It's hard to promote moderation and financial discipline from the bowels of a casino.

But that's what Massachusetts state workers try to do every day, amid the clanging bells and flashing lights of the slot machines.

This story was produced in partnership with KFF Health News .

At the MGM Springfield in western Massachusetts, these workers, wearing green polos, stand outside their small office, right off the casino floor.

Above them the sign reads, " GameSense ," the state's signature program to curb problem gambling.

A mounted screen cycles through messages such as "Keep sports betting fun. Set a budget and stick to it."

The workers hand out free luggage tags and travel-size tissues in an effort to get people to stop and chat.

If they succeed, they give customers brochures

See Full Page