Nearly 180,000 retired teachers and state employees will pay more out of pocket for medical expenses next year, an increase that one advocate for retirees described as “pretty unbearable.” At their most recent meeting, members of the State Health Plan’s Board of Trustees approved sweeping changes for retired and current state employees, including a new system for active workers’ health insurance that comes with lower out-of-pocket costs, though many of them could see their monthly premiums...