Rhode Island
Laughter’s the best medicine. But health care summit prompts serious discussion • Rhode Island Current
A recent episode of “South Park” featured a satirical song that portrayed America’s health care system as an endless series of forms, referrals and delays.
Not unlike a typical workday for Dr. Howard Schulman, a primary care physician based in East Providence.
“The death of primary care in Rhode Island is a death of a thousand cuts,” Schulman told lawmakers, colleagues and health care officials at the Rhode Island Health Care Summit Tuesday morning.
Schulman said he spends a lot of time clicking through screens, logging into patient record systems, authenticating those logins, then getting logged out automatically when he’s been logged in for more than a few minutes. Like many doctors, he still has to use a fax machine to share information with other medical offices, urgent cares, hospitals and nursing homes.
Report: Rhode Island hospitals are bleeding cash, but we already knew that.
The summit’s invited speakers and guests offered plenty more examples of laceration: Rhode Island’s reimbursement rates are inferior to those in neighboring states. Private hospitals are operating like public ones, often at massive losses. There aren’t enough hospital beds. Children’s teeth are rotting because of lack of access to dental care. Primary care physicians are frustrated and underpaid, and medical practices are disconnected from one another.
“At some point, every one of us will need our health care system,” said House Speaker K. Joseph Shekarchi in his opening remarks.
Yet the state’s subpar handling of a product with inevitable demand did not stop doctors and hospital leaders from cracking their own jokes.
“There’s a joke inside of medicine that the only three reasons one would practice in Rhode Island is our love of Del’s Lemonade, our love of coffee milk, or that we’re simply stupid,” Dr. Hub Brennan, an internist with a private practice in East Greenwich, told the crowd gathered in the House chamber.
“So I stress to you and I stress to my patients: I love Del’s, and I love coffee milk.”
How to strengthen primary care in Rhode Island? Start with this action plan
There are apparently so many problems it was hard to identify any singular villain during the nearly four-hour summit— which was billed as three but ran about 90 minutes longer than planned — although reimbursement rates for providers emerged as a recurring antagonist.
“The persistent hole Rhode Island is still in with lower federal health care payments than neighboring Connecticut and Massachusetts is a persistent aggravation” said U.S. Sen. Sheldon Whitehouse, who gave a federal perspective on local delivery. “An aggravation of decades. And it doesn’t lend itself to an easy solution.”
Whitehouse pointed to the All-Payer Health Equity Approaches and Development (AHEAD) initiative as one possibility — one whose application the state would need to complete by August. The AHEAD program would move participants to value-based payment, which aligns to quality of care delivered, rather than the current, widespread model of fee for service, which renders payment based on the number of services provided.
‘Where’s the media who criticizes my office repeatedly?’
In states like Massachusetts, said John Fernandez, CEO of Rhode Island’s biggest health system Lifespan, high public payer hospitals are buoyed by millions in state funds. If Rhode Island Hospital were more like Boston Medical Center, it too might see state money in its coffers.
That’s when Attorney General Peter Neronha rose from his chair and interrupted Fernandez.
“Mr. President, can you just say that again? Say that again,” Neronha asked. “So that everybody in this chamber and on television hears that point. It may be the most important point that we hear today, that you are trying to run a public hospital without public funding.”
When it was Neronha’s turn to speak, he gave mostly serious remarks, but they were not without a little acid humor.
“Maybe when they put an eight inch hole in my back, they took out that part that made me hold back a little bit,” Neronha said, referencing his 2023 surgery. “But as a state we can’t afford to hold back. We are on the precipice of a disaster.”
Is proposed sale of Roger Williams, Fatima hospitals a cure for ailing health care landscape?
The proposed merger and sale of Our Lady of Fatima Hospital in North Providence and Providence’s Roger Williams Medical Center has been a major concern for Neronha’s office, which is tasked with approving and soliciting public feedback on corporate mergers. Neronha identified the two hospitals as essential to the state’s health care system, even though he also called their owner — the California-based Prospect Medical Holdings — “lousy.”
“Do you know that right now we are in Superior Court in a closed hearing, fighting to keep Roger Williams and Fatima open?” Neronha said. “The courtroom is sealed.”
“But where’s the outcry from the media — if they’re here — about why that courtroom is sealed?” Neronha continued, with a row of reporters situated in front of him on the House floor. ”Where’s the media who criticizes my office repeatedly for not being transparent when there is nothing more important than what’s going on in that courtroom?”
Neronha said he understood why the courtroom is sealed. He was more worked up about the fact that the state doesn’t generate enough revenue to help hospitals like Fatima and Roger Williams survive and “be in the black” — a financial stability that could be reinvested in the state’s health care systems.
“I wanted to bring attention to the point that in any other state his (Fernandez’s) hospital and probably every hospital in this state would be supported by public funds,” Neronha said in his own speech later. “And what is the appetite for public funds for these hospitals? Zero.”
Medicaid in all its complexities
A number that is far greater than zero: what the state spends on public insurance programs like Medicaid. It served about 328,000 Rhode Islanders in fiscal 2022, at a total cost of $3.8 billion, with $3.2 billion of that sum going toward member benefits. The feds paid for 65% of these costs, and the state paid the other 35%, for a total in-state expenditure of about $1.3 billion.
Is it a waste? Martha L. Wofford, CEO of insurer Blue Cross Blue Shield Rhode Island, wasn’t so blunt but didn’t appear to be Medicaid’s #1 fan either. One reason: It costs her company money.
“We have a disproportionate share of government-funded health care in the state of Rhode Island,” Wofford said. “Commercial insurance pays twice what Medicare pays and more, much more, than what Medicaid pays.”
“What happens is that commercial insurance subsidizes care for all other people. And so, we really need that cross subsidization to make sure the health care system works and other providers can cover their costs.”
Kristin Sousa, who runs the state’s Medicaid office, reminded the crowd why the low-income health insurance program is important, and argued for it as “the cornerstone of our health care delivery system,” one which supports a huge variety of patients and their needs but serves as “a critical source of funding” for health care providers, too.
“I firmly believe that the Medicaid program drives the overall health care delivery system in Rhode Island,” Sousa said. “Medicaid serves as a safety net, catching those who might otherwise fall through the cracks of our healthcare delivery system.”
States differ in how they implement Medicaid expansions and extensions, but the entire system was made possible by the Affordable Care Act, known commonly by the nickname Obamacare. Since 1965, Medicaid has served adults with disabilities, but the Obama-era changes brought health care coverage to able-bodied adults with low income and no children.
Lifespan’s Fernandez was still concerned about the program’s cost to hospital operators like himself.
“Our Medicaid operating margin is negative $139 million,” he said in his speech. “You throw in some charity care at $32 million, that adds up to $170 million, just in those two populations. We shouldn’t have to lose money taking care of people.”
Issues lost in translation
The summit covered a number of administrative and provider perspectives. But where were patients’ thoughts and feelings?
Primary care doctor Schulman revealed that the high cost of having an interpreter available for non-English speaking patients made him hesitate to use them. That prompted a question from Rep. Karen Alzate, a Pawtucket Democrat.
“Do you find it difficult to want to take those patients because your office has to pay for their translation service?” Alzate asked. “So many people in my particular community don’t seek out health care for a number of reasons and then now this is creating another barrier.”
“I think it is a disincentive,” Schulman said. “I mean, when you’re, if you’re, paying a translator $200 for like a $90 visit, you just don’t feel right…You try not to pay attention to that. But I — Yes, yeah. You’re focused on the patient all the time.”
One of the summit’s final questions came from Weayonnoh Nelson-Davies, executive director of The Economic Progress Institute, and was directed at Neronha: “What are your thoughts about universal health care?”
“I think universal health care is something worth talking about,” Neronha said. “But we’re nowhere near talking about that.”
Neronha then pivoted to address the Fatima and Roger Williams situation from a different angle: The pair of hospitals treat patients of color and people with lower incomes, but they too are victims of irresponsible finance practices. “Private equity steals the money,” Neronha said. “The hospitals go under. That’s the plan and it’s deliberate.”
Nelson-Davies was content with the summit as a starting point for conversation, even if the discussion wasn’t exactly holistic — or patient-focused.
“Most of health care is outside of the health care system,” she said. “Whether people have food to eat, whether people have living wages — that all impacts health, so you cannot have a health care conversation without understanding that other piece of it.”
Was Nelson-Davies satisfied with the attorney general’s reply about universal health care?
“Well, he said, ‘We’re not quite ready yet.’ So his response sounded like he wasn’t quite ready yet,” Nelson-Davies told Rhode Island Current.
“We have to have a conversation about what universal health care could look like. If we don’t have that conversation, we don’t put together a plan, we’re never gonna get there,” Nelson-Davies said. “Is it a solution? Maybe not, but we’re not even having a conversation.”
Sen. Linda Ujifusa, a Portsmouth Democrat and longtime proponent of single-payer health care, thanked Nelson-Davies after the summit for asking the question. Ujifusa told Rhode Island Current Tuesday afternoon that she was “impressed” with the summit and the overall discussion of serious health care challenges.
While the attorney general’s reply about single-payer health care couldn’t be too “nuanced” in the given time span, Ujifusa said she was hopeful that Neronha could eventually “work in that Venn diagram of overlap” between his ideas and those of single-payer advocates.
Two speakers slated to appear Tuesday were sick. Sousa said her colleague Richard Charest, who heads the state’s Executive Office of Health and Human Services, was under the weather and couldn’t attend. Senate President Dominick Ruggiero “had medical appointments today that prevented him from attending,” said Greg Paré, Senate spokesperson, in an email.
Senate Majority Leader Ryan Pearson spoke in Ruggerio’s place and concluded the summit.
“Unfortunately, I won’t be as fired up as the general, but I’m going to do my best,” Pearson said.
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RI House speaker answers why RI won’t ‘pause’ millionaires tax push
House Speaker K. Joseph Shekarchi fielded a question on whether lawmakers might pause efforts to pass a millionaires tax.
Rhode Island is built on the strength of small, family-owned businesses. They are the backbone of our economy, the employers of our neighbors, and the reason our communities have character and opportunity. I know this not just as a legislator, but as someone who works every day in a family business alongside the people I care about most. That’s why I am concerned about the impact of the proposed “millionaires tax” on businesses and our communities.
While it may sound like a measure aimed at a narrow group of high earners, the reality is far different. Many family-owned businesses – especially those structured as pass-through entities – report their business income on personal tax returns. That means this tax doesn’t just target “millionaires” in the traditional sense; it directly impacts small and mid-sized businesses that reinvest their earnings into payroll, equipment, expansion and employee benefits.
In my case, our family business is a private ambulance service. Every day, we are responsible for delivering critical care to Rhode Islanders, particularly seniors and our most medically fragile neighbors. That responsibility comes with significant costs. Ambulances, lifesaving medical equipment, and the technology needed to support our crews are expensive, and they must be maintained and updated regularly to meet the highest standards of care.
Tax increases like this directly impact our ability to make those investments. These are not abstract tradeoffs – they have real consequences for the level of care we can provide. For businesses like mine, margins matter. Every dollar that goes out the door in taxes is a dollar that can’t be used to hire another worker, increase wages, buy new equipment or sponsor the local Little League team. These are real decisions that affect real people.
Supporters of this proposal often frame it as a fairness issue. But fairness should also mean recognizing the role that employers play in creating opportunity. When government makes it more expensive to operate a business in Rhode Island, we risk pushing investment – and jobs – elsewhere. Policies like this don’t exist in a vacuum; they shape decisions about where businesses grow and where families choose to put down roots.
We don’t have to guess what would happen if we raised taxes here – we can just look to Massachusetts. They passed a millionaires tax and the latest data shows a steady stream of high earners leaving for lower-tax states like New Hampshire and, you guessed it, Rhode Island. We could take advantage of Massachusetts’ mistake and build on the momentum we have built in recent years. We’ve seen the benefits of thoughtful policy decisions that encourage investment and support job creation and tax revenues are up. But progress is fragile. Policies like the millionaires tax risk undoing that work by sending the message that success will be penalized rather than encouraged.
As both a business owner and a legislator, I believe strongly that we can – and must – strike a better balance.
We can support public services, invest in our communities, and maintain fiscal responsibility without resorting to policies that put our local businesses at a disadvantage. We can grow our economy by creating an environment where businesses want to stay, expand and hire.
Let’s focus on solutions that strengthen our economy, support our workforce, and ensure that family-owned businesses like mine and so many others across our state continue to thrive.
Rhode Island’s future depends on it.
Jacquelyn Baginski is a state representative from Cranston.
The Rhode Island Lottery offers multiple draw games for those aiming to win big.
Here’s a look at May 8, 2026, results for each game:
Winning Mega Millions numbers from May 8 drawing
37-47-49-51-58, Mega Ball: 16
Check Mega Millions payouts and previous drawings here.
Winning Numbers numbers from May 8 drawing
Midday: 9-8-9-7
Evening: 7-9-8-9
Check Numbers payouts and previous drawings here.
Winning Wild Money numbers from May 8 drawing
10-13-15-16-30, Extra: 09
Check Wild Money payouts and previous drawings here.
Winning Millionaire for Life numbers from May 8 drawing
14-16-21-43-51, Bonus: 03
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your prize
- Prizes less than $600 can be claimed at any Rhode Island Lottery Retailer. Prizes of $600 and above must be claimed at Lottery Headquarters, 1425 Pontiac Ave., Cranston, Rhode Island 02920.
- Mega Millions and Powerball jackpot winners can decide on cash or annuity payment within 60 days after becoming entitled to the prize. The annuitized prize shall be paid in 30 graduated annual installments.
- Winners of the Millionaire for Life top prize of $1,000,000 a year for life and second prize of $100,000 a year for life can decide to collect the prize for a minimum of 20 years or take a lump sum cash payment.
When are the Rhode Island Lottery drawings held?
- Powerball: 10:59 p.m. ET on Monday, Wednesday, and Saturday.
- Mega Millions: 11:00 p.m. ET on Tuesday and Friday.
- Lucky for Life: 10:30 p.m. ET daily.
- Millionaire for Life: 11:15 p.m. ET daily.
- Numbers (Midday): 1:30 p.m. ET daily.
- Numbers (Evening): 7:29 p.m. ET daily.
- Wild Money: 7:29 p.m. ET on Tuesday, Thursday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Rhode Island editor. You can send feedback using this form.
The tectonic plates of Rhode Island politics keep shifting, but does the state really change? Thanks for stopping by. You can follow me through the week on Bluesky, threads and X. Here we go.
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1. STORY OF THE WEEK
Fifteen years after starting his first term in the Rhode Island House of Representatives, Chris Blazejewski has ascended to the pinnacle of power, winning an overwhelming 65-10 vote Thursday to become the new House speaker. Blazejewski’s path was paved when he teamed up with Joe Shekarchi on the leadership team after Nicholas Mattiello lost his state rep seat in 2020. Over time, a few things stand out about the 46-year-old lawyer variously known as Chris, Blaz, and Blaze. He has impressive academic credentials, including two degrees from Harvard. Blazejewski is known for his devotion to his wife, Ami Gada, and their two young children, Aria and Liam. Blazejewski represents a safely Democratic seat based in Fox Point. He was a loyal ally to Shekarchi, patiently biding his time. At his essence, Blazejewski has an appreciation for progressive politics, but he’s also an institutionalist steeped in the culture of the House of Representatives and grounded by the fiscal challenges of Rhode Island’s budgetary outlook. A fanciful skit for the bygone Providence Newspaper Guild Follies could feature Blazejewski pursuing a utopian scheme – perhaps nationalizing Rhode Island’s strategic reserve of coffee milk. Back in the real world, though, a number of factors – including the array of Democratic views in the House and the state’s structural deficit – seem likely to temper the new speaker’s progressive impulse. In the first question he took after his win, Blazejewski told me his core values as a Democrat include helping working people, improving healthcare and public education, protecting the environment and guarding against federal overreach. The devil is in the details, of course, and the proof of how Blazejewski influences state policy will be in the pudding. He’ll have his initial test next month when the House rolls out its version of the budget, with a big potential impact from President Trump’s spending bill.
2. WINDS OF CHANGE
Speaker Blazejewski is 17 years younger than his predecessor and he’s one of just six state representatives left from the incoming class of 2010. (The others are Reps. David Bennett of Warwick, Teresa Tanzi of South Kingstown, Ray Hull of Providence, Robert Phillips of Woonsocket and GOP House Leader Michael Chippendale of Foster). His ascent reflects generational change and how progressives have nudged the House in a more progressive direction over the last 15 years. Blazejewski’s predecessor in District 2, David Segal – once dubbed the hippest guy in state government – was among those who came to the House chamber to congratulate him. Segal was part of an early boomlet of progressive wins in the House, along with Chris Fierro and the late Ray Sullivan. But none of them stayed long. Instead, the growing proportion of women lawmakers over time has fueled a move away from the socially conservative/pro-2A Democratic center of gravity that formerly typified the House. That also explains how former House Majority Whip Katherine Kazarian of East Providence made history this week, beaming in her new role as the first female majority leader in the House. “I have a feeling, Katie,” Blazejewski said in his speech from the rostrum, “that this is not the last of your firsts.”
3. REALITY CHECK
The passing of the torch from Joe Shekarchi to Chris Blazejewski mixed celebration and bittersweetness in the House chamber. For Blazejewski, it’s the culmination of a long journey. It’s also the end of an era for Shekarchi, whose voice broke with emotion as he gave a parting speech reflecting on more than five years in what is sometimes called Rhode Island’s most powerful political post. He took credit for changing the House culture “into a more positive member-driven body where all perspectives are heard, respected and valued.” Speaking to what he sees as his legacy, Shekarchi cited progress on housing, healthcare, education funding, pay equity and other issues. There was a buzz of goodwill in the House chamber for the departing speaker and the new team rising in power. But Rhode Island’s thorniest challenges – the housing crisis, insufficient drivers of economic growth, under-performing public schools, and lower insurance reimbursement than in neighboring states – never remain far away.
4. NEXT STEP
Roger Williams University School of Law professor Michael J. Yelnosky is the most outspoken critic of former Speaker Joe Shekarchi’s application to move directly to the Rhode Island Supreme Court from the General Assembly. Shekarchi said he has studied the revolving door law and is convinced it doesn’t apply to the Supreme Court. A complaint filed by Yelnosky with the state Ethics Commission may be taken up during the commission’s next meeting, on June 2. A number of prominent people, including Gov. Dan McKee and candidate Helena Foulkes, have said they don’t see a problem with Shekarchi’s application. Speaking from the rostrum Thursday, Speaker Blazejewski said he believes Shekarchi will make a great justice.
5. THE MILITARY
The Pentagon’s recent $25 billion estimate for the cost of the war in Iran doesn’t come close to resembling the true amount, according to Stephanie Savell, director of the Costs of War Project at Brown University. “That is just the very smallest tip of the iceberg,” Savell said during a One on One interview with me this week. The bigger point is the huge amount of economic cost being accumulated by the U.S., she said, with no end in sight. Savell said the U.S. now owes $31 trillion in debt, largely from post-9/11 wars and a series of tax cuts, and she said 15% of the federal budget goes for that each year. “I have to get in front of my college students and tell them ‘Our leaders have made a decision to saddle you with a tremendous amount of debt that’s gonna affect all of the things that you care about,’” Savell said. We also talked about drones, Rhode Island’s defense sector, whether other forms of spending are more efficient and more.
U.S. Rep. Gabe Amo joined CNN to talk about the cost of gas.
Stephanie Savell, director of the Costs of War project at Brown University, says much of the United States’ massive defense budget could be better spent on education, health care and green energy
6. CITY HAUL
Providence City Councilor Ana Vargas pulled in the biggest campaign fundraising of her career – more than $16,000 – as the council was approaching a vote on rent stabilization. Landlords flooded her campaign account, as my colleague Ben Berke reports, and she took their side in two votes. As Ben reports, “Prior to the rent control debate, Vargas had been one of the city council’s least prolific fundraisers, raising an average of $873 per quarter. She began 2026 with just $426 in her campaign account, and received only two campaign contributions all of last year.” Vargas declined an interview request and she did not respond to additional requests for comment.
Providence City Councilor Ana Vargas supported rent control during her election campaign. As she prepared to vote on it, she received the largest political donations of her career
7. BARGAIN HUNT
Democrat Wil Gregersen got in touch after going unmentioned in last week’s column in an item on first-quarter fundraising by candidates for governor. As Gregersen noted, he has more in his campaign account ($473.60) than some of those who were mentioned. “I’m serious about my candidacy,” he wrote. “Money is corrupting, and I’m purposely staying off the usual path candidates take to get elected.” Gregersen, a librarian in Warwick, proposes single-payer healthcare, a publicly owned energy utility and more – without explaining how he would pay to do this. Candidates like Gregersen and independent candidate for governor Paul Rianna Jr. run in every statewide election cycle, attracting a small amount of votes. Like it or not, campaign fundraising is a big part of our politics – a situation intensified by the U.S. Supreme Court’s Citizens United decision in 2010. The only counter-example in recent Rhode Island history is the late Robert “Cool Moose” Healey, who won 21% of the vote for governor in 2014 while barely spending any money. But that was after a half-dozen or so runs for statewide office and Healey understood how to use schtick to gain wider recognition. Something he told me in 2002 about the challenge facing third-party candidates seems apt for those hoping to run a statewide campaign without significant fundraising: “It’s about being outside the mainstream, being able to challenge the status quo. As one person said to me, `You can’t beat City Hall, but you can piss on the steps.’”
8. THE KIDS ARE NOT ALRIGHT
The latest data from Rhode Island KIDS COUNT shows that more Rhode Island children (16.3%) live in poverty than the national average. The rate in Newport, a city known more for tourism and Gilded Age mansions, is 32%. “We see kids with mental health challenges, challenges in school, difficulty in school, mental behavioral health,” KIDS COUNT Executive Director Paige Parks told Luis Hernandez in an interview. “It all stems from poverty.” She urges state lawmakers to continue to invest in early childhood programs and Rhode Island Works, a workforce development program for low-income families.
9. RI POLI-MEDIA PEOPLE ON THE MOVE
State Rep. Julie Casimiro (D-North Kingstown) is not seeking re-election, and former Sen. James Sheehan – motivated by the controversial sludge proposal – may run for the seat. Casimiro had been considered a top target for the League of Rhode Island Businesses …. Nick Fede, who spoke with me for a previous story about the challenge facing small brewers in RI, has won election as president of American Beverage Licensees, a leading national trade association …. Haley Gervino is the new executive director of the Rhode Island Coalition Against Gun Violence. A graduate of Providence College and Brandeis University, she serves as VP of operations for Sisters in Public Health …. Will this be the year when Drinking Liberally seeds new statewide leaders? Speaker Blazejewski hosted the bygone beer-and-chat series at the Wild Colonial back in the day. Another host was Kim Ahern, one of four Democrats running for AG …. Danica Iacoi, who served as chief legal counsel for former Speaker Nicholas Mattiello, is back in that role with Blazejewski.
10. OLD SCHOOL
Eighty percent of Americans think there should be age caps on serving in Congress, according to a new NPR/PBS News/Marist poll. As NPR’s Elena Moore reports, “The current Congress is now the third-oldest in U.S. history, and has seen five members die since last March. Each was 65 or older. For some voters, the widening age difference between them and members of Congress is contributing to an already growing disconnect that they feel with leaders.”
11. KICKER
Betting has become inextricably intertwined with professional sports, with predictable results. Now, as NPR’s Luke Garrett reports, campaign staffers are getting in on the action, making thousands by betting on their own candidates. What could possibly go wrong, eh? U.S. Rep. Seth Magaziner said his office has implemented a prohibition on participating in prediction markets or wagering on political, legislative, regulatory, geopolitical or other outcomes.
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