There are three questions on the ballot for the upcoming state election on Tuesday, November 6. The three are about as unrelated and disparate as one could imagine.
The first question asks voters to adopt a proposed new law that would require minimum staffing by nurses in every hospital in the state. We have to admit that when we started reading the full text of the very lengthy proposed new law, our eyes began to glaze over because of the use of terminology that may be common to doctors and nurses, but which means little to the rest of us.
However, what is clear is that those who proposed this question have a good idea of what they’re doing.
We doubt there is anyone who would dispute that nursing care in hospitals is critical for patients. It also is beyond dispute that avoidable mistakes in hospital care are a leading cause of death of patients in even the best hospitals.
In our view, this ballot question comes down to a cost/benefit analysis: Is the added cost of minimum staffing for nurses (and by the way, no one really knows what that dollar figure might be) worth the undisputed benefits for patient care?
Question 2 seeks to amend the U.S. Constitution to limit the spending by corporate entities. The amendment is designed to overturn the Citizens United decision of the U.S. Supreme Court, which declared unconstitutional the limits imposed by Congress on campaign spending by corporations.
In deciding this question, voters would do well to recall the words of Louis Brandeis, “We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can’t have both.”
The only way to change Citizens United is to amend the Constitution — a drastic measure, no doubt .
Question 3 seeks approval of an already-existing state law, that was approved by the legislature in 2016, that bans discrimination against transgender persons. The law has been working well and is endorsed by many groups and organizations, including the Mass. Police Chiefs Association. A “Yes” vote keeps in place the current law.