Matt Chapman had a “visceral reaction” to the governor’s campaign ad about mental health. -promoted by desmoinesdem

If you watch Jeopardy! or the local news, you have been seeing a lot of campaign commercials for Governor Kim Reynolds. The first three were biographical in content, and the latest attacks Fred Hubbell over his leadership of the Younkers department store chain. (Iowa Starting Line pointed out that ad featured local GOP activists posing as people affected by store closures.)

The fourth Reynolds campaign spot, “Leader,” gaslights Iowans on our state’s inadequate mental health system.

“The U.S. soybean industry’s worst fears are coming to pass today,” the Iowa Soybean Association said in a statement as the first round of tariffs between the U.S. and China went into effect on July 6.

Historical accounts have long credited Waterloo, New York, with establishing the tradition now known as Memorial Day. That small town first held an “annual, community-wide event, during which businesses closed and residents decorated the graves of soldiers with flowers and flags,” on May 5, 1866.

However, Felice Leon of The Root explained “The Black History of Memorial Day” in a fascinating video posted on Facebook over the weekend.

John Grieder is a Democratic activist in Waterloo. -promoted by desmoinesdem

Like so many Iowa Democrats, I have watched this gubernatorial primary with a keen eye. With Terry Branstad leaving Terrace Hill for China and Governor Kim Reynolds continuing the same failed policies, 2018 seemed like the year of hope for turning the governor’s mansion back to blue. I’ve watched and heard and hoped with most of the candidates, flitting from one to another. I fully admit that I have been fickle and changed my mind more than once.

Even now, my absentee ballot sits upon our counter unfilled. So many thoughts, hopes, and fears play out when I look upon that ballot that I have to leave it blank for now, because I do not as yet know the path forward.

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.

Peggy Huppert is the executive director of the National Alliance on Mental Illness in Iowa. -promoted by desmoinesdem

Governor Kim Reynolds signed two mental health bills on March 29 in an emotional ceremony in the capitol rotunda. I was one of the hundreds of legislators, lobbyists and advocates who witnessed the event.

The two bills are quite different. What they have in common, in addition to dealing with mental health and being signed into law on the same day, is that they passed both chambers of the Iowa legislature unanimously. That in itself is extraordinary.

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.

During the last week before the filing deadline, Republican State Senators Mark Chelgren and Rick Bertrand announced that they will not seek re-election in 2018. Iowa Senate districts 41 and 7 were already the best Democratic pickup opportunities on a difficult midterm election map. Of the 29 Republicans now serving in the upper chamber, only four–Chelgren, Bertrand, Dan Dawson, and Tom Greene–hold seats where registered Democrats outnumber Republicans (barely in Dawson’s district). Dawson and Greene won’t be up for re-election until 2020.

Winning an open seat is usually easier than defeating a legislative incumbent, and Bertrand’s retirement clearly improves Democratic chances in Senate district 7.

But Republicans have likely increased their odds of holding Senate district 41 by swapping out Chelgren for Mariannette Miller-Meeks.

Across the United States, trans health care is an unstable patchwork of “islands.” Nowhere is this more evident than in Midwest states like Iowa and Indiana. -promoted by desmoinesdem

Iowa Senate Minority Leader Janet Petersen has been a champion of reproductive rights for years. Her plea to reject the most extreme anti-abortion bill ever to come to the Iowa Senate floor was one for the ages.

Iowa House Republicans suppressed two attempts to consider legislation that would make it easier to temporarily remove firearms from individuals who pose a danger to themselves or others because of severe mental health issues. Democratic State Representative Art Staed has vowed to keep trying to pass what he called “a vital tool” to help family members and law enforcement save lives.

A personal commentary by Matt Chapman to coincide with the “Day on the Hill” for our state’s National Alliance on Mental Illness chapter. NAMI Iowa’s “mission is to raise public awareness and concern about mental illness, to foster research, to improve treatment and to upgrade the system of care for the people of Iowa.” -promoted by desmoinesdem

In the last few years I have found myself politically active and seem to be trying to make up for years of not having the right to vote and taking it for granted when I did participate. I would like to share where my focus is and relate how I came to feel so intensely about these issues. You never know when you may find your voice, and if it took me until my 50s, so be it.

Doctors affiliated with Mercy Cedar Rapids and The Iowa Clinic are refusing to sign paperwork their patients need to register for the Iowa Department of Public Health’s medical cannabis program. Iowa law requires applicants to obtain their doctor’s signature attesting that the patient has a “qualifying debilitating medical condition.” But the law stipulates that health care practitioners have “no duty to provide” written confirmation of the patient’s diagnosis.

Mercy Cedar Rapids appears to have instructed its 503 physicians not to sign the IDPH paperwork, according to two sources with qualifying conditions, who receive health care at different facilities in that network. Most if not all of the 250-plus health care providers at The Iowa Clinic, a doctor-owned group in the Des Moines area, are also refusing to sign medical cannabis card applications.

Without cooperation from a primary care provider, Iowans cannot start the process of receiving authorization to use cannabidiol legally. The number of patients affected by their health care group’s policies is unknown but potentially large. Mercy Cedar Rapids handled 451,400 outpatient visits last year at offices around Iowa’s second largest metro area. The Iowa Clinic averages 450,000 visits annually, serving about 148,000 unique patients across its central Iowa locations.

After yet another mass murder involving an assault weapon made national news, Senator Chuck Grassley told reporters on February 15, “we have not done a very good job of making sure that people that have mental reasons for not being able to handle a gun getting their name into the FBI files and we need to concentrate on that.” Similarly, Senator Joni Ernst said today that the U.S. needs more “focus” on mental illness, not gun control. (Not that she has any ideas on how to address that problem.)

The talking point is bogus, because people with mental illness aren’t more likely than others to commit violent crimes, and mental illness isn’t any more prevalent in the U.S. than in other countries that experience far fewer mass shootings.

But let’s leave that aside for the moment. A year ago, all of Iowa’s Republicans in Congress voted with their GOP colleagues to overturn “a sensible Obama administration rule designed to stop people with severe mental problems from buying guns.”

A majority of Iowans think mental health services, student loan debt, child welfare services, state university tuition, and the state budget are either a “crisis” or a “big problem” for Iowa, according to the latest Selzer poll for the Des Moines Register and Mediacom. Among nine issues tested in the survey of 801 Iowa adults in late January, mental health services registered as the top concern: 35 percent of respondents described the situation as a crisis, 38 percent as a big problem. No other topic registered above 20 percent for “crisis.”

Are Iowa Democrats more impressed by Fred Hubbell’s work in business and government, or by his long history as a donor and community leader? How bothered are they by criticism of Hubbell’s stances on labor issues, or by hearing that he is a wealthy former corporate executive? Are they reassured after learning more about his beliefs, philanthropy, treatment of employees, or commitment to creating jobs in Iowa?

Whereas the Hubbell campaign’s first message-testing poll last August focused on voters’ priorities and reasons to support the candidate, a lengthy survey in the field this week explores potentially damaging cases against the candidate as well as points in his favor.

A Bleeding Heartland reader recorded the nearly 20-minute call and shared the sound file. Follow me after the jump for the full questionnaire, which did not include any positive or negative statements about other candidates for governor.

For the first time in Iowa history, multiple gubernatorial candidates are airing television commercials four and a half months before the primary. Fred Hubbell’s campaign launched its fourth statewide tv ad last week, while the first spot for Democratic rival Nate Boulton hits the screens today in the Des Moines and Cedar Rapids markets. UPDATE: Cathy Glasson has placed a television ad buy too. Iowa Starting Line reported today that committees affiliated with the Service Employees International Union have donated $1,819,931 to Glasson’s campaign already.

The new Hubbell ad references the themes of his campaign’s first three spots: support for Planned Parenthood, mental health funding, and better economic development practices. (Bleeding Heartland published those videos here, here, and here.) Boulton’s commercial highlights his role leading the opposition to Republican efforts to strip away collective bargaining rights during last year’s legislative session. Scroll down for details on both ads.

Hubbell has been on the air for months, having raised well over $1 million since last summer. Boulton’s campaign war chest is likely to be substantially smaller–we’ll know for sure when all the 2017 finance reports are published later this week. While candidates normally conserve their cash to use on television and radio spots closer to the primary, Boulton has good reason to spend some money now.

The Iowa Democratic precinct caucuses are coming up on Monday, February 5. Caucus-goers will elect county convention delegates, who in turn will select district and state delegates at county conventions on March 24. With seven Democrats running for governor, state convention delegates may end up selecting the nominee on June 16, if no candidate receives at least 35 percent of the vote in the June 5 primary.

The Department of Human Services, state universities, and Department of Corrections would have to absorb large mid-year spending cuts under recommendations Governor Kim Reynolds released this week. The governor’s focus is strikingly similar to cuts her predecessor Terry Branstad proposed and Republican lawmakers approved in early 2017.

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.

The Iowa House and Senate convened Monday with the usual big promises and platitudes about working together to build a better future for Iowans.

Behind the optimistic rhetoric, all signs point to another contentious legislative session. The opening day speeches by Republican and Democratic leaders, enclosed in full below, revealed almost no common ground about the focus of lawmakers’ work and no indication that the most important bills will incorporate Democratic ideas. My takeaways:

Zach Wahls announced his candidacy today in Iowa Senate district 37, where Democratic State Senator Bob Dvorsky plans to retire at the end of 2018. Janice Weiner launched her campaign for the same seat earlier this week, but Wahls will be heavily favored to win the Democratic nomination.

Follow me after the jump for background on both candidates and the political landscape in this must-hold district for Democrats.

Clear majorities of Iowans disapprove of how the state legislature and executive branch are handling mental health care, Medicaid, education funding, and taxes, according to the latest statewide survey by Selzer & Co for the Des Moines Register and Mediacom.

Even worse for Republicans: more than 70 percent of respondents said each of those issues would be a “major consideration when you choose how you will vote in the 2018 election.”

Following a public outcry, the Iowa Department of Natural Resources has abandoned an effort to weaken the state’s E. coli water quality standards.

Officials had designed the change with the explicit goal of reducing the number of Iowa waterways deemed impaired. Environmental advocates had warned public health would suffer if the DNR assessed waterways based on average readings of E. coli levels, rather than the highest single measurement of the bacteria.

Governor Kim Reynolds made a strategic error by not distinguishing herself from her predecessor in any meaningful way, judging by the new Iowa poll by Selzer & Co for the Des Moines Register and Mediacom.

Changing course on even one high-profile policy could have demonstrated strong critical thinking and leadership skills. Instead, Reynolds is in effect running for a seventh Terry Branstad term. Unfortunately for her, Iowans are inclined to think it’s “time for someone new” in the governor’s office.

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.

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.

The Des Moines metro area has received top-ten rankings from dozens of national organizations or publications that evaluate the job climate, housing markets, or other factors affecting the quality of life.

Unfortunately, extensive research on the State of Black Polk County revealed “significant racial disparities in the traditional economic and financial indicators including banking, savings, employment, and housing.” The Directors Council and State Public Policy Group coordinated the yearlong project, producing the first-ever “snapshot of the financial stability and well-being of African Americans and Africans living in Polk County.” Iowa’s largest county is home to more than 31,000 black people, a little less than 30 percent of the estimated statewide African-American population.

I first learned of this study, now nearly six months old, when Teree Caldwell-Johnson presented key findings to congregants at Temple B’nai Jeshurun in Des Moines during a break between Yom Kippur services on September 30. The full report is after the jump. For each portion, I’ve highlighted the facts and figures that most struck me.

These numbers partially explain why analysts for 24/7 Wall Street ranked the Des Moines metro area the country’s ninth-worst city for black people in 2015 and the third-worst last year.

On a related note: The Fifth Annual Iowa Summit on Justice and Disparities, co-sponsored by the NAACP, is happening in Ankeny next Tuesday, October 10. More details are here and near the end of this post.

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.

Are Iowa Democrats more likely to support a successful businessman who is not a politician? Are they sympathetic to the argument that a self-funding candidate for governor is less susceptible to influence by special interests? Are they more impressed by private- or public-sector jobs Fred Hubbell has held, or by his charitable giving to causes like Planned Parenthood?

A recent survey of Democratic voters appears to be the Hubbell campaign’s first attempt to answer those and other questions.

“Uncomfortable humidity, water‐logged spring soils, extreme rain events, mold, and mosquitoes are all expected to become more prevalent in Iowa due to a rarely discussed impact of climate change: increased humidity,” 190 scientists at academic institutions warned last week. In the sixth annual Iowa Climate Statement, science faculty and researchers from 39 colleges and universities noted that “Increases in humidity have been measured across the Midwest and in Iowa across all seasons and at all long‐term monitoring stations.”

High levels of humidity create hazardous conditions for Iowa workers and sensitive populations through the danger of heat exhaustion and heatstroke. Allergic rhinitis and asthma are worsened by heightened exposures to mold and dust mite allergens in humid environments. There also is evidence for increased aggression and societal violence associated with hot, humid weather.

For Iowa agriculture, increased warm‐season humidity leads to increased rainfall, extreme rain events, water‐logged soils during planting season, soil erosion, and runoff of chemicals to waterways. Rising humidity also leads to longer dew periods and higher moisture conditions that elevate costs of drying grain and increase populations of many pests and pathogens harmful to both growing plants and stored grain. Increased nighttime temperatures coupled with humidity causes stress to crops, livestock and pets and, in extreme cases, heat stress can cause loss of life.

I enclose below the full text of this year’s Iowa Climate Statement, with references, along with the news release highlighting key findings. You can view the names and academic affiliations all who signed here.

P.S.-The Center for Global & Regional Environmental Research at the University of Iowa, which has coordinated the release of the Climate Impact Statement, is set to lose much of its funding in 2022. This spring, Republican legislators approved and Governor Terry Branstad signed into law a bill eliminating a small tax on investor-owned utilities, which has supported the CGRER and the Iowa Energy Center at Iowa State University for 25 years.

Ross Wilburn joined the field of Democratic candidates for governor today, promising to focus on health, education, and economic opportunity. In a news release enclosed in full below, the former Iowa City mayor and city council member said he would govern in an inclusive way, drawing on skills gained through community work and service in local government. He pledged to listen and build consensus, “bringing together sometimes disparate interests,” as opposed to the “fighting” and “divisions” often seen in Iowa politics at the state level.

Wilburn’s campaign is on the web at justbeiowa.com, on Twitter @letsbeiowa, and on Facebook at Ross Wilburn for Governor.

In alphabetical order, the other Democratic candidates for Iowa governor are:

Nate Boulton (website, Twitter, Facebook)
Cathy Glasson (website, Twitter, Facebook)
Fred Hubbell (website, Twitter, Facebook)
Andy McGuire (website, Twitter, Facebook)
Jon Neiderbach (website, Twitter, Facebook)
John Norris (website, Twitter, Facebook)
Todd Prichard (website, Twitter, Facebook)

Glasson is technically still in the exploratory phase, but she has hired campaign staff and spoken to audiences around the state this summer, including the Iowa Democratic Party’s Hall of Fame event last month.

Supporters are welcome to submit commentaries here advocating for candidates in Democratic primaries. Please read Bleeding Heartland’s guidelines for guest authors before writing.

“This is what I think Democrats need to be talking about,” wrote Austin Frerick yesterday, sharing the link to his latest guest column in the Des Moines Register: “To save rural Iowa, we must end Monsanto’s monopoly.”

Frerick has been warning for some time that economic concentration, especially in the agricultural sector, hurts rural Iowa. He has also highlighted lack of competition and little-known pharmaceutical company practices that keep drug costs inflated, so powerful corporations can overcharge Medicare under the guise of helping sick people.

He may soon be raising those and other issues as a Democratic candidate in Iowa’s third Congressional district.

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.

Republican candidate Jon Jacobsen, an attorney and former weekly radio host, won yesterday’s special election to represent Iowa House district 22 with 1,069 votes, about 44 percent, according to final unofficial results. Carol Forristall, who filed as an independent candidate after losing at the GOP special nominating convention, placed second with 803 votes (33 percent).

Almost all of the 465 write-in votes (19 percent) were presumably for the Democratic candidate Ray Stevens, who failed to submit his nominating papers on time. The Pottawattamie County Auditor’s Office will confirm the write-in results today, Mike Brownlee reported for the Omaha World-Herald. Libertarian Bryan Jack Holder received 98 votes (4 percent) in the special election.

Who knew that when you tell a state agency leader to save another $1.3 million somehow, he might cut some important programs and services? Not State Representative Dave Heaton, the Republican chair of the Iowa legislature’s Health and Human Services Appropriations Subcommittee.

Who knew that when you impeach a mayor using a kangaroo court proceeding, a judge might order the mayor reinstated while her appeal is pending? Not Muscatine City Council members.

Follow me after the jump for more on those stories. This is an open thread: all topics welcome.

I’m also interested to know what readers think about Iowa Insurance Commissioner Doug Ommen’s request to waive certain provisions of the Affordable Care Act in order to bring Wellmark Blue Cross/Blue Shield back to Iowa’s individual insurance market for 2018. Elements of the “stopgap” measure violate federal law; health care law expert Timothy Jost told the Des Moines Register’s Tony Leys that some parts of Ommen’s proposal are “extremely problematic” and not likely “doable.” Writing in the Wall Street Journal, Anna Wilde Mathews and Louise Radnofsky saw the Iowa developments as “a key test of the ability to modify the [Affordable Care Act] through executive authority.” Slate’s Jordan Weissmann agreed.

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.

Iowa’s new medical cannabis law goes into effect on July 1, but “obtaining the medicine will be difficult and manufacturers said it’s unclear if the state’s effort will be viable,” Linley Sanders reported for the Associated Press this week. Her story illuminated a few reasons the law won’t help most of the people who could potentially benefit from access to cannabis derivatives.

Iowa lawmakers closed out the session with all-nighter so as not to adjourn without doing something on this issue. The previous medical cannabis law, adopted in similar last-minute fashion three years earlier, was due to expire this summer. Even for people with seizure disorders, the only conditions for which cannabis oil was allowed, the old law was too limited and unworkable.

As the new law’s defects become more obvious, we need to remember that most state legislators favored a better alternative. House Republicans thwarted their efforts.

Women in Iowa have almost no options for terminating a pregnancy after 20 weeks, under a law former Governor Terry Branstad signed a few weeks ago. Proponents have claimed the measure would “save lives immediately.”

In reality, the law will cause more pregnant women to have life-threatening health problems, and will add to the suffering of parents whose babies have no chance of survival.

For many Americans who (like me) have not served in the military, the three-day weekend at the end of May marks the unofficial beginning of summer activities. Forgetting the original purpose of this day is itself a long tradition, University of Oregon American history professor Matthew Dennis told NPR two years ago: “In 1888, even before it was declared a national holiday, President Grover Cleveland was criticized for going fishing on Memorial Day instead of, you know, visiting graves or participating in other sorts of rites.”

Lately some veterans have been raising awareness that Memorial Day differs from Veterans Day, the national holiday established after World War I to honor all who have done military service.

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.