Eight years ago today, two planes flew into the World Trade Center, another crashed into the Pentagon, and a fourth landed in a Pennsylvania field. The raw power of that day came to be symbolized by a date composed of three numbers. Three numbers that evoked the shock of being attacked, the horror of the sounds and images on our television sets, and the heroism of so many men and women. Three numbers that framed the events of the last decade and seemed like they would define my generation.

But eight years ago, many in my generation couldn’t vote. We didn’t choose the President, his wars, or his policies. In fact, young Americans have largely rejected the politics of fear and division that dominated those formative years of our political consciousness—voting 2 to 1 in favor of Barack Obama. Today we remember the victims and honor our heroes, but we also have a new President, new crises, and three new numbers: 3-5-0. 350.

While most of us are focused on insurance or universal care, the Bush Administration has been incrementally shredding Iowa’s existing public health safety net in ways that have yet to become apparent.  The most recent assault on our public health care infrastructure is escaping the notice of mainstream media and citizen journalists alike, probably because it is not easily explained. I am referring to a proposed set of arcane regulation changes by the Center for Medicaid and Medicare Services (CMS) which, if enacted, will result in $15 billion dollars in cuts over five years to service providers, closing or scaling back emergency rooms, medical education and school based services in Iowa communities.