Chuck Isenhart is an investigative reporter, photographer, and recovering Iowa state legislator offering research, analysis, education, and public affairs advocacy at his Substack newsletter Iowa Public Policy Dude, where this essay first appeared.
The century started out with such promise. On July 1, 1999 (technically fiscal year 2000), Iowa Governor Tom Vilsack inaugurated the College of Public Health. The first new academic unit at the University of Iowa in 50 year recognized the growing impact of research being conducted there.
In years that followed Iowa passed the Smokefree Air Act and the Public Health Modernization Act. Major steps forward in infectious disease testing and surveillance were enabled when the State Hygienic Laboratory opened a state-of-the-art facility at the University of Iowa. Stakeholders were engaged to create the Healthy Iowans 2010 plan, setting state benchmarks to increase life expectancy, combat obesity and reduce deaths from chronic conditions like heart disease and cancer.
Today, public health in Iowa is frayed. Tattered threads are held together by a dedicated corps of health professionals who refuse to let the public down.
On her way out the door, Governor Kim Reynolds has put in motion a process that will sideline local public health agencies and eventually privatize public health in Iowa.
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