Nothing to love about food deserts

Nothing to love about food deserts

Gazette Column
Trump administration budget aims to slash SNAP by $213 billion It’s Valentine’s Day, and I hoped to write a column appropriate for a love and indulgence holiday, however contrived. But that’s mentally difficult when new Trump administration proposals promote food deserts and scarcity. On Monday, the administration announced its plan to slash food assistance for low-income families and replace it with a “Blue Apron-type program.” “What we do is propose that for folks who are on food stamps, part — not all, part — of their benefits come in the actual sort of, and I don’t want to steal somebody’s copyright, but a Blue Apron-type program where you actually receive the food instead of receive the cash,” said Office of Management and Budget director Mick Mulvaney during a policy briefing. The Trump administration plans to cut…
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Family planning services thin under Iowa GOP program

Family planning services thin under Iowa GOP program

Gazette Column
Despite Republican promises to the contrary, changes to family planning services has resulted in less access that will cost Iowans more. Last spring, Iowa Republicans crafted a new family planning program funded only with state dollars. They did so for the sole purpose of excluding providers that perform abortions or are part of a health network that does. Although abortion providers could accept public money under the previous program that was primarily funded at the federal level, none of the funds could be used for abortion services. The state’s new rules not only resulted in the expected exclusion of Planned Parenthood, but of other significant health care providers like the University of Iowa Hospitals and Clinics and the statewide UnityPoint network. Promises of expanded access haven’t materialized, according to a…
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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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Interior department’s draft plan splits Iowa

Interior department’s draft plan splits Iowa

Gazette Column
Most of state grouped with land along Mississippi River Reorganization plans within the U.S. Department of the Interior call for the creation of 13 regions not limited by state boundaries. Like many states, Iowa is divided — eastern and central portions of the Hawkeye State grouped with lands along the Mississippi River, and western Iowa aligned with Nebraska, the Dakotas and pieces of other states. The plan, which department officials say isn’t finalized, was rolled out to senior Interior executives this month at a leadership summit titled “Planning for the next 100 years.” In a video published to the Interior’s YouTube channel, Secretary Ryan Zinke said his plan moves “decision-making authority to the front-line superintendents and managers so right actions can be quickly made without excessive paperwork or burdensome administrative requirements.” Gritty…
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Rubashkin supporters have forgotten Postville. I can’t.

Rubashkin supporters have forgotten Postville. I can’t.

Gazette Column
Greed knows no religious boundary. On May 12, 2008, the day federal immigration officials raided the Agriprocessors plant in Postville, I was two hours away at a hospital, waiting for my husband to have surgery. The call came, and I, the only nearby reporter for the national news outlet that employed me, couldn’t go — wouldn’t go. A few hours later, as I sat beside my husband in a post-surgery recovery room, he made the decision. “Go,” he said. I did — not just that day but nearly every day over the course of the next year, and for months after that. The story of Postville, told from the tiny town in northeastern Iowa and points beyond, forever changed me. [caption id="attachment_1470" align="alignleft" width="500"] The welcome sign in Postville, Iowa…
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Congress was warned of farmer suicides

Congress was warned of farmer suicides

Gazette Column
Americans are waking up to a new reality, one in which farmers are killing themselves in record numbers. Residents also should know that members of Congress have been aware, but have refused to provide help. A study by the Centers for Disease Control and Prevention found people working in agriculture — farmers, laborers, ranchers, fishers and other harvesters — take their own lives at a rate higher than any other occupation. Data suggests that suicide rates for agricultural workers in 17 states is nearly five times higher than the general population. In some states, according to Newsweek, the suicide rate for farmers is greater than for military veterans. And, when compared to studies from the 1980s farm crisis, which captured suicide rate peaks in 1982 at 58 for every 100,000 farmers and ranchers,…
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Iowa misses opportunity to curb teenage risky behavior

Iowa misses opportunity to curb teenage risky behavior

Gazette Column
DES MOINES — Sex educators who gathered here last week for an annual conference have reason to be concerned. Iowa’s family planning landscape has changed, making it more difficult for teens to get needed information and services. The Legislature’s decision last spring to forgo federal family planning money in favor of a state-run program that excludes health care organizations that offer abortion services provided a small window for officials to write rules and implement the system. Even now, three months after the system was supposed to be in place, questions remain. The new process is time-consuming, requiring those hoping to access services to first apply at the nearest Department of Human Services or Title X office and wait for approval. A significant portion of providers listed on the department’s website…
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When local government goes viral

When local government goes viral

Gazette Column
Johnson County officials address zoning requests throughout the year, without much fanfare. Thursday night was different. Grant Schultz, who works a 143-acre plot of land on Strawbridge Road, near the tiny village of Morse, hoped to spur agritourism and bring in more farmworkers by rezoning about half the property as AR, or agricultural residential. He made application to the county, indicating that he wanted to install about three dozen cabins on the property, in addition to a fish farm and orchard. He and county planning officials disagreed. Ultimately the county’s planning and zoning commission rendered its decision, sending the matter before supervisors with a unanimous recommendation to refuse Schultz’s rezoning request. This is when an otherwise local zoning matter drew national and international attention. [caption id="attachment_1329" align="aligncenter" width="500"] A typically…
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Suggestions go beyond Appalachia

Suggestions go beyond Appalachia

Gazette Column
Economic recommendations for Appalachia unveiled by a nonprofit and four U.S. senators this week could benefit the whole of rural America, if they garner a champion. The Appalachian region includes all of West Virginia and portions of 12 more states, spanning from upper Mississippi to lower New York. It’s generally an area that’s coping with multiple and nuanced economic and cultural issues including shifting workforce priorities and the opioid epidemic. In May the nonprofit Bipartisan Policy Center began work with U.S. Sens. Mark Warner (D-VA), David Perdue (R-GA), Joe Manchin (D-WV) and Thom Tillis (R-NC) to establish a task force to develop recommendations for overcoming economic strife and isolation in four topic areas: education and workforce, entrepreneurship and job creation, energy and infrastructure, and rural health. On Wednesday the group…
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Statewide conversation on affordable, supportive housing begins

Statewide conversation on affordable, supportive housing begins

Gazette Column
Spotlight reveals challenges within the Creative Corridor DUBUQUE — Every county in Iowa lacks a sufficient number of affordable housing units, which, in turn, contributes to the prevalence of homelessness most apparent in the state’s population centers. Although intensity varies, this lack of housing is a statewide challenge that affects the ability of communities to attract business and sustain a workforce, the need for taxpayer-funded safety net programs and overall health and well-being. So, this week, the Iowa Finance Authority launched the first of three statewide conversations on housing with a specific focus on the overwhelming need for supported living arrangements. “What we’ve learned from recent experiences in Cedar Rapids and Iowa City,” explained Carolann Jensen, chief programs officer with the IFA, “is that the push for housing, especially supportive…
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