PLAINVILLE — Construction of the state’s lone slots casino is moving ahead on schedule, with no obvious signs of concern that a vote on Nov. 4 could stop everything.

A long line of cars and trucks carrying more than 400 construction workers pulls into Plainridge Racecourse early every workday morning, filling the newly paved parking lot outside the slot machine parlor they’re building. The $227 million project is now nearly halfway complete, and on target to open next spring.

A career center was opened last month on South Street to start filling the 500 permanent positions needed once the gambling hall is opened, according to Eric Schippers, senior vice president of public affairs for the casino’s developer, Penn National Gaming. The jobs, he said, will “all be good-paying, with benefits.”

And by 6 a.m. every day, the stables at the harness track are filled with horse trainers, owners, breeders, grooms, and drivers going about their business at the last venue in the state where their trade is still practiced.

Ballot Question 3 will determine the future of casino gambling in Massachusetts.

A yes vote would repeal the 2011 law expanding gambling, and end what casino opponents say is a dangerous way for the state to make money.

It would halt construction at Plainridge, and stop plans from moving forward on casino projects in Everett and other parts of the state. And without the revenue from the slots parlor, harness racing would end at Plainridge, officials say.

“Clearly, a lot is at stake,” Schippers said.

For horse owner, trainer, and harness driver Jimmy Hardy, who says he and his colleagues have been living with a sword over their heads for nearly a decade, the vote will mark the finish line for a battle to not only save their jobs, but their profession.

“We’re confident things are going to be OK,” he said. “The voters in this town overwhelmingly voted for this, and I can’t see people overturning that.”

But Erin Earnst, who lives across the town line in Foxborough, just a couple miles from Plainridge, says the people of Plainville didn’t know exactly what they were voting for when they supported Penn National’s plans by a better than 3-to-1 ratio.

“This money from the slots is not going to be put back into our communities,” she said. “We’re going to lose the family-friendliness of our neighborhood.”

She worked against the slots parlor in Plainville, and said she is now fighting to pass the repeal.

So is Geri Eddins of Milford, a leader in the effort that defeated a proposal by Foxwoods to build a casino in her town near the Holliston border.

“Any benefits that will come to a community will be far outweighed by the negative impacts on the quality of life,” she said.

Eddins said she and some other members of Casino-Free Milford are working in support of the gaming-repeal referendum, and plan to hold signs, campaign door to door, and make phone calls.

The track, about 5 miles south of Gillette Stadium at Route 1 and Interstate 495, had been just surviving for years. Its owners and local officials were waiting for the casino legislation to pass, and hoping for the slots license they believed would revitalize the business.

It didn’t go exactly as supporters had planned. Just weeks before the town was to vote on the slots parlor proposal, the Massachusetts Gaming Commission disqualified Plainridge owners Ourway Realty from the licensing process.

“We thought it was done,” said Bill Abdelnour, president of the New England Amateur Harness Drivers Club, a horse owner and driver at Plainridge. “But then we hit the lottery with Penn National,” he said.

Penn National’s bid for a gambling hall in Tewksbury had been shot down by Town Meeting voters there, and when the Plainville project lost its backers, the Pennsylvania company immediately shifted gears to take over the bid, and eventually secured the lone slots license in the state for Plainridge.

It was a day of jubilation at the racecourse in February when the Gaming Commission’s decision was announced.

“This is what we’ve been waiting and working hard for,” Abdelnour said. “We feel confident, we’re move-full-steam-ahead, we’re positive, positive, positive that the people of this state will understand.”

What the “No on 3” campaign is counting on is that voters will understand the jobs and economic boost that the slots casino and its restaurants, Doug Flutie Sports Bar, banquet hall, and food court, as well as harness racing and simulcast races from around the country that will be offered at Plainridge, will do for Plainville, the surrounding area, and the state.

The small community has already received a first payment of $50,000, according to Town Administrator Joseph Fernandes, and anticipates receiving annual payments of $2.7 million for the first five years of operation, and a percentage of gaming revenue after that.

Mitigation agreements between Penn National and neighboring Foxborough, Mansfield, North Attleborough, and Wrentham are also in place.

It is jobs, however, that casino proponents say are the key to this election.

According to Schippers, who said his company is very involved in the campaign to defeat Question 3, the casinos proposed for the state will provide 10,000 new permanent jobs.

Schippers said his company is “plowing ahead and hoping for the best,” but would not elaborate on what steps it would take, should Question 3 pass, to recoup the $100 million he said it has already invested in Plainridge.

Denise McGovern, a North Attleborough resident who has worked at Plainridge for eight years, said the employees have been told to expect the worst if the referendum passes.

“We’re going to close, and look out there, all that shiny metal is just going to turn to rust,” she said.

Thousands of new preschool slots are now available for low-income, four-year-olds in California who have at least one working parent.

It’s part of this year’s state budget – and a top priority of outgoing Senate President pro Tem Darrell Steinberg.

Steinberg says interested parents should call their school districts for sign-up information.

"Even though there won’t be enough slots, necessarily, in year one for all low-income four-year-olds, we are adding 11,500 slots this year – and that’s a big step forward," says Steinberg.

Even though the budget took effect in July, it’s taken three months for the state to award $67 million for preschool slots through a competitive grant process.

Seven thousand five hundred slots are available now. The other 4,000 will open up later this fiscal year.

Experience social casino gaming with Multiplayer Slots. Find out we why we love playing multiplayer slots to win bigger payouts with friends.

Why We Love Multiplayer Slots
Multiplayer slots otherwise known as community slots allow you to play together with other slot players in a virtual slots room. The system brings an interactive social gaming experience to the online casino. While playing, you can chat with other players. Also, a chart displays the winnings of all the players in real time. In addition, during bonus rounds, everyone can participate and win bonus jackpots together.

The Difference Between Multiplayer Slots and Slots Tournaments
While they may sound similar, multiplayer slots are not the same thing as slots tournaments. Even though both involve playing games with other people, tournaments mean that the players compete against each other. In this case, only one player wins first place and takes home the grand prize.

Learn more about online slots, tournaments, and online casinos in the Online Casino Reviews by VegasMaster.

Multiplayer slots on the other hand, refer to games in which the players cooperate with each other and everyone can win. The players work together to get the best prizes during bonus rounds. During the game, players congratulate each other with each win and encourage players struggling to hit a winning combination.

The Best Things About Multiplayer Slots
Let's admit it, while we love playing slots, it can get a little lonely going up against the casino by ourselves. Multiplayer slots bring friends together for a social gaming experience. Players team up to go after the jackpots and communicate with other players during a game.

Never played online slots before? Lucky Red Casino has great slots and table games available to try. As is the case with most multiplayer games, we suggest trying getting the hang of the game at a casino like before joining other players.

Some may argue that gambling is a sport, but to say it's healthy is a risky bet. But if you play the slots you may be gambling for more than money, it could be your health. In a survey of more than 2,000 gamblers, released today (Oct. 6, 2014), people who play the slots have the poorest health. They smoke more, exercise less and have the highest body mass index (BMI). Female slot-machine players drink more than any other gambling group surveyed.

Is their health is linked to the sedentary nature of slot machines? Or does their poor health status makes slot machines an attractive pass time? It's not clear as to causality.

The survey found that average BMIs, health and lifestyle choices such as smoking, exercise and drinking varied dramatically depending on the survey participants game of choice. Sam Marsden, editor of Jackpot.co.uk, said: "There's an undeniable link connecting passive games like slots and video poker to unhealthy, sedentary lifestyles. On the other hand, games that require concentration, strategy and some physical stamina like poker and blackjack seem to fare much better in the health stakes. It seems it's less a case of 'you are what you eat' and more 'you are what you play.'"

So who were the healthiest gamblers? Poker players came out ahead by more than a few chips when it comes to BMI when compared other gamblers in the United Kingdom. They are very exercise conscious, with 58 per cent engaging in physical activity for at least 30 minutes, five times a week.

Both poker and slot machine players tend to drink more than the recommended amounts. Overall slots players drink the most, with 24.1 per cent drinking over the recommended weekly limit, with poker players not far behind on 23 per cent. As noted, female slots players were the biggest drinking subgroup, closely followed by male poker players.

The study authors believe that the increased use of tablets and mobile devises for gambling could allow people to stay more active and less sedentary. The most common platform on which to play casino games was the desktop computer at 65 per cent, with just over 20 per cent playing on mobiles and tablets and only 14 per cent going to actual casinos. However, desktop use was linked to higher levels of obesity, drinking and smoking. It is thought that, as the use of mobile devices continues to increase, health levels could improve among gamblers as a group.

Here is a quick flash of the survey results:

Poker players have one of the lowest BMIs of all gamblers and exercise the most, while nearly three quarters of slots players and video poker players fail to meet recommended guidelines for physical activity.
Female slots and video poker players and male poker players all exceed the recommended weekly limit of alcohol units.
24 per cent of slots players are regular smokers, above the national UK average of 20 per cent (in the US it is 18.1%).
Poker, baccarat and pai gow players, have an average BMI of 25 or under - within the normal range recommended by the World Health Organization. But roulette, blackjack, video poker and craps/dice players are not far behind slots players, each having BMI levels higher than the national average.
Slots players also smoke more, with 24 per cent being regular smokers. Blackjack and roulette players smoke slightly more than average, on 21 and 22 per cent respectively, while poker players smoke slightly less than average, on 19.5 per cent.

There's still time to register for South Louisiana Community College's Medical Coding and Billing course.

SLCC's Continuing Education department is offering the course, which begins Oct. 20.

Students will learn to use the CPT manual and the ICD-10-CM to find medical codes for any disease, condition, treatment or surgical procedure.

This knowledge will help prepare students to work almost anywhere in the medical field - doctors' offices, clinics, public health facilities, hospitals, labs, nursing homes, insurance agencies or even the comfort of home.

The average hourly wage for medical coders in Acadiana is just above $15.

In the process, students will obtain all the hands-on experience needed to code medical insurance claims with confidence.

This course will prepares students to become a Certified Medical Billing and Coding Specialist. The option of scheduling the exam at an additional cost will be available following completion of the course. A high school diploma or equivalent is required to sit for the exam.

The program starts Oct. 20. Classes are held on Mondays and Tuesdays from 6 to 9 p.m. Program fee is $899 and books are approximately $200.

Not surprisingly, the slot machine manufacturing industry believes it is still relevant in a casino world in which revenue from nongaming elements has increased its overall influence.

But one slot machine company chief executive thought gambling-equipment providers could do more.

“I have yet to put a product in front of Nevada regulators and get rejected,” Multimedia Games CEO Patrick Ramsey said Wednesday at the Global Gaming Expo’s state of industry keynote session. “Maybe I should push my own team more. Nevada is open to different products.”

Ramsey and other gaming equipment providers said slot machines were still an important factor in the overall hotel-casino experience, along with nightclubs, restaurants, shopping, hotel rooms and entertainment. All have become larger contributors to the overall revenue mix.

“In terms of millennials, statistically, young adults are more likely to play slots,” Amaya Gaming Group CEO David Baazov said. “There needs to be a healthy mix, and slots have to be more entertainment-centric. It’s an increased demand from the customer that is driving us to innovate.”

The five-CEO panel covered a range of topics during the hourlong presentation, which was moderated by Bo Bernhard, executive director of the University of Nevada, Las Vegas’ International Gaming Institute.

Aristocrat Leisure Ltd. CEO Jamie Odell said there was still a “healthy partnership” between casino operators and slot machine makers. He said the changes in the industry are needed, but are often slow to come.

Attracting a younger demographic challenges any business, and finding ways to attract younger gamblers is not new.

Odell was an executive with Australian brewer Fosters before joining the Australia-based slot machine manufacturer. He said there was always a debate within the liquor industry on getting 20-something consumers to drink wine.

“They do it, but not until they are in their 30s,” he said.

The panel said regulatory issues often slow progress.

“We have to make products that are relevant to the players,” International Game Technology CEO Patti Hart said. “We’re the only industry that spends all our (research and development) dollars before a customer can play a game.”

At the same time, however, slot machine manufacturers don’t want to alienate an older audience.

Ramsey said a casino operator told him he was losing “the 65-year-old female customer who used to play slots 45 to 60 days a year.”

Ramsey, whose company is being sold to payment processing company Global Cash Access for $1.2 billion, said slot machines must be developed with a multigenerational appeal. Too much emphasis, he said, is being placed on age.

Attention during the talk was focused on consolidation within the slot machine sector.

Baazov, whose Canada-based company bought the parent company of online gaming giant PokerStars this year for $4.9 billion, said the fundamentals and timing of consolidation are working for the gaming industry.

“It’s a period of time where interest rates are low and a lot of capital was sitting on the sidelines,” Baazov said.

Beyond the Multimedia Games deal, IGT is being bought by lottery provider GTECH Holdings for $6.4 billion while Bally Technologies is being acquired by Scientific Games for $5.1 billion. Last year, Scientific Games bought WMS Industries for $1.5 billion and Bally acquired SHFL entertainment for $1.3 billion.

Also, Aristocrat is buying slot maker Video Gaming Technologies for $1.3 billion.

Odell said the mergers will create more than $600 million in savings.

Hart said IGT’s deal with GTECH was by choice and not a necessity.

“We didn’t have to sell the company,” Hart said. “We put ourselves together with another company to create a better company.”