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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Iowans owe debt to tribes fighting oil pipeline

Iowans owe debt to tribes fighting oil pipeline

Gazette Column
When this election is complete, I hope to travel and stand alongside the Standing Rock Sioux. It’s the least I can do for the 300 tribes who are inadvertently fighting for the protection of Iowa farmland while demanding their sovereignty be respected. The massive demonstrations near Lake Oahe in North Dakota began in the spring with a few members of the Standing Rock Sioux establishing a prayer encampment. It’s now blossomed into an international discussion that encompasses climate change, the future of renewable fuels and, of course, tribal rights. [caption id="attachment_87" align="alignright" width="640"] Dakota Access Pipeline protesters square off against police near the Standing Rock Reservation and the pipeline route outside the little town of Saint Anthony, North Dakota, U.S., October 5, 2016. (Terray Sylvester/Reuters)[/caption] It centers on the Dakota…
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Plans for potential pipeline problems should be public

Plans for potential pipeline problems should be public

Gazette Column
Last week, Todd Stamm, vice president of the company that would operate the proposed Bakken oil pipeline, told Iowa Utilities Board members that threat assessments were created in relation to spill scenarios. According to a Des Moines Register report, those assessments include information about the scope and breadth of potential leaks. “It is just not information that I would suggest is information that you would want to be public as far as the physical location of where that location might be,” Stamm said in answer to why such information should be kept confidential. The proposed pipeline, under review by the Iowa Utilities Board for approval and eminent domain use, would carry about 450,000 barrels of crude oil each day from North Dakota to a distribution center in Illinois. The route…
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