“Private insurance has failed me all of my life,” wrote Scott Galindez in his final commentary, a passionate call for single-payer health care. Two days later, the longtime progressive activist and journalist passed away, having ceased dialysis treatments for complications from diabetes. His insurance carrier, Aetna, had refused to cover kidney transplant surgery at a local hospital.

Galindez had lived in Des Moines since 2015, when he moved here to cover the Iowa caucuses. Though he and I occasionally interacted on Facebook, I didn’t know him personally and had no idea he was gravely ill. He landed on my radar through his writing for Reader Supported News, where he worked as political director. He wrote on his bio page for that website,

Over the years I have worked with many Heroes in the fight for Peace and Justice. Phillip Berrigan and Mitch Snyder taught me that it wasn’t about what I could do alone, but what we could do together. Phil was more patient than Mitch, he knew that victory was a long way off, and that each changed mind put us one step closer to a peaceful, just world. That is one of the reasons I am at Reader Supported News, because I can reach more people than I could by organizing a protest. I am committed to fighting for a world without war, poverty and injustice.

Many of my acquaintances knew Galindez well through Bernie Sanders supporter circles and Our Revolution–Iowa, for which he was an early and active organizer. Despite chronic health problems, he continued to write and advocate and cover events, like this health care rally last winter.

I admired his commitment and encourage Bleeding Heartland readers to join me in donating to Reader Supported News in his memory. Friends can attend a visitation for Galindez on October 9, starting at 1:00 pm at Dunn’s Funeral Home, 2121 Grand Avenue in Des Moines. A memorial service will follow at Glendale Cemetery, 4909 University Ave.

Excerpts from Galindez’s final post and obituary are after the jump, but please click through to read both pieces in full.

UPDATE: Added below more details about the planned memorial service and call to action. Many activists will be there, along with at least two Democratic candidates: gubernatorial contender Cathy Glasson and Pete D’Alessandro, who’s running in the third Congressional district. LATER UPDATE: Jon Neiderbach, another candidate for governor and supporter of single-payer health care, will attend the memorial.

“It’s time that we stop fighting with each other and start working on solutions. For most of my adult life, I’ve been caring for children and helping families improve their quality of life. If I go to Washington, that’s what I want to continue.” With those words, Dr. John Paschen kicked off his campaign for the fourth Congressional district this morning.

A graduate of Iowa State University and the University of Iowa medical school, Paschen has worked as a pediatrician in Ames since 1990. He declared health care a right in his first speech as a first-time candidate, from the front porch of his home.

This year’s Congressional health care debate exposed a lot of hypocrisy and dishonesty among Republicans who never had a solid plan for how to repeal and replace the Affordable Care Act.

Politicians may yet revive something resembling the health care legislation that is dead for now.

The image of Governor Kim Reynolds as some kind of policy wonk should be destroyed beyond repair.

Cathy Glasson became the seventh declared Democratic candidate for governor this week, emphasizing her commitment to a $15 minimum wage, expanded workers’ rights, single-payer health care, and stronger efforts to clean up Iowa waterways. A nurse and president of SEIU Local 199, Glasson hired staff months ago and has kept up a busy schedule while exploring the race, speaking at or attending more than 100 events around the state. Bleeding Heartland covered two versions of her stump speech here and here.

I enclose below news from Glasson’s rollout, including endorsements from Iowa environmental activists and the Progressive Change Campaign Committee. You can keep up with Glasson through her campaign’s website, Twitter feed, or Facebook page.

The field of Democratic challengers to Governor Kim Reynolds is likely complete. In alphabetical order, the other candidates are:

Nate Boulton (website, Twitter, Facebook)
Fred Hubbell (website, Twitter, Facebook)
Andy McGuire (website, Twitter, Facebook)
Jon Neiderbach (website, Twitter, Facebook)
John Norris (website, Twitter, Facebook)
Ross Wilburn (website, Twitter, Facebook)

To all the Democrats who want to hear directly from each contender in the Iowa governor’s race before deciding how to vote next June: this post’s for you.

Since Bleeding Heartland published seven pitches for gubernatorial candidates from a major party event this summer, Todd Prichard has left the race and Ross Wilburn has joined the field.

All seven Democrats running for governor appeared at the Progress Iowa Corn Feed in Des Moines on September 10, speaking in the following order: Cathy Glasson, Fred Hubbell, John Norris, Ross Wilburn, Jon Neiderbach, Andy McGuire, and Nate Boulton. I enclose below the audio clips, for those who like to hear a candidate’s speaking style. I’ve also transcribed every speech in full, for those who would rather read than listen.

As a bonus, you can find a sound file of Brent Roske’s speech to the Progress Iowa event at the end of this post. With his focus on single-payer health care and water quality, Roske should be running in the Democratic primary. Instead, he plans to qualify for the general election ballot as an independent candidate, a path that can only help Republicans by splitting the progressive vote.

“It is time for Democrats to stop treating the presidency like it’s the only office that matters,” said South Bend, Indiana Mayor Pete Buttigieg, in one of the most memorable lines from his speech at the Progress Iowa Corn Feed in Des Moines on September 10. He missed a Notre Dame home football game weekend to spend time here, because in his view, we are facing “the most important season for progressives in our lifetime. And so much of what has to happen—so much of what has to change—starts right here in the middle of the country.”

Last year’s rout in state legislative races allowed Iowa Republicans to enact a long list of destructive policies. Although today’s school board elections are non-partisan, as are the city council and mayoral races in November, the turnout level and outcomes should provide some clues about whether Democrats and progressives are able to translate their anger into effective political action.

Buttigieg recognizes the challenges facing a party at a low point nationally and in states like Indiana and Iowa. On the plus side, he is convinced Democrats already have a message that can resonate with voters, and “It’s not even complicated.”

Promising to “fight for a bold agenda” that can “win the future,” Pete D’Alessandro became the sixth Democratic candidate in Iowa’s third Congressional district today. A veteran of many campaigns who is putting his name on the ballot for the first time, D’Alessandro is best known to Iowa activists as state coordinator for Bernie Sanders before the 2016 caucuses. His core issues echo some of the Sanders campaign’s central themes:

» Fight for a $15/hour livable wage
» Expand Medicare-for-all to ensure universal healthcare access
» Support tuition-free college
» Lead on addressing the global climate crisis

D’Alessandro is also promising to “do more than just stand against Donald Trump.” He developed his thoughts further on Democratic principles and tactics in a recent interview with Bleeding Heartland.

His campaign is on the web at PeteforIowa.com, as well as on Facebook and Twitter.

State Treasurer Mike Fitzgerald swore in Dr. Phil Miller yesterday as the newest member of the Iowa House. At a House Truman Fund event a short while later, I asked the winner of the August 8 election in House district 82 about his plans and goals as he prepares for the 2018 legislative session.

Paul Elliott Dahl announced his candidacy for Iowa’s fourth Congressional district yesterday, describing himself as “a progressive populist wanting to serve Democrats, Independents, and Republicans in the United States House of Representatives with integrity, industry, and innovation.” A resident of Webster City, Dahl is a transit bus driver in Hamilton County. His previous work experience includes some adjunct teaching and fifteen years as either a librarian or library director. He promised to focus his Congressional campaign on seven issues: agriculture, campaign finance reform, education, environment, government spending, health care, and Social Security.

In the past month, J.D. Scholten and Leann Jacobsen launched their own campaigns against Representative Steve King. I asked Dahl about any previous election experience or Democratic Party activism, as well as why he decided to run for Congress, rather than for some other office where there aren’t already two Democrats running. (Dahl lives in Iowa House district 48, represented by Republican Rob Bacon.)

He replied via e-mail that he sought the Democratic nomination in what was then Iowa’s fifth Congressional district in 1994, when he was living in Humboldt County and working as a United Methodist pastor. He grew up in Black Hawk County, where his father was a United Auto Workers official and “quite active in Democratic politics.” Dahl sees himself having a fundraising advantage over the competition, since the counties where he has lived have a larger combined population than the counties where Jacobsen and Scholten are now based.

Ties to larger-population counties don’t automatically translate into campaign contributions. I would be surprised if Dahl is competitive with the other Democrats running against King on this front. Scholten has connections through sports all over the fourth district, and former candidate Kim Weaver has helped him raise money through her large e-mail list of supporters. Jacobsen has extensive business experience and is a past president of Technology Association Iowa. We’ll see when the campaigns file their third-quarter financial reports with the Federal Election Commission in October.

I’ve posted more background on Dahl below. You can find his campaign on the web at Dahlforthehouse.net, or on Facebook.

UPDATE: I didn’t remember that Dahl ran for governor in 2013, and he didn’t mention that short-lived campaign. John Deeth wrote about it at the time. Dahl didn’t qualify for the 2014 primary ballot.

Iowa Republicans apparently could not find anything of substance to criticize in Dr. Phil Miller, the Democratic candidate for House district 82. With less than a week to go before the August 8 special election, the GOP has replaced their first attack ad–a misleading spot seeking to stir up fear of transgender students–with a new hit piece tying Miller to “liberal special interests in Washington” including U.S. House Minority Leader Nancy Pelosi.

Declaring that “economic concentration is the fundamental issue of our time,” Austin Frerick launched his candidacy for Congress in Iowa’s third Congressional district today.

In a news release, he said, “For too long, agricultural monopolies like Monsanto have been milking Iowa’s farmers with high seed costs. I’m tired of watching career politicians stand aside while huge corporations push around average Iowans.”

Cedar Rapids Mayor Ron Corbett fleshed out his case against Governor Kim Reynolds as a manager of state finances this week, saying she is behaving like former Democratic Governor Chet Culver. During the 2010 campaign, then-candidates Terry Branstad and Reynolds derided Culver as “Big Debt Chet.” Now, Corbett asserts, “instead of learning from Governor Culver, she’s mirroring from Governor Culver.”

As the leading GOP rival to Reynolds, Corbett will make fiscal policy a central issue in his gubernatorial campaign. But is Reynolds really on track to borrow more money for the state than Iowa’s last Democratic governor did?

Ruth Thompson shares her remarks from the Our Lives on the Line health care rally in Des Moines on July 29. She has previously described how the Affordable Care Act saved her daughter from potentially severe medical complications and crushing debt. -promoted by desmoinesdem

I’m a person with lived experience with disability and I’m the vice-chair pro-tem of the Disability Caucus of the Iowa Democratic Party, I serve on the board of the Central Iowa Center for Independent Living and a very active member of the Polk County Democrats.

I’m speaking as a representative of those groups and as an individual who cares about health care.

Rev. Dr. Bill Ekhardt delivered this speech as a representative of Indivisible Iowa at the Our Lives on the Line rally at the State Capitol on Saturday, July 29.

Can We Make a Difference?

Thank you coalition leaders for the opportunity to come and speak today. It is a privilege to represent Indivisible Iowa. Today I come with the question:

Can we make a difference?

We are here today to stand up for health care for all Iowans and citizens across our country and for health care as a right. We are standing against the efforts of a Republican Party that for seven years has been promising to repeal the Affordable Care Act. When President Obama invited them to join them and build a bipartisan health care plan that the whole country could get behind did the Republican leaders accept? No, they refused! They stood against health care reform from the beginning. They cynically decided it was in their best interest to oppose any change rather than join in the process to make the reforms our country needed. Instead of offering up solutions, they conjured up images of death panels pulling the plug on grandma.

Keeping track of this administration’s scandals would be a full-time job. President Donald Trump has already spent 58 days of his presidency at Trump properties, including 43 days at golf courses. He’s been venting about Attorney General Jeff Sessions, who in his view, should have killed the investigation into possible Russian collusion with Trump campaign officials.

Interior Secretary Ryan Zinke warned Alaska’s senators that Senator Lisa Murkowski’s vote against GOP health care proposals “had put Alaska’s future with the administration in jeopardy.” Richard Painter, former chief ethics lawyer for President George W. Bush, said Zinke should be fired for “threatening to abuse his agency’s statutory mandate to hurt Alaska,” adding that the “Interior Department controls vast parts of our Country and cannot be allowed to use federal lands for an extortion racket.”

Trump’s new communications director Anthony Scaramucci conducted an interview that was beyond parody, trying to lean on New Yorker reporter Ryan Lizza to reveal a source. Reince Priebus finally got dumped as Trump’s chief of staff. Alexandra Petri noted in her excellent commentary, “Priebus was one of the last Adults In The Room, not that it mattered because everyone in the room was doing exactly as they pleased regardless. His function was largely decorative. What is the point of adult supervision if all you do is sit back and watch as the children set everything on fire?”

The president politicized a Boy Scouts event, upending eight decades of tradition and prompting the national Boy Scouts leader to apologize. Days later, police chiefs around the country condemned the president’s remarks encouraging officers to be rougher with suspects during arrests.

But of all Trump’s outrages this week, none were more disgraceful than his unprovoked attack on transgender people serving our country in the military. After the jump I’ve compiled some of the best and worst reactions from Iowa political figures.

This is an open thread: all topics welcome.

If you haven’t had a chance to hear directly from the Democrats running for governor, Bleeding Heartland has you covered with audio and highlights from the speeches at Thursday night’s big Hall of Fame event in Des Moines.

Republican efforts to replace the Affordable Care Act suffered a major setback this week, as the U.S. Senate rejected three repeal bills. It may not be the last “near-death experience” for Obamacare, as Senate Majority Leader Mitch McConnell could bring one of the bills up again. But the Democratic caucus is unmovable on the issue, and it’s not clear what could bring GOP Senators John McCain, Lisa Murkowski, or Susan Collins on board.

Iowa Senators Chuck Grassley and Joni Ernst voted for all three Republican bills, of course, as everyone following this debate had expected. Grassley told reporters earlier this week that he would support any legislation that could get 51 votes in the Senate, leading to conference negotiations with House Republicans. Though Ernst never expressed it in such terms, she too demonstrated that she was willing to vote for anything her leader brought to the floor, regardless of its costs and impact on Iowans.

Let’s take a quick look at what Iowa’s senators promised to stand for on health care policy, compared to what they voted for when the chips were down.

Iowa Democrats “need to have a good family fight about what the future of our party’s going to be” and ditch the “canned messages” used in too many losing campaigns, according to State Senator Jeff Danielson. Re-elected to a fourth term in the Iowa Senate last year, Danielson is the highest-profile Democrat still thinking about running in the first Congressional district, where four candidates are already challenging Representative Rod Blum and two others recently ruled out the race. He spoke to Bleeding Heartland this week about his plans and how Democrats can regain the trust of voters who increasingly see our party as out of touch.

Danielson’s critique of the Democratic establishment has much in common with points often raised by Iowans who supported Bernie Sanders for president. But his call for “raging incrementalism” and reaching across the aisle is quite different from the ambitious policy agenda typically viewed on the Sanders wing as the solution to the same problem.

TJ Foley, a recent graduate of Valley High School in West Des Moines, on how top Iowa Republicans failed to speak out against an “attack on the most basic principles of equality, freedom, and rural fairness.” -promoted by desmoinesdem

It’s been a rough week for Senate Republicans. Two conservative senators announced that they would oppose the reckless GOP plan to overhaul America’s health care system and drop millions from the health insurance rolls. This legislation emerged from secret negotiations and violated some of the most basic Iowa values we all hold dear.

Only 29 percent of Iowans “mostly support” the “direction Congressional Republicans are heading in health care legislation,” according to a new poll by Selzer & Co for the Des Moines Register and Mediacom. About 58 percent of the 800 Iowa adults surveyed between July 9 and 13 said they “mostly oppose” the GOP approach to the issue.

Public policy experts, health care advocacy groups, and insurance industry representatives often don’t agree on how the government should regulate the sector that accounts for roughly one-sixth of our economy. But all have reached the same conclusion about the bill that may come to a vote in the U.S. Senate next week: the latest version of the Better Care Reconciliation Act (BCRA) would cause Americans with chronic or expensive medical conditions to pay much higher rates or lose insurance coverage entirely.

Iowa’s Senators Chuck Grassley and Joni Ernst have repeatedly said people with pre-existing conditions would be protected in any Republican bill to repeal and replace the 2010 Affordable Care Act. Now, they are poised to break that promise.

An Iowan with in-depth knowledge of the health care sector looks at lesser-known benefits that could be lost if Congress replaces the Affordable Care Act. -promoted by desmoinesdem

The debate on Republican efforts to repeal and replace the 2010 health care reform law has focused on the provision of health care and the repeal of some taxes. In particular, attention has been directed at the effort to reduce Medicaid coverage.

What isn’t being discussed: the Affordable Care Act (ACA) included many provisions aimed at addressing serious issues in the health care system, such as quality, safety, and workforce shortages. None of those can be found in the House-approved American Health Care Act (AHCA) or the Better Care Reconciliation Act (BCRA), proposed by Senate Republican leaders.

So, in addition to reducing (or eliminating) coverage for poor people and individuals with illnesses, the Republican bill would be a step backward in terms of efforts to improve the health care system, which accounts for 17 percent of our gross domestic product.

Only 27 percent of Iowans support the Senate Republican proposal to repeal and replace the Affordable Care Act, according to a recent Public Policy Polling survey. By a 20-point margin, respondents said Senator Joni Ernst “should fix and improve our current health care law” rather than “continue trying to pass the Republican plan to repeal and replace it” when Congress goes back to work after the July 4 recess.

Those numbers reflect answers given before respondents had heard any negative messages about specific provisions in the Better Care Reconciliation Act, which Senate leaders hope to bring up for a vote soon.

Iowa’s Senators Chuck Grassley and Joni Ernst say they are “continuing to carefully look through the revised health care discussion draft” released by Senate Republican leaders last week. Iowans who have called the senators’ offices are likewise hearing from staffers that Grassley and Ernst have not decided whether to support the GOP alternative to the Affordable Care Act.

I suspect Iowa’s senators would rubber-stamp any GOP “health care” bill Majority Leader Mitch McConnell brings to the floor, for several reasons:

• None of the Washington-based reporters on this beat include Grassley or Ernst on their lists of Republican senators who may not support the bill.

• Reports speculating about special deals GOP Senate leaders may offer to lock down votes don’t refer to any additional spending geared toward Iowa.

• Neither Grassley nor Ernst made time to meet with Iowa hospital leaders who lobbied against the bill on a trip to Washington last week.

• Neither Grassley nor Ernst has bucked the party line on any important Senate vote that I can recall.

For now, let’s take Iowa’s senators at their word: they are still undecided and seeking input from constituents. If Grassley and Ernst intend to keep promises they’ve been making on health care policy, they need not spend any more time deliberating. They have ample reasons to vote against the Orwellian-named Better Care Reconciliation Act (BCRA).

Non-partisan analysis indicates that if this bill becomes law, tens of millions of Americans–including hundreds of thousands of Iowans–will have worse health insurance coverage or no coverage at all.

Disclaimer: Anything in this article pertaining to President Donald Trump has been written by someone who does not admire the aforementioned president. The views contained here are of a person pre-disposed to believing that the character of Donald Trump is based in a malignant narcissism and devoid of empathy, and therefore Donald Trump’s motives are not in the best interests of America. Offer expires 1/21/21. See dealer for details.

On Wednesday, President Donald Trump gave a speech in Cedar Rapids, Iowa, not far from where I live. I did not attend the rally, and instead went to see Ann Wilson (of Heart) perform. When presented with the choice for the evening I opted for the entertainer who sang “Crazy On You” instead of the one who is crazy on you (please refer back to disclaimer). Besides, I knew that I would get an earful from people who attended the Trump Rally and from numerous reports from the Fake Media.

Okay…I got that out of my system.

Cedar Rapids Mayor Ron Corbett finds it “disappointing” and “short-sighted” that neither the Iowa legislature nor the Branstad/Reynolds administration developed a plan earlier this year to address the collapse in Iowa’s individual health insurance market. By his account, state lawmakers and executive branch officials knew insurers were likely to stop selling individual policies for 2018 and should have developed “some type of backstop” instead of waiting for Congress to act.

Corbett plans to launch a Republican campaign for governor later today. He commented on Iowa’s potential health coverage crisis during a telephone interview with Bleeding Heartland last week.

A small group of Senate Republicans are writing a new version of the American Health Care Act in unprecedented secrecy and with a large dose of deception, hoping to attract minimal public attention before a quick Senate vote.

Iowa’s senior Senator Chuck Grassley hasn’t seen the bill. He has no idea whether the revised legislation, like the House-approved AHCA, would cause “people of all ages and incomes” to lose coverage and make insurance several times more expensive for older or sicker Americans. He can’t be sure it will keep promises he has repeatedly made to Iowans, such as “The American people deserve a long-term solution that gives them more choice for less cost.”

But Grassley’s not hung up on small details.

In a brief interview with Jeff Stein of Vox, he defended the bill he hasn’t read, claiming it would offer “certainty.”

Matt Chapman has been holding our elected officials accountable and asking important questions about access to health care. -promoted by desmoinesdem

As health care reform has been flailing around the House and finally landed in the Senate I would like to share and hear points of view on the roadblocks the majority party is dealing with to pass the American Health Care Act.

I think it could be a teachable moment, as while the left is energized more than ever, I think we have to be prepared when we get in power. If we’re united, not only could we reverse a lot of damage that is now being done, we could use this opportunity after the census to hold on to power for a while. The teeter-totter effect of parties in power needs to be stopped.

The U.S. Senate is fast-tracking a vote on its “health care” bill–more aptly described as a trillion-dollar tax giveaway for the rich, paid for by spending cuts that will cause millions of Americans to lose their health insurance. Older people and those with low incomes, especially people on Medicaid, are at greatest risk of losing access to health care.

Senate leaders are sticking to the plan of having no public hearings on the revised American Health Care Act, no committee markup, and no amendment process. An all-male group of thirteen Republican senators–not including Iowa’s Chuck Grassley or Joni Ernst–are drafting its terms in secret. (UPDATE/CORRECTION: Ernst has been added to the informal working group.) Other Republican senators have only been briefed on progress. Leaders will send the unpublished bill to the Congressional Budget Office, planning to bring the legislation straight to the Senate floor this month, possibly with only 24-48 hours for the public to learn about its provisions before senators vote.

Calls to U.S. Senate and House offices have recently returned to “normal” levels from before President Donald Trump was inaugurated. That needs to change immediately.

Elizabeth Dinschel, state leader of Action Iowa, makes the case for public protests and for good communication between activists and law enforcement. -promoted by desmoinesdem
 
Passive resistance is not the “high road.”  The world never changed because of a Facebook post or a counter event.  The world has, however, changed because of the brave, nonviolent direct actions taken by leaders such as John Lewis, Malcolm X, the Dalai Lama, Marsha P. Jackson, the organizers of the Arab Spring, the Orange Revolution, and many more nonviolent revolutions in Central and South America.

In America, however, we are being conditioned to believe that direct action is somehow rude or impedes on the free speech of other Americans. This is patently false and is a direct result of people enjoying their privilege. If a person cannot understand how civil disobedience could change the narrative of history or politics it is because they are treated with respect in public or can afford things such as food, healthcare, or housing. Are you uncomfortable?  Good, because that is what direct action is.

Direct action forces politicians to hear the messaging of people and groups they do not typically communicate with or, maybe, do not even care about.

Declaring that she is “east Des Moines scrappy” rather than “pretend Iowa nice,” Heather Ryan joined the field of Democratic challengers to Representative David Young in Iowa’s third Congressional district.

Matt Chapman reflects on Senator Chuck Grassley’s town hall in Greenfield on June 2. A video of that event is at the end of this post. -promoted by desmoinesdem

I have had a chance to ask Representative David Young, Senator Joni Ernst, and Senator Chuck Grassley about the American Health Care Act and the cuts to Medicaid that would occur if it passed. Out of the three, none would even come close to addressing it.

Kelly Roberts is a part-time writer/blogger, full-time Human Resources consultant, and newly minted political activist. Pictured above: her grandfather, Charles Moel (Pompoo, to her) -promoted by desmoinesdem

Once upon a time, during the dark, discombobulating night of a medical crisis, my family encountered Medicaid.

Thomas Heckroth may join the Democratic field in Iowa’s first Congressional district, he confirmed to Bleeding Heartland on June 4.

Promising to stand up to powerful interests and raise her voice for those who are hurting, small business owner Cindy Axne announced this morning that she will run for Congress as a Democrat in Iowa’s third Congressional district. Her campaign is online here as well as on Facebook and Twitter. A Des Moines native, Axne runs a digital design firm with her husband. From 2005 to 2014, she worked in state government for the Department of Administrative Services, Department of Management, and Department of Natural Resources.

I enclose below more background on the candidate and today’s news release. Axne has never run for office before, but she has attended Democratic events around the state this year as a surrogate for gubernatorial candidate Rich Leopold.

Jon Muller offers a short-term solution for a problem facing tens of thousands of Iowans. -promoted by desmoinesdem

I just read that Blue Cross and Blue Shield of Kansas City is pulling out of the Affordable Care Act Exchange Market. This is on the heels of an earlier announcement by Wellmark Blue Cross and Blue Shield in Iowa, which last month announced it too was retreating from the individual insurance market. Aetna and Medica have also said they will not sell individual policies to Iowans in 2018.

Keep in mind, these developments come at a time when enrollments started to fall after the Trump administration announced it would not enforce the penalties put in place by the last administration for the current year, penalties that were just beginning to get to the point of altering behavior. Indeed, Wellmark BCBS of Iowa stated that as one of the reasons for its departure from the market. The insurance companies were also afraid (with good reason) that their loss subsidies would not be extended into 2018. Neither Congress nor the President would offer up any such assurance.

It’s important first to understand what this means.

Governor Kim Reynolds promised today not to “stop working until every Iowan, no matter where they live, has the same opportunity to succeed, have a satisfying career, raise a family and have a great quality of life.”

Judging by her first speech in her new role, Reynolds has some major blind spots about her own record and the challenges facing Iowans.

Matt Chapman has been a committed citizen lobbyist on many issues this year, including health care reform. -promoted by desmoinesdem

I have always been laser-focused on Medicaid and health care access for the poor. And when Iowa Dems twisted Terry Branstad’s arm until he cried “Medicaid Expansion!” I was elated. So in my bubble, the worst thing going on seemed to be the privatization of Medicaid or “Branstad’s Revenge.”

With the private insurance companies all pulling out of Iowa, now that I am aware of the astronomical raises in premiums, I feel a little shame at my blissful ignorance. All I can tell you is at 51 years old the Affordable Care Act gave me dental insurance for the first time in my life. And I’ve had the same doctor for five years. Before the ACA, the folks around the poverty line would have to drive sometimes 200 miles just to see a doctor. And rarely the same one twice. For dental they line up at Broadlawns (the Polk County public hospital) at six in the morning and hope they’re in bad enough shape to get in.

But what really made me aware was after the Drake forum with Senator Joni Ernst in March.

Representative David Young (IA-03) is denying that the American Health Care Act “will kick millions of people off of Medicaid,” telling constituents the bill “Modernizes and strengthens Medicaid so the state can better serve our Iowa neighbors and patients who are most in need.”

Of all the misleading things Young has said to justify his late decision to support an atrocious bill, this one may be the most blatant lie.

All three Iowa Republicans helped the American Health Care Act clear the U.S. House on May 4 with only one vote to spare. Representative Steve King (IA-04) has long called for repealing the 2010 health care reform law “root and branch” and came around to supporting the GOP replacement proposal in March. So nothing about his vote was surprising, aside from his awkward description of how former Representative Michele Bachmann’s “finger joined mine today to push my vote button to dismantle” Obamacare.

Unlike King, Representatives Rod Blum (IA-01) and David Young (IA-03) made a big show of opposing the AHCA in March. Blum pledged to insist on lower costs for consumers and helping “people who need the help.” Young repeatedly promised to protect people with pre-existing conditions while making sure the bill wouldn’t bring back caps on health benefits.

Feigning concern about the legislative process, Blum said in March, “I believe Congress should slow down and discuss in an open and transparent manner” how to address the “unsustainably high cost of healthcare in America.” Similarly, Young warned, “The ACA [Affordable Care Act] was rushed through Congress and to President Obama’s desk which resulted in a failed law that does not work for everyone [….] It is a fundamental principle that repeal, reforms and fixes to healthcare are done in the right way, for the right reasons, and in the right amount of time it takes to ensure we avoid the mistakes of the past. We need to be thoughtful and deliberate and get this right […].”

Over the past week, Blum studiously avoided comment as GOP leaders sought ways to give members cover for caving. Young’s staff told hundreds of callers he was still against the bill, even as late as Wednesday morning. The same day, he signed on as co-sponsor of an amendment that “comes nowhere close to meeting Republican commitments to people with pre-existing conditions.”

Self-styled deficit hawk Blum and “affordable for every patient” Young proceeded to vote for the bill without waiting for a Congressional Budget Office score to tell them “how many people it covers or how much it would cost.” It wasn’t the first time Young reversed his position on a matter of principle to please his party leaders.

In their comments on the House vote, Young and Blum tried to take credit for imaginary improvements in the AHCA. Their claims can’t withstand scrutiny.