Episode Details

Massachusetts is in crisis as its guardianship system grinds to a halt, leaving thousands of vulnerable patients stuck in hospitals with no one to make their medical decisions—clogging ERs, costing millions, and delaying care. Mandated two years ago, a critical report to build a professional guardian program is still a year overdue, despite advocates pushing hard and DPH officials claiming it’s nearly done. With only volunteer guardians earning less than $1,500 a year, the state can’t find enough people to fill the gap—estimated at 3,000 to 4,000 people needing guardians for brain injuries, dementia, or mental illness. Without action, hospitals suffer, patients suffer, and the entire healthcare system collapses under the weight of preventable delays.

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