Maybe the answer is fewer rural hospitals

Maybe the answer is fewer rural hospitals

Gazette Column
Midwestern health providers and stakeholders are speaking out, and what they have to say is surprising. Could fewer hospitals bridge the widening urban-rural health gap? A new report highlighting the challenges and opportunities in rural health care across Iowa and six other Midwestern states says small communities need more flexibility to customize health care services, workforces and facilities to meet individual needs — even if, in some communities, it results in the loss of a full-service hospital. The Bipartisan Policy Center and the Center for Outcomes Research and Education spoke with more than 90 thought leaders and key stakeholders in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming to compile the report, which was released this month. [caption id="attachment_1874" align="alignleft" width="500"] Stethoscopes hang in a clinic hallway on May…
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Postcards offer love, bolster unity

Postcards offer love, bolster unity

Gazette Column
Hate crimes are on the rise in America, and religion-based violence leads the pack. As a May Senate Judiciary Committee hearing led by Sen. Chuck Grassley thoroughly detailed: Hate crimes against minority faiths spiked 86 percent in the past year — a low-ball percentage that only reflects what’s reported. “Religious hate crimes against Muslims are the fastest growing category,” said Grassley, an Iowa Republican. “Fear for practicing one’s religion should never happen in this country.” Religion-based violence touched the Midwest again last weekend when a bomb exploded inside the Dar Al-Farooq Islamic Center in suburban Minneapolis. As people gathered for morning prayers, the explosion ripped through the local religious leader’s office. Furnishings were charred, windows shattered — but thankfully no lives lost. Only a week before, swastikas and messages warning…
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Still a lot of work to do

Still a lot of work to do

Gazette Column
Throughout the community one question seems to dominate personal interaction: “How are you feeling?” I’ve been asked by people I see each day and those I only have occasional opportunity to speak with. Convenience store clerks, local members of the clergy, co-workers, neighbors, transit riders and drivers and community activists of all stripes are curious, some perhaps morbidly so, on my and their other neighbors’ state of mind. So, how are you feeling in these first post-election days? I am, of course, disappointed that the nation has not finally elected a woman to its highest office. I’m especially concerned by the years of misinformation and sexism that led to undeserved backlash against Hillary Clinton, and a campaign with an overall anti-women tone. More than shock at Donald Trump’s public disrespect…
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Iowan, once nation’s youngest grocer, still fighting for rural

Iowan, once nation’s youngest grocer, still fighting for rural

Gazette Column
WICHITA, Kan. — If attendees at the Rural Grocery Summit pulled Bic lighters from their pockets, gave them a flick and held the flame in the air as the owner of three rural Iowa grocery stores gave his keynote address, I wouldn’t have been surprised. It was clear many attending viewed the man as part rock star and part legend. And, for those searching for rural saviors, Nick Graham comes pretty close — even if he is reluctant to embrace the fame. His popularity has little to do with his overall success rate, because he’d be the first to tell you that he has made mistakes. But no one can deny that Graham embodies an attribute that’s become a necessity in rural counties and small towns. Nick Graham, you see,…
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Getting the farm onto the table

Getting the farm onto the table

Gazette Column
WICHITA, Kan. — What does a high-end caterer in a rural area do to give back? If you are Donald Sorby, you volunteer with a statewide program that empowers families at risk of hunger to gain the skills, knowledge and confidence to make healthy and affordable meals. Sorby was one of about 200 people attending a Rural Grocery Summit, and offered his experience as part of Cooking Matters Minnesota as a way food retailers and advocates could promote a healthier lifestyle. The program is partnership between University of Minnesota Extension and Share Our Strength’s No Kid Hungry campaign. Participants enroll for a six-week course that meets once a week and covers nutritional information, offers hands-on food preparation and provides strategies for food budgeting and shopping. Participants learn to cook two…
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Prepare for more food deserts

Prepare for more food deserts

Gazette Column
Accessing fresh produce and other healthy and affordable food will become increasingly more difficult over the next decade. Nearly two-thirds of rural grocery store owners in Minnesota expect to step away from their business within 10 years, according to a recent Minnesota Extension survey. Many owners are aging out of the workforce and preparing for retirement. Only a fraction have adopted transition plans that would keep the grocery open and prevent possible food deserts. The survey also found the majority of rural grocery stores are housed in older buildings, requiring significant upkeep — 43 percent of owners reported their facility was at least 50 years old, others (44 percent) were between 16 and 50 years old. “With aging buildings and thin profit margins, I’m concerned we will see a continuation…
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