Itโ€™s hard work making it in the middle class

Massachusetts is the richest state in the nation. So why does the American dream seem to be slipping away, especially for the next generation?

If thereโ€™s a single unifying theme to the Massachusetts middle-class outlook in 2026, itโ€™s contradiction: We have more than ever, and in many cases, thatโ€™s not enough to enjoy the stability of prior generations.

HEALTH CARE AT 20

The stateโ€™s landmark health care reform law at 20

In April 2006, Gov. Mitt Romney signed landmark legislation that aimed to make Massachusetts the first state in the country with universal or near-universal health care coverage for all residents. โ€œAn Act Providing Access to Affordable, Quality, Accountable Health Care,โ€ often known as Romneycare or by the shorthand Chapter 58 (its designation in that yearโ€™s laws), was a pathbreaking effort to address the persistent coverage gap in US health care.

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