# Health



Iowa governor's 2024 legislative agenda in limbo

State legislators escort Governor Kim Reynolds into the Iowa House chamber on January 9, 2024. Photo by Zach Boyden-Holmes/The Des Moines Register (pool).

Governor Kim Reynolds had every reason to be confident about her legislative plans this year. Republican lawmakers approved most of her priorities in 2023, including some that had previously stalled in the Iowa House, such as a “school choice” plan and damage caps for medical malpractice awards.

Ten weeks into the 2024 legislative session, only two policies the governor requested have made it through both chambers. Nearly a dozen other bills still have a chance to reach her desk with few changes.

But Reynolds’ top priority—downgrading the Area Education Agencies (AEAs) and centralizing power over special education in her administration—will be dramatically scaled back, if it passes at all.

Three bills the governor introduced and promoted in public remarks or on social media are almost certainly dead for the year. Those include her effort to enshrine “separate but equal” treatment of LGBTQ Iowans.

Leaders moved several of Reynolds’ bills to the “unfinished business” calendar in one or both chambers on March 14, keeping them eligible for floor debate despite missing an important legislative deadline. The rest of the governor’s proposals involve taxes or spending, and are therefore “funnel-proof.”

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Lessons from a heart attack

Shutterstock image of an angiogram is by April stock

Rick Morain is the former publisher and owner of the Jefferson Herald, for which he writes a regular column.

I had a heart attack on the evening of February 27. All is well.

Tuesday about 7 p.m. I was sitting at the press table at the Jefferson City Council meeting, taking notes, when my chest started to hurt. I figured it was probably acid reflux, which I have from time to time, so I waited for it to go away.

It didn’t. It hung around after the meeting adjourned at 8 p.m., so when I got home I told Kathy that if it didn’t disappear by 9:30, I would go out to the emergency room at Greene County Medical Center to have it checked out.

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Iowa Senate Republicans just made blood donations a partisan issue

Following two days of contentious debate in the Iowa Senate, the chamber’s calendar for Wednesday, February 21 appeared to be stacked with non-controversial bills.

Then State Senator Jeff Edler rose to offer Senate File 2369, an “act relating to autologous and directed blood donations.”

The blood donation bill may not be as impactful as other legislation Senate Republicans approved last week: proposals to undermine Iowa’s state auditor, reduce Medicaid eligibility for pregnant Iowans, make state funded crisis pregnancy centers less accountable, enable discrimination if grounded in religious beliefs, and repeal the gender balance requirement for state boards and commissions.

Yet Senate File 2369 is important—not only because of its potential impact on the blood supply, but for what it reveals about legislative culture in the eighth year of Iowa’s Republican trifecta.

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"It's embarrassing"—Democrats slam do-nothing Iowa House environment panel

From left: Democratic State Representatives Austin Baeth, Molly Buck, Josh Turek, Elinor Levin, Sharon Steckman, and Adam Zabner. Screenshot from video posted to Facebook on February 8.

“When I joined Environmental Protection, I never envisioned that I would be talking about a raccoon bounty, but here we are,” Democratic State Representative Josh Turek said on February 7, while the House Environmental Protection Committee considered the only bill on the agenda that day.

As they weighed in on the bill, Democrats voiced broader frustrations about the committee’s failure to engage with any of Iowa’s serious environmental challenges.

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Iowa hospitals must stop unlawful drug testing after births

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa. This article originally appeared on the Des Moines Register’s website.

The Des Moines Register article “What Patients Should Know About Hospital Drug Testing” missed some key information that may help families disrupt the illegal maternal and newborn drug screening practices taking place at Iowa hospitals and clinics.

The U.S. Supreme Court made clear in 2001 (Ferguson v. Charleston) that prenatal drug testing without specific informed consent is unlawful. Nevertheless, some Iowa clinics and hospitals continue to conduct such tests, when urine is gathered for testing of urinary tract infections or to check urine glucose or protein levels. Such practices are not only unlawful, but also create mistrust of the medical system—putting the lives of moms and babies at risk. 

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2024 Iowa maternal health priorities: Birth centers, Medicaid, and midwives

Photo provided by the author, showing maternal health advocates advocating for licensure of certified professional midwives during an Iowa House Ways and Means subcommittee meeting in February 2023.

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

This time last year I wrote about five policies that would improve maternal health in Iowa. I’m updating the piece for the 2024 legislative session with a focus on three core priorities. 

Although access to abortion care and contraceptives are critical to maternal and infant health, I do not discuss those topics here. I want to highlight lesser-known aspects of maternal health specific to prenatal, birth, and postpartum care, which receive much less media coverage.

For the 2024 legislative session, I am focusing on three issues I raised last year, which have a strong chance to be enacted. These policies would improve maternal health in Iowa by expanding access to midwives and expanding prenatal care options. I wrote at length in 2021 about how midwives save lives, and it seems like every week a different study or article underscores how the midwifery model of care leads to better outcomes. If you’re interested in diving deeper, one of my favorite resources released in 2023 is this Issue Brief on Maternity Medicaid Strategies from the Maternal Health Hub.

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Nine new year's wishes for a better Iowa


Ralph Rosenberg of Ames is a retired attorney, former state legislator, former director of the Iowa Civil Rights Commission, and former leader of statewide Iowa nonprofit organizations. He and Barbara Wheelock, also of Ames, signed this open letter on behalf of PRO Iowa 24, a group of concerned rural Iowans with progressive values from Greene, Guthrie, Boone, Story, and Dallas counties.

Now is a good time for the public to make their wishes known for 2024 state policies. Tell your legislators to act on behalf of all Iowans, create an economy that works for all Iowans, and use the government to protect the most vulnerable. Republicans can enact each and every one of these items on a bipartisan basis.

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Ten possible reasons Kim Reynolds is the most unpopular governor

Doris J. Kelley is a former member of the Iowa House and former Iowa Board of Parole Chair, Vice-Chair and Executive Director.

After being re-elected to the Iowa House of Representatives, I met newly elected State Senator Kim Reynolds in 2009 at an event where a bipartisan group of “veteran” legislators were giving advice to newly elected ones. My next interaction with Reynolds was when she was lieutenant governor, and Governor Terry Branstad appointed me to serve as Vice-Chair of the Iowa Board of Parole. After I was promoted to chair that board, I met frequently with Branstad and Reynolds, apprising them of the progressive measures the board was undertaking.

Two recent surveys by Morning Consult, released in late October and late November, identified Reynolds as the country’s governor with the highest disapproval rating. A summary of the October poll noted, “her unpopularity increased partly because of a surge in negative sentiment among independent and Republican voters during a year in which she signed a strict anti-abortion law and took a lashing from former President Donald Trump …”

What has happened to Iowa since Reynolds assumed the office of governor on May 24, 2017?

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Summit Carbon Solutions: Five questions for Dr. Mark Z. Jacobson

Nancy Dugan lives in Altoona, Iowa and has worked as an online editor for the past 12 years.

Dr. Mark Z. Jacobson is a Professor of Civil and Environmental Engineering and also serves as Director of the Atmosphere/Energy program at Stanford University, where he has worked for 30 years. He’s spent decades studying ethanol and carbon capture and has published two books that extensively explore those subjects as part of his broader research work examining clean, renewable energy solutions: 100% Clean, Renewable Energy and Storage for Everything (2020), No Miracles Needed (2023).

Thus, Jacobson’s work places him in the eye of the storm surrounding Summit Carbon Solutions’ plan to capture and carry “9.5 million metric tonnes per annum (MMTPA) of CO2 collected from the 34 ethanol facilities, although the pipeline has the potential to carry more.

Environmental Science & Technology, a biweekly peer-reviewed scientific journal of the American Chemical Society, published Jacobson’s most recent study on October 26. That study, called Should Transportation Be Transitioned to Ethanol with Carbon Capture and Pipelines or Electricity? A Case Study, was funded in part by the Sierra Club.

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Iowa Republicans couldn't have been more wrong about defunding Planned Parenthood

When Iowa Republicans gained the trifecta following the 2016 elections, defunding Planned Parenthood was near the top of their agenda. GOP legislators promised a new state-funded family planning program would increase access to reproductive health care and give women more options, especially in rural Iowa.

The latest official data, first reported by the Des Moines Register’s Michaela Ramm, show the program has flopped. In just five years, the number of Iowans receiving services such as contraception, pregnancy tests, Pap smears, and testing or treatment for some sexually transmitted infections dropped by 90 percent compared to the population served during the last year of the previous Medicaid waiver. The number of health care providers involved is down by a staggering 97 percent.

The Iowa Department of Health and Human Services has done almost nothing to promote the program, even as enrollment crashed.

The reality could hardly be more different from the scenario Republicans described in 2017: “connecting folks with their home health care” for essential services by taking Planned Parenthood’s mostly urban clinics out of the equation.

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Iowa's tobacco use, student aid commissions play valuable role

Democratic State Senator Herman Quirmbach submitted the following written comments to members of the Boards and Commissions Review Committee. They are an extended version of remarks he delivered during the September 6 public hearing at the state capitol. You can view the committee’s draft recommendations here.

Mr. Chairman and Members of the Boards & Commissions Review Committee:

Thank you for the opportunity to speak to you on September 6. What follows is a review and extension of my remarks.

I offer the following observations as a member of the Tobacco Use Prevention and Control Commission (Tobacco Commission) and of the College Student Aid Commission (CSAC). I have served on both these commissions for approximately twenty years as an ex-officio non-voting member. Both commissions oversee the implementation and administration of critical state programs to protect the public health (Tobacco) and enhance educational opportunities and workforce development (CSAC). Beyond the functioning of existing programs, members of the commissions provide exceptionally valuable expertise to help guide the development of public policy for the future.

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Consequences of the Supreme Court's Dobbs decision

Steve Corbin is emeritus professor of marketing at the University of Northern Iowa and a freelance writer who receives no remuneration, funding, or endorsement from any for-profit business, nonprofit organization, political action committee, or political party.    

More than a year has passed since the U.S. Supreme Court overturned the Roe v Wade and Casey precedents, stripping women of a right they’d had for nearly 50 years to make their own reproductive health-care decisions. The Dobbs v. Jackson decision has affected American lives in many ways, and had some surprising consequences.

For the first time ever, a majority of Americans say abortion is morally acceptable and recent abortion laws are too strict.

For the first time in two decades, more people identify as “pro-choice” versus pro-life.”

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How two more GOP bills will change public education in Iowa

Reshaping K-12 education has been a major theme of the Iowa legislature’s 2023 session. In January, Republican majorities quickly approved Governor Kim Reynolds’ plan to divert hundreds of millions of public dollars to private schools. In March, the House and Senate passed a “bathroom bill” prohibiting transgender people from using school facilities that align with their gender identity.

Last week, House and Senate Republicans finished work on another two major education bills. Senate File 496 will impose many new restrictions on public schools, while Senate File 391 will lower standards for teachers and librarians and relax several high school curriculum requirements.

The Senate approved both bills on straight party-line votes. Four House Republicans (Michael Bergan, Chad Ingels, Megan Jones, and Hans Wilz) joined Democrats to vote against Senate File 496. Ingels and all Democrats present opposed Senate File 391.

Reynolds is certain to sign both bills and claim victory for her stated goals of empowering parents and giving school districts more flexibility. This post will explain how key provisions changed before final passage, and which parts of each bill didn’t make the cut.

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Iowa should reduce C-section rates to improve maternal health

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa. This essay was originally published in the Des Moines Business Record’s Fearless publication.

While we see regular news coverage about challenges accessing maternal health care in Iowa and the related racial disparities, I rarely see the mention of higher cesarean rates as a relevant factor in those disparities.

April is Cesarean Awareness Month, and April 11-17 is Black Maternal Health Week. The overlap of these initiatives is relevant given the higher cesarean rate for Black people across the country and Iowa. 

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What's in, what's out of Iowa governor's big education policy bill

Both chambers of the Iowa legislature have approved versions of Governor Kim Reynolds’ so-called “parental empowerment” bill, which would rewrite many state policies related to public schools. The state Senate changed some parts of the bill before approving Senate File 496 along party lines on March 22.

The House adopted a more extensive rewrite before passing the bill on April 4, by 55 votes to 42. Six Republicans (Michael Bergan, Austin Harris, Chad Ingels, Megan Jones, Brian Lohse, and Hans Wilz) joined all 36 House Democrats to vote no.

This post walks through the provisions in the governor’s initial proposal (Senate Study Bill 1145), noting how each section changed during Iowa Senate debate, and again when House Republicans approved a 38-page amendment before sending the legislation back to the upper chamber.

Reynolds is likely to get most of what she asked for, but the bill that eventually lands on her desk may contain quite a few additional changes to Iowa Code.

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A dangerous education proposal, given Iowa's cancer rate

LATE UPDATE: Republican lawmakers kept this provision in the final version of Senate File 496, which Governor Reynolds signed in May. Original post follows.

Rick Morain is the former publisher and owner of the Jefferson Herald, for which he writes a regular column.

One state registered a significant increase in cancer incidence from 2015 to 2019, the most recent year for which data is available from all 50 states. That would be Iowa. The only one.

According to the Cancer in Iowa 2023 report, only Kentucky ranked ahead of Iowa in the rate of its residents’ cancer cases. But Kentucky’s rate has decreased recently, while Iowa’s grew.

The reasons for those facts remain a mystery. University of Iowa researchers are trying to figure it out.

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Iowa governor sides with anti-vaxxers, not cancer experts

LATE UPDATE: Republican lawmakers kept this provision in the final version of Senate File 496, which Governor Reynolds signed in May. Original post follows.

Iowa’s leading cancer researchers released sobering numbers last week. Data from the Iowa Cancer Registry indicates that Iowa has “the second-highest overall cancer incidence of all U.S. states” and is “the only state with a significant increase in cancer incidence from 2015 to 2019.”

In addition, Iowa ranks first for “rates of new cases of oral cavity and pharyngeal cancer,” often known as head and neck or mouth and throat cancers. Iowa also has the country’s second-highest rate for leukemia and ranks fifth and sixth for melanoma and non-Hodgkin lymphoma, respectively.

Meanwhile, Governor Kim Reynolds is forging ahead with efforts to stop requiring Iowa schools to teach junior high and high school students that a vaccine is available to prevent human papillomavirus (HPV). That virus can cause cancer in several areas of the body, including the mouth and throat.

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Hog confinements and human health

Photo by Larry Stone taken outside an Iowa hog confinement, published with permission.

Iowans continue to advocate for tighter regulations on concentrated animal feeding operations (CAFOs), which house more than 23 million hogs in the state. The animals produce manure equivalent to the waste from more than 83 million people. This publication outlines the problem and potential solutions: Hog Confinements and Human Health: the intersection of science, morals, and law.

Lead author Bob Watson, of Decorah, is an environmental activist who makes his living in the wastewater industry. He deals with Iowa and surrounding states on wastewater issues as owner of Watson Brothers. 

Larry Stone, of Elkader, has continued writing about and speaking on environmental issues after leaving a 25-year career as outdoor writer/photographer with The Des Moines Register.

Richard “Dick” Janson, Ed.D., of Decorah, is a retired public school administrator and teacher with undergraduate training in engineering, science, history, political science, and English. He’s also a tireless researcher and activist for social justice and environmental issues.

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The time has come to license midwives in Iowa

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

The 2022 Iowa legislative session saw the most significant momentum in more than forty years of advocacy for the creation of a licensure of direct-entry midwives in Iowa. With the 2023 legislative session underway, I will review the pivotal moments in the 2022 legislative session and explain why the Iowa legislature and Governor Kim Reynolds should prioritize enacting a midwifery licensure bill.

While I have addressed the need to provide a licensure for Certified Professional Midwives (CPMs) in previous pieces, I will go more in-depth in providing background on why all Iowans should want and support CPMs practicing in our state.

Note: I would not benefit directly in any way if this bill passed, as I am not a birthworker (doula, midwife, physician), and I do not plan on having any more children. Through my volunteer work with the International Cesarean Awareness Network, I have learned a lot about the different types of midwives and believe Iowans have been “dealt a bad hand” by not having knowledge or access to community birth options that are more readily available in other states and other high-income countries. Iowa families deserve to have all options available for safe and quality maternal health care.

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Corporations exploit CO2 pipeline regulatory gaps in tax credit gold rush

Carolyn Raffensperger is the executive director of the Science & Environmental Health Network. Sheri Deal-Tyne is a researcher for the Science & Environmental Health Network.

A contentious battle wages in the Midwest, Gulf states, and California over Carbon Capture and Storage and siting of CO2 pipelines. One key issue in the battle: the federal pipeline regulatory agency, the Pipeline and Hazardous Materials Safety Administration (PHMSA), does not have regulations in place that can assure the safety of these extraordinarily dangerous pipelines. PHMSA itself acknowledges that CO2 pipelines are underregulated, and the agency currently lacks the technical knowledge required to inform minimum safety standards.

The Inflation Reduction Act, which Congress approved and President Joe Biden signed in August, is driving the rush to site these pipelines. That law unleashed a gold rush in 45Q tax credits for carbon capture and storage, and the thousands upon thousands of miles of CO2 pipelines, which would be required to transport the CO2 away from facilities where the CO2 is captured to the disposal or usage sites in distant states.

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Bruce Schmiedlin for Broadlawns Hospital Trustee

You’ve likely read about some of the Broadlawns candidates, so please allow me to introduce myself.

I’m a trilingual CPA who has worked in a dozen countries and lived in Brazil. I experienced what it is to be a minority in a different country, with or without a language barrier. My languages and multi-cultural experiences enhance reaching out to help Polk County residents achieve better health outcomes and lower the long-term cost of care.

I often see health disparities while serving clients in my private CPA practice. I’ve helped some clients qualify for Obamacare or expanded Medicaid programs to improve access to care and reduce their out-of-pocket costs for that care.

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Miller-Meeks misinforms about COVID-19, again

U.S. Representative Mariannette Miller-Meeks has built her political brand by highlighting her expertise as a doctor and former director of the Iowa Department of Public Health. Her official communications and campaign advertising routinely play up her medical background.

So it’s disheartening to see Miller-Meeks join the ranks of Republican politicians who spread falsehoods about COVID-19.

She just did it again in Davenport.

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Shaimaa Aly: Committed to addressing the social dimensions of health care

Shaimaa Aly explains why she is running for the board of Broadlawns Medical Center, Polk County’s public hospital.

My name is Shaimaa (shy-ma) Aly. I was born and raised in Cairo, Egypt to an upper middle-class family of three kids, two boys and a girl.

My mom is a dermatologist specializing in facial cosmetic surgery. My dad was an economics professor and a government official who believed that quality education is the key to success, so my siblings and I were sent to private Catholic schools growing up.

As a Muslim who attended a Catholic school, I learned to embrace different religions, points of view and peoples.

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Kacey Davis for Broadlawns trustee

Melissa Halverson, DNP ARNP is a Des Moines area nurse practitioner specializing in gastroenterology.

This November, Polk County voters will fill three seats on the Broadlawns Board of Trustees.

When I heard my friend and former colleague Kacey Davis was running for Broadlawns Board of Trustees, I must admit I was a little surprised. After all, she had a toddler, and a demanding job. That seemed to be a lot to handle even without a campaign in the mix.

But I should not have been so surprised. As a family nurse practitioner in community health, Kacey knows firsthand the barriers to finding medical care and mental health services for our most vulnerable residents. Helping to break down those barriers motivates her to serve on the Broadlawns Board of Trustees.

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Maternal health questions for Broadlawns trustee candidates

Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa.

In August, I spoke to the Broadlawns Board of Trustees for the third time in the past four years.

You can read my comments from my first time speaking during their citizen comment period in July 2018 when I was five months pregnant and looking for VBAC supportive care for the birth of my second child. Unbeknownst to me at the time, this experience launched my maternal health advocacy.

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Why I am running for the Broadlawns Board of Trustees

Wayne Ford represented part of Des Moines in the Iowa House and is the founder of the nonprofit organization Urban Dreams.

I am running for one of the open board seats on the Broadlawns Medical Center Board of Trustees. I have been involved with Broadlawns and the neighboring community for the past 50 years and am uniquely qualified to address the challenges that our community is currently facing: an influx of refugees, a rise in violence, limited access to proper healthcare, and lingering concerns from the pandemic. 

These factors compel me to pursue a position on the Broadlawns board so that I can be part of the solution and address these challenges.

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For Broadlawns board: Kacey Davis, Shaimaa Aly, Marc Ward

Broadlawns Trustees Dave Miglin and Emily Webb co-authored this endorsement.

Elections are about the future: identifying issues that still need to be addressed and deciding who or what is the best path forward. While there are several high-profile issues and races on the ballot this November, one of the most important decisions Polk County voters will have is determining who should fill three open seats on the seven-member Board of Trustees at Broadlawns Medical Center.

Whether you are a patient of Broadlawns, a Polk County taxpayer, or simply an interested voter, the people who sit on the Board of Trustee of Polk County’s only public hospital should matter to you.

That is why we are encouraging you to vote for Kathleen Kacey Davis, Shaimaa Aly, and Marc Ward for Broadlawns Trustee (labeled on the back side of the ballot as County Hospital Trustee).

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Resources for Iowans concerned about monkeypox

The state of Iowa has opened a call line to answer questions about monkeypox, and continues to limit vaccinations to groups most at risk of contracting the virus.

The Iowa Department of Health and Human Services (the recently merged Department of Human Services and Department of Public Health) has a call line (515-725-2081) open during regular business hours, 8:00 am to 4:30 pm, Monday through Friday. Questions related to monkeypox can also be emailed to the department: monkeypoxvaccine@idph.iowa.gov.

As of August 17, Iowa had fifteen confirmed monkeypox cases, eight of them in the central region that includes Polk County. According to HHS public information officer Sarah Ekstrand, all known Iowa cases involved adults; “At this time, the risk of monkeypox to children and adolescents in the United States is low.”

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Nitrate water levels threaten health

Tom Walton is an Iowa attorney and was a Democratic primary candidate in Iowa House district 28.

In early June, the Des Moines Water Works turned on its nitrate removal facility for the first time in five years. It had to do so because of increasing nitrate levels in in the Raccoon and Des Moines Rivers. Extra treatment is required to meet the U.S. Environmental Protection Agency’s Safe Drinking Water Standards. For nitrate, that level is 10 milligrams of nitrate-nitrogen (NO3-N) per liter of water. Des Moines Water Works provides drinking water to roughly 600,000 central Iowans.

This has been an ongoing battle. In 2013, nitrogen levels at the testing equipment near Van Meter upstream from on the Raccoon River from Des Moines were a record 24 mg/L—more than double the EPA safe level. On June 2 of this year, that station measured a median of 20.4 mg/L.

However, a growing body of scientific research indicates that long-term ingestion of water from public water sources with nitrogen levels below the EPA maximum contaminant level (MCL) have been associated with a higher risk of some forms of cancer and other adverse health effects, although more study is needed to support more conclusive results.

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Midwifery licensure would improve maternal health, infant outcomes

Bethany Gates is a Certified Professional Midwife from Vinton (Benton County), where she lives with her husband, Judah, and their 4 daughters.

Certified Professional Midwives are midwives who practice in an out-of-hospital setting. Iowa CPMs attend home births; in other states, CPMs attend home births and births in birth centers. 

Here in Iowa, CPMs are unregulated, and the Iowa Code does not have any section addressing their practice. While this may sound like freedom in theory, the reality is that midwives face many challenges as they strive to provide quality care, because Iowa does not license the profession.

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COVID-19 divisions undermine support for other vaccinations

Governor Kim Reynolds and top Republican lawmakers have repeatedly bragged about protecting Iowans’ freedom not to get vaccinated for COVID-19, saying that getting a shot should be a matter of personal choice and not government mandate.

Now the latest Iowa Poll by Selzer & Co indicates that support for other required childhood vaccinations has dropped sharply since the last time Iowans were surveyed on the issue.

Republican respondents in particular are now less likely to support mandatory vaccinations against diseases like polio and the measles—a finding that suggests the misinformation campaign some have waged against COVID-19 vaccines has affected how many conservatives view all immunizations. When Selzer asked Iowans a similar question in 2015, there was no significant difference in views based on political affiliation.

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Vaxxing, Trump, and JFK

Dan Piller reviews presidential attitudes toward public health and physical fitness.

If you needed a good laugh during the hassle of Christmas weekend, one could be had by watching the sudden fracture of Donald Trump and the nation’s anti-vaccine cult. This surprising development came about during a Trump podcast interview with Candace Owens, for whom no conspiracy theory is too outrageous.

Trump and Owens should have enjoyed a convivial chit-chat, but the former president took issue with Owens’ anti-vaccine sentiments. Trump’s Operation Warp Speed initiative to give us COVID-19 vaccines was arguably the highlight of his otherwise inept presidency. Even President Joe Biden has praised it.

Owens uncharitably attributed Trump’s pro-vaccine sentiment to his being “too old” to find websites that give alternatives to vaccinations, which probably will prove sufficient for her to be turned away for good at the Mar-a-Lago main gate.

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Birthing a conference: A celebration of Black kin

Des Moines-based holistic doula and lactation counselor Olivia Samples first published this post on Kismet Doula Services’ blog. -promoted by Laura Belin

Last year I attended two conferences centered around Black Maternal Health. After the first one I attended, I had a dance party in my room to the playlist they sent us. The discussion, resources, and connection I got from this event totally filled my cup; left me energized and ready for more.

A few weeks later, during the second conference, I felt the anger rising from my gut into my face. I cried and stepped away after hearing so many statistics of the disparities for Black birthing people in Iowa. I learned a lot from other sessions throughout the conference, but at the end of the day, I closed my laptop, journaled, and took a nap.

Something that sticks out from the entry that day:

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Iowa needs more midwives to save lives

Rachel Bruns continues a series of posts addressing the quality of maternal health care in Iowa. -promoted by Laura Belin

This article is all about midwives. I will be using this space to expand on four different needs in our state to improve the access and quality of maternal-child health care in Iowa. All of them are interrelated. If Iowa accomplishes these four things, we will see an improvement in maternal-child health outcomes across all races, accessibility of care options in all geographies, and an overall increase in quality and satisfaction from patients. 

The four areas I will address are:

  • The need to diversify our workforce and address birth equity (this is connected to the next 2 items)
  • The need to license Certified Professional Midwives (CPMs)
  • The need to expand access to Certified Nurse Midwives (CNMs).
  • The need to expand access to birth centers.
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    Maternal health in Iowa: You don't know what you don't know

    Rachel Bruns is a volunteer advocate for quality maternal health care in Iowa. -promoted by Laura Belin

    As I plan to write several posts in the coming weeks related to maternal-child health in Iowa, I want to introduce myself to Bleeding Heartland readers. For this piece, I’m going to provide some high-level information on the landscape around maternal health in Iowa from my perspective as a maternal-child health advocate.

    But first, some background on myself and how I became involved in this work.

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    The unchanging red light

    Ira Lacher: “Drastic measures” to address novel coronavirus “need to be carefully weighed for their presumed benefits vs. their unintended consequences.” -promoted by Laura Belin

    We’ve been hearing a lot lately about “flattening the curve” as it pertains to dealing with COVID-19. The premise is to keep down the number of patients needing hospitalization because America lacks the beds to treat them.

    Health experts agree that doing so can reduce the number of severe cases. “If you don’t have as many cases coming to the hospitals and clinics at once, it can actually lower the number of total deaths from the virus and from other causes,” says Dr. Howard Markel of the University of Michigan, who has studied epidemics. “And, importantly, it buys us time for university and government scientists, and industry, to create new therapies, medications and potentially a vaccine.”

    But it can also mean extending the disruption of virtually everyone’s life. And that’s not going so well with one of my neighbors.

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    Steve King votes against coronavirus response bill (updated)

    The U.S. House has fast-tracked a bill responding to the economic challenges created by the novel coronavirus (COVID-19) pandemic. All 223 Democrats present–including Iowa’s Representatives Abby Finkenauer (IA-01), Dave Loebsack (IA-02), and Cindy Axne (IA-03)–voted for the bill shortly before 1:00 am on March 14, joined by 140 Republicans (roll call). U.S. Representative Steve King (IA-04) was one of 40 House Republicans to vote no.

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    State board suggests more restrictive medical cannabis limits

    Carl Olsen has been a leading advocate for medical cannabis in Iowa for many years and closely follows legislative happenings related to the issue. -promoted by Laura Belin

    In a highly unusual move, the Iowa Department of Public Health (IDPH) announced on the afternoon of April 12 that the Medical Cannabidiol Advisory Board had rescheduled its planned meeting. Instead of convening for two and a half hours on May 3, the board would meet for one hour on April 16.

    Members called the shorter, rushed meeting in order to discuss recommendations on the tetrahydracannabinol or THC cap and purchase limits in a bill the Iowa House approved last month.

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    Iowa Senate committee puts THC cap in House medical cannabidiol bill

    Carl Olsen reports on the latest legislative maneuvering around Iowa’s medical cannabis program. -promoted by Laura Belin

    Key lawmakers said for months the 3 percent tetrahydrocannabinol (THC) cap would never be lifted unless Iowa’s Medical Cannabidiol Advisory Board recommended doing so. Nevertheless, the Iowa House mysteriously decided to lift the 3 percent cap on THC shortly before the first legislative funnel deadline on March 8.

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    Iowa House approves small steps on medical cannabis

    “Is it perfect? No, it’s not perfect. Are we moving in the right direction? Absolutely,” Democratic State Representative Wes Breckenridge said shortly before Iowa House members approved a bill to improve our state’s medical cannabis program.

    House File 732 would allow some Iowans to use more potent products and would make it easier for some patients to apply for a registration card. The House passed the bill by 96 votes to three after Breckenridge and Republican State Representative Jarad Klein praised each other’s consensus-seeking.

    But for a suspenseful few minutes during the March 26 floor debate, the future of the bill was in doubt because of a first-term Republican’s far-reaching amendment.

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    Representative Fisher’s last chance

    Leaders of Iowa House or Senate committees can bury legislation without ever allowing discussion, let alone a vote. As Emma Schmit and Adam Mason report, that’s what’s happening with a bill that could help clean up our state’s filthy waterways. -promoted by Laura Belin

    Republican State Representative Dean Fisher has less than one week left to do the right thing for Iowa’s rural communities, independent farms, and water quality.

    Fisher has a choice to make this week. As chair of the House Environmental Protection committee, he is single-handedly holding up progress on a bill that would enact a moratorium on new and expanding factory farms. We aren’t talking about a floor vote or even a committee vote– we’re talking his outright refusal to even assign the bill to a subcommittee so that it could be debated.

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    Cannabis: A greener way forward for Iowa

    Gwen Hope unpacks the economic and social possibilities that accompany legalizing cannabis, demystifying the oft-maligned psychoactive plant. -promoted by Laura Belin

    Since the middle of the 20th century, cannabis has been a hot button issue, particularly since the Nixon Administration began the War on Drugs. Often political, the criminalization and demonization of the plant and substances derived from it has a complex, but living history in the United States.

    A microcosm of the country incarnate, this issue is attached to almost every other issue and stance imaginable: from political party to patriotism, convention to community, race to religion, humanity to harm, morality to medicine, and everything in-between was and is attached to cannabis – the United States’s most popular illicit substance.

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    Recognizing Bleeding Heartland's talented 2018 guest authors

    The Bleeding Heartland community lost a valued voice this year when Johnson County Supervisor Kurt Friese passed away in October. As Mike Carberry noted in his obituary for his good friend, Kurt had a tremendous amount on his plate, and I was grateful whenever he found time to share his commentaries in this space. His final post here was a thought-provoking look at his own upbringing and past intimate relationships in light of Dr. Christine Blasey Ford’s allegations against Judge Brett Kavanaugh.

    Friese was among more than 100 guest authors who produced 202 Bleeding Heartland posts during 2018, shattering the previous record of 164 posts by 83 writers in 2017. I’m thankful for every piece and have linked to them all below.

    You will find scoops grounded in original research, commentary about major news events, personal reflections on events from many years ago, and stories in photographs or cartoons. Some posts were short, while others developed an argument over thousands of words. Pieces by Allison Engel, Randy Richardson, Tyler Higgs, and Matt Chapman were among the most-viewed at the site this year. In the full list, I’ve noted other posts that were especially popular.

    Please get in touch if you would like to write about any political topic of local, statewide, or national importance during 2019. If you do not already have a Bleeding Heartland account, I can set one up for you and explain the process. There is no standard format or word limit. I copy-edit for clarity but don’t micromanage how authors express themselves. Although most authors write under their real names, pseudonyms are allowed here and may be advisable for those writing about sensitive topics or whose day job does not permit expressing political views. I ask authors to disclose potential conflicts of interest, such as being are a paid staffer, consultant, or lobbyist promoting any candidate or policy they discuss here.

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    Beer and baseball

    A message for the holiday season from Ed Fallon. -promoted by desmoinesdem

    I’ve gotta tell you this crazy dream I had last night about beer and baseball. I was playing major league baseball (yeah, only in my dreams). I came to the plate and struck out four times (ok, that part’s realistic). After my last strikeout, I sauntered out to center field where I was surprised to find my rocking chair. I sat down and prepared to watch the rest of the game.

    The other team’s leading slugger stepped up to the plate. Suddenly, the fans rose to their feet while children poured onto the field. Led by a seven-year-old girl standing at the pitcher’s mound, everyone raised a beer to toast the slugger, singing, “We like beer, yes we like our beer.” The girl and other under-age kids raised cans and bottles of soda pop instead.

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    Why do I have to choose between opioids and medical cannabis for chronic pain?

    Ann Crane (not her real name) is an Iowa woman who has suffered from chronic pain for nearly 18 years. -promoted by desmoinesdem

    Around the country, there has been much discussion around the use of cannabidiol (CBD) and tetrahydrocannabinol (THC) to treat medical conditions. Most states allow the use of medical cannabis, and a few have legalized recreational use of cannabis as well. Under a 2017 Iowa law, cannabidiol with no more than 3 percent THC can be used to treat a small number of “debilitating medical conditions” (recently expanded by one).

    I am one of thousands who suffer from “intractable or chronic pain,” one of the qualifying medical conditions in Iowa.

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    Why Jerry Foxhoven is wrong about closing Iowa's mental health institutions

    Leslie Carpenter is an advocate for improving the treatment of people with serious mental illnesses in Iowa and across the country. -promoted by desmoinesdem

    While speaking at the National Alliance on Mental Illness Iowa Annual Conference on November 16, Iowa Department of Human Services Director Jerry Foxhoven advised the attendees that it was a good thing that two of the state’s four in-patient mental health institutions (MHIs) were closed, and that we have moved to community-based care. He further shared that it was a good thing to go from more than 700 beds to the current level of 64 beds for adults in the whole state.

    We should recall that this reduction of state-operated acute care beds has caused Iowa to be ranked 51st by the Treatment Advocacy Center.

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    IA-Gov: Notes on the final Hubbell-Reynolds debate

    Governor Kim Reynolds and Democratic challenger Fred Hubbell debated for the third and last time today in Davenport. Too bad not many viewers are likely to tune in at 8:00 am on a Sunday morning, because the discussion was yet another study in contrasts. For those who prefer a written recap, I enclose below my detailed notes. Click here and here for Bleeding Heartland’s analysis of the first two Hubbell-Reynolds debates.

    As during the second debate, journalists kept the candidates on topic and within the time limit, so kudos to moderator David Nelson of KWQC-TV6 and panelists Erin Murphy of Lee Enterprises, Forrest Saunders of KCRG-TV9, and Jenna Jackson of KWQC-TV6.

    Both candidates recycled many talking points from their first two meetings. My impression was that Reynolds performed about equally well in all three debates, while Hubbell improved each time. For instance, after Reynolds noted that Iowa had moved up in mental health rankings three years in a row and was now rated sixth in the country for mental health, Hubbell pointed out that the study the governor cited covered the years 2013 through 2015. That was before the Branstad/Reynolds administration closed some mental health institutions and privatized Medicaid, which has led to worse care for thousands of Iowans.

    For those who prefer to watch the replay, KCRG-TV posted the video in a single file, which is the most user-friendly option. You can also find the debate on KWQC-TV (with closed captioning) and WOWT-TV’s websites, but you will have to watch a series of clips, with advertisements before each segment.

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    Post-modern queer youth experience

    “LGBTQ youth are forgotten even by members of the LGBTQ community,” writes advocate Nate Monson in this thought-provoking commentary. -promoted by desmoinesdem

    Since 2007, I have served as the executive director for Iowa Safe Schools, a non-profit founded in 2002 to support LGBTQ youth through education, outreach, victim services, and advocacy. The organization works on the overall improvement of the queer youth experience for thousands of students across the state. The queer experience is the culmination of events and relationships a person has based on their LGBTQ identity. LGBTQ students are more likely than their heterosexual peers to experience a range of issues such as bullying, homelessness, and suicide.

    In early April, I gave a Tedx Talk at Wartburg College about the Post-Modern Queer Youth Experience.

    Working in the LGBTQ equality movement for over a decade has given me a front row seat to its inner workings. What I’ve found is that LGBTQ youth take a back seat in this broader conversation on equality, even though LGBTQ youth represent one of the most marginalized and at-risk populations.

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    Medical cannabis board recommends adding ulcerative colitis

    Carl Olsen is a longtime advocate for expanding access to medical cannabis in Iowa and maintains the Iowans for Medical Marijuana website. -promoted by desmoinesdem

    I attended the seventh meeting of the state Medical Cannabidiol Advisory Board on August 3 at the Iowa Laboratory Facility on DMACC’s Ankeny Campus. Current law names nine “debilitating medical conditions” which can legally be treated with cannabidiol. See Iowa Code § 124E.2(2) (2018). The board considered three petitions to expand the list. Board members denied one, deferred one, and granted the petition to add ulcerative colitis.

    My observations about these rulings may help advocates lobbying officials to allow medical cannabis for other diseases or chronic health conditions now excluded under Iowa law.

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    Duplicity in action: The Kim Reynolds mental health ad

    Matt Chapman had a “visceral reaction” to the governor’s campaign ad about mental health. -promoted by desmoinesdem

    If you watch Jeopardy! or the local news, you have been seeing a lot of campaign commercials for Governor Kim Reynolds. The first three were biographical in content, and the latest attacks Fred Hubbell over his leadership of the Younkers department store chain. (Iowa Starting Line pointed out that ad featured local GOP activists posing as people affected by store closures.)

    The fourth Reynolds campaign spot, “Leader,” gaslights Iowans on our state’s inadequate mental health system.

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    Memorial Day open thread: Forgotten history

    Historical accounts have long credited Waterloo, New York, with establishing the tradition now known as Memorial Day. That small town first held an “annual, community-wide event, during which businesses closed and residents decorated the graves of soldiers with flowers and flags,” on May 5, 1866.

    However, Felice Leon of The Root explained “The Black History of Memorial Day” in a fascinating video posted on Facebook over the weekend.

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    We must do better

    John Grieder is a Democratic activist in Waterloo. -promoted by desmoinesdem

    Like so many Iowa Democrats, I have watched this gubernatorial primary with a keen eye. With Terry Branstad leaving Terrace Hill for China and Governor Kim Reynolds continuing the same failed policies, 2018 seemed like the year of hope for turning the governor’s mansion back to blue. I’ve watched and heard and hoped with most of the candidates, flitting from one to another. I fully admit that I have been fickle and changed my mind more than once.

    Even now, my absentee ballot sits upon our counter unfilled. So many thoughts, hopes, and fears play out when I look upon that ballot that I have to leave it blank for now, because I do not as yet know the path forward.

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    New family planning program fails Iowans. Republicans don't want to know

    Republican lawmakers made big promises last year that Iowans would have “more access” to family planning services under a new state program that excluded Planned Parenthood.

    As anyone could have foreseen, the opposite was true. In the first nine months of the State Family Planning Program’s existence, the number of Iowans enrolled dropped by a third. The number who obtained at least one reproductive health care service fell by more than 40 percent from the first quarter to the second quarter the program was operating. The number of health care providers billing the program also declined by 40 percent during the same time frame.

    Republican lawmakers don’t want to hear how poorly the new system is serving their constituents. Even worse, GOP state senators voted unanimously last week to compound the mistake by blocking Planned Parenthood from participating in sex education programs.

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    Why the mental health bills that just passed are a big deal

    Peggy Huppert is the executive director of the National Alliance on Mental Illness in Iowa. -promoted by desmoinesdem

    Governor Kim Reynolds signed two mental health bills on March 29 in an emotional ceremony in the capitol rotunda. I was one of the hundreds of legislators, lobbyists and advocates who witnessed the event.

    The two bills are quite different. What they have in common, in addition to dealing with mental health and being signed into law on the same day, is that they passed both chambers of the Iowa legislature unanimously. That in itself is extraordinary.

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    Governor Reynolds, please veto Farm Bureau/Wellmark monopoly bill

    Jon Muller canceled his insurance policy after more than 20 years as a Farm Bureau member because of legislation that could leave thousands of Iowans like his sister uninsurable. -promoted by desmoinesdem

    Last night, I sent the following letter to Governor Kim Reynolds urging her veto of Senate File 2349, a bill that in effect grants a monopoly to a partnership between the Iowa Farm Bureau Federation and Wellmark Blue Cross/Blue Shield. This letter does not get into all the negative implications of the bill, but it’s a start.

    I’m no expert on whether vetoing this bill is politically expedient or not. But I am fairly certain the damage will be vast, and far beyond what anyone supporting this bill ever contemplated.

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    Incumbents retiring in two battleground GOP-held Iowa Senate districts

    During the last week before the filing deadline, Republican State Senators Mark Chelgren and Rick Bertrand announced that they will not seek re-election in 2018. Iowa Senate districts 41 and 7 were already the best Democratic pickup opportunities on a difficult midterm election map. Of the 29 Republicans now serving in the upper chamber, only four–Chelgren, Bertrand, Dan Dawson, and Tom Greene–hold seats where registered Democrats outnumber Republicans (barely in Dawson’s district). Dawson and Greene won’t be up for re-election until 2020.

    Winning an open seat is usually easier than defeating a legislative incumbent, and Bertrand’s retirement clearly improves Democratic chances in Senate district 7.

    But Republicans have likely increased their odds of holding Senate district 41 by swapping out Chelgren for Mariannette Miller-Meeks.

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    Iowa House Republicans prevent votes on gun restraining orders for mentally ill

    Iowa House Republicans suppressed two attempts to consider legislation that would make it easier to temporarily remove firearms from individuals who pose a danger to themselves or others because of severe mental health issues. Democratic State Representative Art Staed has vowed to keep trying to pass what he called “a vital tool” to help family members and law enforcement save lives.

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    A life that has led to advocacy

    A personal commentary by Matt Chapman to coincide with the “Day on the Hill” for our state’s National Alliance on Mental Illness chapter. NAMI Iowa’s “mission is to raise public awareness and concern about mental illness, to foster research, to improve treatment and to upgrade the system of care for the people of Iowa.” -promoted by desmoinesdem

    In the last few years I have found myself politically active and seem to be trying to make up for years of not having the right to vote and taking it for granted when I did participate. I would like to share where my focus is and relate how I came to feel so intensely about these issues. You never know when you may find your voice, and if it took me until my 50s, so be it.

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    Exclusive: Two health giants block Iowans from medical cannabis program

    Doctors affiliated with Mercy Cedar Rapids and The Iowa Clinic are refusing to sign paperwork their patients need to register for the Iowa Department of Public Health’s medical cannabis program. Iowa law requires applicants to obtain their doctor’s signature attesting that the patient has a “qualifying debilitating medical condition.” But the law stipulates that health care practitioners have “no duty to provide” written confirmation of the patient’s diagnosis.

    Mercy Cedar Rapids appears to have instructed its 503 physicians not to sign the IDPH paperwork, according to two sources with qualifying conditions, who receive health care at different facilities in that network. Most if not all of the 250-plus health care providers at The Iowa Clinic, a doctor-owned group in the Des Moines area, are also refusing to sign medical cannabis card applications.

    Without cooperation from a primary care provider, Iowans cannot start the process of receiving authorization to use cannabidiol legally. The number of patients affected by their health care group’s policies is unknown but potentially large. Mercy Cedar Rapids handled 451,400 outpatient visits last year at offices around Iowa’s second largest metro area. The Iowa Clinic averages 450,000 visits annually, serving about 148,000 unique patients across its central Iowa locations.

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    When Iowa's Republicans overturned rule on gun checks for mentally ill

    After yet another mass murder involving an assault weapon made national news, Senator Chuck Grassley told reporters on February 15, “we have not done a very good job of making sure that people that have mental reasons for not being able to handle a gun getting their name into the FBI files and we need to concentrate on that.” Similarly, Senator Joni Ernst said today that the U.S. needs more “focus” on mental illness, not gun control. (Not that she has any ideas on how to address that problem.)

    The talking point is bogus, because people with mental illness aren’t more likely than others to commit violent crimes, and mental illness isn’t any more prevalent in the U.S. than in other countries that experience far fewer mass shootings.

    But let’s leave that aside for the moment. A year ago, all of Iowa’s Republicans in Congress voted with their GOP colleagues to overturn “a sensible Obama administration rule designed to stop people with severe mental problems from buying guns.”

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    Weekend thread: Big Iowa problems

    A majority of Iowans think mental health services, student loan debt, child welfare services, state university tuition, and the state budget are either a “crisis” or a “big problem” for Iowa, according to the latest Selzer poll for the Des Moines Register and Mediacom. Among nine issues tested in the survey of 801 Iowa adults in late January, mental health services registered as the top concern: 35 percent of respondents described the situation as a crisis, 38 percent as a big problem. No other topic registered above 20 percent for “crisis.”

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    Read more messages Fred Hubbell is testing with Iowa Democrats

    Are Iowa Democrats more impressed by Fred Hubbell’s work in business and government, or by his long history as a donor and community leader? How bothered are they by criticism of Hubbell’s stances on labor issues, or by hearing that he is a wealthy former corporate executive? Are they reassured after learning more about his beliefs, philanthropy, treatment of employees, or commitment to creating jobs in Iowa?

    Whereas the Hubbell campaign’s first message-testing poll last August focused on voters’ priorities and reasons to support the candidate, a lengthy survey in the field this week explores potentially damaging cases against the candidate as well as points in his favor.

    A Bleeding Heartland reader recorded the nearly 20-minute call and shared the sound file. Follow me after the jump for the full questionnaire, which did not include any positive or negative statements about other candidates for governor.

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    Fred Hubbell, Nate Boulton up on tv ahead of Iowa caucuses

    For the first time in Iowa history, multiple gubernatorial candidates are airing television commercials four and a half months before the primary. Fred Hubbell’s campaign launched its fourth statewide tv ad last week, while the first spot for Democratic rival Nate Boulton hits the screens today in the Des Moines and Cedar Rapids markets. UPDATE: Cathy Glasson has placed a television ad buy too. Iowa Starting Line reported today that committees affiliated with the Service Employees International Union have donated $1,819,931 to Glasson’s campaign already.

    The new Hubbell ad references the themes of his campaign’s first three spots: support for Planned Parenthood, mental health funding, and better economic development practices. (Bleeding Heartland published those videos here, here, and here.) Boulton’s commercial highlights his role leading the opposition to Republican efforts to strip away collective bargaining rights during last year’s legislative session. Scroll down for details on both ads.

    Hubbell has been on the air for months, having raised well over $1 million since last summer. Boulton’s campaign war chest is likely to be substantially smaller–we’ll know for sure when all the 2017 finance reports are published later this week. While candidates normally conserve their cash to use on television and radio spots closer to the primary, Boulton has good reason to spend some money now.

    The Iowa Democratic precinct caucuses are coming up on Monday, February 5. Caucus-goers will elect county convention delegates, who in turn will select district and state delegates at county conventions on March 24. With seven Democrats running for governor, state convention delegates may end up selecting the nominee on June 16, if no candidate receives at least 35 percent of the vote in the June 5 primary.

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    Iowa governor trying to have it both ways on Affordable Care Act

    Governor Kim Reynolds continues to take credit for a major benefit of the Affordable Care Act, even as she calls on Congress to repeal and replace the 2010 health care reform law. During today’s Condition of the State address, the governor boasted that compared to a few years ago, “150,000 more Iowans have mental health coverage today and have access to more local and modern service.”

    She didn’t mention that those Iowans gained health insurance only because the Affordable Care Act included funding to expand Medicaid.

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    Five takeaways from the Iowa legislature's opening day in 2018

    The Iowa House and Senate convened Monday with the usual big promises and platitudes about working together to build a better future for Iowans.

    Behind the optimistic rhetoric, all signs point to another contentious legislative session. The opening day speeches by Republican and Democratic leaders, enclosed in full below, revealed almost no common ground about the focus of lawmakers’ work and no indication that the most important bills will incorporate Democratic ideas. My takeaways:

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    Zach Wahls, Janice Weiner running in Iowa Senate district 37

    Zach Wahls announced his candidacy today in Iowa Senate district 37, where Democratic State Senator Bob Dvorsky plans to retire at the end of 2018. Janice Weiner launched her campaign for the same seat earlier this week, but Wahls will be heavily favored to win the Democratic nomination.

    Follow me after the jump for background on both candidates and the political landscape in this must-hold district for Democrats.

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    Iowans not happy with mental health, Medicaid, school funding, taxes

    Clear majorities of Iowans disapprove of how the state legislature and executive branch are handling mental health care, Medicaid, education funding, and taxes, according to the latest statewide survey by Selzer & Co for the Des Moines Register and Mediacom.

    Even worse for Republicans: more than 70 percent of respondents said each of those issues would be a “major consideration when you choose how you will vote in the 2018 election.”

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    A rare victory for Iowa water quality

    Following a public outcry, the Iowa Department of Natural Resources has abandoned an effort to weaken the state’s E. coli water quality standards.

    Officials had designed the change with the explicit goal of reducing the number of Iowa waterways deemed impaired. Environmental advocates had warned public health would suffer if the DNR assessed waterways based on average readings of E. coli levels, rather than the highest single measurement of the bacteria.

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    Kim Reynolds should have made one clean break from Terry Branstad

    Governor Kim Reynolds made a strategic error by not distinguishing herself from her predecessor in any meaningful way, judging by the new Iowa poll by Selzer & Co for the Des Moines Register and Mediacom.

    Changing course on even one high-profile policy could have demonstrated strong critical thinking and leadership skills. Instead, Reynolds is in effect running for a seventh Terry Branstad term. Unfortunately for her, Iowans are inclined to think it’s “time for someone new” in the governor’s office.

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    "Make America America again": photos, highlights from Iowa Democrats' fall gala

    Everyone could have guessed Alec Baldwin would get Iowa Democrats laughing with jokes at President Donald Trump’s expense.

    But who would have predicted the serious part of the actor’s speech would evoke an even stronger response from the crowd?

    Follow me after the jump for audio and highlights from Baldwin’s remarks and those of the seven Democratic candidates for governor, along with Stefanie Running‘s photographs from a memorable evening in Des Moines.

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    Weekend open thread: Veterans Day do's and don'ts

    Thanking a veteran is easy. Tackling problems that face veterans is hard.

    At no time is that political reality more apparent than on the 11th day of the 11th month.

    The usual expressions of respect and gratitude can be found in the latest batch of Veterans Day tweets by Senators Chuck Grassley and Joni Ernst and Representatives Rod Blum (R, IA-01), Dave Loebsack (D, IA-02), David Young (R, IA-03), and Steve King (R, IA-04).

    After the jump I’ve posted some concrete ways members of Congress could show they care about veterans. This is an open thread: all topics welcome.

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    Twelve depressing facts about racial disparities in Polk County

    The Des Moines metro area has received top-ten rankings from dozens of national organizations or publications that evaluate the job climate, housing markets, or other factors affecting the quality of life.

    Unfortunately, extensive research on the State of Black Polk County revealed “significant racial disparities in the traditional economic and financial indicators including banking, savings, employment, and housing.” The Directors Council and State Public Policy Group coordinated the yearlong project, producing the first-ever “snapshot of the financial stability and well-being of African Americans and Africans living in Polk County.” Iowa’s largest county is home to more than 31,000 black people, a little less than 30 percent of the estimated statewide African-American population.

    I first learned of this study, now nearly six months old, when Teree Caldwell-Johnson presented key findings to congregants at Temple B’nai Jeshurun in Des Moines during a break between Yom Kippur services on September 30. The full report is after the jump. For each portion, I’ve highlighted the facts and figures that most struck me.

    These numbers partially explain why analysts for 24/7 Wall Street ranked the Des Moines metro area the country’s ninth-worst city for black people in 2015 and the third-worst last year.

    On a related note: The Fifth Annual Iowa Summit on Justice and Disparities, co-sponsored by the NAACP, is happening in Ankeny next Tuesday, October 10. More details are here and near the end of this post.

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    Seven more pitches for seven Iowa Democratic candidates for governor

    To all the Democrats who want to hear directly from each contender in the Iowa governor’s race before deciding how to vote next June: this post’s for you.

    Since Bleeding Heartland published seven pitches for gubernatorial candidates from a major party event this summer, Todd Prichard has left the race and Ross Wilburn has joined the field.

    All seven Democrats running for governor appeared at the Progress Iowa Corn Feed in Des Moines on September 10, speaking in the following order: Cathy Glasson, Fred Hubbell, John Norris, Ross Wilburn, Jon Neiderbach, Andy McGuire, and Nate Boulton. I enclose below the audio clips, for those who like to hear a candidate’s speaking style. I’ve also transcribed every speech in full, for those who would rather read than listen.

    As a bonus, you can find a sound file of Brent Roske’s speech to the Progress Iowa event at the end of this post. With his focus on single-payer health care and water quality, Roske should be running in the Democratic primary. Instead, he plans to qualify for the general election ballot as an independent candidate, a path that can only help Republicans by splitting the progressive vote.

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    IA-Gov: Read the messages Fred Hubbell is testing with Iowa Democrats

    Are Iowa Democrats more likely to support a successful businessman who is not a politician? Are they sympathetic to the argument that a self-funding candidate for governor is less susceptible to influence by special interests? Are they more impressed by private- or public-sector jobs Fred Hubbell has held, or by his charitable giving to causes like Planned Parenthood?

    A recent survey of Democratic voters appears to be the Hubbell campaign’s first attempt to answer those and other questions.

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    Iowa scientists warn humidity rising due to climate change

    “Uncomfortable humidity, water‐logged spring soils, extreme rain events, mold, and mosquitoes are all expected to become more prevalent in Iowa due to a rarely discussed impact of climate change: increased humidity,” 190 scientists at academic institutions warned last week. In the sixth annual Iowa Climate Statement, science faculty and researchers from 39 colleges and universities noted that “Increases in humidity have been measured across the Midwest and in Iowa across all seasons and at all long‐term monitoring stations.”

    High levels of humidity create hazardous conditions for Iowa workers and sensitive populations through the danger of heat exhaustion and heatstroke. Allergic rhinitis and asthma are worsened by heightened exposures to mold and dust mite allergens in humid environments. There also is evidence for increased aggression and societal violence associated with hot, humid weather.

    For Iowa agriculture, increased warm‐season humidity leads to increased rainfall, extreme rain events, water‐logged soils during planting season, soil erosion, and runoff of chemicals to waterways. Rising humidity also leads to longer dew periods and higher moisture conditions that elevate costs of drying grain and increase populations of many pests and pathogens harmful to both growing plants and stored grain. Increased nighttime temperatures coupled with humidity causes stress to crops, livestock and pets and, in extreme cases, heat stress can cause loss of life.

    I enclose below the full text of this year’s Iowa Climate Statement, with references, along with the news release highlighting key findings. You can view the names and academic affiliations all who signed here.

    P.S.-The Center for Global & Regional Environmental Research at the University of Iowa, which has coordinated the release of the Climate Impact Statement, is set to lose much of its funding in 2022. This spring, Republican legislators approved and Governor Terry Branstad signed into law a bill eliminating a small tax on investor-owned utilities, which has supported the CGRER and the Iowa Energy Center at Iowa State University for 25 years.

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    Ross Wilburn makes eight Iowa Democratic candidates for governor

    Ross Wilburn joined the field of Democratic candidates for governor today, promising to focus on health, education, and economic opportunity. In a news release enclosed in full below, the former Iowa City mayor and city council member said he would govern in an inclusive way, drawing on skills gained through community work and service in local government. He pledged to listen and build consensus, “bringing together sometimes disparate interests,” as opposed to the “fighting” and “divisions” often seen in Iowa politics at the state level.

    Wilburn’s campaign is on the web at justbeiowa.com, on Twitter @letsbeiowa, and on Facebook at Ross Wilburn for Governor.

    In alphabetical order, the other Democratic candidates for Iowa governor are:

    Nate Boulton (website, Twitter, Facebook)
    Cathy Glasson (website, Twitter, Facebook)
    Fred Hubbell (website, Twitter, Facebook)
    Andy McGuire (website, Twitter, Facebook)
    Jon Neiderbach (website, Twitter, Facebook)
    John Norris (website, Twitter, Facebook)
    Todd Prichard (website, Twitter, Facebook)

    Glasson is technically still in the exploratory phase, but she has hired campaign staff and spoken to audiences around the state this summer, including the Iowa Democratic Party’s Hall of Fame event last month.

    Supporters are welcome to submit commentaries here advocating for candidates in Democratic primaries. Please read Bleeding Heartland’s guidelines for guest authors before writing.

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    Meet Austin Frerick, who may run for Congress in IA-03

    “This is what I think Democrats need to be talking about,” wrote Austin Frerick yesterday, sharing the link to his latest guest column in the Des Moines Register: “To save rural Iowa, we must end Monsanto’s monopoly.”

    Frerick has been warning for some time that economic concentration, especially in the agricultural sector, hurts rural Iowa. He has also highlighted lack of competition and little-known pharmaceutical company practices that keep drug costs inflated, so powerful corporations can overcharge Medicare under the guise of helping sick people.

    He may soon be raising those and other issues as a Democratic candidate in Iowa’s third Congressional district.

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    What no one is talking about in the "repeal and replace" debate

    An Iowan with in-depth knowledge of the health care sector looks at lesser-known benefits that could be lost if Congress replaces the Affordable Care Act. -promoted by desmoinesdem

    The debate on Republican efforts to repeal and replace the 2010 health care reform law has focused on the provision of health care and the repeal of some taxes. In particular, attention has been directed at the effort to reduce Medicaid coverage.

    What isn’t being discussed: the Affordable Care Act (ACA) included many provisions aimed at addressing serious issues in the health care system, such as quality, safety, and workforce shortages. None of those can be found in the House-approved American Health Care Act (AHCA) or the Better Care Reconciliation Act (BCRA), proposed by Senate Republican leaders.

    So, in addition to reducing (or eliminating) coverage for poor people and individuals with illnesses, the Republican bill would be a step backward in terms of efforts to improve the health care system, which accounts for 17 percent of our gross domestic product.

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    Jon Jacobsen will represent Iowa House district 22

    Republican candidate Jon Jacobsen, an attorney and former weekly radio host, won yesterday’s special election to represent Iowa House district 22 with 1,069 votes, about 44 percent, according to final unofficial results. Carol Forristall, who filed as an independent candidate after losing at the GOP special nominating convention, placed second with 803 votes (33 percent).

    Almost all of the 465 write-in votes (19 percent) were presumably for the Democratic candidate Ray Stevens, who failed to submit his nominating papers on time. The Pottawattamie County Auditor’s Office will confirm the write-in results today, Mike Brownlee reported for the Omaha World-Herald. Libertarian Bryan Jack Holder received 98 votes (4 percent) in the special election.

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    Weekend open thread: Short-sighted elected officials edition

    Who knew that when you tell a state agency leader to save another $1.3 million somehow, he might cut some important programs and services? Not State Representative Dave Heaton, the Republican chair of the Iowa legislature’s Health and Human Services Appropriations Subcommittee.

    Who knew that when you impeach a mayor using a kangaroo court proceeding, a judge might order the mayor reinstated while her appeal is pending? Not Muscatine City Council members.

    Follow me after the jump for more on those stories. This is an open thread: all topics welcome.

    I’m also interested to know what readers think about Iowa Insurance Commissioner Doug Ommen’s request to waive certain provisions of the Affordable Care Act in order to bring Wellmark Blue Cross/Blue Shield back to Iowa’s individual insurance market for 2018. Elements of the “stopgap” measure violate federal law; health care law expert Timothy Jost told the Des Moines Register’s Tony Leys that some parts of Ommen’s proposal are “extremely problematic” and not likely “doable.” Writing in the Wall Street Journal, Anna Wilde Mathews and Louise Radnofsky saw the Iowa developments as “a key test of the ability to modify the [Affordable Care Act] through executive authority.” Slate’s Jordan Weissmann agreed.

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    My family's Medicaid story

    Kelly Roberts is a part-time writer/blogger, full-time Human Resources consultant, and newly minted political activist. Pictured above: her grandfather, Charles Moel (Pompoo, to her) -promoted by desmoinesdem

    Once upon a time, during the dark, discombobulating night of a medical crisis, my family encountered Medicaid.

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    Let's not forget who made Iowa's new medical cannabis law so useless

    Iowa’s new medical cannabis law goes into effect on July 1, but “obtaining the medicine will be difficult and manufacturers said it’s unclear if the state’s effort will be viable,” Linley Sanders reported for the Associated Press this week. Her story illuminated a few reasons the law won’t help most of the people who could potentially benefit from access to cannabis derivatives.

    Iowa lawmakers closed out the session with all-nighter so as not to adjourn without doing something on this issue. The previous medical cannabis law, adopted in similar last-minute fashion three years earlier, was due to expire this summer. Even for people with seizure disorders, the only conditions for which cannabis oil was allowed, the old law was too limited and unworkable.

    As the new law’s defects become more obvious, we need to remember that most state legislators favored a better alternative. House Republicans thwarted their efforts.

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    Five stories: How Iowa's new abortion law will torment and endanger women

    Women in Iowa have almost no options for terminating a pregnancy after 20 weeks, under a law former Governor Terry Branstad signed a few weeks ago. Proponents have claimed the measure would “save lives immediately.”

    In reality, the law will cause more pregnant women to have life-threatening health problems, and will add to the suffering of parents whose babies have no chance of survival.

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    Memorial Day thread and resources for Iowa veterans with PTSD

    For many Americans who (like me) have not served in the military, the three-day weekend at the end of May marks the unofficial beginning of summer activities. Forgetting the original purpose of this day is itself a long tradition, University of Oregon American history professor Matthew Dennis told NPR two years ago: “In 1888, even before it was declared a national holiday, President Grover Cleveland was criticized for going fishing on Memorial Day instead of, you know, visiting graves or participating in other sorts of rites.”

    Lately some veterans have been raising awareness that Memorial Day differs from Veterans Day, the national holiday established after World War I to honor all who have done military service.

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    So why are health insurance premiums skyrocketing?

    Matt Chapman has been a committed citizen lobbyist on many issues this year, including health care reform. -promoted by desmoinesdem

    I have always been laser-focused on Medicaid and health care access for the poor. And when Iowa Dems twisted Terry Branstad’s arm until he cried “Medicaid Expansion!” I was elated. So in my bubble, the worst thing going on seemed to be the privatization of Medicaid or “Branstad’s Revenge.”

    With the private insurance companies all pulling out of Iowa, now that I am aware of the astronomical raises in premiums, I feel a little shame at my blissful ignorance. All I can tell you is at 51 years old the Affordable Care Act gave me dental insurance for the first time in my life. And I’ve had the same doctor for five years. Before the ACA, the folks around the poverty line would have to drive sometimes 200 miles just to see a doctor. And rarely the same one twice. For dental they line up at Broadlawns (the Polk County public hospital) at six in the morning and hope they’re in bad enough shape to get in.

    But what really made me aware was after the Drake forum with Senator Joni Ernst in March.

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    Defunding Planned Parenthood may limit health care for Iowa's newly uninsured

    The collapse of Iowa’s health insurance exchange could leave more than 70,000 people with no way to purchase individual policies for 2018.

    More than half the Iowans at risk of becoming uninsured would have qualified for some services under the Iowa Family Planning Network. But our new state-run family planning program–created at great expense because Republican lawmakers and the Branstad/Reynolds administration insisted on defunding Planned Parenthood–won’t be able to accommodate an influx of patients who had been on the exchange.

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    Weekend open thread: Iowans remember Don Avenson

    A an Iowa political legend passed away suddenly this week. Former House Speaker Don Avenson had a heart attack on May 19 while on the way home from vacation. He told Iowa Public Television in 1984, “A speaker of the House, if he wants to, can change the course of the state, can change the face of a great deal of legislation, a great deal of law.” As speaker from 1983 through 1990, “nearly twice as long as any other Speaker in Iowa history,” Avenson helped craft many laws that still affect state government and education. He left the House to run for governor in 1990, winning the Democratic nomination but losing to Terry Branstad. For more than 25 years, he remained an influential force at the statehouse, representing many clients through the Avenson, Oakley & Cope lobbying firm.

    Dozens of people who have been involved in Iowa legislative politics reflected on Avenson’s legacy as news spread of his death. I compiled some of those recollections after the jump.

    The Vilsack family suffered a devastating loss this week as Ella Vilsack, daughter of Jess and Kate Vilsack and granddaughter of Tom and Christie Vilsack, died at the age of six of complications related to influenza. Condolences to all who are bereaved. This kind of tragedy is every parent’s worst nightmare.

    Speaking of untimely passings, Nina Martin of ProPublica and Renee Montagne of NPR published a terrifying article this month about maternal mortality, which “is rising in the U.S. as it declines elsewhere” in the developed world. Because “the American medical system has focused more on fetal and infant safety and survival than on the mother’s health and well-being,” new mothers are rarely monitored closely in hospitals, and doctors and nurses often miss symptoms of potentially life-threatening complications. The central figure in this article is Lauren Bloomstein, a neonatal intensive care nurse who died of preeclampsia the day after giving birth. It’s important to be aware of the signs; I know healthy women who had close calls with this condition during pregnancy or shortly after delivery.

    The scenarios Martin and Montagne describe are among the reasons peer-reviewed research has shown the “risk of death associated with childbirth is approximately 14 times higher than that with abortion.” But in their infinite wisdom, Branstad and Iowa’s Republican lawmakers enacted new requirements this year for doctors to warn women seeking to terminate pregnancies about “possible detrimental physical and psychological effects of abortion.” Naturally, the state does not require obstetricians to give patients information about the risks of continuing a pregnancy.

    This is an open thread: all topics welcome.

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    Now we can see which Iowans will suffer most from Planned Parenthood and victims assistance cuts

    It’s not abstract anymore.

    We knew eliminating state funding for Planned Parenthood’s family planning services would cause thousands to lose access to basic health care.

    We knew deep cuts to state funding for victims assistance would affect thousands of sexual assault and domestic abuse survivors.

    Now we are starting to see which Iowans will be the first to suffer from Republican choices on how to spend the public’s money.

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    Where things stand with Iowa's new anti-abortion law

    Ten days after Governor Terry Branstad signed sweeping limits on access to abortions, part of the new law is still on hold while courts consider a challenge filed by Planned Parenthood of the Heartland. Planned Parenthood maintains that a 72-hour waiting period for abortions at any stage of pregnancy would violate women’s due process and equal protection guarantees. In addition to creating an “undue burden” for women with “onerous and medically unnecessary restrictions that the Iowa Legislature does not impose upon any other medical procedure for which people may consent,” the law imposes new requirements for physicians, which Planned Parenthood is challenging as a violation of the doctors’ due process rights.

    That aspect of the lawsuit informed the Iowa Supreme Court’s May 9 order continuing a temporary injunction. The high court found, “The State has failed to rebut the assertion by the petitioners that the materials that serve as the foundation information required to be provided to women seeking an abortion have not yet been developed by the Department of Public Health pursuant to the law.” The order remanded the case back to Polk County District Court, where within 30 days, Judge Jeffrey Farrell will hold a final hearing on Planned Parenthood’s request for an injunction on the new law. Farrell had denied the first request for a temporary injunction, saying plaintiffs had not shown new burdens on women seeking abortions in Iowa would constitute an “undue burden.”

    For those who want a preview of the legal points Farrell will consider when he decides whether to block enforcement of Iowa’s law, I enclose below four documents:

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    24 things that won't happen under Iowa's new medical cannabis law

    In one of his final official acts before he departs for China, Governor Terry Branstad signed into law the last bill approved during the 2017 legislative session.

    House File 524 has been portrayed as a major expansion of medical cannabis in Iowa. Whereas the 2014 law permitted the use of only one cannabis derivative (CBD oil) to treat certain seizure disorders, the new law allows the same product (cannabidiol with no more than 3 percent THC) to be used for nine medical conditions: cancer, multiple sclerosis, epilepsy, AIDS or HIV, Crohn’s disease, amyotrophic lateral sclerosis (Lou Gehrig’s disease), Parkinson’s disease, untreatable pain, or “any terminal illness with a life expectancy under one year associated with severe or chronic pain, nausea or severe vomiting, cachexia or severe wasting.” Threase Harms, who lobbied for the bill, described it as a “great next step in the process of making medical cannabis available for many folks here in Iowa who need access to it as a medical treatment.”

    A more comprehensive bill, which had gained broad bipartisan support in the Iowa Senate, had the potential to improve the quality of life for thousands.

    I see little evidence anything “great” will come out of legislation finalized during an all-nighter by House Republican lawmakers who refused to take up that Senate bill.

    As Iowa implements the new law, the following outcomes are predictable.

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    Iowa's 20-week abortion ban will lead to more suffering

    Maridith Morris writes: I wanted to share my feelings as a pregnant woman watching my medical options disappear. I find this especially disempowering considering my intimate knowledge of healthcare from ICU to labor and delivery. Here is the full text of my letter to the editor published in the Des Moines Register April 19th.

    This spring marks ten years I’ve been a nurse. Of all the lessons I’ve learned in ten years of nursing, perhaps the most important has been that there are many fates worse than death. There is pain and suffering beyond imagining, lives of confinements to hospital beds and views of only windows. There is the hole that is left when you lose someone you love and death refuses to claim you alongside them.

    I’m 16 weeks into my fourth pregnancy to make it this far, and I don’t know yet whether my baby is healthy enough that they won’t live a life of pain and suffering. I won’t know until after 20 weeks. What I do know is I would sacrifice my own comfort and peace to spare an innocent life the suffering of a complicated illness or deformity that would lead to surgery after surgery. I know I would rather bear the loss myself than gamble with leaving my three children to live in pain without a mother. Because complicated pregnancies lead to complicated outcomes.

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    A shameful end to the most destructive Iowa legislative session of my lifetime

    The Iowa House and Senate adjourned for the year around 7:15 am on Saturday, after staying up all night while Republican leaders tried to hammer out last-minute deals on medical cannabis and water quality funding.

    The medical cannabis compromise passed with bipartisan majorities in both chambers, but I’m not convinced the revised House File 524 will be an improvement on letting the current extremely limited law expire on July 1. The bill senators approved last Monday by 45 votes to five would have provided some relief to thousands of Iowans suffering from nearly 20 medical conditions. House Republican leaders refused to take it up for reasons Speaker Linda Upmeyer and House Majority Leader Chris Hagenow never articulated.

    The new bill thrown together during the all-nighter theoretically covers nine conditions, but as Senator Joe Bolkcom explained in a video I’ve enclosed below, the only form of cannabis allowed (cannabidiol) will not be effective to treat eight of those. Although few if any Iowans will be helped, Republicans can now claim to have done something on the issue and will consequently face less pressure to pass a meaningful medical cannabis bill during the 2018 legislative session.

    Republicans shut down the 30-year-old Leopold Center for Sustainable Agriculture, which supported research on farming practices that could preserve our soil and water resources. But on Friday night, they gave up on doing anything serious to clean up our waterways, 750 of which are impaired, according to the latest data released by the Department of Natural Resources. CORRECTION: More recent DNR data indicate Iowa “contains 608 waterbodies with a total of 818 impairments.” (Some waterways have more than one impaired segment.) On the opening day of this year’s session, Hagenow promised “significant new resources to water quality efforts.” Why not come back next week and keep working until they find some way forward?

    I’ll tell you why: lawmakers’ per diems ran out on April 18. Heaven forbid Republicans should work a few more days with no pay to address our state’s most serious pollution problem. Incidentally, this crowd just passed an education budget that will force thousands of students to go deeper in debt. They voted earlier this year to cut wages for tens of thousands of Iowans living paycheck to paycheck in counties that had raised the minimum wage. These “public servants” also handed more than 150,000 public workers an effective pay cut by taking away their ability to collectively bargain over benefits packages. As if that weren’t enough, they made sure many Iowans who get hurt on the job will be denied access to the workers’ compensation system or will get a small fraction of the benefits they would previously have received for debilitating shoulder injuries.

    Lives will be ruined by some of the laws Republicans are touting as historic accomplishments.

    Even worse, lives will likely end prematurely because of cuts in the health and human services budget to a wide range of programs, from elder abuse to chronic conditions to smoking cessation to Department of Human Services field operations. I enclose below a Democratic staff analysis of its provisions. During House and Senate floor debates, Republican floor managers offered lame excuses about the tight budget, which doesn’t allow us to allocate as much money as we’d like to this or that line item. Naturally, they found an extra $3 million for a new family planning program that will exclude Planned Parenthood as a provider.

    Different Republican lawmakers used the same excuses to justify big cuts to victims assistance grants in the justice systems budget. That choice will leave thousands of Iowans–mostly women–without support next year after going through horrific assaults or ongoing abuse.

    Despite some big talk from House Appropriations Committee Chair Pat Grassley, Republicans didn’t even try to rein in business tax credits, which have been the state’s fastest-growing expenses in recent years. The budget crunch is real and may get worse. But no one forced Republicans to inflict 100 percent of the belt-tightening on those who rely on public services.

    More analysis of the 2017 legislative session is coming to Bleeding Heartland in the near future. All posts about this year’s work in the Iowa House and Senate are archived here. The Des Moines Register’s William Petroski and Brianne Pfannenstiel summarized some of the important bills that passed this year.

    After the jump you’ll find Bolkcom’s commentary on the medical cannabis bill that offers “false hope” to Iowans “who have begged us to help,” along with closing remarks on the session from House Minority Leader Mark Smith and Senate Minority Leader Rob Hogg.

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    Branstad nominees held accountable for violating women's constitutional rights

    Iowa Senate Democrats held two members of the Iowa Board of Medicine accountable yesterday for hasty action in 2013 to approve an anti-abortion rule that had no scientific basis and was later found unconstitutional by a unanimous Iowa Supreme Court.

    Iowa Board of Medicine Chair Diane Clark and fellow board member Dr. Hamed Tewfik became the first (and probably the only) nominees for state boards or commissions to be rejected by the Iowa Senate this year. Republicans are predictably denouncing the vote as “petty partisan politics.” But senators have confirmed without dissent the overwhelming majority of more than 200 people Governor Terry Branstad selected.

    Clark and Tewfik have only themselves to blame for losing their prestigious positions.

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