With Obamacare, coverage is now pretty universal, but the type of coverage, for many people, sucks.
MA doesn't have garden-variety Obamacare. It has a system more generous to those of modest income (and more of a burden to those of higher income). It pre-dates the ACA. It doesn't run afoul of the ACA because it's ACA-compliant.
Some time ago, I helped someone sign up for a plan. I was stunned by the variety of plans offered and number of available providers. I don't know what's available to people in other states, but I'd be stunned if most states had options as numerous as here. (Some certainly, but not most). Because the state gives providers license to ream people of financial means, providers haven't been opting out of the system as much as they have elsewhere. And being a fairly affluent state doesn't hurt. It gives providers more people to ream.
But my comment about cooties is still accurate. And there are open sewers everywhere. The entire state reeks of urine. You'd have to be out of your mind to venture north of Connecticut.
Donald Trump is a douchebag.*
* In order to avoid confusion and remain compliant with the board's Fair & Balanced requirements, the above statement shall apply to any/all posts critical of any political or otherwise public figures.