Search Results
Briefing
Declining access to health care in northern New England
Access to health care is a major concern across the northern New England states?Maine, New Hampshire, and Vermont?where rising operating costs and population loss threaten the stability of hospitals and other medical facilities that serve their surrounding rural communities. New analysis of financial data shows that many rural hospitals are operating at losses that are predictive of financial distress or even closure. Consequently, the communities served by these hospitals may be at risk of losing the benefits they provide to public health and the local economy. Addressing the financial ...
Report
Racial and Socioeconomic Test-Score Gaps in New England Metropolitan Areas: State School Aid and Poverty Segregation
Test-score data show that both low-income and racial-minority children score lower, on average, on states’ elementary-school accountability tests compared with higher-income children or white children. While different levels of scholastic achievement depend on a host of influences, such test-score gaps point toward unequal educational opportunity as a potentially important contributor. This report explores the relationship between racial and socioeconomic test-score gaps in New England metropolitan areas and two factors associated with unequal opportunity in education: state equalizing ...
Report
Occupational Licensing and Occupational Mobility in New England
Occupational licensing—mandatory credentialing that allows a worker to practice a particular profession—varies greatly throughout New England and the United States in terms of which occupations require a license in a given state and the scope of the necessary qualifications. Given a growing share of US workers who are licensed, it is increasingly important to understand how these differences in licensing policy affect markets. Such knowledge can then be used to guide how occupational licensing regulations are structured. The research in this report shows that a labor market implication of ...
Report
Exploring causes of and responses to the opioid epidemic in New England
The opioid epidemic remains rampant in New England, where, from 2015 through 2017, more than 10,000 people died from opioid overdoses. In 2017, each of the six states experienced an overdose-death rate that was greater than the national average. Beyond causing a high number of deaths, the opioid epidemic is costing New England productive workers. People with the most severe problems stemming from opioid-use disorder tend to be in the 25?44 age group, but no one is immune. The epidemic affects people of every type?all ages and all races, men and women, residents of rural areas and of urban ...
Report
Medication-assisted Treatment for Opioid Use Disorder in Rhode Island: Who Gets Treatment, and Does Treatment Improve Health Outcomes?
Since the early 2000s Rhode Island has been among the states hardest hit by the opioid crisis. In response, the state has made it a priority to expand access to medication-assisted treatment (MAT) for opioid use disorder (OUD), which refers to the use of the FDA-approved medications methadone, buprenorphine, and/or naltrexone in conjunction with behavioral therapy. MAT is strongly supported by scientific evidence and endorsed by US public health officials and yet fails to reach many OUD patients. Using administrative data covering medical treatments and selected health outcomes for more than ...
Report
Reforming Connecticut’s Education Aid Formula to Achieve Equity and Adequacy across School Districts
Connecticut’s public K–12 education system relies heavily on local funding, resulting in substantial disparities between affluent districts and low-income districts with a large proportion of socioeconomically disadvantaged students whoare more costly to educate. Despite recent improvements, the existing state aid formula has been criticized for failing to provide sufficient funding to districts with the fewest resources and the highest education costs. To help improve state aiddistribution, this report estimates a “cost-capacity gap,” which measures the difference between a ...
Report
Credit Access and the College-persistence Decision of Working Students: Policy Implications for New England
This study assesses the effects of involuntary job loss and access to credit card loans on working college students’ decision to either remain in school (college persistence) or drop out. The authors conducted the underlying analysis using national data, but their findings are especially relevant to New England, where higher education employs 4 percent of the region’s workforce—more than twice the national average. College persistence therefore carries implications not only for the individual students, but also for the vitality of the region’s labor market.
Briefing
Aging and declining populations in northern New England: is there a role for immigration?
In hundreds of communities across northern New England, the population is aging rapidly and becoming smaller. The entire country is aging, but northern New England stands out: Among the populations of all US states, those of Maine, New Hampshire, and Vermont have the top-three highest median ages, respectively. The situation is even more extreme in northern New England?s rural counties, where the populations of the smallest towns generally are substantially older than those of the rest of the region. These communities also have seen the slowest, or even negative, population growth over the ...
Report
The supply of permanent supportive housing in Massachusetts: comparing availability to the chronic homeless population
Permanent supportive housing (PSH) has become an important resource for Massachusetts service providers working to address chronic homelessness in the state. Nationally, and in the Commonwealth, the number of PSH beds available for homeless individuals and families now exceeds the amount of emergency shelter beds and other, non-permanent, housing options. While PSH is acknowledged as an important tool, there has been little research into the inventory level needed to effectively house the state?s current chronic homeless population, and what, if any, local shortages exist. This report uses ...
Briefing
Recent Trends in Residential Segregation in New England
Residential segregation in Boston has drawn considerable attention in recent years, but much less notice has been given to the issue with respect to the rest of New England. This regional brief focuses on residential segregation between all minority groups and non-Hispanic white residents in metro areas throughout the region. New England’s population is predominately non-Hispanic white; however, the region has diversified considerably since 1990, as most of the population growth has occurred among minority groups. Residential segregation by race/ethnicity declined over that same period in ...