Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, mostly in the state of Iowa.

With the Iowa primary elections behind us and important statewide contests for governor and U.S. Senate coming up in November, I was struck by curiosity.

Does Iowa – 99 counties strong – have a bellwether county?

Over the years, you may have heard about bellwether counties that have correctly selected the U.S. presidential winner many election cycles in a row. (That distinction currently belongs to Blaine County, Montana and Essex County, New York, which have selected every winner since 2000.)

This project is a bit different. It seeks to learn if a single Iowa county’s general election candidate preference percentages closely mirror statewide results over time.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, mostly in the state of Iowa.

Periodically historians and scholars assess and rank the performance of U.S. presidents. It’s an exercise with no sure answer – a matter of opinion informed by study, observation and perspective, also influenced by a measure of one’s political worldview.  

While interesting on their face, presidential greatness studies can also serve to remind us of the leadership values that brought out the best in America – and warn us that presidential judgement can be terribly misguided, even corrupt. 

Projects evaluating presidential achievement have occurred for decades. The Schlesinger surveys are well known to presidential historians. The first was conducted in 1948 by Arthur Schlesinger Sr., a Harvard University historian, with a follow-up project in 1962. Others came after, to include a survey by his son in 1996. Like his father, Arthur Schlesinger Jr. was a historian at Harvard.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, mostly in the state of Iowa.

In my reading over the last couple of weeks, I came upon the following dialogue that someone referenced from Ernest Hemingway’s novel The Sun Also Rises.

“How did you go bankrupt?” Bill asked.

“Two ways,” Mike said. “Gradually and then suddenly.”

That exchange came back to me as I participated in a No Kings gathering in Spirit Lake, Iowa on October 18.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, mostly in the state of Iowa.

Gun violence made headlines again on September 10.

As I write this, two children lay wounded following a school shooting in Colorado. Political commentator Charlie Kirk is dead, the victim of a single shot from a sniper while holding an event at a university in Utah.

Of course, the political class is offering thoughts and prayers. But there will be no meaningful action. Again. We already know that.

Yet, with every act of gun violence, I think back to a speech by Robert F. Kennedy, the former attorney general, U.S. senator and presidential candidate. He delivered these remarks at the Cleveland City Club, in Cleveland, Ohio, on April 5, 1968, the day following the assassination of Dr. Martin Luther King, Jr.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, mostly in the state of Iowa.

Sometime back in the 1990s I watched an interview with George Wallace, the four-term former governor of Alabama and a four-time presidential candidate.

He was in his mid-seventies at the time. In physical decline, Wallace was wracked with Parkinsons and the ongoing effects of an assassination attempt in 1972 that forced him to use a wheel chair for the last 26 years of his life.

Yet the pain that was most pronounced in that interview was his sincere regret related to his prominent role as a leading segregationist of the 1960s. Wallace was the man who stood in the “schoolhouse door” in 1963 to unsuccessfully try to prevent the admission of two Black students to the University of Alabama.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, mostly in the state of Iowa.

Prior to retiring at the end of 2023, I worked in hospital leadership for 41 years. For the last 24 years of that time, I served as president at two hospitals in rural Iowa.

I’ll be quick to my point and blunt. When President Donald Trump or any Republican member of the U.S. House or Senate tells you that their Medicaid budget plans are strictly focused on cutting waste, fraud and abuse, they’re lying.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, predominantly in the state of Iowa.

The American people have decided to entrust Donald Trump with their present and their future for the next four years.

That’s how elections work. That’s democracy.

Voters have empowered the president-elect to seek whatever policy objectives he chooses to pursue. Americans should support Trump when his policies make sense. We should oppose him vigorously when his intent is not consistent with our values.

That’s democracy, too.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked
in hospital management for 41 years, predominantly in the state of Iowa.

I live in a region of Iowa where about 68 percent of voters cast their ballot for Donald Trump in the 2020 presidential election.

Naturally, that overwhelming majority included many of my friends, neighbors, and those with whom I’ve joined to help enhance our community. I like and respect these people for reasons that have nothing to do with electoral politics. 

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked in hospital management for 41 years, predominantly in the state of Iowa.

Like me, you’ve probably encountered a friend or family member who has said, “I don’t vote for a political party, I vote for the best person.”

That seemed reasonable back in the day, when there were still moderate—even progressive—Republicans on the ballot in state and federal elections. Today, the “best person” notion is not particularly logical. 

The two major political parties represent profoundly different values. In these more partisan and divisive times, voters must decide what kind of America we aspire to be and which party best aligns with that choice.

In 2024 it’s time to pick a side, a way of life. 

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked in hospital management for 41 years, predominantly in the state of Iowa.

The recently concluded legislative session has shown again that the state of Iowa is firmly entrenched in red state antipathy. 

Republican elected officials continued to casually pursue and advance legislation that strips away at Iowa’s once proud history of engagement, moderation, and inclusion.

The last few legislative sessions have produced attacks on public education, threatened a women’s right to make her own health care decisions, eroded the civil rights of certain citizens, advanced book bans and now—recklessly—introduced guns into Iowa schools.

Bill Bumgarner is a retired former health care executive from northwest Iowa who worked in hospital management for 41 years, predominantly in the State of Iowa.

Few presidential election cycles pass without wishful thinking in some quarters that this is the year to elect a third-party candidate to lead the United States. 

2024 is one of those years—and the outcome will be the same as in the past. Either a Democrat or a Republican will be elected president in November.

In contemporary times, a third-party candidate has not remotely come close to winning the presidency.  In fact, very few have earned a single electoral vote toward the magic number of 270.

Bill Bumgarner is a retired health care executive from northwest Iowa who worked in rural hospital management for 41 years, predominantly in the State of Iowa.

The other day, just for fun, I took pencil to paper to assess the “hit rate” over the years for when my first-choice Democratic presidential candidate went on to win the party nomination.

Ugh. In ten election cycles—not counting years when there was an incumbent Democratic president—my success rate was an unimpressive 44 percent. Prior to 2016, it was an even more dismal 28 percent. Are you old enough to remember Mo Udall? 

However, my first-choice futility contributed to a better understanding over time—as I view it anyway—of what my vote represents.  

Bill Bumgarner is a retired former healthcare executive from northwest Iowa who worked in hospital management for 41 years, predominately in the State of Iowa.

Election year 2024 is upon us.

In recent months, some Bleeding Heartland commenters have voiced reluctance to support President Joe Biden in the November election. The reasons, as best I can surmise, are essentially he’s too old or not quite the new shiny object some younger governors and others appear to be.

Well, those outstanding governors are supporting Joe, because they know he offers the best chance for Democrats to retain the White House and continue to advocate for progressive public policy.