Kevin Techau is a former United States Attorney for the Northern District of Iowa. He previously served as Director of the Iowa Department of Inspections and Appeals, and later as Commissioner of the Iowa Department of Public Safety. Kevin is an attorney-at-law in Cedar Rapids. Dean Lerner is a former Iowa Assistant Attorney General and former Chief Deputy Secretary of State. He, too, served as Director of the Iowa Department of Inspections and Appeals. Dean is an attorney-at-law in Des Moines.

With the 2026 election approaching, Governor Kim Reynolds and Attorney General Brenna Bird have unveiled a new priority: cracking down on Medicaid fraud. That comes as a big surprise to those of us who know the system and have actually fought Medicaid fraud. 

Why such a surprise? Because our governor and attorney general have long disregarded the most effective tools already at their disposal to fulfill their pronounced objective. 

The real purpose of their newly created “Medicaid Fraud Elimination Task Force,” chaired by Bird, appears to be generating political headlines rather than meaningful results. And with each task force meeting streamed to the public, they have concocted a pretext for sustained Medicaid fraud political theater.

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the U.S. Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

Reflecting upon the extraordinary 250th anniversary of our Declaration of Independence, it seems important to again contemplate and admire the bravery and devotion of our founding fathers to the cause of liberty. The incomparable creation of this everlasting document and its corollary Constitution are nothing short of a miracle penned by extraordinarily gifted men.

Their genius provided us with living parchments establishing lofty ideals and aspirations for a new nation and the construct to preserve it. One principal, unmistakable safeguard to its preservation was the formation of three co-equal branches of government, each responsible for providing checks and balances to excesses of the other.

Today, regrettably, one could reasonably conclude that our executive branch has methodically co-opted these essential safeguards—with assistance from weak and/or cowardly sycophants. How, one should ask, could this happen?

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the United States Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

During his interminable State of the Union address, President Donald Trump referred to waste, fraud, and abuse. Of course, such mention was opportunistically political, containing recurrent condemnations of the Somali community, a favorite target of our president’s vile rhetoric. 

While waste, fraud, and abuse is a worthy topic and should be condemned and eliminated, a more introspective approach would have better served our nation.

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the United States Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

The U.S. must convey a new message to the world: “We’re so very sorry!”

Not a single second passes where unrelenting human suffering shouldn’t evoke Americans’ heartfelt sympathies, accompanied by committed, truthful, responsive action. That, however, appears to no longer be the case in President Donald Trump’s America. Truth, humility, and humanity are in short supply in a dictator’s world.

Whether we’re witnessing Trump’s incoherent blaming of Ukraine for war criminal Putin’s terrorizing murderous assaults and kidnappings, or Trump’s racially based warrantless detentions and deportations, or the deadly devastating consequence of his cuts to USAID, or his endorsement of Gaza starvations, or any of the voluminous other grotesque Trump administration practices and policies, the intentional abandonment of America’s principles is the root cause of our decline. 

For this, and much more, most of the world deserves an apology. Allies have been abandoned, while enemies are being embraced.

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the United States Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

The unimaginable has now become commonplace:

Stripping health care from 56,000 Iowans.

Taking food assistance and safety nets away from Iowa’s children, seniors, and veterans.

Adding $3.3 trillion to the national deficit. And on and on….

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the United States Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

Dear Iowa Senators Joni Ernst and Chuck Grassley:  

Subscribers to your weekly email missives sharing your proffered efforts and accomplishments are left wondering. Senator Ernst titles her newsletter “Joni on the job.” Senator Grassley invented “The Scoop, Your weekly dish from Senator Chuck Grassley.”  

Regarding “Joni on the job,” we Iowans have to admit that you’re making them squeal, but have you considered who’s being made to squeal? Of particular note, but certainly not an isolated concern, your new Secretary of Defense is leaving soldiers on the battlefield and dismissing international conventions you learned to uphold. We’re wondering where “Duty-Honor-Country” fits within your weekly self-aggrandizements.

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the United States Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

These days, Iowans may wonder how our elected officials, who should prioritize protecting and caring for the most vulnerable, can live with themselves or even look at themselves in the mirror. More than 50,000 Iowans live in the state’s more than 400 nursing homes. Most of those facilities are for-profit enterprises, funded by tens of billions of taxpayer dollars. These residents, their families, those of us approaching our own long-term care needs—and frankly, all Iowans—should be able to count on responsible individuals of both political parties to fulfill their oaths. 

Not in Iowa.

Republicans have had full control of state government (the Iowa House, Senate, and governor’s office) since 2017. In her recent Condition of the State address, Governor Kim Reynolds made it sound as if we were now living in the State of Nirvana, thanks to her and her party.

Dean Lerner served Iowa as an Assistant Attorney General for sixteen years, Chief Deputy Secretary of State for four years, and about ten years as Deputy Director, then Director of the Department of Inspections & Appeals. He then worked for the CMS Director of the Division of Nursing Homes, and the United States Attorney for the Northern District of Iowa. He is a graduate of Grinnell College and Drake University Law School.

Iowa’s 2025 legislative session has only just begun, and nursing home residents have already been informed the Republican-controlled legislature has nothing more to do for them, since the industry is supposedly over-regulated already. 

Here’s what you should know.