That bumpy ride effect is caused by cheaping out on the roadbed. Build a deeper roadbed and the slabs do not sink and frost heave. Basically you have to invest for durable infrastructure. We don't do that in MA. We underinvest to ensure perpetual repair work for the contractors.
That's not totally it.
First of all, DOT's have also proven that the practice of estimating practical lifespans has little more science to it than throwing darts at a dartboard. We used to build all kinds of stuff with deep-set concrete all over the Northeast. But Northeastern DOT's continually under- and over-estimated actual lifespans at the extremes. Either it gets ripped up every 20 years for constant add-a-lanes or turning-lane augmentations and utility trenching and has to go because the base is too hacked-to-pieces, or has to absorb so many decades extra deferred maintenance that when it's finally shot you get stuff like 10 miles of simultaneous frost heaving on NY's Taconic State Parkway in winter 2015.
Its very durability and permanence mean you have to have some pretty good idea of what the next 30+ years holds for capacity management before doing concrete. And these next 30 years are a lot less certain than the last. "Inefficiency" thus has some degree of bizarro-efficiency sticking with materials that have finite time limit. It's not ideal, but it sorta works with how the Northeastern megalopolis is continually fidgeting with its roadways.
Second...it's got a lot to do with supply chain. Southern New England is a huge producer of blacktopping trap rock. There's quarries all over the damn place, especially within the first 5 miles inland of the CT shoreline the whole length of I-95. It is dirt-ass cheap and we've got another 100 years' supply left in most of the major quarries before we even flinch at the notion of "peak asphalt". Concrete is cheapest to produce in areas where there's more lime in the bedrock for producing
Portland cement, the main ingredient. Northern New England is better for that than Southern New England, which is why Boston Sand & Gravel's source quarries are all located in Stafford County, NH. But places in the country that have
very abundant lime deposits can locally produce it way cheaper. And it shows in the type of road construction they use.
For example, I was down in Orlando for about 4 days last month. The Everglades are one ginormous limestone deposit whose chemistry is built, mixed, and ultimately eaten by groundwater. They pave everything with regular blacktop, but every bridge from oldest/most-obsolete to newest is concrete...very few traditional steel girders. All bridge decks are concrete. All telephone poles everywhere are concrete...not just for the hurricane tolerances but also because they're cheap and easy to make out of recycled concrete (here you only see concrete poles for Metro Boston streetlights, not generic wire-carrying poles). All railroad ties and grade crossings are concrete. And they use jersey barriers for all kinds of off-the-wall purposes; they're like the proverbial Lego bricks of berms, fencing, and drainage channels. It's so stupidly cheap for them to mix cement locally they can gorge on it like we can gorge on local trap rock for below-cost blacktopping.
Same deal elsewhere. Got lots of old volcanic flood basalts laying around...you're gonna have abundant trap rock. Got an easy-to-acquire bitumen supply at home like we've got from parts of the Rockies and the huge deposits in Alberta...gonna have a very easy time transporting the petroleum ingredients that makes asphalt out of all that local bulk trap rock. Got limestone in abundance with shale...gonna have cheap Portland cement production capacity like the Great Lakes region, Gulf Coast, lower Plains, inland California, and other parts of the Rockies.