favorability ratings from the state's Democrats than Republicans. A number of contemporary national political issues have been influenced by events in Massachusetts, such as the decision in 2003 by the state Supreme Judicial Court allowing same-sex marriage and a 2006 bill which mandated health insurance for all Bay Staters. In 2008, Massachusetts voters passed an initiative decriminalizing possession of small amounts of marijuana. Voters in Massachusetts also approved a ballot measure in 2012 that legalized the medical use of marijuana. Following the approval of a ballot question endorsing legalization in 2016, Massachusetts began issuing licenses for the regulated sale of recreational marijuana in June 2018. The licensed sale of recreational marijuana became legal on July 1, 2018; however, the lack of state-approved testing facilities prevented the sale of any product for several weeks. However, in 2020, a ballot initiative to implement Ranked-Choice Voting failed, despite being championed by many progressives. Massachusetts is one of the most pro-choice states in the Union. A 2014 Pew Research Center poll found that 74% of Massachusetts residents supported the right to an abortion in all/most cases, making Massachusetts the most pro-choice state in the United States. In 2020, the state legislature overrode Governor Charlie Baker's veto of the ROE Act, a controversial law that codified existing abortion laws in case the Supreme Court overturned Roe v. Wade, dropped the age of parental consent for those seeking an abortion from 18 to 16, and legalized abortion after 24 weeks, if a fetus had fatal anomalies, or "to preserve the patient's physical or mental health." Cities, towns, and counties There are 50 cities and 301 towns in Massachusetts, grouped into 14 counties. The fourteen counties, moving roughly from west to east, are Berkshire, Franklin, Hampshire, Hampden, Worcester, Middlesex, Essex, Suffolk, Norfolk, Bristol, Plymouth, Barnstable, Dukes, and Nantucket. Eleven communities which call themselves "towns" are, by law, cities since they have traded the town meeting form of government for a mayor-council or manager-council form. Boston is the state capital in Massachusetts. The population of the city proper is 692,600, and Greater Boston, with a population of 4,873,019, is the 11th largest metropolitan area in the nation. Other cities with a population over 100,000 include Worcester, Springfield, Lowell, and Cambridge. Plymouth is the largest municipality in the state by land area, followed by Middleborough. Massachusetts, along with the five other New England states, features the local governmental structure