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Trying to measure primary care’s downward spiral

On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute talk with Barbra Rabson, president and CEO of Massachusetts Health Quality Partners. They discuss the primary care crisis, how data transparency improves patient outcomes, and tease upcoming recommendations from the primary care task force.

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Big tech is watching

This week on the Codcast – what does online surveillance look like in 2026? CommonWealth Beacon reporter Jennifer Smith talks with Kade Crockford, director of technology and justice programs at the ACLU of Massachusetts. They discuss the biggest misconceptions about data privacy online, why your information is valuable and vulnerable, and legislation proposed at the state level to limit who can see and sell user data.

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Regulating insurance as health care costs surge

On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute talk with Michael Caljouw, the state commissioner of insurance. They discuss new regulations for insurers, concerns about the stability and solvency of the Massachusetts health insurance system, and insurer consolidation.

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‘No doubt it may get worse before it gets better’ — Breaking down the 2026 State of the Commonwealth.

This week on The Codcast, CommonWealth Beacon reporters Jennifer Smith and Chris Lisinski talk about Gov. Maura Healey’s 2026 State of the Commonwealth speech. They compare her tone and policy position to earlier years, review reactions to the speech, and look ahead at what this says about Healey’s run for reelection.

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What do cities and advocates want from the Legislature in 2026?

This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith talks Lynn Mayor Jared Nicholson; Jennie Williamson, the state director of The Education Trust in Massachusetts; and Clark Ziegler, executive director of the Massachusetts Housing Partnership. They break down what has and hasn’t been a lawmaking priority; dive into the current relationships between cities, the state, and the federal government; and discuss their legislative wish list for the second half of the two-year cycle. 

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‘The exits are growing, the entries are slowing’ in primary care

John McDonough and Paul Hattis talk with Zirui Song, associate professor of health care policy and medicine at Harvard Medical School and a physician at Massachusetts General Hospital. They discuss Song’s research and thoughts about the primary care crisis nationally and in Massachusetts, and dive into the promise and issues with private equity in health care.

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A showdown over Boston property tax rates

This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith talks with Greg Maynard, executive director of the Boston Policy Institute, as Boston the city council prepares for a Wednesday vote expected to raise taxes on single-family homes. Maynard says the administration is not moving quickly enough to inform the public about dire revenue forecasts or adopt new measures which could make up the difference.

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Municipal budgets at the breaking point

Massachusetts Municipal Association Executive Director Adam Chapdelaine, Amesbury Mayor Kassandra Gove, and Massachusetts Fiscal Alliance Executive Director Paul Craney join The Codcast to dive deep on the world of municipal finances in a panel discussion moderated by CommonWealth Beacon reporter Chris Lisinski. Guests unpack the various dynamics putting pressure on city and town budgets, consider the value of the tax-cap law known as Proposition 2½, and ponder who might be best equipped to provide relief.

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A year of strained systems and trust after Carney closures

This week on The Codcast, CommonWealth Beacon reporters Jennifer Smith and Hallie Claflin talk about Claflin’s deep dive into the fallout from Steward Health Care’s bankruptcy. Two communities – the Boston neighborhood of Dorchester and the rural Nashoba Valley – lost their community health centers. Just over a year later, the local emergency health systems are strained and residents say they still feel confused about why the state allowed their centers to close while others were saved.

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Mass. Health Connector chief: State must ‘deal with the reality in front of us’ as critical health care deadline looms

On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute spoke with Audrey Gasteier, executive director of the Massachusetts Health Connector. Gasteier about the current crisis facing residents of the Commonwealth should the federal government fail to renew premium tax credits.

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The profit and price of October in Salem

This week on The Codcast, CommonWealth Beacon reporter Hallie Claflin talks with Dominick Pangallo, Mayor of Salem. Every year in October, Salem experiences a massive tourism boom as more than a million visitors flock to the site of the Salem Witch Trials for the spooky season. How does a small city of 45,000 manage the influx of tourists? How do Salem residents feel about the influx? And how lucrative is the tourism industry? Pangallo addresses these and encourages all to explore the great things Salem has to offer all year round.

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Shutdown squeeze ups the odds of a Mass. recession

This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith talks with Mark Williams, finance lecturer at the Questrom School of Business at Boston University. Now two weeks into the federal shutdown, Williams reviews an already bleak estimate of Massachusetts’s financial health if officials continue on their current spending path. Facing federal cuts, immigration policy changes, and the knock-on effects of the shutdown, Williams warns that the Bay State could be heading for a recession within a year.

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The math of rural health access

This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith talks with Michael Leary, director of media relations for Berkshire Health Systems. They dive into what makes Berkshire County such a complicated place for health care access – with rural towns, busier cities, college students, and of course the seasonal visitors looking to peep some leaves or take in the snowy mountains. The far-flung region’s geography is a challenge on its own, and that’s before factoring in the system-wide staffing crunches and looming Medicaid

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A super PAC longshot

This week on the Codcast, CommonWealth Beacon reporter Jennifer Smith talks with Harvard professor Larry Lessig about the ill-fated attempt to restrict Super PAC contributions in Massachusetts and the successful effort in Maine that was struck down by the lower court. The Maine coalition thinks it has a shot at convincing higher courts, not to overturn Citizens United but to embrace an originalist argument to limit money in politics.

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Health care workers struggle to navigate closures and immigration fears 

This week on The Codcast, CommonWealth Beacon reporter Jennifer Smith continues health care month coverage in a conversation with 1199SEIU executive vice president Cari Medina and Anestine Bentick, lead medical assistant at South Boston Community Health. They discuss existing pressures on stretched workforces, the impacts of recent closures, and how immigration policy bleeds into the health care space.

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Mass. HHS secretary on protecting health equity and access 

On the monthly Health or Consequences episode of The Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute spoke with Dr. Kiame Mahaniah, Massachusetts secretary of Health and Human Services, about looming Medicaid cuts, the primary care crisis, and how to make sure the vulnerable can still access health services.

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