Question 10 (Non-Binding, 1st Hampden Representative District): Single-Payer Health Care
1st Hampden District; Massachusetts
My vote power
High
Election date
November 3, 2026
Question 10 (Non-Binding, 1st Hampden Representative District): Single-Payer Health Care is a ballot measure in 1st Hampden District; Massachusetts on the November 3, 2026 ballot. Non-binding question asking your representative to vote for a single-payer health care system covering all Massachusetts residents through a publicly run insurance trust fund that replaces private insurance companies. Advice only; nothing changes unless the Legislature acts.
How do we calculate my vote power?
What determines the vote power rating for ballot measures: Representation: how much weight one vote carries here compared with a statewide vote — the smaller the district, the more each vote counts. You have more power in ballot measures because you vote directly on the policy.
Representation: High · 73 out of 100
This district is a small slice of its state, so each vote here carries much more weight than a vote in a statewide race. About 42,380 people live here.
Show the representation math
score = 50 + 50 × ln(state population ÷ this district's) ÷ ln(50,000) = 50 + 50 × ln(7,044,056 ÷ 42,380) ÷ ln(50,000) = 73.63, measured against a statewide vote in MA (grades: 66+ high, 55+ above average, 33+ average, otherwise low; a statewide race is the 50 baseline)
High representation + a direct vote on the policy → My vote power: High.
What does this measure do?
Non-binding question asking your representative to vote for a single-payer health care system covering all Massachusetts residents through a publicly run insurance trust fund that replaces private insurance companies. Advice only; nothing changes unless the Legislature acts.
A YES vote means
Signals support for a state single-payer health system; lawmakers still decide.
A NO vote means
Signals opposition; the current insurance system stays.
Last updated September 24, 2026.