Lawmakers say healthcare system is 'falling apart'
This increase in spending is more than double the benchmark, and signals the impact of private equity and for-profit healthcare.
In a healthcare financing commission hearing this week, the Senate chair spoke to the gravity of the failing system.
'It's getting harder every day for our residents to get the care they need. We hear about a system in crisis. We're beyond that. It is now falling apart,' said Arlington Democrat Senator Cindy Friedman.
Several hearing attendees asked the state to focus on cracking down on pharmacies, but the chair says it's more complicated than that. The Senator noted that stakeholders from pharmacy owners to community health centers say their funding is far too low, and the senate needs to investigate where healthcare dollars are really going.
One health policy expert explained the impact of raising prices on families, and how it can lead to poor health outcomes. 'As healthcare spending grows as a portion of household income, more and more families are incurring medical debt and delay or skip needed care,' said Deborah Devaux, chair of the Massachusetts Health Policy Commission.
These talks of reform come after major healthcare legislation was passed last session, including strengthening hospital oversight and lowering prescription drug costs.
The latest spending report does not cover the time after these laws were enacted, but top officials say they expect they will still need to revisit these issues in the coming months.
WWLP-22News, an NBC affiliate, began broadcasting in March 1953 to provide local news, network, syndicated, and local programming to western Massachusetts. Watch the 22News Digital Edition weekdays at 4 p.m. on WWLP.com.
Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


The Hill
8 hours ago
- The Hill
Veterans in crisis deserve care quickly: Pass the ACCESS Act now
During the past administration, the Department of Veterans Affairs failed to meet the basic health care needs of the men and women who served this country. Too often, veterans are met with canceled appointments, unexplained delays and systemic barriers that keep them from life-saving care, especially for mental health and substance use treatment. The Veterans' ACCESS Act of 2025 offers a necessary course correction. The Senate must pass this legislation to finally restore transparency, urgency and most of all, control to the veterans who have earned it. Under the current Veterans Administration system, veterans in crisis can wait weeks (or worst case, longer) for treatment that should be available in hours. In Florida, veterans have reported the VA abruptly cutting off access to trusted community doctors, forcing them to reenter the VA system against their will and without warning. 'The VA is taking away our doctors,' one veteran recently said, calling the process 'confusing and frustrating.' Another veteran described the system as 'a bureaucratic nightmare' that puts the needs of the department above the needs of the patient. These aren't isolated stories. They reflect a national problem and a broken promise. The Veterans' ACCESS Act responds directly to these failures. The bill codifies into law the access standards that determine when a veteran can seek care outside the VA system. Veterans who cannot get VA appointments within 20 days for primary or mental health care, or who must drive more than 30 minutes, are legally entitled to community care. For specialty care, the thresholds are 28 days or 60 minutes. No longer will these protections be buried in VA regulations, vulnerable to quiet reversal by future administrations or agency staff. Equally important, the legislation imposes transparency. The VA will be required to inform veterans, in writing, when they are eligible for community care. If the VA denies access, it must provide clear reasons and explain how the veteran can appeal. These steps will end the practice, long criticized by veterans and advocates, of VA employees concealing care options or failing to notify patients at all. This reform is especially vital for veterans struggling with mental health and substance use disorders. A investigation last year found that canceled mental health appointments and unexplained mix-ups were common, leaving veterans without care at the worst possible times. One veteran shared that he was scheduled for a treatment program, only to find out weeks later that no one had processed the referral. To address this, the ACCESS Act requires that any veteran requesting mental health treatment be screened within 48 hours. If they are eligible for priority admission, they must be admitted within 48 hours after that. If the VA cannot meet that timeline, the veteran must be offered care from a private provider, ensuring that no one is left waiting when they are in crisis. Recently, a federal watchdog report urged the VA to improve access to community care and address significant gaps in patient safety. Among the failures: mishandled medical records, inconsistent referrals and a lack of oversight in coordinating outside care. These deficiencies put veterans at unnecessary risk and confirm what advocates have said for years — the VA is still not equipped to handle the full scope of veterans' health care needs. The ACCESS Act also includes a commonsense modernization effort: an online portal that allows veterans to request appointments, track referrals and file or follow appeals. This system will give veterans a clear view of their care journey, ending their reliance on paperwork, phone calls and VA-run referral offices that are often unresponsive Veterans deserve to be in charge of their health care, not VA bureaucrats. The Veterans' ACCESS Act will ensure that no veteran is denied care because a staff member didn't make a referral, didn't notify them of their rights or quietly changed an internal rule. It restores the intent of the 2018 MISSION Act, which gave veterans the freedom to choose community care when the VA could not meet their needs. That freedom has been steadily eroded, and now it must be protected in law. The Senate and House must pass the Veterans' ACCESS Act as soon as possible and without sunsets so that veterans have certainty their healthcare choice is permanent. The cost of delay is measured in more than frustration. It's measured in lives. Veterans who served this country with courage and honor deserve a health care system that serves them with the same urgency and respect. This legislation ensures that promise is kept. Amber Smith, a spokesperson for the Coalition for Military Excellence, is a former U.S. Army combat helicopter pilot and former deputy assistant to the Secretary of Defense. Darin Selnick serves as senior advisor for Veteran Action, is a former deputy chief of staff to the Secretary of Defense and served at the Department of Veterans Affairs and the White House during the first Trump administration.


Axios
13 hours ago
- Axios
Mass. bill would require test strips for spiked drinks, hospital checks
Bar patrons in Massachusetts typically don't have access to test strips to spot illegally spiked drinks — and they might not get tested at the hospital if they are drugged. A group of survivors and a state lawmaker want to change that. Why it matters: Boston-area patrons, especially women, have reported being drugged in recent years with little to no resolution in sight. Between the lines: Survivors say they've been to hospitals only to be denied a drug test because they didn't show signs of being sexually assaulted — a decision that makes it even harder for police to prove a drink was spiked and track down suspects. State of play: A proposal by Sen. Paul Feeney, a Worcester Democrat, would authorize the Department of Public Health to make hospitals test people suspected of being drugged upon request, even if they haven't been sexually assaulted. The bill would also require the state alcohol commission to mandate the sale of test strips at venues, a rule they unsuccessfully tried to impose through DPH. It would also create a task force focusing on illegal drink spiking responses and interventions within DPH to study regulations for patient access to care after such an incident. What they're saying: Ilana Katz Katz, a Boston resident who was drugged while at the Sinclair Music Hall in 2022, says she wants to see test strips and even drink lids available at bars, similar to what's now required in California. "I feel like anything that could help someone not get drugged and raped in our communities throughout the commonwealth, we're responsible for that," she tells Axios. Zoom in: Feeney says the bill could help make venues safer and ensure people whose drinks get spiked can prove it and get the care they need at their local hospital. Representatives for Cambridge Health Alliance, Tufts Medical Center and Mass General Brigham said their emergency rooms do not have any specific policies in place regarding testing for drink spiking. Michael Morrison, an MGB spokesperson, said in a statement that health care workers "partner with each individual patient to determine the most appropriate approach and develop an individualized diagnostic and treatment plan." Morrison said that's because of limitations on available testing methods and because each patient may present symptoms differently. Context: This bill comes after lawmakers allocated $300,000 in the fiscal 2024 budget to fund test strips and a public awareness campaign, but it hasn't all come to fruition. The Department of Public Health spent the public awareness funding, rolling out a campaign on June 30. The department hasn't spent the other half after filing a report saying test strips' efficacy has "no evidence base." DPH also raised concerns that tests often only detect certain substances and have a "high likelihood of false positives and false negatives," referring to a 2013 article. Instead, DPH concluded, the substance used most often to make it easier to sexually assault someone is alcohol itself. Now, the public awareness campaign is focusing on encouraging staff and fellow customers to intervene. Yes, but: Survivors like Katz Katz say they still want the option to use test strips and similar tools. "This isn't just something that happens in alcohol. This happens in a cup of coffee, in a bottle of water in an Uber," she says.

USA Today
a day ago
- USA Today
Millions will lose Medicaid under Trump's tax law. Here's the final tally.
About 10 million Americans are expected to lose health insurance under President Donald Trump's tax cut and spending law, the nonpartisan Congressional Budget Office said. Over the next decade, 7.5 million people will lose Medicaid coverage due to changes under the law, the CBO said in an analysis released Monday, Aug. 11. Nondisabled adults on Medicaid will be required to get a job, volunteer or enroll in school to maintain their Medicaid coverage. And states must double Medicaid eligibility checks to twice a year. Another 2.1 million people will shed Affordable Care Act coverage over the next decade, the CBO said. And 400,000 more will lose coverage due to impacts of the law — nicknamed the One Big Beautiful Bill — which was backed by Congressional Republicans. The CBO earlier said the legislation, which Trump signed on July 4, would add $3.4 trillion to the federal deficit. The law extends the 2017 tax cuts, ends taxes on tips and overtime, and bolsters border security, among other things. The CBO also estimated low-income Americans will lose about $1,200 per year due to Medicaid changes and reductions in food assistance. Middle-income households are expected to gain $800 to $1,200. Meanwhile, the law's tax cuts will benefit wealthier Americans by about $13,600 per year, even though these households with pay about $190,000 in federal taxes annually, the CBO said. Millions more could lose their health insurance When the bill passed the Senate, the CBO estimated it would leave about 11.8 million Americans without health insurance through 2034. The law signed by Trump won't cut as deep because it excluded a provision that would've penalized states extending Medicaid to undocumented residents. Still, another 5 million could lose coverage if Congress doesn't extend the expiring COVID-19 pandemic-era tax credits that have made Affordable Care Act plans more affordable for consumers, according to earlier CBO estimates. Consumers who use those pandemic-era tax credits will see the amount they need to pay spike an average of more than 75%, according to KFF, a health policy nonprofit. The combination of the tax law, expiring tax credits and overall rising medical costs will make insurance premiums more expensive for everyone. Insurers plan a median premium increase of 18% for 2026 plans, which would be the largest ACA insurance price hike since 2018, according to a Peterson-KFF Health System Tracker report released Aug. 6.