig out a hydrant, described the urgency.

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“We took the shovels, and we were just banging into the snow, looking for a fire hydrant,” he said.

After locating a hydrant using a map on his phone, Shivers and firefighters were able to clear it, but he said the delay could have been worse.

Two people are in the hospital and neighbors are worried about safety after an explosion and fire reduced a house to rubble.

“Imagine how many more how many more minutes that would have been wasted, you know, shoveling, just going through the snow,” said Shivers.

The case underscores the broader challenges facing first responders across the region following Monday’s storm.

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Firefighters in Watertown also experienced delays accessing hydrants during a fire on Tuesday.

Snow and ice presented challenges as firefighters battled flames Tuesday.

Gov. Maura Healey toured parts of the South Coast on Thursday and said the region was hit especially hard.

“This whole region, I think, was ground zero,” she said.

Healey said the state will continue deploying resources to affected communities.

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“We won’t take our foot off the gas at all,” she said.

The governor activated the Massachusetts National Guard. Troops assisted with snow removal in Plymouth, conducted wellness checks in Duxbury and provided medical and logistical support in Fall River.

Matt Medeiros of Fall River was praised by the governor and other officials for developing an app that allows residents to report unplowed streets.

“It’s just hoping to get those resources in and everyone just staying out of the way of trucks and equipment,” he said.

Meanwhile, Mansfield implemented a parking ban at 8 p.m. Thursday to allow plows to clear roads more efficiently.

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Matthew Lawlor of WalkUp Roslindale, a nonprofit advocating for clean and safe streets, emphasized that residents also play a role in public safety.

“The fire hydrant piece of it’s essential,” he noted.

Lawlor urged neighbors to clear hydrants near their homes before an emergency strikes, while also calling on elected officials to provide some incentives.

“To the extent that people can be encouraged to dig those hydrants out as soon as they can, so that it’s not waiting until something happens,” he said.

State officials said the blizzard slowed plowing operations, contributing to the lag in sending additional help to some communities. The Massachusetts Department of Transportation said it hopes to deploy its 200 pieces of equipment to impacted areas within the next 24 to 48 hours.

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Healey announces deal for free online AI training from Google for Mass. residents – The Boston Globe

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Healey announces deal for free online AI training from Google for Mass. residents – The Boston Globe


Massachusetts residents will be able to take Google’s online training courses about artificial intelligence and other tech topics for free under a deal that the state announced on Thursday.

The courses, which cover topics ranging from how to use cutting-edge AI tools for work to applications in cybersecurity and e-commerce, normally cost $49 per month. Residents who complete the courses can earn professional certifications from the tech giant.

Governor Maura Healey, who unveiled the free offering at an event at Google’s office in Kendall Square, is going all-in on AI as she mounts her reelection campaign. At a time when polls show deep mistrust of AI and some Democrats such as Senator Bernie Sanders are calling for restricting AI, Healey has embraced the technology.

“We’re working to put the benefits of this technology to use for everybody,” Healey said. “We want our innovators and companies and talent to know that this is the place to be if you want to be on board with using AI to more quickly cure diseases and find treatments and solve problems.”

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Healey previously set aside $100 million to spur AI business development in Massachusetts and earlier this month announced the state would contract with OpenAI to provide a version of ChatGPT for 40,000 state workers.

The government efforts got a big assist in January, when a group of local tech companies led by Whoop formed a private-sector coalition to promote AI startups. AI usage has exploded across many industries and stock market investors have driven up the price of some AI-related companies while selling off stocks of software companies that could be displaced by AI apps.

Google launched its online tech training courses almost 10 years ago and said it has issued professional certifications to more than one million people. Almost three-quarters of people who were certified said the courses helped them at work by leading to a promotion, new job, or raise, within six months, Google said.

The company’s new AI certification online course, announced earlier this month, covers topics such as learning how to write a prompt for an AI chatbot and how to use the apps to write software, a growing practice known as “vibe coding,” as it does not require deep knowledge of programming.

Lisa Gevelber, founder of the tech giant’s Grow with Google online training program, said the company has worked previously with other states such as Pennsylvania and Oklahoma to offer free tech training courses, but Massachusetts will be the first to offer the new AI course to residents for free.

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The online training programs for residents will be available through the Massachusetts AI Hub, an initiative funded by Healey’s earlier $100 million AI effort.

Despite Healey’s recent efforts and the state’s long history as a leader in the tech industry, most of the development of AI and the birth of leading AI companies such as OpenAI, Anthropic, and Perplexity has happened elsewhere. While local universities are producing plenty of AI research, only a handful of major startups, such as music generator Suno and model developer Liquid AI, are based in Massachusetts.

In her remarks on Thursday, Healey addressed some of the underlying concerns about the technology. “People are nervous about AI and the uses of AI and the potentially negative uses of AI, and what could happen,” she said. “The more of us that know AI, that understand AI, that work with AI, the safer I believe we’re going to be, and the more appropriate guardrails will be put in place, because more people will understand. And that’s why we’re promoting AI literacy and learning in our schools, and it’s why we’re making this available through Google.”


Aaron Pressman can be reached at aaron.pressman@globe.com. Follow him @ampressman.





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