Rhode Island
Medical school at URI won’t ensure primary care docs for RI | Opinion
Governor’s executive order targets Rhode Island health care costs
Rhode Island Gov. Dan McKee takes action to lower health care costs and improve affordability through new executive order.
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%.
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.
Rhode Island
Rhode Island high school yearbook printed with the word ‘school’ misspelled on its cover: ‘Shocking to see’
It failed spelling.
A Rhode Island high school mistakenly misspelled the word “school” on its yearbook cover.
Over 100 copies of Johnston Senior High School’s 2026 yearbook are missing the letter “c” in the word “school” written on its spine.
Students, faculty and parents at what was dubbed “Johnston Senior High Shool” in the keepsake graduation book are shaking their heads at the cringeworthy mistake.
“It was really a shocking thing to see, a whole high school misspelling the word ‘school,’” Johnston senior Neari Vazquez told NBC 10. “It’s kind of a bad look.”
Johnston Senior High School Superintendent Scott Sutherland told 12 News that he wrote a letter to the school’s families to apologize for the error, made by the yearbook printing company Treering.
In the note, he explained that Johnston’s yearbook club looked over a digital proof of the book prior to publication, but it did not show the spine.
However, Treering, which is based in Silicon Valley, released a statement disputing his claims.
“The school reviewed and approved both before the book went to print,” the spokesperson wrote.
“The yearbook was printed exactly as the school’s editorial team approved it.”
The school’s yearbook club first noticed the glaring error when the boxes of books arrived at the school.
“One little thing, it’s like everything is perfect but this one thing is messed up,” yearbook club member Nate Dellamorte told NBC 10.
“When I talked to the advisor, he was already actively trying to fix it and a lot of the members said they’re gonna help him.”
Sutherland is outraged over the embarrassing oversight, and has already consulted with lawyers for advice on the matter.
“We are extremely disappointed that this error made it through the company’s quality control and production process,” he continued in his letter.
“We are currently working directly with the yearbook company and other local vendors to ensure the issue is corrected before any yearbooks are distributed to students.”
Others think the yearbooks shouldn’t be reprinted — and the school should just chalk it up to a funny mistake.
“I mean it does happen, and I’m sure it would be too costly to reprint everything,” parent Melanie DaSilva told NBC 10.
“So it might just be one for the books and probably get a laugh.”
Rhode Island
R.I. House Finance budget phases in millionaires tax over three years – The Boston Globe
In January, Governor Daniel J. McKee touched off a debate about a millionaires tax by proposing a state budget that would impose a 8.99 percent tax rate on personal income of more than $1 million — a 3 percentage point increase over the current top bracket that would have generated $67 million in fiscal year 2027.
The House Finance budget would phase in that millionaires tax by raising that top rate by 1 percentage point per year over three years — 6.99 percent for tax year 2027, 7.99 percent in 2028, and 8.99 percent for 2029. The move would generate an estimated $22 million in 2027, $68 million in 2028, $115 million in 2029, and $142 million in 2030.
Blazejewski said phasing in the millionaires tax will help Rhode Island deal with federal funding cuts as they take effect in the years ahead. Advocates see that tax as a crucial source of funding for essential programs amid federal cuts, he noted, while opponents predict it will hurt small businesses and drive away rich residents.
“We thought this strikes the right balance here for our state, given the situation we’re in with the federal government,” Blazejewski said. “We think this is a prudent way of increasing revenue over time, and then phasing it in, so it has less shock, it has more time to be absorbed, and then also comes online exactly when we need it.”
Rhode Island is pursuing a millionaires tax three years after Massachusetts imposed a 4 percent millionaires tax on top of its 5 percent income tax, raising billions in revenue. On May 25, the Globe reported that the Massachusetts surtax on that state’s highest earners has already generated more than $3.1 billion in revenue this fiscal year, with two months remaining — surpassing the $2.4 billion projected.
Inspector general
The House Finance budget includes $1.3 million to fund an independent inspector general’s office staffed with 12 full-time employees who will investigate waste, fraud, and abuse in state government.
Blazejewski called for creating an inspector general’s office soon after becoming House speaker on May 7. The move by the state’s most progressive House speaker came as a surprise to some because Republicans have long made the inspector general’s office a top legislative priority.
But Blazejewski noted he introduced inspector general legislation in 2015. On Friday, he said the federal government is cutting funding at the same time the state has seen “high-profile state failures” such as the closure of the Washington Bridge westbound and the botched rollout of a $99 million state payroll system.
McKee and Republican lieutenant governor candidate John J. Loughlin II questioned why Blazejewski wants the inspector general to oversee the executive branch — but not the Legislature.
On Friday, Blazejewski noted that voters approved a separation of powers amendment to the state Constitution in 2004 to ensure the three branches of government are separate and distinct, and that the inspector general’s office would be an administrative agency of the executive branch.
“If you allow the executive office to run roughshod over the Legislature, the judiciary, you no longer have three branches of government,” Blazejewski said. “It’s not original to Rhode Island. It’s a fundamental principle of government.“
RIDOT audit
The budget includes an audit of maintenance work by the state Department of Transportation. “We just have had too many high-profile failures, and we need to conduct an audit as to the maintenance program,” Blazejewski said.
The budget also removes the Department of Transportation director as chairman of the Rhode Island Public Transit Authority. Former DOT director Peter Alviti Jr. began serving as chairman of the bus agency’s board in 2023. But Blazejewski said, “We just think it’s a conflict of interest.” The DOT director can continue to serve on the board, but not as chairman, he said.
No line-item veto
The House Finance budget rejects McKee’s call for placing a constitutional amendment on the November ballot asking voters to give the governor line-item veto power, which would allow him to strike specific items from the budget without having to approve or veto the entire bill.
Last year, McKee refused to sign the state budget approved by the General Assembly because it raised taxes and fees, but he did not veto the bill. And McKee noted that 43 other states have some form of line-item veto authority.
But Blazejewski said, “That line item veto is about changing the power structure between the governor and the General Assembly,” and the current process works with the governor proposing a budget and legislators passing a budget. Other states have had “issues” with the line item veto, he said, noting Wisconsin’s governor used that power to delete words, numbers, and punctuation from a bill to change its meaning.
Budget exceeds $15 billion
The budget totals a record $15.2 billion for the fiscal year that starts July 1, marking an increase over the $14.859 billion proposed by McKee.
In August, the business-backed Rhode Island Public Expenditure Council warned that the state’s rate of spending was not sustainable. And in the Republican response to McKee’s State of the State, House Minority Leader Michael W. Chippendale said the state budget has grown by 200 percent since 2000, when it was about $4.5 billion.
URI medical school funding
The House Finance budget includes $5 million as an initial investment in creating a medical school at the University of Rhode Island.
The Senate had included that proposal in a 17-bill package aimed at strengthening the state’s strained health care system. Blazejewski said the medical school will help alleviate the state’s severe shortage of primary care doctors in the future.
Tax on Social Security
The House Finance budget includes the first year of McKee’s proposal to eliminate state personal income taxes on Social Security benefits over three years.
Under current law, taxpayers who have reached full Social Security retirement age (67 or older) and have incomes of less than $107,000 for single filers, or $133,750 for joint filers, are exempt from state income tax on Social Security income. The House agreed to eliminate the current minimum age threshold.
Child tax credit
The House Finance budget does not adopt McKee’s proposal to replace an existing tax deduction for dependents with a new child tax credit that would refund families $325 on their taxes per child, per year.
But it does build on the existing tax deduction structure and adds a $330 child tax credit to help lower income families. Blazejewski said the new system “costs a little bit more but gives even more of a benefit to families in Rhode Island.”
Bond questions
The budget includes a record $600 million in bond questions on the November ballot, but it modifies some of the proposals in McKee’s budget.
- Blazejewski said McKee’s budget “underfunded” an integrated health building at URI. So the budget provides $275 million (rather than $215 million) for the state’s three colleges, including $165 million (rather than $105 million) for the URI building, $50 million to renovate Rhode Island College’s Adams Library; and $60 million for a workforce innovation center at the Community College of Rhode Island.
- $120 million for housing, including $25 million for producing housing units for homeownership.
- $100 million (rather than $115 million) for economic development, including $55 million (rather than $70 million) for site development at the Quonset Business Park and I-195 District.
- $50 million for the “cultural economy,” including $45 million for a State History Center that would display the state’s founding documents.
- $55 million for “green economy bonds.” Blazejewski said, “Our caucus spoke over and over about making the green bond greener, and we’ve done just that.“
- The House budget eliminated the $50 million McKee proposed for Career and Technical Education. Blazejewski said testimony indicated the proposal was underfunded even at $50 million, “so we’re going to go back to the drawing board.”
Energy proposals
The House Finance budget adopts some, but not all, of McKee’s proposals for lowering energy bills.
House Majority Whip Katherine S. Kazarian, an East Providence Democrat, said the budget expands the renewable energy standard to including hydro and nuclear energy, which will result in savings.
But she said the budget would reject McKee’s plan to push back the 2033 deadline to reach 100 percent renewable energy sources for state electricity until 2050. “We’re going to continue to keep that 2033 deadline, which is really important to our caucus and, frankly, to the renewable energy investments that have come to the state,” she said.
Central Falls schools
The budget returns the Central Falls school district to local control after 35 years of state control. Blazejewski said this was a priority of Central Falls Mayor Maria Rivera.
Domestic violence calendar
The House budget includes $600,000 to hire three full-time employees and create a domestic violence calendar in state Superior Court to address a backlog of 1,200 felony domestic violence cases.
The House Finance Committee voted 11 to 2 to send the budget to the House floor for a vote next Friday, June 5.
Edward Fitzpatrick can be reached at edward.fitzpatrick@globe.com. Follow him @FitzProv.
Rhode Island
Health professionals warn Rhode Islanders to watch out for Lone star ticks
PROVIDENCE, R.I. (WJAR) — Health professionals are warning Rhode Islanders to look out for a fast-moving threat in the brush this summer: the Lone star tick.
NBC 10’s Martha Konstandinidis went out to see the increase in ticks firsthand and has some simple steps to protect your family.
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