# Health Care Reform



Inflation Reduction Act puts important health care within reach

Sharon Mayer is a Pella resident and health care advocate.

Rising health care costs are top of mind for many seniors, who often live on fixed incomes and struggle to afford our care. That’s why millions of people forgo critical vaccinations, including for shingles.

Luckily, I was able to get the shot covered by Medicaid. But many aren’t able to afford this important, preventative measure. Thankfully, starting in January, seniors could save hundreds of dollars when getting vaccinated against this painful illness.

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Iowa's U.S. Senate race in 3-D

Herb Strentz examines Chuck Grassley’s recent political messaging and low points from his record in the Senate.

The home stretch of this midterm election campaign is unfolding in in 3-D format — Dire, Divisive, and Despairing. That’s particularly true of the U.S. Senate race between Republican incumbent Chuck Grassley, seeking his eighth term at age 89, and Democrat Michael Franken, a retired U.S. Navy admiral, who will be 65 on election day, November 8.

That 3-D nature of our Iowa politics was illustrated well in one of the Grassley campaign’s recent television commercials.

In a backhanded way, Grassley acknowledged why it is time for Iowans to vote him out of office.

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Iowa Democratic Party's Disability Caucus endorses Dr. Glenn Hurst

Julie Russell-Steuart is a printmaker and activist who chairs the Iowa Democratic Party’s Disability Caucus.

Glenn Hurst is a rural doctor in the small southwestern Iowa town of Minden and a founding member of Indivisble Iowa, whose activism helped elect U.S. Representative Cindy Axne. He faces Abby Finkenauer and Mike Franken in the June 7 Democratic primary for U.S. Senate.

Dr. Hurst has earned our endorsement for his strong experience advocating for people with disabilities and because he is laser focused on improving the lives of the American people in crucial ways.

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Introducing Michael Andreski, Democrat running in Iowa House District 31

Bleeding Heartland welcomes guest posts advocating for Democratic candidates in competitive primaries for local, state, or federal offices. Please read these guidelines and contact Laura Belin if you are interested in writing.

I want to introduce myself to the readers of Bleeding Heartland. I am Michael Andreski, a Democratic candidate in district 31 of the Iowa House of Representatives.

Why am I running for this office? The short answer is because the opportunity was there, and I was encouraged by several people, including Democratic State Representative John Forbes of Urbandale.

But the long answer is that as a fifth-generation Iowan, I could no long sit on the sidelines and see the state where I was born, raised, educated, started a career, and raised a family continue to become a place I no longer recognize as the Iowa I know and love.

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The system is rigged for corporate farms over family farmers

Chris Peterson is a family farmer who lives near Clear Lake (Cerro Gordo County).

When most people think of small businesses, they imagine a brick and mortar store on Main Street that offers retail or restaurant services. Most would not think of the work worn hands of a person caring for Berkshire hogs on a small farm. But that’s exactly what family farms are: a small business. 

Farming is the only thing I’ve ever known – it’s the only thing I’ve ever wanted to do. I’m a third generation American farmer and I had my first pigs when I was a sophomore in high school.

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We used to be proud to be Iowans—The sequel

John and Terri Hale own The Hale Group, an Ankeny-based advocacy firm focused on making Iowa a better place for all. Contact terriandjohnhale@gmail.com.

Two months ago, Bleeding Heartland published a column recounting our first-time escape to Arizona for a brief respite from Iowa cold and snow, and our encounter with someone who surprised us when he said “I used to be proud to be an Iowan.”

The column outlined the reasons he, and we, were frustrated about the Iowa that we now see vs. the Iowa that used to exist. They included:

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RJ Miller: Why I'm running for Iowa House district 34

RJ Miller: I chose to run to take the voices of my community and make their voices louder.

I am a community activist who’s been organizing in Des Moines since 2019 around the issues of racial discrimination, civil and human rights, and urban violence.  Originally a victim of gun violence in Minneapolis, I overcome the obstacles of gang activity and incarceration in order to inspire and support my community in a collective effort to defeat the issues that plague the inner city. 

My mission is to uplift, empower, and transform the Des Moines community through restorative justice, empowering the youth, and investing in solutions that will combat the forces of colonization and oppression at large.

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Iowa CCI Action endorses Glenn Hurst for U.S. Senate

The Hurst for Iowa campaign just received an overwhelming endorsement from Iowa’s leading progressive organization, Iowa Citizens for Community Improvement Action Fund. In the announcement, they stated, “We’re endorsing Glenn because he’s with us on the issues and on challenging business-as-usual politics and the status quo. He shares our belief that real change comes from the ground up, and he has a plan to win and can excite a grassroots base to turn out to the polls on June 7.”

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Understanding single-payer health care: Medicare for All

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

Several years ago, my wife and I had a friend our family called Grandma Ruth. Ruth was special to us. She was one of the first people we brought my newborn daughter to meet. She had taken a special interest in our kids and was always present for their big events. Often, we would pick her up and bring her to our house for football parties and holidays. She included us in the celebration of her life events as well. She was estranged from her own family and just became part of ours.

I learned a lot from observing how Ruth navigated her world. She had learned how to use senior transportation services to get to doctor appointments as well as to the grocery store or other activities. She knew how to arrange Meals on Wheels and how to keep current with her disability to remain eligible for services she absolutely needed.

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Rural Iowa's launching pad for growth: Medicare for All

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

Several years ago, a man called my clinic seeking an appointment. He did not have insurance, and in fact had not seen a physician since childhood. But on this day, he was desperate. He had felt a popping sensation in his abdomen and thought he might have a hernia. If that was true, he needed surgery, and we were the gateway to that service. We agreed to see him and to work out a payment plan later.

When I entered the exam room, it was clear something was wrong. Here was a man in his late 50s who did not look well. His skin had a bronze-yellow tint, his cheeks were sunken in, and his belly protruded. He was weak and disheveled. He repeated his story about the popping sensation and told me he could feel something protruding.

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Abortion justice is health care justice

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

In my very first days of private practice, I met a patient with an aggressive form of breast cancer. She was young, in her 30s. She and her husband had two children under the age of 5 and were doing the same struggling most young middle-class Americans do at that point in life. They worried about bills, insurance, saving for big purchases. They were not likely thinking about retirement, and they had no plans for a medical emergency. Now their family was faced with a medical crisis that no one could have predicted.

I could tell her hands were full as her husband tried to wrangle the kids who were up and down the walls of the exam room as she explained her situation to me.

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John Deere strike highlights many U.S. policy deficiencies

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

The United Auto Workers strike at John Deere is about fair wages and the value of work, but also about the corruption of our corporate welfare system and the devaluing of American lives. Sadly, the corporate value of workers mirrors the values of our own government.

The shift of the distribution of wealth in this country from the time of Ronald Reagan’s “trickle-down” economics clearly demonstrates how that policy failed Americans. Wealth consolidated at the top, and a minuscule portion barely trickled down to just the highest 10 percent of earners.

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IA-Sen: Medicare for All drives Glenn Hurst's campaign

A third Democrat joined the race for Iowa’s U.S. Senate seat on July 29. Dr. Glenn Hurst made clear that one issue in particular is driving his campaign.

“I went back to school and became a doctor because I saw a need in the rural communities I love and call home,” Hurst said in a news release. “I’ve had a front-row seat to the tricks insurance companies use to avoid paying for care, drowning providers in paperwork when we should be with our patients. I’m running for the U.S. Senate because Iowans deserve better. We deserve Medicare for All.”

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Re-establishing Democratic governance

Charles Bruner is a longtime advocate for policies that support children and strengthen families. -promoted by Laura Belin

About this essay

I studied political science at the beginning of the 1970s at one of the elitist of universities, Stanford University. My graduate school class, if not all radicals, shared a serious critique of American government and the military-industrial complex, the Vietnam war, the academic privilege and not freedom that embodied the Stanford administration, and the failure for society to listen to youth and follow-through on the vision expressed in the decidedly liberal document, The Port Huron Statement.

I returned to Iowa in 1975 feeling alienated and full of angst at my better understanding of the darker side of American politics. But I had no clue how to contribute to changing it. Fortunately, I found a group of 20-somethings in Iowa – largely through the Community Action Research Group (Iowa’s Public Interest Research Group) – doing that work in the policy field on the environment. They connected me to a job at the Iowa Welfare Association funded by the Compensatory Education and Training Act, the federal jobs program that provided nonprofits with funding to create jobs. It gave me space to learn and grow, as it did for others in my group.

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Christina Blackcloud would fight for the underrepresented in IA-01

Khadidja Elkeurti was field director for Kimberly Graham’s 2020 U.S. Senate campaign. -promoted by Laura Belin

Growing up in Cedar Rapids as a child of Algerian immigrants, many people ask why my parents chose to move to Iowa of all places. When my parents received their green card in 1995, they chose the small town of Elkader because of its historical relevance in being named after the Algerian revolutionary who fought for independence from colonial France. Despite their thick accents and unfamiliarity with American culture, my parents were welcomed to the town with open arms.

Many years later, they decided to stay in Iowa because of its renowned K-12 public school system, and the strong and diverse Muslim community found in Cedar Rapids.

In recent years however, our current leadership has threatened the future of a prosperous Iowa. Public education in our state is being undermined, and the current rhetoric around immigrants and people of color is becoming increasingly dangerous.

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Most Iowans in Congress supported latest COVID-19 package

The U.S. House and Senate on December 21 approved a $2.3 trillion package to fund the federal government through September 30, 2021 and provide approximately $900 billion in economic stimulus or relief connected to the coronavirus pandemic.

No one in either chamber had time to read the legislation, which was nearly 5,600 pages long, before voting on it. Statements released by Iowans in Congress, which I’ve enclosed below, highlight many of its key provisions. The unemployment and direct payments to families are clearly insufficient to meet the needs of millions of struggling Americans. Senate Republicans blocked aid to state and local governments, many of which are facing budget shortfalls. President-elect Joe Biden has vowed to push for a much larger economic stimulus package early next year.

The legislation headed to President Donald Trump’s desk includes some long overdue changes, such as new limits on “surprise billing” by health care providers for emergency care and some out-of-network care.

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Do Republicans even know what socialism is?

A reality check courtesy of Jim Chrisinger. -promoted by Laura Belin

There are some true socialists on the left fringes of the Democratic Party, just like there are some true fascists on the right fringes of the Republican Party. It’s offensive, however, that people who should know better accuse Joe Biden, Kamala Harris, and Nancy Pelosi of being socialists, or even communists.

My wife and I lived in a socialist and communist Czechoslovakia from 1987 to 1990. We saw socialism and communism up close.

Let’s get real.

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Joni Ernst turned her back on Iowans

Kay Pence is Vice President of the Iowa Alliance for Retired Americans. -promoted by Laura Belin

U.S. Senator Joni Ernst is no longer working for Iowans. She is working at the behest of President Donald Trump, no matter what he says or does. She has become a puppet to Trump no matter how low he sinks, voting with the president more than 91 percent of the time and following his lead to attack our healthcare and defund Social Security.

The Iowa Alliance for Retired Americans recently invited Ernst and her Democratic challenger Theresa Greenfield to virtual forums celebrating the anniversaries of Medicare and Social Security. I was not surprised when Ernst failed to show up for either forum, because she has such a dismal record on both issues.  

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Leading Iowa research centers merge

Two of Iowa’s best resources for public policy research have merged, the institutions announced on August 6. The Child and Family Policy Center and the Iowa Policy Project are building “on a collective 50 years of experience” and will be known as Common Good Iowa.

Look to Common Good Iowa for the rock-solid research, rigorous policy analysis and focused advocacy that Iowans have come to expect from CFPC and IPP, and for a new, invigorated approach to advance a bold policy agenda advancing equity and effective policy in four areas:

• Well-being of children and families, especially those failed by our current systems

• Adequate and equitably raised revenue to support strong public structures

• Workplace fairness and living wages for all Iowans

• Clean air, water and sustainable energy for a healthy future for all

Common Good Iowa will maintain offices in Des Moines and Iowa City, according to a news released I’ve enclosed below.

The two organizations have long collaborated on research published under the banner of the Iowa Fiscal Partnership. Some of their “greatest hits”:

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Rural hospitals: Our canary in a coal mine

Julie Ann Neely explores the “commonality between the financial pressures of rural hospitals and the financial pressures of urban hospitals as they treat unprecedented numbers of COVID-19 patients.” -promoted by Laura Belin

Having chest pains? Cut off a finger? Need medical care now? For anyone living in a rural area there is no guarantee the closest hospital can provide needed emergency care. 

Signs may say “Hospital” and the doors may be open, but odds are they will not have the capability or staff to care for an urgent need or life-threatening emergency.  Logic tells us in an emergency increased time and distance can be life-threatening.  One study found that rural hospital closures are associated with a 5.9 percent increase in inpatient mortality.  1, 2

Ours is a “profits above all else” economy, and rural hospitals close because they are not profitable, often operating at a loss. Those that remain open have restructured, eliminated services, and reduced staff to the point they can no longer offer basic medical care. Hospitals lose money delivering babies which has caused dozens of Iowa hospitals, rural and urban, to discontinue this service.  Iowa is 50th out of 50 states for the number of obstetricians per population. 3 , 4

Due to the nature of the population served, rural hospitals cannot compete, and rural residents are the losers.

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Kimberly Graham knows universal health care is our only choice

Elisa Hernández Pérez is an immigrant from Spain living in Iowa City. -promoted by Laura Belin

When I moved to Iowa from Spain, my mom’s main worry was not whether I would be too cold in the snowy winters, nor if I would make friends quickly, nor if I would miss the food or going to the beach. Her main worry was what could happen to me if I found myself in need of even the most basic health care.

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Kimberly Graham: Of the People, for the People, and by the People

Scott Roland is an activist from Cedar Rapids. -promoted by Laura Belin

Introduction

Whatever we think that we are doing, it is certainly not working. We are asked to embrace some variation of the status quo that offers us ruinous household debt, political corruption that has become normalized, stagnant growth rates, perilously insecure employment, a natural environment that is on a course to become barely inhabitable, and a health care system that leaves many just one medical emergency away from bankruptcy. As a society, we have fallen into a chasm, and have brought our diminished faith in American exceptionalism with us. 

These problems have been exacerbated by a complacent political class, but politicians like Kimberly Graham offer us a credible path forward. Absurdly, some have painted her as an unrealistic radical, but in much of the developed world, she would be a mainstream social democrat. Her desire is not a destructive revolution, but decency: universal publicly financed health care, wages that ensure that households live above the threshold of poverty, elections that can’t be bought by the highest bidder, a system that does not leave students shackled in debt, and a Green New Deal to address the trillions in negative externality costs related to climate change.

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Thoughts on a post-Trump agenda for Democrats

Dan Piller speculates on what the federal government might attempt if the 2020 presidential and Congressional elections swing toward Democrats. -promoted by Laura Belin

Democrats have learned, the hard way, to never count on a landslide before votes are cast. But the combination of a 1930s-style economic collapse, President Donald Trump’s manic blunderings, and his dismal poll numbers no doubt generate dreams in progressive minds of a landslide election in November that sweeps them into unchallengeable control of both the White House and congress in a manner similar to the Democratic sweeps of 1932 or 1964.

So what might happen if Joe Biden and a host of happy progressives settle into power in Washington next January (probably after walking past gun-toting, camouflage-wearing Trumpers making a Last Stand)?

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Why I support Mike Franken for U.S. Senate

Nancy Bobo is a retired non-profit executive, founder of the Democratic group Women for a Stronger America, and a Democratic volunteer in Des Moines. -promoted by Laura Belin

In early March, the week before everything started shutting down due to the COVID-19 pandemic, my husband and I hosted a house party for Mike Franken, Democratic candidate for U.S. Senate. A friend had introduced me to Mike several weeks earlier, and I was exceptionally impressed. I was pleasantly surprised when our house filled wall-to-wall that morning with the biggest crowd we’ve ever hosted for a political candidate.

Guests arrived curious to meet Mike and knowing little about him. Numerous guests had come supporting another candidate and changed their allegiance that day. Mike’s background, experience, and a certain degree of Iowa charm were compelling. He left with a pile of checks and new supporters. Today, Franken’s support is clearly growing.

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Bernie Sanders’ success in Iowa shows Democratic Party must adapt

Sami Scheetz: Democrats must speak to issues working-class people face and welcome the diverse coalition Bernie Sanders formed in Iowa. -promoted by Laura Belin

For more than 150 years, Iowa has served as a progressive beacon for the rest of the nation. We outlawed the death penalty nearly 60 years ago and became one of the first states to legalize same-sex marriage in 2009. Contrary to the popular belief that most Midwesterners are centrists, Iowa Democrats have historically been leaders of this nation’s progressive movements.

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Yes, Bernie Sanders can be stopped. But...

Dan Guild spins some scenarios for the Democratic primaries. -promoted by Laura Belin

Mathematically, there is a way to stop Bernie Sanders, but it won’t be easy.

Four years ago I wrote these lines in a post about the Republican presidential race:

In politics we often talk of the narrative. The narrative is not about delegate math, it is about momentum. It asks who is winning and why. It is unforgiving: you either win or you lose. It is difficult to lose and maintain any semblance of energy in a campaign (something seen in Rubio’s implosion) but it also means no more money for future primaries.

In any primary fight, there are times when these two forces are at odds. Such is the case now.

This is precisely the state of the race for the Democratic nomination. It is reasonably easy to create scenarios where Sanders does not get close to a majority of delegates. The problem is primaries are a dynamic process. The difference between winning and losing is stark. Losing drives candidates from the race or makes them irrelevant.

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Iowa needs Warren's big structural change for mental health

Heather Strachan is a mental health professional, criminal justice reform advocate, and a former rural organizer for Barack Obama’s 2008 campaign. -promoted by Laura Belin

Throughout caucus season I have fielded questions from advocates and professionals alike asking why mental health has gone largely ignored in the presidential race. All eyes are on Iowa at a time when we have reached the bottom of the pile in terms of the number of available beds, the number of psychiatric providers per capita, and the availability of community-based services. One in five Iowans will experience mental illness in their lifetimes, and this has far-reaching effects throughout families and entire communities, including my own.

The candidates are not solely to blame: the media are mostly not asking the question.

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Why I'm supporting Elizabeth Warren for president

Aime Wichtendahl is a city council member in Hiawatha (Linn County) and Iowa’s first openly trans elected official. -promoted by Laura Belin

A few years ago, I stopped into a gas station near my house to grab a soda. As I was preparing to pay for it, I noticed that the cost of a bottle had increased slightly so I asked the clerk about it.

“Everything goes up except the wages,” he said.

“Hopefully that wouldn’t be true for much longer,” I replied.

At that time Linn County had initiated a plan to raise the minimum wage to $10.25. I had served on the working group that made the recommendation to the Board of Supervisors. And while $10.25 wasn’t yet a livable wage, it was a start.

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Why I support Elizabeth Warren

Edward Cohn lives in Grinnell and is a member of the Poweshiek County Democratic Central Committee. -promoted by Laura Belin

I’m like a lot of Democrats: when the 2020 campaign began, I loved the idea of an Elizabeth Warren presidency, but I wasn’t sure whether Warren would be a strong candidate in November. Luckily, I live in Iowa, which means that I’ve had a lot of chances to see the Democratic field in action. After seeing 47 speeches by nineteen candidates, I can confidently say Warren is exactly the leader America needs.

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The true cost of incrementalism: defeat

Stacey Walker is a Linn County supervisor who has endorsed Bernie Sanders for president. -promoted by Laura Belin

There’s a popular expression that not paying attention to politics is a privilege. In this time and moment, this is an obvious truth. Only those in the gilded classes are protected from the pervasive social and economic harms that haunt and oppress most Americans. This enormous shield of privilege allows for the bliss that comes with inattentiveness; a sedative that can lull us into ignorance and apathy.

A comparable privilege which I’ve struggled for years to articulate is the one that comes with being able to wholeheartedly support a candidate for president who espouses a politics of incrementalism. An endorsement of this sort of politics suggests an immunity to the social and economic harms I referenced earlier.

The Democrats I know supporting Joe Biden have health insurance. They have good jobs and they don’t have any fear of life or limb when interacting with the police. While this may not seem like much to some, for many Americans this basic sense of security is a Maslovian dream.

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Why didn't Cory Booker take off in Iowa?

My father used to say the most optimistic person is the guy on the brink of bankruptcy. He’s always thinking the next sale or the next deal will turn everything around.

Cory Booker remained “incomprehensibly upbeat” on the campaign trail, in the words of Rebecca Buck, who spent a year covering him for CNN. The senator from New Jersey wasn’t just another unsuccessful candidate falling for his own spin. Booker made believers out of many who were closely watching the campaign.

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Recognizing Bleeding Heartland's talented 2019 guest authors

More than 125 authors contributed to the 290 guest posts Bleeding Heartland published this calendar year–way up from the 202 pieces by about 100 writers in 2018 and the 164 posts by 83 writers the year before that. I’m immensely grateful for all the hard work that went into these articles and commentaries and have linked to them all below.

You will find scoops grounded in original research, such as John Morrissey’s exclusive reporting on Sedgwick landing a lucrative contract to administer Iowa’s worker’s compensation program for state employee, despite not submitting the high bid.

The most-viewed Bleeding Heartland post this year was Gwen Hope’s exclusive about the the Hy-Vee PAC donating $25,000 to the Iowa GOP, shortly before President Donald Trump headlined a Republican fundraiser at Hy-Vee’s event center in West Des Moines.

Several commentaries about major news events or political trends were also among the most widely read Bleeding Heartland posts of 2019. I’ve noted below pieces by Ed Fallon, Tim Nelson, Bruce Lear, Randy Richardson, J.D. Scholten, Dan Guild, State Senator Claire Celsi, and others that were especially popular. (This site has run more than 630 pieces since January 1.)

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IA-Sen: Where things stand in the Democratic primary

Five Democrats are now competing for the chance to take on U.S. Senator Joni Ernst next November. After making low-key appearances at Democratic events around Iowa for about six months, Cal Woods made his candidacy official on December 17.

Assuming all five candidates file nominating petitions in March, the crowded field increases the chance that no one will win the nomination outright in the June 3 primary.

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Health care according to our needs: Time to consider it a human right

Iowa State University economist Dave Swenson: Of three possible approaches to health policy, only Medicare for All “reduces the damage that the existing system causes and remedies the cumulative policy failures of the past 70 years.” -promoted by Laura Belin

Health care delivery in the U.S. is a market failure and a governmental failure.

The private sector cannot adequately supply all that is demanded because many of those seeking health care cannot pay for what they need. Government systems, while attentive to the needs of the elderly, disabled, poor, and many veterans, nonetheless fail to cover all who require health care, because policies and funding are inadequate.

As a consequence, too little health care is delivered. And too little health care is socially destructive.

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The power of your personal health care story

Emily Holley is a lifelong Iowan and executive director of the 501(c)(4) organization Iowa Voices. -promoted by Laura Belin

We know that personal stories are powerful. Stories we hear from a mother, plagued with anxiety, who can’t afford her son’s autism medications. Stories from a rural physician who’s worried about his own patients foregoing cancer screenings simply because it’s too expensive.

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Reaching rural America

Bruce Lear suggests a Democratic message resting on “four pillars that sustain small towns.” -promoted by Laura Belin

When I was a kid, my mom always warned, “Keep a screen door between you and the Fuller Brush Man.” Back in the day, Fuller Brush salesmen were mobile carnival barkers. They would literally get a foot in the door and then grow roots on the couch until Mom gave up and bought something.

They were fast talkers.

They weren’t from around here.

I am afraid that too many candidates now treat rural America like the Fuller Brush man of old. They barnstorm a small community without ever stopping to hear what makes the heart of rural America beat.

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We need a new New Deal

Jeff Cox publishes the Prairie Progressive newsletter. -promoted by Laura Belin

We need a new New Deal. Who can deliver it?

The mainstream media likes to depict the Democratic Party as divided between centrists and progressives. An equally important divide is between defeatists who think that Donald Trump’s supporters have taken over the country, and optimists who look to a bright future for Democratic Party ideas.

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Hundreds of Iowans are alive today thanks to Medicaid expansion

Expanding Medicaid “saved the lives of at least 19,200 adults aged 55 to 64” during the four years after the Affordable Care Act went into effect, including an estimated 272 Iowans, according to a new paper by Matt Broaddus and Aviva Aron-Dine for the Center on Budget and Policy Priorities.

Conversely, 15,600 older adults died prematurely because of state decisions not to expand Medicaid. […] The lifesaving impacts of Medicaid expansion are large: an estimated 39 to 64 percent reduction in annual mortality rates for older adults gaining coverage.

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Call to action for Iowans united on issues like health care, climate action

Barb Kalbach is the Board President of Iowa Citizens for Community Improvement Action and a fourth generation family farmer from Adair County. -promoted by Laura Belin

Caucus season means endless polls constantly taking the temperature of how Iowans are dividing themselves among this year’s over-abundant crop of charismatic politicians. At the Polk County Steak Fry the paid staff and supporters of the campaigns competed to hold the most signs and chant their candidate’s name the loudest.

What gets lost in the caucus circus is how much unites us beyond the candidates, like the Selzer Iowa poll for the Des Moines Register in March, which showed 91 percent support among Iowa Democratic caucus-goers for the Green New Deal, 84 percent for Medicare for All, and 76 percent for tuition-free public college.

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Saturday's other presidential candidate event

Ira Lacher reports on the People’s Forum in Des Moines. -promoted by Laura Belin

While thousands sat in single-lane traffic at Water Works Park hoping to hear seventeen presidential candidates deliver ten-minute stump speeches, several thousand Midwesterners from five states crammed into the Iowa Events Center on September 21 to listen to four candidates explain at length why they deserved the votes of progressives.

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Amy Klobuchar: A leader for everyone

State Representative Molly Donahue: “Amy Klobuchar is running to be the president of all the people, not half the people.” -promoted by Laura Belin

Amy Klobuchar isn’t just a smart, funny, gritty, senator from Minnesota who gets things done. She is someone who studies and weighs the pros and cons of policy. She not only knows her own policies in and out, but she also knows the policies of her fellow presidential candidates.

Amy’s one-liners are filled with a wealth of knowledge about how the system works and how to get to where we want to be, while uniting those around her. She has proven her strength is uniting by getting people to work together towards a common cause as a senator, and she has shown time and again that she can stand up to Trump and his policies.

Amy has fought to expand affordable health care options, building on and improving the Affordable Care Act, and working across the aisle to reduce prescription drug prices while allowing Medicare to negotiate with pharmaceutical companies. She wants to end the stigma of mental illness in this country, and to make sure that services are available and affordable for the people in need.

She believes in providing a pathway for citizenship for undocumented workers, and that we must begin to reduce carbon emissions with a plan to achieve net-zero carbon emissions by 2050 while embracing natural gas as a “transition” fuel to help the U.S. move away from foreign oil. She has experience working with agriculture and knows that our farmers and rural communities are at risk because of President Donald Trump’s tariffs. She has a plan to put our rural areas back to work and help farmers be sustainable into the future while protecting the environment.

Amy doesn’t look at things and say they can’t be done. Instead, she asks, how do we get there with everyone, not just part of the country? She is running to be the president of all the people, not half the people.

She is the daughter of a public school teacher, and knows the importance of a public education for a successful future. Amy stands for the people, the workers of America and stresses the importance of the unions to strengthen our work force and continue to build a strong middle class with good jobs, wages, benefits, and safety in the workplace. She supports expanding access to vocational training and other post-secondary education in an affordable way, so students aren’t burdened with insurmountable debt.

Everytown for Gun Safety and Moms Demand Action have praised Amy for her strong stance on gun violence prevention. She jokes she isn’t looking to hurt her uncle, who’s a big hunter. Rather, she supports instituting universal background checks, banning assault rifles, and Extreme Risk Orders, also known as “red flag” laws – which allow law enforcement to remove guns from people they determine to be a threat.

Amy speaks about our allies around the world, and how she will bring them back to the table to stabilize the damage done by the Trump administration. She is a fighter for LGBTQ and women’s rights.

From campaign finance reform to foreign policy, Amy Klobuchar is a great candidate who can win.

I am very happy to announce that I have endorsed Amy Klobuchar for president. She is the person we need to unite this country and to move the country forward. Amy will work across the aisle to pass progressive policy and has what it takes to not only stand up to Trump, but to beat Trump.

She has the work ethic and values that the country wants in a leader, and she will put the people first when she implements the policies and changes for her administration.

Plain and simply, Amy Klobuchar will provide a great future for our kids as president of the United States.

Editor’s note: Bleeding Heartland welcomes guest posts related to the Iowa caucuses, including but not limited to candidate endorsements. Please read these guidelines and contact Laura Belin if you are interested in writing.


Top image: Senator Amy Klobuchar (left) and State Representative Molly Donahue in Cedar Rapids at a September 1 “climate conversation” event organized by State Senator Rob Hogg. Photo provided by the author and published with permission.

Loretta Sieman on the public option and why she's in that ad

Industry-funded groups have recently spent more than a million dollars on television and online advertising in Iowa opposing Democratic plans to expand access to health insurance.

Some ads primarily focus on single-payer plans (often known as Medicare for All), which more than half a dozen presidential candidates are supporting. But Partnership for America’s Health Care Future has used its hundreds of thousands of dollars in the Des Moines market targeting more modest proposals to offer a “public option” on exchanges selling private health insurance policies.

Many central Iowa Democratic activists were surprised and upset to see Loretta Sieman, a longtime West Des Moines city council member, in one of the partnership’s commercials. Sieman spoke to Bleeding Heartland on September 11 about why she opposes the public option and why she agreed to appear in the ad, now in heavy rotation on YouTube as well as Des Moines broadcast and cable stations.

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Twelve quick takes on the third Democratic debate

First disclaimer: I don’t agree with the Democratic National Committee’s debate criteria and encourage Iowans to keep listening to all the presidential candidates.

Second disclaimer: I doubt anything that happens more than four months before anyone votes will significantly affect the battle for the Democratic nomination. As Dan Guild has shown, history tells us more than half of Iowa Democrats who participated in the 2004 and 2008 caucuses decided in the final month.

That said, here are my thoughts on last night’s three-hour debate at Texas Southern University in Houston.

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Jack Hatch considering run against Des Moines Mayor Frank Cownie?

Former State Senator Jack Hatch appears to be seriously considering a campaign for mayor of Des Moines.

In recent days, numerous Democrats living in the capital city have received a lengthy telephone poll testing positive messages about Hatch and mostly negative messages about Mayor Frank Cownie, a four-term incumbent who has held the position since 2004.

Hatch did not immediately respond to a phone call and e-mail seeking comment on his plans and whether he commissioned the poll. I’ve paraphrased the questions below, based on detailed notes from a source who took the survey on September 9, and will update this post as needed when Hatch makes his intentions clear.

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Stacey Walker reluctantly rules out IA-Sen race

Linn County Supervisor Stacey Walker has ruled out running for U.S. Senate in 2020, he announced in a post published on his website on August 8. He made the “quite difficult decision” mainly because the Democratic primary “was already heavily skewed in favor of one candidate.”

I’ve read a lot of statements by politicians bowing out of a campaign. Few have spoken as frankly about their reasons as Walker.

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IA-02's starting to look like a lean Democratic seat

After seven-term Democratic U.S. Representative Dave Loebsack announced plans to retire after his current term, I argued that the open-seat race in Iowa’s second Congressional district looked like a toss-up.

Bobby Schilling made his campaign official on July 8, setting up a likely general election match-up against Rita Hart. Although Democrats should take nothing for granted here, and the Cook Political Report and Sabato’s Crystal Ball still rate IA-02 as a toss-up, I’m now considering this a lean Democratic seat for the following reasons.

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Change is horrible

Ira Lacher warns it would be a mistake for the Democratic presidential nominee to promise to take away millions of Americans’ employer-provided health insurance. -promoted by Laura Belin

Looking back at the 2016 election, there were at least five types of Americans who voted for Donald Trump: nativists and xenophobes who consider America a white country; independents who absolutely detested Hillary Clinton; Obama voters fed up with the Democratic Party for apparently tossing them under the bus in favor of big corporations; dyed-in-the-wool Republicans who would have voted for Thanos, if he had run as a Republican; and all of the above: those who couldn’t cope with the accelerating change, already at warp speed, altering our culture, politics, economics, and the very framework of America.

In one analysis of the way people react to change, the first five reactions are all negative: denial, anger, confusion, depression and crisis. Psychologist James Prochaska postulated that there are various aspects of change, from preparation through action. As we go through each of these stages, he said, we can ready ourselves for the next, and put ourselves in the best position to cope with the alterations.

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A case for Andrew Yang and his Freedom Dividend

Des Moines resident Jon Muller has worked in public policy analysis for 27 years. -promoted by Laura Belin

While I will be voting for whoever wins the Democratic nomination for president, Andrew Yang stands out among the nearly two dozen candidates.

There are two fundamental questions most Democrats are considering, broadly, and I’m not much different.

1. Which candidate has the best chance of winning in 2020?
2. Which candidate best conforms to my sense of the best direction for this nation?

In my view, Andrew Yang is the answer to both of those questions. Let’s take the second question first.

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What candidates said about health care, reproductive rights at the Hall of Fame

Nineteen presidential candidates had five minutes each to make their case to more than 1,000 activists at the Iowa Democratic Party’s Hall of Fame event in Cedar Rapids on June 9. Most offered at least one really good applause line. Teams of reporters from the Des Moines Register and Iowa Starting Line pulled together some of the memorable parts of each speech here and here.

I decided to focus on how the candidates spoke about health care and women’s ability to access abortion for a couple of reasons. First, while the candidates highlighted a wide range of problems and proposals, almost all of them addressed those topics in some way.

Second, this post represents my gesture toward what media critic Jay Rosen has called the “citizens agenda” approach to covering campaigns. Although I lack survey data to know for sure what Iowa Democrats want the presidential contenders to be talking about, I believe health care and reproductive rights are among the most salient for caucus-goers, because:

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Why I'm running to be the best senator money can't buy

Kimberly Graham is the first declared Democratic challenger to U.S. Senator Joni Ernst. Her campaign website is kimberlyforiowa.com, and she’s on Facebook and Twitter @KimberlyforIowa. -promoted by Laura Belin

Our current junior senator ran on a promise to get rid of corruption in Washington and “make ‘em squeal,” but the only people squealing are Iowans harmed by her votes.

My name is Kimberly Graham. I’m running for the United States Senate. Here’s who I am, who I’m running for, and why:

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Learning from baseball

Bruce Lear: “Swinging for the bleacher seats every time will often leave a player sitting in the dugout with a sore back. The same is true for candidates.” -promoted by Laura Belin

I love baseball. It’s a game of chess with four bases on a field instead of knights and rooks on a board. The object is to defend against runs and advance your runners around the bases. An easy game? No!

It has no clock, so the game isn’t lost until the final out at the plate or in the field. It’s slow. It’s methodical. It’s a game of statistics. The season is 162 games, so there are times of utter despair and utter joy.

James Earl Jones sums it up best in the now 30-year-old Iowa epic Field of Dreams:

“The one constant throughout the years, Ray has been baseball. America has rolled like an army of steamrollers. It has been erased like a blackboard, rebuilt and erased again. But baseball has marked the time.”

For me, baseball is a lot like politics. Winning is based on a strategy about finding that sweet spot in a very long season. It’s slow. It’s methodical. It’s based on statistics we call polls.

This year’s crop of Democratic candidates could perhaps learn from baseball hitters through the ages. Remember, Babe Ruth led the league in home runs but also in strike outs. In politics when there is a binary choice between candidates, too many times waving or watching a fast ball or curve might get you a gig on CNN or Fox instead of the Presidency.

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Whom does Joni Ernst really represent?

Cindy Garlock is an Indivisible activist in Cedar Rapids. -promoted by Laura Belin

U.S. Senator Joni Ernst has earned a noteworthy distinction, Iowa media recently reported. One would hope it might be something that improved the lives of ordinary Iowans. But no. She is touting what her campaign is claiming as the largest first-quarter fundraising in an off-year election in the history of Iowa politics.

The $2.8 million cash on hand that she has amassed brought a few questions to my mind. In looking for answers, I found some things Iowans may be interested in knowing about our senator and where much of her campaign funding has come from.

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If a teacher were president...

Tyler Higgs is a school psychologist who lives in Clive. -promoted by Laura Belin

If a teacher were president…

She would rebuild the middle class because she knows that students who come from a lower socioeconomic background are at a disadvantage when it comes to their education, physical health, and career readiness. This affects our society as a whole.

She would fight for high quality universal child care and early childhood education, which have a high return on investment for her students and for America.

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IA-01: First thoughts on a possible Rod Blum-Abby Finkenauer rematch

Thomas Nelson of the Waterloo/Cedar Falls Courier was first to report last week that former U.S. Representative Rod Blum’s campaign has spent $11,365 on polling this year. Blum’s quarterly filing with the Federal Election Commission showed two disbursements to the candidate’s longtime pollster in early January.

The payments exceeded the $4,119 Blum for Congress owed The Polling Company at the end of December, indicating that Blum commissioned new surveys in the first district and wasn’t merely settling debts left over from the 2018 campaign.

While I have not been able to find details about the questions asked, his campaign likely tested voters’ views on key issues as well as approval and favorability numbers for himself and Representative Abby Finkenauer. Blum hasn’t ruled out running for office again. Nelson noted that he appeared at a Jones County GOP event on April 11.

No Republican has confirmed plans to run against Finkenauer. I see Blum as a weaker challenger than State Representative Ashley Hinson, who has said she’s considering the race and will make her intentions known after the legislative session ends.

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Another health care threat

Sue Dinsdale is the executive director of Iowa Citizen Action Network. -promoted by Laura Belin

Nine years ago this week, Congress passed the Affordable Care Act, giving us a chance and a choice when it comes to health insurance. But since that time there has been threat after threat against it. And each time it is threatened, everyday Americans have spoken out.

Here in Iowa and across the country, small business owners, students, retirees, farmers, workers, seniors, young people, veterans and other constituents have been telling our Members of Congress: Stop these cruel and careless threats on our health and financial security.

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Senate ignores deadbeat corporations while targeting Iowans on Medicaid

Matt Chapman closely follows Iowa legislative happenings, including bills affecting Iowans on public assistance. -promoted by Laura Belin

Iowa Senate Republicans on March 19 approved new work requirements for tens of thousands of Iowans on Medicaid or receiving food assistance. Senate File 538 would instruct the Iowa Department of Human Services to request a federal waiver for the Iowa Health and Wellness Plan, our state’s version of Medicaid expansion. Approximately 170,000 adults receive Medicaid through that plan, and roughly 61,000 of them also receive Supplemental Assistance Nutrition Program (SNAP) benefits.

If the waiver were approved, Medicaid recipients would face new reporting obligations for “community engagement.” If not part of an exempted group, they could lose coverage due to paperwork errors, even if they were working the requisite number of hours per week. Nonpartisan analysis estimated this bill would cost the state budget nearly $5 million the first year after the waiver and nearly $12 million each subsequent year.

During floor debate (beginning at 11:53:20 of this video), Republicans characterized the bill as a way to hold Iowans accountable. Democrats offered two amendments that would have extended that accountability to large employers and the for-profit insurers known as managed-care organizations (MCOs), which oversee Iowa’s privatized Medicaid.

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Political bandwidth

Paul Deaton: “It’s easy to say we should balance our politics and policy. I’m not sure about that. A better approach is to recognize there is political bandwidth and tune in.” -promoted by Laura Belin

The 2020 general election will be challenging for a lot of reasons, not the least of which for me is deciding whether policy or politics is the most important part of it.

Politics is the art of what’s possible. I’m over the naive notion that policy matters more than politics, although the art of what’s possible has produced some problems.

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Five things to know about Trump's sabotage budget

Matt Sinovic is the executive director of Progress Iowa. -promoted by Laura Belin

This week, the Trump administration released its proposed budget for fiscal year 2020, which revives a call to repeal the Affordable Care Act and lays out massive cuts to Medicaid, Medicare, and the Department of Health and Human Services. The administration’s budget reveals just how steadfast it remains in trying to take away Americans’ health care.

Here are five things you need to know about Trump’s Health Care Sabotage Budget:

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Five Senate bills target Iowans on public assistance

Matt Chapman has attended Iowa House and Senate subcommittee meetings nearly every day. These bills were among the most significant he has tracked lately. -promoted by Laura Belin

Over the past week, Iowa Senate subcommittees considered five bills drafted to address fraud in Iowa public assistance programs. Each bill would direct revenue generated by Iowa taxpayers to private vendors, who are charged with finding fraudulent claims. If investigation supports the claims of fraud, those funds could be recovered, and criminal charges filed.

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The 18 most-viewed Bleeding Heartland posts of 2018

Sometimes I feel nostalgic for my “past life” covering Russian politics. Social media didn’t exist, and my colleagues and I had no information about which articles most interested our readers. Potential for clicks or shares didn’t factor into our story selection. We wrote up what seemed important to us.

On any given day, a half-dozen or more newsworthy Iowa politics stories present themselves, but I only have the capacity to cover one or two. I look for ways to add value: can I highlight events not covered elsewhere? Can I offer a different perspective or more context on the story everyone’s talking about?

Although chasing traffic will never be my primary goal, doing this for more than a decade has given me a decent sense of which topics will strike a chord with readers. But you never really know. Just like last year and the year before that, surprises lurked in the traffic numbers on Bleeding Heartland posts published during 2018 (353 written by me, 202 by other authors).

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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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IA-Gov post-mortem: One mistake and two missed opportunities

Nate Williams is a labor attorney and served in the Iowa House from 2009 through 2012. -promoted by desmoinesdem

I am not sure whether to think of this as “three mistakes Fred Hubbell’s campaign made” or “one mistake the Hubbell campaign made and two missed opportunities.”

Either way, there are three things I wish the Hubbell campaign would have done very differently.

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We need representatives who vote for us!

ReShonda Young of Waterloo has been an advocate for small business owners on a variety of issues. -promoted by desmoinesdem

My U.S. House Representative Rod Blum, along with his Iowa colleagues David Young and Steve King, has repeatedly voted to take away health care from me, my brother, my employees, and many other Iowans.

This is personal for me, as it is for most of us. I have a serious health condition and, as a business owner, have employed people with serious conditions of their own.

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"Fight for the best of who we are": Kamala Harris rallies Iowa Democrats

Hundreds of Iowa Democrats got their first chance to hear U.S. Senator Kamala Harris on October 22. On her first major swing through the state, the senator from California had a packed schedule, including:

  • a morning gathering with the Asian and Latino Coalition;
  • an Ankeny rally organized by Des Moines Area Community College students, also featuring Iowa House district 38 candidate Heather Matson, Iowa Senate district 19 candidate Amber Gustafson, and third Congressional district nominee Cindy Axne;
  • a late afternoon event in Indianola;
  • a private fundraiser for Axne; and finally
  • a speech to a room full of Polk County Democrats in Des Moines.
  • Though Harris is widely viewed as a potential 2020 presidential candidate, she kept her focus on the election happening November 6. I enclose below the full audio and partial transcript of the evening speech, which was similar to remarks Harris delivered earlier in the day.

    Whereas some politicians tend to use convoluted, run-on sentences, Harris was striking in how she used simple sentence construction and repetition to great effect.

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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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    Please, for the sake of the nation (and my heart, body and soul)

    Laura Hubka chairs the Howard County Democrats, is vice chair of the Iowa Democratic Party’s Disability Caucus, and is the first district liaison to the party for the Veterans Caucus. -promoted by desmoinesdem

    I decided to go to Obama.org just to check it out after looking at one of President Barack Obama’s posts on Twitter (my heart jumped and sank at writing that last statement). It was full of videos from the campaign in 2008. Almost all of it from Iowa. Young people, music, chanting and all the excitement of what could be. The hope, the change, the light in the peoples faces. I had to fight back the tears.

    I feel like something inside me has faded. A light inside me is dim. I am afraid that the winds of change from 2016 have blown out my candle. I keep trying to light it but it is like lighting a wet wick. I can’t seem to find a hot enough fire. My heart literally aches.

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    IA-01: Republicans really are writing off Rod Blum (updated)

    With just seven weeks remaining before election day, “No Republican organization has put money toward TV ads that could benefit” U.S. Representative Rod Blum in Iowa’s first Congressional district, Barbara Rodriguez and Brianne Pfannenstiel reported for the Des Moines Register on September 17. Their analysis of television air time data from Kantar Media showed that groups supporting Democratic challenger Abby Finkenauer “have spent or reserved more than $1.2 million for airing political ads” in IA-01. Blum’s campaign has placed $129,000 in television ad buys, and no GOP-aligned groups have indicated plans to advertise in the district.

    In many battleground Congressional races, candidates run mostly positive tv ads, while outside groups pay for the hatchet jobs. That normal division of labor won’t be available to Blum. He will have to cover the cost of any negative ads about Finkenauer from his own campaign funds, leaving less money to make an case for himself on the air.

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    Iowans are health care voters

    Sue Dinsdale of the Iowa Citizen Action Network reports on efforts to mobilize Americans who need quality, affordable health care, with protections for pre-existing conditions. -promoted by desmoinesdem

    After watching U.S. Representatives Rod Blum (IA-01), David Young (IA-03), and Steve King (IA-04) vote time after time to repeal their coverage, Iowans understand that it has never been more important for lawmakers to stand up for our right to health care. And as one poll after another shows, health care will play a significant role in this year’s election.

    Because of the urgency surrounding this issue, across Iowa and across the country, there is an aggressive mobilization effort underway in all 50 states by Health Care Voter in order to hold Republicans feet to the fire for their efforts to undermine and repeal the Affordable Care Act.

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    Grassley, Ernst join new GOP shell game on pre-existing conditions

    Senators Chuck Grassley and Joni Ernst are among ten U.S. Senate Republicans co-sponsoring a bill that purports to protect health insurance coverage for Americans with pre-existing conditions.

    There’s a catch: the legislation would require insurance companies to sell policies to people with pre-existing conditions, but it wouldn’t stop them from excluding coverage for those very conditions.

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    Rest in peace, Leonard Boswell

    Former U.S. Representative Leonard Boswell passed away on August 17 at the age of 84. He had long battled a rare cancer called pseudomyxoma peritonei. Boswell publicly speculated in 2015 that exposure to Agent Orange during the Vietnam War could have caused his abdominal tumors. According to a former staff member, a link to the powerful herbicide was later confirmed. In a recorded message to Iowa Democrats last year, Boswell said his doctors agreed that his disease stemmed from getting “pretty well soaked” while flying a crop-duster mission.

    Surviving two tours of duty as an assault helicopter pilot in Vietnam was itself beating the odds. Boswell received numerous honors for his actions in that extremely dangerous role.

    Following 20 years of military service, Boswell became a cattle farmer in southern Iowa. First elected to the Iowa Senate in 1984, he served three terms in the legislature, the last as Senate president. He was well-liked in Democratic circles. When I met him briefly during the 1994 campaign (he was the lieutenant governor nominee on a ticket with Bonnie Campbell), he seemed to have a larger-than-life personality.

    After winning an open U.S. House seat in 1996, Boswell represented parts of central and southern Iowa in Congress for sixteen years. His proudest legislative accomplishment was sponsoring the Joshua Omvig Veterans Suicide Prevention Act, which President George W. Bush signed in 2007. Though he belonged to the conservative “Blue Dog” caucus, Boswell voted for the major legislation of President Barack Obama’s first term, including the economic stimulus bill and the Affordable Care Act.

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    Andrew Yang explains the "Freedom Dividend" and how Democrats could sell it

    Rarely does a presidential candidate focus a stump speech on an out-of-the box idea. But in his first appearance before a large Iowa audience on August 10, Andrew Yang devoted much of his time to the “Freedom Dividend,” a proposal unlike anything I’ve heard on the caucus trail.

    After the Iowa Democratic Wing Ding in Clear Lake, Yang spoke to Bleeding Heartland about how the U.S. could pay for a nationwide universal basic income plan. He also explained how he envisions selling the idea to voters who have heard politicians denigrate “hand-outs” and welfare for decades.

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    Hope and pray for Democratic victories in Iowa

    Jeff Cox sees Democrats “campaigning only on issues that reliable Democratic voters care about.” He thinks a winning message will require addressing broader concerns among Iowans. -promoted by desmoinesdem

    In the past decade, the Democratic Party has lost control of both houses of the Iowa legislature as well as the governor’s office. It is difficult to overstate the damage that has been done to the people of Iowa by the Republicans. If they keep control of the governor’s office and legislature next November, they can add the judiciary to their list of conquests. When that happens, things will get even worse–much worse.

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    IA-03: Mystery group backing Eddie Mauro belatedly reported spending to FEC (updated)

    A newly-formed political non-profit sent two mass mailings to Iowa Democrats this week in support of Eddie Mauro, one of three candidates seeking the nomination in the third Congressional district. The website and Facebook page for Iowans for a Progressive Tomorrow do not indicate who is funding the effort, nor has the group filed 24-hour independent expenditure reports with the Federal Election Commission. UPDATE: The group belatedly submitted reports; added details below.

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    The case for each Democrat running for Congress in IA-03

    With less than three weeks remaining before the June 5 primary, many Democrats (including myself) are still undecided in the primary to represent Iowa’s third Congressional district. All three candidates left standing in the once-crowded field have raised enough money to run strong, district-wide campaigns.

    This post focuses on how Cindy Axne, Pete D’Alessandro, and Eddie Mauro have presented themselves in stump speeches, direct mail, and television commercials aimed at Democratic voters.

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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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    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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    IA-03: Poll testing short and sweet messages about David Young

    A survey is testing brief, positive messages about two-term Representative David Young in Iowa’s third Congressional district. A respondent took notes on the call on the evening of March 14.

    My first thought was that the National Republican Congressional Committee or some outside group supporting GOP House candidates commissioned the poll. The phrases about Young didn’t have the level of detail I would expect from a survey designed by a campaign, and the question order was somewhat unusual.

    On the other hand, Federal Election Commission filings don’t appear to show any expenditures by Young’s campaign on polling during the third or fourth quarters of 2017. Perhaps this survey is the incumbent’s early attempt to see where he stands.

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    IA-03: Six Democrats explain how they could beat David Young

    Almost every day, I talk to Democrats who haven’t settled on a candidate in the third Congressional district, where six people are running against two-term Representative David Young. (Heather Ryan ended her Congressional campaign last month and will challenge State Representative Rick Olson in Iowa House district 31’s Democratic primary instead.)

    Many of the contenders have supporters I respect and admire. I have no doubt they would represent us well in the U.S. House.

    So as I try to pick a favorite from this strong field, I find myself circling back to one question: who has the best chance of beating Young?

    At last month’s College and Young Democrats forum in Indianola, each candidate had three minutes to explain how they can win this race. I’ve transcribed their answers in full after the jump.

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    Democratic gubernatorial candidates should go back to the future

    Jeff Cox sees one gubernatorial contender best positioned to help Democrats become the majority party again. Bleeding Heartland welcomes guest posts advocating for candidates in competitive Democratic primaries. Please read these guidelines before writing. -promoted by desmoinesdem

    There is only one word to use when surveying the damage the Republicans are doing to Iowa and America: depressing. We need to keep our eye on the ball, though, and avoid being diverted into competitive name-calling with Republicans. We need to elect Democrats until we regain a majority at every level of government. In the present crisis, any Democratic victory is a win, no matter how awful the Democrat.

    In addition to issuing an “all hands on deck” call to elect Democrats, we should also have a discussion about how we got into this mess of being a minority party at every level of government. We could do worse than look back to a period of history when Democrats were the natural party of government, the half century beginning in 1932.

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    Federal government shutting down: Iowa political reaction

    Congress failed to agree on a spending deal before midnight on January 20, setting a federal government shutdown in motion for the first time since October 2013.

    House Republicans had approved a four-week continuing spending resolution on January 18, which met one of the key Democratic demands (a six-year reauthorization of the Children’s Health Insurance Program). However, that bill did not include a fix for the DREAMers facing possible deportation after the Deferred Action for Childhood Arrivals program ends on March 5. It passed on a mostly party-line vote, with support from Iowa Republicans Rod Blum (IA-01), David Young (IA-03), and Steve King (IA-04). Democratic Representative Dave Loebsack (IA-02) voted for short-term spending resolutions in December but drew the line this week, explaining in a written statement,

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    "Everybody in, nobody left out": Cathy Glasson spotlights universal health care

    Declaring that health care is a “fundamental human right,” and “Iowa should lead the way,” Cathy Glasson is taking her message to Iowa television viewers, beginning January 18. Single-payer health care reform has been a central theme of Glasson’s stump speeches since she began exploring a gubernatorial campaign. Her stance on that issue was a key factor in attracting endorsements from some progressive organizations and many activists who caucused for Bernie Sanders in 2016. It even helped Glasson win over television and movie actor Piper Perabo (hat tip to Christian Ucles). As Gavin Aronsen observed in this Iowa Informer profile, “lefty media outlets” with a national audience “have taken notice of Glasson’s grassroots campaign” too, in part because of her vocal support for Medicare for All.

    I enclose below the video and transcript of “Heart,” which will air in the Des Moines and Cedar Rapids markets, according to a campaign news release. The spot is a good way for Glasson to distinguish herself from the rest of the field. Among her six rivals for the nomination, only Jon Neiderbach is also on record supporting single-payer health care. Neiderbach is unlikely to have the funds for substantial television advertising before the primary, though. I am seeking further details on how Glasson envisions creating a state-level universal health care system to replace private insurance and will update this post as needed.

    Glasson is the third Democratic gubernatorial candidate to run tv ads this year, after Fred Hubbell and Nate Boulton. Two factors are driving the unusually early start for paid advertising. The upcoming Iowa precinct caucuses will be the first step in a convention process that may select the Democratic nominee, if no candidate receives at least 35 percent of the vote in the June 5 primary. In a departure from usual practice during non-presidential years, many Democratic caucuses will divide into preference groups based on the governor’s race on February 5. Field organizers and volunteers for the various contenders are working hard to turn their people out, because supporters of viable candidates will be able to elect county convention delegates.

    Glasson can afford to pay for television commercials now without depleting her resources. Entities affiliated with the Service Employees International Union have contributed at least $1.8 million to her campaign so far, Iowa Starting Line reported on January 16.

    UPDATE: Our Revolution, the national group that grew out of Bernie Sanders’ presidential campaign, endorsed Glasson on January 18. In a statement, executive director Shannon Jackson said, “We are proud to support a progressive candidate like Cathy who has such strong ties to the labor community. From her work with the SEIU, to her activism on issues like raising the minimum wage and providing universal health care, Cathy has set herself apart from the competition. Having lived in Iowa her entire life, Cathy knows the needs of the working-class people of all backgrounds. Cathy is a proven leader who will work to ensure all Iowans have access to a good paying job, affordable housing, and quality health care.”

    The Iowa CCI Action Fund, which endorsed Glasson in September, announced on January 18 that it will spend $40,000 to support her campaign over the next five months. “The funds will go towards statewide communications as well as grassroots field organizing in seven key counties: Story, Boone, Hardin, Sac, Guthrie, Adair, and Poweshiek.” The SEIU political action committee donated $30,000 to Iowa Citizens for Community Improvement in October, funds that will support Iowa CCI’s state PAC. I sought comment from CCI on the funding and endorsement process; scroll to the end of this post for the group’s reply.

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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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    Iowa AG has joined 36 legal actions challenging Trump policies

    Iowa Attorney General Tom Miller signed on to three dozen multi-state actions challenging Trump administration policies last year, covering a wide range of immigration, environmental, civil rights, consumer protection and labor issues. Miller also joined fellow attorneys general in nine amicus curiae briefs related to state-level or local policies on reproductive rights, LGBTQ equality, gun control, voting rights, and gerrymandering.

    Although federal lawsuits aren’t the main focus of Miller’s work, Iowans can be proud our attorney general repeatedly stood for fundamental rights and core progressive values.

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    The 17 Bleeding Heartland posts I worked hardest on in 2017

    Since I started writing for this website a decade ago, I’ve never worked harder than I did in 2017. This momentous year in Iowa politics provided an overwhelming amount of source material: new laws affecting hundreds of thousands of people, our first new governor since 2011, and a record number of Democrats seeking federal or statewide offices.

    In addition, my focus has shifted toward more topics that require time-consuming research or scrutiny of public records. As I looked over the roughly 420 Bleeding Heartland posts I wrote this year, I realized that dozens of pieces were as labor-intensive as some of those I worked hardest on in 2015 or 2016.

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    Recognizing Bleeding Heartland's talented 2017 guest authors

    Bleeding Heartland published 140 guest posts by 81 authors in 2016, a record since the blog’s creation in 2007.

    I’m happy to report that the bar has been raised: 83 authors contributed 164 guest posts to this website during 2017. Their work covered an incredible range of local, statewide, and national topics.

    Some contributors drew on their professional expertise and research, writing in a detached and analytical style. Others produced passionate and intensely personal commentaries, sometimes drawing on painful memories or family history.

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    Republicans going to conference on tax bill--without Chuck Grassley

    Despite being the most senior member of the U.S. Senate Finance Committee, Iowa’s Senator Chuck Grassley is not among the Congressional Republicans who will hash out a final tax bill. The Senate voted on December 6 to go to conference with House members, but Grassley revealed on Twitter this morning that he “was dropped” as a conferee.

    Presumably GOP leaders want to distance themselves from Grassley’s recent comment that repealing the estate tax would reward “the people that are investing […] as opposed to those that are just spending every darn penny they have, whether it’s on booze or women or movies.” Those remarks have received massive nationwide media coverage, mockery, and condemnation.

    Some Republicans had hoped the House would quickly send the Senate’s tax bill to President Donald Trump. However, in their unprecedented haste to rewrite massive legislation after an unfavorable report from the Joint Committee on Taxation, key GOP senators introduced errors in the bill approved over the weekend.

    Notably, revised language on the corporate alternative minimum tax would increase taxes on many companies, sending business interests into “revolt.” Lily Batchelder, a law professor and former chief tax counsel for the Senate Finance Committee explained that issue in a series of tweets I’ve posted after the jump, along with a chart highlighting the key differences between the tax bills House and Senate Republicans have already passed. Other sloppily-drafted provisions “could be easily gamed” or “could open broad avenues for tax avoidance,” according to tax experts quoted by Politico’s Brian Faler.

    Both bills would provide generous tax breaks to wealthy individuals while raising taxes on tens of millions of lower and middle-income households.

    House Republican leaders have signaled they will agree to repeal the individual mandate to purchase health insurance, which was part of the Senate bill. By 2025, that provision would reduce the number of people with health insurance coverage by an estimated 13 million nationwide and by 125,600 in Iowa.

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    Repealing key health care provision could cost 125,000 Iowans coverage by 2025

    Approximately 125,600 more Iowans would be uninsured by 2025 if President Donald Trump signs into law a tax bill repealing the individual mandate, according to new estimates from the Center for American Progress. The coverage losses would be highest in the fourth Congressional district, primarily due to far more people becoming unable to purchase more expensive policies on the individual market.

    In fact, the Center for American Progress projects that 56,600 residents of IA-04 would become uninsured over the next seven years, more than twice as many people as in any of Iowa’s other three Congressional districts.

    Follow me after the jump for Iowa’s statewide and district-level numbers.

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    So much for "carefully" considering tax reform

    U.S. Senators Chuck Grassley and Joni Ernst joined all but one of their Republican colleagues to approve a $1.5 trillion tax cut and health care policy overhaul late last night. Whereas Ernst had told Iowans, “I look forward to carefully reviewing tax reform legislation in the Senate,” the final vote “came after Senate Republicans frantically rewrote the multi-trillion dollar legislation behind closed doors to win over several final holdouts,” Politico reported.

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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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    Eddie Mauro makes seven Democrats running for Congress in IA-03

    Eddie Mauro made it official today: he is a candidate for Congress in Iowa’s third district. I enclose below his announcement e-mail and biographical information from his campaign website. You can follow him on Facebook or Twitter. He discussed his background and political philosophy further in a 2016 interview with Bleeding Heartland, when he was running for an Iowa House seat.

    Mauro’s determination to join the Congressional race has been clear for months. Since forming an exploratory committee in July, he has met with or spoken to numerous neighborhood and constituency groups. He loaned his campaign $100,000 shortly before the end of the third quarter and raised $82,251.00 from several dozen other contributors.

    In fact, as of September 30, Mauro was second only to Theresa Greenfield in money available to spend on the Democratic primary in IA-03. Mauro’s $161,899.06 cash on hand was some $14,000 higher than Greenfield’s, but seven of his donors maxed out with $2,700 contributions for both the primary and general elections. For that reason, $18,900 of his campaign funds can’t be spent until after the June 2018 primary.

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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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