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An Economic History of Health Care in Massachusetts 1990-2000

Author: Jerome H. Grossman, M.D. This report examines the Massachusetts health care system during the tumultuous period from the late 1980s to the close of the 1990s. This timeframe begins with the attempt in 1988 to become the first state in the country to ensure universal entitlement to health insurance and ends with the fiscal crisis of Harvard Pilgrim Health Care and the general climate of uncertainty and angst that has beset the state’s health care system. Apart from describing the important events of this timeframe—and highlighting the pivotal decisions of earlier decades that set the stage for this period of upheaval—the report aims to illustrate more broadly ways in which the health care system in Massachusetts (and in the […]

Teacher Contracts in Massachusetts

Author: Dale Ballou, University of Massachusetts at Amherst This report is an initial effort to provide systematic information on teacher contracts in Massachusetts. In the summer of 1999, the Pioneer Institute solicited copies of the current contract from all districts in the state. From those that responded, 40 districts were selected to reflect the diverse make- up of the Commonwealth. Although there was no attempt to make the sample statistically representative, the three largest urban systems were included, along with a sample of suburbs and small towns. Care was taken to ensure a mix of high-, medium-, and low-income communities. In these 40 contracts, five topics were closely examined: 1) compensation; 2) teacher evaluation and discipline; 3) transfers; 4) layoffs; […]

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