Bad Bedside Manner in Massachusetts

Nurse-to-patient ratios would drive up costs and cut health-care access.

Massachusetts has some of the best medical care in the world, but a ballot measure next month could start its erosion by raising costs and reducing access. The culprit is the Massachusetts Nurses Association.

Question 1 would limit the number of patients assigned to each registered nurse in state hospitals. For instance, in the pediatric, medical and surgery units a nurse would care for no more than four patients. Patients deemed in non-stable condition in the critical or intensive-care units would have their own dedicated...