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Medical school at URI won’t ensure primary care docs for RI | Opinion

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Medical school at URI won’t ensure primary care docs for RI | Opinion


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  • Rhode Island is currently experiencing a significant shortage of primary care physicians.
  • Opening a new medical school at URI is not seen as a timely or effective solution to the crisis.
  • Even with more medical school graduates, there is no guarantee they will choose primary care or stay in the state.
  • Better solutions include increasing pay, offering loan repayment, and reducing administrative burdens for doctors.

The doctor is not in, and there’s not one on the way either. Many Rhode Islanders are well aware that the state is facing a harrowing shortage of primary care physicians. As native Rhode Islanders and physicians invested in quality accessible primary care for our community, we are dedicated to working towards policies to support our state.

A medical school at the University of Rhode Island is not the solution to solve the primary care crisis. A medical school at URI would not provide a timely solution, would likely not achieve the target outcome of increasing the number of primary care physicians in the state, and would likely not address the underlying issue of getting doctors to stay. Instead, resources should be allocated now to supporting primary care in ways that would make sustainable change.

Lack of access to primary care is hurting patients now. A medical school at URI would not be a short- or long-term solution. In addition to the time needed to engineer an accredited medical school, it takes seven years to produce an inexperienced primary care physician. Once trained, there still must be an incentive to stay in Rhode Island. Patients do not have access to necessary care for acute and chronic conditions. The burden on our health care system, impacting ER wait times and hospital capacity, impacts everyone. We cannot afford to wait another decade for a solution.

More physicians does not equal more physicians in primary care or in Rhode Island. If the aim is to produce more physicians from URI’s medical school, this will certainly occur, but we should not delude ourselves into believing it will fix primary care. It’s not due to lack of opportunities. In 2019, the National Resident Matching Program offered a record number of primary care positions, yet the percentage filled by students graduating from MD-granting medical schools in the United States was a new low. Of 8,116 internal medical positions that were offered, just 41.5% were filled by U.S. students; most residency spots went to foreign-trained and U.S.-trained osteopathic physicians.

As medical schools across the country look to debt reduction as a means of encouraging students to enter primary care specialties, their goals have fallen far short. In 2018, The New York University School of Medicine offered full-tuition scholarships to every medical student, regardless of merit or need. In 2024, only 14% of NYU’s graduating seniors entered primary care, lower than the national average of 30%.

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There must be an incentive to stay in Rhode Island (or at least not a disadvantage). Our efforts must shift to recruiting and maintaining physicians in primary care. Inequitable reimbursement from commercial insurers between Rhode Island and neighboring states (leading to significantly lower salaries than if you lived here and traveled to Attleboro to care for patients), the lack of loan repayment(average medical student debt is $250,000, forcing the choice between meaning and money), and the ongoing administrative burdens are amongst the drivers away from primary care. Rhode Island needs to get on par with surrounding states to prevent physicians from going elsewhere.

The motivations behind opening a medical school are well intended in terms of wanting to increase the number of primary care providers by enabling local talent to train close to home. Training more people in Rhode Island will not keep them here; it will invest significant resources without addressing the root of the issue. Until there are comparable salaries between Rhode Island and our neighbors, until loan repayment is improved and the administrative burdens are reduced, primary care in the state will forever be fighting an uphill battle. Both providers and patients suffer the consequences.

Dr. Kelly McGarry is the director of the General Internal Medicine Residency at Rhode Island Hospital. Dr. Maria Iannotti is a first-year resident, a Rhode Islander intent on practicing primary care in Rhode Island.



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Rhode Island

Rhode Island House passes bill allowing water cremation and human composting

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Rhode Island House passes bill allowing water cremation and human composting


The Rhode Island House has passed a Bill that offers a rare alternative when considering end-of-life options: water cremation and human composting.

These processes are actually considered better for the environment.

Instead of being rooted in flames during cremation, remains are placed in water and no greenhouse gases are released.

Tom Harries, CEO of Earth Funeral – Green Funeral Home, explains the natural organic reduction also known as human composting, process while standing in front of an actual vessel in the warehouse during a tour at their new location, which will open in Elkridge. Eventually it will house 126 vessels. Jeffrey F. Bill/Baltimore Sun)

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Last year NBC 10 was able to get a first-hand look into how it works.

The John F. Tierney Funeral Home in Connecticut became one of the first in Southern New England to offer water cremation or “Aquamation” for humans.

Remains are placed into a machine, and water begins to circulate, leaving bone material behind.

Human composting uses fertile soil to break down remains.

Lawmakers on both sides spoke before the vote.

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It passed 47-17.

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It now heads to the Senate.



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On Your Dime: Rhode Island mayors traveling across the country on public funds

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On Your Dime: Rhode Island mayors traveling across the country on public funds


Rhode Island mayors are spending taxpayer dollars on out-of-state travel, attending conferences, summits, and networking events across the country while away from the cities they were elected to lead.

Public records obtained by the NBC 10 I-Team shows the mayors of Providence, Pawtucket, and Central Falls used public funds for out-of-state travel between March 2025 and March 2026. The mayors of Cranston, East Providence, and North Providence traveled out of state during that period but reported spending no taxpayer money on those trips.

Pawtucket Mayor Don Grebien spent $5,061.60 tied to 20 days of out-of-state travel, including $2,676.39 in city funds.

Grebien’s trips included the AGRIP Conference with the Rhode Island Interlocal Trust, Rhode Island Day in Washington, a Business Leaders Day conference hosted by U.S. Sen. Jack Reed, a Veterans Honor Flight, and a medical mission to Cape Verde with Project Health.

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Pawtucket Mayor Don Grebien spoke about his travel. (WJAR)

“I try to use the least amount of city dollars, use some campaign, and then put some of the private as well,” Grebien said. “I do understand the perception, and that’s why I’m very, very careful.”

Asked how much time at conferences is spent working versus networking, Grebien said, “It’s probably honestly 60-40, 60% work and 40% off time by the time you get everything going.”

Several Rhode Island mayors attended Rhode Island Day in Washington alongside the state’s congressional delegation, despite lawmakers regularly returning to Rhode Island.

Grebien defended the trips as an opportunity to meet federal officials and pursue funding opportunities for the city.

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“We are able on those days to go down and meet with department heads, so we have a lot of grants that we are in front of — HUD, the National Park Service — so it gives us that opportunity while we are there to do that,” he said.

{p}Pawtucket Mayor Don Grebien spent $5,061.60 tied to 20 days of out-of-state travel, including $2,676.39 in city funds. (WJAR){/p}

Pawtucket Mayor Don Grebien spent $5,061.60 tied to 20 days of out-of-state travel, including $2,676.39 in city funds. (WJAR)

Providence Mayor Brett Smiley spent more than 30 days out of state during the one-year period, according to records.

“Most of my travel is with the U.S. Conference of Mayors, which is hugely valuable,” Smiley said.

Invoices show Smiley attended five conferences or summits across the country, more than any other Rhode Island mayor.

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Those trips included the U.S. Conference of Mayors Summer Annual Meeting in Tampa, Florida; the U.S. Conference of Mayors Fall Leadership Meeting in Oklahoma less than three months later; the North American Mayors Summit Against Antisemitism in New Orleans; the International LGBTQ+ Leaders Conference in Washington; and the U.S. Conference of Mayors Winter Annual Meeting.

Records also show Smiley traveled to Israel with the Rhode Island Jewish Alliance and took a personal trip to Portugal.

Rhode Island mayors are spending taxpayer dollars on out-of-state travel, attending conferences, summits, and networking events across the country while away from the cities they were elected to lead.

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The city spent $1,793.75 on conference registration fees for two of Smiley’s trips.

While Smiley was in Providence during the Brown University shooting, he had been traveling the week before. When asked what would happen if a trip coincided with a city emergency, Smiley said he remains accessible.

“My travel is almost entirely domestic, and I have ready access to get home quickly,” Smiley said. “I was not prevented from doing my job at any point last year or this year either.”

The investigation found Central Falls Mayor Maria Rivera spent the most taxpayer money on travel during the period reviewed.

Rivera spent $3,302.23 on 17 days of out-of-state travel. That total included $717 from the police department budget for a joint trip with the city’s police chief.

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Rivera traveled to Washington for the Yale Mayor’s College and CEO Caucus and Rhode Island Day, to Atlanta for the Purpose-Built Communities Conference, to Puerto Rico for the Northeast Leadership Conference hosted by the Boys & Girls Club of Rhode Island, and to Chicago for meetings with the U.S. Conference of Mayors and police chiefs.

Rivera said the trips are necessary to build relationships and secure funding opportunities for Central Falls.

“Not every community has a $22 million budget, right? A lot of these communities have more funding,” Rivera said.

Central Falls City Hall. (WJAR)

Central Falls City Hall. (WJAR)

Rivera pointed to a connection she made during a trip to Chicago that later resulted in funding for the city.

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“This was a relationship I built when I went on one of these trips and I was able to get $25,000 for our summer food service program for this year,” she said.

When asked why she does not personally pay for conference travel, Rivera said the costs are difficult to cover privately.

“I wish I could pay for these trips out of my pocket, but it’s really hard,” Rivera said. “I am very careful. We get requests all the time. I don’t go to all these trips.”

Rivera was also the only mayor interviewed who said she canceled travel plans because of a city emergency, including a February 2026 trip to Washington that coincided with a blizzard.

Cranston City Hall (WJAR File Photo){p}{/p}
Cranston City Hall (WJAR File Photo)

Cranston Mayor Ken Hopkins spent six days out of state attending two national conferences but reported spending no city funds on the travel.

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Those conferences included the Community Leaders of America CLA|FCL South Carolina Spring National Conference in April 2025 and the CLA|FCL South Dakota Fall National Conference in October 2025. Attendance for both trips was paid for by the conference organization.

East Providence Mayor Bob DaSilva spent 12 days out of the city on two international trips, also without spending city funds.

DaSilva’s office says he traveled to Cabo Verde in July 2025 with several state and local leaders to celebrate the country’s 50th anniversary of independence. He also traveled to Sao Miguel in the Azores in June 2025 for the “Sister Cities Summit,” which was paid for by FLAD, the Luso-American Development Foundation.

North Providence Mayor Charles Lombardi spent 26 days out of state on five personal trips or vacations and one charitable honor flight, according to records reviewed by the I-Team.

The town said no city or campaign funds were used for Lombardi’s travel.

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Newport Juneteenth celebration to mark fourth year at Fort Adams with RI 250 theme – What’s Up Newp

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Newport Juneteenth celebration to mark fourth year at Fort Adams with RI 250 theme – What’s Up Newp


The fourth annual Newport Juneteenth celebration will be held Saturday, June 20, from 11 a.m. to 4 p.m. at Fort Adams State Park, organizers announced.

The event, presented by Rhode Island Slave History Medallions, will mark Juneteenth with a Rhode Island 250th anniversary theme this year and will be expanded to celebrate the history of Black and Indigenous people across the state, according to the organization. Free parking will be available.

The program will feature a reenactors’ parade and an honorary musket salute at 11:30 a.m., followed by tributes from civic leaders, including a keynote address by Secretary of State Gregg M. Amore and remarks by U.S. Sen. Jack Reed, according to RISHM. Additional guests are to be announced. The parade ground program will continue with presentations by historians, live music and dance, youth activities, craft vendors and food trucks.

Performances tied to the 250th anniversary theme will include colonial music, Indigenous dancing and drumming by the Thawn Harris family of the Narragansett people, a performance by members of the Pokanoket Tribe, a drum circle led by African drummer Sidy Maiga and a gospel performance by RPM Voices of Rhode Island, the organization said.

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Juneteenth commemorates June 19, 1865, when Union Gen. Gordon Granger arrived in Galveston, Texas, to enforce the Emancipation Proclamation, more than two years after it took effect freeing enslaved people in the Confederate states.

“The annual Newport Juneteenth Celebration and marking the landscape where Black and Indigenous history happened in Rhode Island have been the focus of RISHM’s work since 2019,” said Charles Roberts, the organization’s founder and executive director. “We seek to share the untold stories of those ancestors who walked these historic streets, fields and coastlines before us.”

Admission is $10 for adults and $5 for teens, and free for children 12 and under. Tickets are available at www.rishm.org/event. The organization said an overnight VIP package is also available; details can be obtained at info@rishm.org.

RISHM describes itself as a statewide nonprofit working to educate Rhode Islanders about the state’s role in the history of slavery by sharing documented stories of enslaved people. More information is available at www.rishm.org.



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