In the wake of a devastating 2023 infanticide case that exposed the fragility of maternal mental health support, Massachusetts Governor Maura Healey has proposed expanding a voluntary nurse home-visiting program to reach nearly every new family in the state. The initiative, rooted in genuine compassion for postpartum vulnerability, has reawakened a decades-old philosophical tension between the state's duty to protect and the family's right to remain sovereign within its own walls. What unfolds in Massachusetts may quietly answer a question Phyllis Schlafly posed in 1999 and never fully resolve
Schlafly warns Massachusetts home visit expansion echoes 1999 'Big Sister' concerns
The home is a sacred and private area.
So the Clancy case—that's the tragedy that prompted this expansion. Three children killed. Doesn't that create a real obligation for the state to try something?
It does, and that's the tension. The state is responding to a genuine failure. Postpartum psychosis is rare but severe, and it wasn't caught. So the impulse to screen more families is understandable.
But we should be careful here. The Clancy case is one case. We don't know if more home visits would have prevented it, or if the screening tools would have caught postpartum psychosis specifically. That's not in the reporting.
Fair point. So what's Schlafly's actual objection? Is she against mental health screening, or against government doing it?
She's not opposed to families getting help. Her line is that it shouldn't be government agents in the home. She wants it to remain truly optional—with explicit opt-out rights.
And that's a legitimate civil liberties question. But the reporting doesn't tell us whether Massachusetts currently allows opt-outs, or what happens if you refuse. Healey's office didn't respond to those questions.
So we don't actually know if the program is as voluntary as the state claims?
Right. The state says it's voluntary, but Schlafly is asking: what does that mean in practice? Can you really refuse? What happens if you do?
And that's the gap. The reporting confirms the state's description of the program, but doesn't independently verify the mechanics of consent or refusal. That's a real hole.
What about the scale? Going from 3,000 to 68,000 births—is that a reasonable expansion or overreach?
Schlafly sees it as overreach. She's worried about the state deploying thousands of agents into family homes. But you could also see it as finally reaching families who need help and aren't getting it.
Both are true. The question is whether the expansion comes with safeguards—real opt-out rights, limits on data sharing, clear protocols. The reporting doesn't tell us those details exist or don't exist.
Der Puls
- The 2023 Duxbury killings — three young children lost to a mother in the grip of postpartum psychosis — created a political and moral urgency that Massachusetts officials felt they could not ignore.
- Governor Healey's $2 million proposal would scale a nurse home-visit program from 3,000 to 68,000 births annually, a twentyfold expansion that critics say transforms a modest service into a sweeping government presence in private homes.
- Conservative voices, led by Eagle Forum's Anne Schlafly, warn that 'voluntary' programs directed at exhausted, newly postpartum women may not constitute meaningful consent — and that the line between support and surveillance is dangerously thin.
- The state insists visits are health services, not inspections, yet has not publicly clarified what data nurses collect, whether it is shared with other agencies, or how families may formally decline.
- The debate is now landing on a single contested threshold: whether an opt-out guarantee, clearly stated and legally protected, is enough to keep a compassionate program from becoming an instrument of government overreach.
In the wake of a devastating 2023 infanticide case that exposed the fragility of maternal mental health support, Massachusetts Governor Maura Healey has proposed expanding a voluntary nurse home-visiting program to reach nearly every new family in the state. The initiative, rooted in genuine compassion for postpartum vulnerability, has reawakened a decades-old philosophical tension between the state's duty to protect and the family's right to remain sovereign within its own walls. What unfolds in Massachusetts may quietly answer a question Phyllis Schlafly posed in 1999 and never fully resolved: when government enters the home bearing gifts, who decides when it must leave?
In 1999, Phyllis Schlafly warned Americans about what she called 'Big Sister' — government agents entering homes under the pretense of helping families with newborns. Nearly three decades later, her daughter Anne says that warning has found its moment, as Massachusetts Governor Maura Healey seeks $2 million to expand a nurse home-visiting program to reach roughly 68,000 births annually, up from the current 3,000.
The expansion was catalyzed by the Lindsay Clancy case. In 2023, Clancy killed her three young children — Cora, Dawson, and infant Callan — in their Duxbury home. Her defense argued she was in the grip of postpartum psychosis and bore no criminal responsibility; prosecutors disagreed. The jury deadlocked, resulting in a mistrial. The case became a national reckoning with the gaps in maternal mental health care, and the engine behind Healey's push to expand Welcome Family, the state's existing voluntary nurse home-visit program.
Welcome Family currently sends nurses to about 3,000 families shortly after birth to assess parental and newborn health, screen for postpartum depression, and connect families with services. In 2025, the program conducted over 1,600 postpartum depression screenings; more than 200 people screened positive and received referrals. Healey frames the expansion as ensuring every new family gets a health assessment within days of birth.
Anne Schlafly, chairman of Eagle Forum, told Fox News Digital that her mother was 'very prescient' about this kind of government reach. Her objection is not to nurses helping willing families — it is to the scale of deployment and the quality of consent. She questioned whether a woman who has just given birth, possibly still recovering from labor or sedation, can give truly informed agreement to a government visit. 'Is it really voluntary if you don't have true informed consent?' she asked.
Schlafly's line is clear: the moment participation becomes compulsory, or the moment families cannot freely refuse, the program has crossed into something her mother would have recognized immediately. She called for explicit guarantees on the right to decline, transparency about what information nurses collect, and clarity on whether that data is shared with other state agencies. Healey's office did not respond to those questions. The debate now rests on whether Massachusetts can extend genuine support to vulnerable families without allowing the state to take up permanent residence at the kitchen table.
In March 1999, Phyllis Schlafly published a column warning Americans about what she called "Big Sister"—government agents entering homes under the guise of helping families with newborns. She posed a direct question: would Americans accept this intrusion? Nearly three decades later, her daughter Anne Schlafly says that warning has become urgently relevant again, as Massachusetts Governor Maura Healey seeks $2 million to expand a nurse home-visiting program that would reach roughly 68,000 births annually, up from the current 3,000.
The expansion follows the Lindsay Clancy case, which exposed the dangers of undetected maternal mental illness. In 2023, Clancy killed her three children—Cora, 5, Dawson, 3, and Callan, 8 months—in their Duxbury home. She did not dispute the killings. Her defense argued she was experiencing postpartum psychosis and was not criminally responsible; prosecutors countered that she knew her actions were wrong. The jury could not reach agreement, resulting in a mistrial. The case drew national attention to the gaps in maternal mental health screening and support, and it became the catalyst for Healey's push to expand Welcome Family, the state's voluntary nurse home-visiting program.
Welcome Family currently serves about 3,000 births per year. Nurses visit families shortly after childbirth to assess the health of parents and newborns, answer questions about infant care, screen for postpartum mental health concerns, and connect families with additional services. The program also advises on home safety, though the state does not specify what particular safety criteria nurses assess. In 2025 alone, Welcome Family conducted 1,620 postpartum depression screenings; 208 people screened positive, and all received referrals for services. Healey has described the expansion as an opportunity to ensure that every family with a newborn receives a health assessment within days or weeks of birth.
Anne Schlafly, chairman of Eagle Forum and Phyllis Schlafly's daughter, sees in this expansion the exact scenario her mother warned against. She told Fox News Digital that her mother was "very prescient" about government intrusion into family life. The concern, Schlafly explained, is not whether nurses can help—it is whether government agents should have access to the home at all, and whether families truly retain the power to refuse. She questioned what meaningful consent looks like for a woman who has just given birth, been through labor, and possibly been under sedation. "Is it really voluntary if you don't have true informed consent?" she asked.
Schlafly's core objection centers on the scale and character of the expansion. Hiring more nurses and deploying them to tens of thousands of homes annually, she said, amounts to a dramatic expansion of government reach into private family life. She invoked her mother's language directly: "This idea of coming in to inspect and see what's going on in your home smacks of Big Sister and Big Brother both." Massachusetts does not characterize the visits as inspections but as voluntary health and support services. Schlafly acknowledged that families who want the help should be free to accept it. Her dividing line is clear: "I think any time you make it compulsory, the line has been crossed."
Schlafly stated that the program would be acceptable only if parents could opt out at any time. Massachusetts' published materials describe participation as voluntary, but Schlafly demanded explicit clarity on parents' ability to decline visits, what information is collected, and whether that information may be shared with other state agencies. Fox News Digital reached out to Healey's office for comment on these questions but did not report receiving a response.
Phyllis Schlafly's 1999 column focused on Healthy Families America and similar home-visiting initiatives that screened families for risk factors and offered parenting guidance inside the home. She questioned whether programs officially described as voluntary would always operate that way in practice—a concern her daughter now echoes. Anne Schlafly said she believes her mother would tell Massachusetts parents to reject what she called "busybodies who want to inspect their home," and to keep government out of the kitchen table and the family castle. The debate now turns on whether the state can expand access to maternal mental health support without crossing the line into surveillance of family life.
Bemerkenswerte Zitate
Is it really voluntary if you don't have true informed consent? If you have just given birth, you've been in labor, you've been under sedation, can you really recognize what you were signing up for?— Anne Schlafly, chairman of Eagle Forum
Everybody in the state, when you have a baby, you're going to have a home visit within days, weeks and that will be an opportunity for a healthcare provider to make an assessment to see if you need some additional support and resources.— Governor Maura Healey, describing her vision for the expansion