Measles has come to Iowa. A physician's perspective

Dr. Greg Cohen has practiced medicine in Chariton since 1994 and is president-elect of the American College of Osteopathic Family Physicians. He was named the Rural Health Champion by the Iowa Rural Health Association in 2014 and was awarded the Living Doc Hollywood Award for National Rural Health day in 2015. He was named a Distinguished Fellow by the American College of Osteopathic Family Physicians as well as Physician of the Year by the Iowa Osteopathic Medical Association in 2019.

I was hoping I would never have to write this, but measles has come back to Iowa. Although the last measles case in Iowa was was recorded in 2019, it has been more than a generation since the last significant outbreak. It has been 25 years since the United States was declared measles free—meaning there was no longer year-round spread.

We are now at a 30-year high in cases and still rising. Since the start of this year’s outbreak in Texas, there have now been more than 1,168 cases in at least 35 states, 137 hospitalizations, and three confirmed deaths. 95 percent of those diagnosed with measles this year have been unvaccinated, and all of the deaths have been unvaccinated. The Iowa Department of Health and Human Services announced on June 11 the third confirmed measles case in our state: an unvaccinated child “who was exposed during international travel.”

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Iowa AG pursues case against Winneshiek sheriff over Facebook post

Clark Kauffman is deputy editor at Iowa Capital Dispatch, where this article first appeared.

Iowa Attorney General Brenna Bird is continuing to pursue a lawsuit against Winneshiek County and its sheriff, Dan Marx, for allegedly violating Iowa law by discouraging law enforcement from cooperating with federal immigration officials.

In her latest court filings, Bird has criticized Marx, alleging the sheriff has, in essence, asserted that “federal immigration officials should not be trusted.”

Bird has also signaled that even if Marx were to comply with her demand that he disavow his past statements, the state is still obligated to strip Winneshiek County of funding, at least temporarily, based on those previous statements.

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A modern day version of "Pride and Prejudice" in Ottumwa

Randy Evans is executive director of the Iowa Freedom of Information Council, a nonpartisan, nonprofit organization that promotes openness and transparency in Iowa’s state and local governments. He can be reached at DMRevans2810@gmail.comThis essay first appeared on his Substack newsletter, Stray Thoughts.

Jane Austen’s Pride and Prejudice focused on manners and goodness, two virtues sometimes forgotten today.

Shortly before the novel was published, our Founding Fathers settled on the free exchange of ideas as one of the fundamental concepts they wanted to guarantee in the First Amendment to the U.S. Constitution.

But in 2025, an uncomfortable tug-of-war is occurring over pride and prejudice, expression and oppression.

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County consolidation: the zombie idea of Iowa think tanks

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

Iowa’s DOGE task force, which Governor Kim Reynolds created earlier this year to channel the federal “Department of Government Efficiency,” discussed the possible consolidation of counties at its June 4 meeting.

Various committees, commissions, boards, organizations, individual legislators, and other Iowans take up the idea every so often. Like a steer at the Iowa State Fair, the proposal gets eyeballed, patted down, and evaluated. But unlike a State Fair entry, county consolidation is then written up in a report, and mothballed for a few years until someone else reopens the concept.

Consolidating the 99 counties is the zombie of Iowa think tanks. It doesn’t die, but it never really lives either. And there are good reasons for that.

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It's not normal

Bruce Lear lives in Sioux City and has been connected to Iowa’s public schools for 38 years. He taught for eleven years and represented educators as an Iowa State Education Association regional director for 27 years until retiring. He can be reached at BruceLear2419@gmail.com 

When my three-year-old granddaughter and I took walks, she’d suddenly stop and stare at a long narrow stick, an uncoiled hose, or a piece of rope. Her hand would tighten in mine, as she crouched for a better look. After a minute or so she’d solemnly pronounce, “not a snake.”

She wasn’t sure what she was looking at, but after careful study, she knew what it wasn’t. We can learn a lesson from a tiny granddaughter looking at life on a walk. She didn’t try to make the new object fit into her understanding, but she needed assurance about what it wasn’t.

It’s difficult making sense of the political chaos engulfing America. It’s hard to name it. It’s easier to look and say, “not normal.”

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Senator Ernst, we're not asking to live forever—just to live with dignity

Sue Dinsdale is the Executive Director of Iowa Citizen Action Network and the State Lead for Health Care for America NOW.

Apparently, the new official response to Iowa families worried about losing their health care is: “Well, we all are going to die.”

That’s what Senator Joni Ernst told Iowans when asked at a recent town hall meeting about the devastating cuts to Medicaid being proposed in Congress. And while she’s technically correct—we are all going to die—it’s hard to imagine a more callous, out-of-touch response to the very real fear that families like mine carry every day.

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First take on the Rob Sand/Julie Stauch primary for Iowa governor

“People are excited, and I think so far what we’re seeing is hunger for something different,” State Auditor Rob Sand told me on the day he announced he’s running for governor in 2026.

“The real theme across my work is I’m a problem solver,” Julie Stauch told me shortly before her campaign launch.

I interviewed both candidates about their top priorities and the case they will make to Iowa voters over the coming year. Toward the end, I discuss the biggest challenge facing each contender at this early stage.

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We need a Margaret Chase Smith, but we get Joni Ernst and Donald Trump

Herb Strentz was dean of the Drake School of Journalism from 1975 to 1988 and professor there until retirement in 2004. He was executive secretary of the Iowa Freedom of Information Council from its founding in 1976 to 2000.

On June 1, 1950, U.S. Senator Margaret Chase Smith (a Republican from Maine) delivered a speech that she called her “Declaration of Conscience.” She targeted fellow Republican Senator Joseph McCarthy of Wisconsin and the fear, hate mongering, and divisiveness that was tearing the nation apart in McCarthy’s anti-Communist crusade to make America great again.

Seventy-five years after Smith showed courage and patriotism, Republican Senator Joni Ernst took the opposite path. She mocked an Iowan who cried out against GOP legislation and MAGA efforts that divide the nation today.

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The return of the ACA subsidy cliff and how to get around it

Jon Muller is a semi-retired policy analyst and entrepreneur.

The Inflation Reduction Act (IRA), which Democrats in Congress approved and President Joe Biden signed in 2022, eliminated the subsidy cliff for health insurance purchased through the Affordable Care Act exchanges through 2025. It used to be the case that your ACA health insurance subsidy disappeared with the first dollar earned over 400 percent of the Federal Poverty Level (FPL).

Unless Congress acts to continue this provision of the IRA, the subsidy cliff will return in January. Thus far, Republicans in Congress show no interest in extending the enhanced subsidies for ACA health insurance plans.

The FPL in 2025 is $15,650 for a single person and $21,150 for a married couple. Thus, 400 percent of FPL is $62,600 and $84,600, respectively. A single person earning $62,600 currently pays $434/month on the Exchange for a Silver Plan. The married couple at 400 percent of FPL pays $599. The FPL increases with each dependent.

Under current law, a 60-year-old single person making just one extra dollar, or $62,601, experiences a rate increase of less than 1 penny/month. When the subsidy cliff returns in January, those premiums will go to $870/month, or an additional $5,119/year. For a 60-year-old married couple earning $1 more, the monthly premium will increase to $1,512, an annual hit of $10,953. These estimates are based on average rates for non-smoker 60-year-olds in Iowa. The increases could be more or less depending on other factors, including geography, age, and smoking status.

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D-Day and 2025 America

Dan Piller was a business reporter for more than four decades, working for the Des Moines Register and the Fort Worth Star-Telegram. He covered the oil and gas industry while in Texas and was the Register’s agriculture reporter before his retirement in 2013. He lives in Ankeny.

World War II is still The Good War.

The celebration last month of the 80th anniversary of the Allied victory over Nazi Germany in May, 1945 was the latest rush of World War II nostalgia, joining a similar timed anniversary last year of the D-Day landings in Normandy in June, 1944, and the 85th anniversary of the British evacuation from the disaster at Dunkirk in early June, 1940.

World War II still draws audiences. On American television, “Band of Brothers” remains a streaming sensation with a companion “Masters of the Air” released this year. Subscribers with enough channel power regularly call up Steven Spielberg’s “Saving Private Ryan” (1998) and Christopher Nolan’s “Dunkirk” (2017), both of which had enjoyed strong theater runs.

It’s not hard to see why Americans have maintained a nostalgic obsession with the Allied victory in Europe in 1945. The European theater included the ancestral homelands of most Americans. The vanquished Nazis could be loathed without reservation and their end came without an unexpected shock that the atomic bomb provided for the defeat of Japan in the Pacific. Unlike the glorified truce of 1918, the victory over Germany in 1945 was decisive and total, not subjected to the “stab in the back” ruminations that fed later Hitlerian resentment.

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Water, water, everywhere—but no swimming at Lake Red Rock

AJ Jones is a writer and creator of art, expressing herself across different mediums. She embraces her neurodivergence as a unique way to view the world in hopes of creating a better future. She first published this essay on her Substack newsletter, Blue Dot Thoughts.

On Memorial Day I set out to visit Iowa’s largest “lake.” A staple in the memories of my youth. I was curious to see if people still relaxed and recreated as they once did during the warm weather holidays. So much has changed, environmentally, since I was a kid and not for the better.

It seems I was born in the “sweet spot.” A time before an outrageous number of CAFOs (Concentrated Animal Feeding Operations) and manure run-off…a time before Roundup and glyphosate. A time of innocence when family and friends could meet at Iowa lakes to fish, to swim, to enjoy the warmer seasons outdoors.

Looking back we had no idea just how lucky we were.

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Kitchen tables—not just for eating

Jason Benell lives in Des Moines with his wife and two children. He is a combat veteran, former city council candidate, and president of Iowa Atheists and Freethinkers. A version of this essay first appeared on his Substack newsletter, The Odd Man Out.

Kitchen table.

This word has come to be a kind of Rorschach test for political commentary—simultaneously drained of all meaning while growing to encompass every hot take of the moment. Kitchen tables are no longer just a place to sit, set down the day’s mail, or eat. No, no, no, this is a semi-holy location, a hallowed ground that ought be spoken of with the weightiest concern and utmost care.

Forget the Room Where It Happens, it’s all about this kind of table. That is where “it” happens, but for some reason, only for certain types of people and for certain types of issues. They are the “kitchen table issues” Americans supposedly care about, separate from and above other “complicated” issues.

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Iowa wildflower Wednesday: Wild geranium

Diane Porter of Fairfield first published this post on My Gaia, an email newsletter “about getting to know nature” and “giving her a helping hand in our own backyards.” Diane also maintains the Birdwatching Dot Com website and bird blog.

My first look at Wild geraniums (Geranium maculatum) was on a vertical cliff, which forms the far bank of Crow Creek, near my home.

Pink-purple flowers leaned out over the stream, lavish among mosses, ferns, and other wildflowers.

I didn’t know what they were.

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Dutch devotion belies Trump's message to West Point grads

Randy Evans is executive director of the Iowa Freedom of Information Council, a nonpartisan, nonprofit organization that promotes openness and transparency in Iowa’s state and local governments. He can be reached at DMRevans2810@gmail.comThis essay first appeared on his Substack newsletter, Stray Thoughts.

If an opinionated old guy from southern Iowa delivered the recent commencement address at the United States Military Academy, my message would have contrasted with the one given by another opinionated old guy, one from Queens, New York, by way of the White House.

When I was a newspaper editor, I sometimes told the staff they needed to run a belt sander across an article to remove rough spots before publication. So it was with President Donald Trump’s speech to 1,000 new Army second lieutenants at West Point in May. His staff needed to take the Oval Office belt sander to his message.

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True conservatives have vanished

Bruce Lear lives in Sioux City and has been connected to Iowa’s public schools for 38 years. He taught for eleven years and represented educators as an Iowa State Education Association regional director for 27 years until retiring. He can be reached at BruceLear2419@gmail.com 

Over time, essential items seem to vanish and are quickly replaced by new technology. Home phones gave way to cell phones now found in most 5th grader pockets.

Video tapes and CDs died and were resurrected as movie streaming and digital music. Once a badly folded map gave directions. Now, we talk to GPS, and it orders us, “Make a U-turn as soon as possible.”

Politics isn’t immune either. Principled conservatives disappeared and have been replaced by enablers.

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Ernst gaffe may blow over. But poll-tested Republican lies will live on

Iowa’s 2026 U.S. Senate race had its first viral moment on May 30, when an unscripted comment from Senator Joni Ernst generated massive coverage across Iowa and national news outlets.

The words Ernst blurted out in frustration at that town hall meeting may or may not have staying power in the next Senate campaign.

But we’ll definitely keep hearing what the senator said before and after making that gaffe. Republicans around the country, including Iowa’s U.S. House members, have used the same false claims in defense of the budget reconciliation bill now pending in the Senate.

Those statements were among more than a dozen messages about Medicaid and the federal food assistance program known as SNAP that Republicans tested this spring in telephone polls. I was a respondent for one of the surveys in early May and have transcribed the questionnaire at the end of this post.

I don’t know which GOP-aligned entity paid for the robo-poll I received, but it’s clear the memo on how to spin deep Medicaid and SNAP cuts has gone out to all Republicans in Congress.

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Former Iowa judges join brief against prosecution of Wisconsin judge

Two Iowa jurists have signed on to an amicus brief calling for a federal court to dismiss the indictment against Milwaukee County Circuit Court Judge Hannah Dugan. Federal prosecutors charged the judge with concealing a person from arrest and obstructing an official proceeding after she allegedly helped a defendant in her courtroom avoid immigration law enforcement. She has pleaded not guilty and moved to dismiss the charges.

Former U.S. District Court Judge Mark W. Bennett and former Iowa Supreme Court Chief Justice Marsha Ternus were among the 138 retired judges who signed the brief, filed on May 30 in the U.S. District Court for the Eastern District of Wisconsin. The signatories served on courts in 24 different states or were appointed to the federal bench by Presidents Jimmy Carter, Ronald Reagan, Bill Clinton, and George H.W. Bush. Their brief argued, “The government’s indictment of Judge Dugan represents an extraordinary and direct assault on the independence of the entire judicial system.”

In early May, Judge Bennett and Justice Ternus signed an open letter to U.S. Attorney General Pam Bondi, which condemned the Trump administration’s various attempts to “intimidate and threaten the judiciary.”

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Group recognizes Bleeding Heartland's "commitment to keep Iowans informed"

The Interfaith Alliance of Iowa has honored Bleeding Heartland with its 2025 Partner Organization award, “in recognition of your significant commitment to keep Iowans informed with a vital free press, an essential part of a strong democracy.”

Only one other media outlet has received this award from the Interfaith Alliance of Iowa: The Storm Lake Times and its Pulitzer Prize-winning editor Art Cullen in 2019.

The Interfaith Alliance of Iowa is a 501(c) 3 organization that describes itself as “the only statewide, non-partisan, progressive voice for people of faith and no faith protecting religious freedom, safeguarding the line between religion and government, ensuring religion is not misused to discriminate, championing individual rights, and uniting diverse voices to challenge extremism.”

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Thanks to those who won't keep their mouths shut

John and Terri Hale own The Hale Group, an Ankeny-based advocacy firm focused on older Iowans, Iowans with disabilities and the caregivers who support them. Contact them at terriandjohnhale@gmail.com

Our admiration goes to the Davids of the world: those who stand up, speak out and fight back, refusing to let the Goliaths intimidate or silence them.

A recent example is a story by Clark Kauffman, reporter at the Iowa Capital Dispatch. He detailed the allegations in a lawsuit filed by a former certified nurse aide at a nursing home in Fonda, Iowa. The suit was filed against the Fonda Specialty Care nursing home, its parent company, Care Initiatives, and a licensed practical nurse working at the facility. You can read the April 30 story here.

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