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When you die, it’s your choice. There’s cremation, embalming, caskets and coffins, or you could just go in ground. In Massachusetts and Rhode Island, a few new choices could soon be legalized.
If you want your remains to join your family garden or even your favorite house plant: legislators are moving to legalize human composting.
Since 2020, seven states have legalized “natural organic reduction,” which essentially means composting a human body. The composting is part of an accelerated process to make a nutrient-rich soil from human remains, which takes about four to six weeks.
The human body is placed in a large tank with warm air and wood chips, and — much like a regular compost — the material is turned until a soil is formed. According to Earth Funeral, which has human composting facilities on the West Coast, the process yields a cubic yard of soil.
Washington was the first state to legalize human composting, in 2020. The practice is also legal in Colorado, Oregon, Vermont, California, New York, and Nevada.
Earth Funeral calls human composting the most sustainable urban funeral process, noting its relies on renewable energy and releases no CO2 emissions.
Rhode Island’s state legislature is hearing the bill to allow human composting for the second year in a row, the Providence Journal reported. In Massachusetts, where the idea is also on its second try in the chamber, lawmakers want to take it a step further to legalize water cremation.
In addition to composting, Massachusetts’s “environmentally-friendly burial alternatives” bill would also legalize alkaline hydrolysis, which is defined as the reduction of human remains to bone fragments using heat, pressure, water and base chemical agents.
Alkaline hydrolysis is more widely practiced than human composting, but it’s still not legal in every state.
This “water cremation” is more environmentally friendly than traditional cremation and burial by using less fuel and reducing its carbon footprint, according to the Cremation Association. Family members can receive pure white remains after the process.
The bill in the Massachusetts State Senate was sent to committee this week, meaning it may not see session this year.
While the practices are environmentally friendly, some religions don’t approve. The Catholic Church, for example, said last year that both practices do not align with their doctrines, meaning “they fail to manifest the respect for last remains that Catholic faith requires.”
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It’s New England’s largest indoor public garden and this spring it’ll once again be teeming with fairies.
The Fairy Garden Days return to the Roger Williams Park Botanical Garden this April with hundreds of handmade fairy houses hidden throughout the Garden’s four greenhouses, plus special events and activities planned for kids every day.
Running from April 11-26, 2026, it’s a great day trip during school’s upcoming April vacation or a wonderful weekend adventure to enjoy an early taste of spring.
This annual event has been one of my favorites since my daughters were babies—and we still go back every year.
Artists young and old create elaborate fairy gardens depicting fanciful houses, entire schools or even relaxing health spas (cause fairies need a massage now and then too!). You never know what you’ll see or where you’ll find the gardens throughout the grounds.
Nancy Hall/Townsquare Media
Though if your young ones lose interest in the fairy gardens before you do, there are plenty of activities around the greenhouses too. Kids can get hands on at the texture table, create their own wand, pen letters to the fairies or write out wishes, which get released every Thursdays.
Outside the greenhouses are a Japanese-style trail to wander, a rose maze to make your way through and an outdoor play area where the kids can let their imaginations run wild.
Definitely don’t forget to stop by the goat house between greenhouses 1 and 2 to say hi to the three Nigerian Dwarf goats calling the Botanical Garden home. These three are an invasive plant removal team, helping to naturally rid the Garden grounds of unwanted plants.
The goats will also celebrate their 9th birthdays during Fairy Garden Days, with a special celebration planned for them on Sunday, April 12 from 1:30 – 3 p.m. Just one of the many special events planned throughout the Fairy Garden Days from April 11-26.
Various fairy visits and story times are planned over the two-week event, with face painting each Tuesday and Saturday and bubble shows every Friday. There will also be an animal encounter with Roger Williams Park Zoo on April 11, Greenhouse Jazz on Sunday, April 19, and a performance from the Toe Jam Puppet Band on closing day, April 26.
With the incredibly snowy winter Southern New England has been through, we’re probably all looking forward to finally seeing the start of spring. You can get a jump on flower season by stepping inside the Roger Williams Botanical Garden this April for the return of Fairy Garden Days.
When the season is right, there are several spectacular gardens around the SouthCoast that are blooming with rows and rows of beautiful flowers. Here are some of the most popular places to tiptoe through the tulips and so much more.
Gallery Credit: Nancy Hall
For nearly 50 years the grounds of Sakonnet Garden have been growing in what might be the most private garden along the coast.
On certain days, at certain times you can make a reservation to walk among the hundreds of flowers and plants growing in hidden “rooms” on the grounds, or take a sneak peek right now.
Gallery Credit: Nancy Hall
Claude Monet created thousands of works of art over his decades as an artist. He traveled through Europe capturing gardens ,waterways, cathedrals and more. Now you can walk through the world Monet did and experience his artwork in a whole new way at Immersive Monet coming to Boston.
Here’s a taste of the artwork you could be surrounding yourself in.
Gallery Credit: Nancy Hall
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.
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