The state that served as a template for President Barack Obama's Affordable Care Act had so much trouble coordinating with the federal government that it became a model of another sort: ineptitude. The Massachusetts website, designed by the same contractor that worked on the troubled federal website, performed so poorly it prompted a public apology from Gov. Deval Patrick and forced health care officials to adopt a series of manual workarounds, creating a backlog of more than 50,000 paper applications. Massachusetts was one of several states where the ambition of running their own health insurance marketplace inside a new federal system ran into a harsh reality.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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