# Health



Weekend open thread: Suicide prevention edition

Better late than never with this weekend’s open thread and with links I had intended to post during National Suicide Prevention Week, which was September 8 through 14. If you are suicidal, click here for many free helplines. Please pass those numbers on to anyone you know who is motivated to end the pain by ending his or her life. The American Foundation for Suicide Prevention has many resources available here.

Last night I watched part of Piers Morgan’s interview with Rick and Kay Warren, who lost a son to suicide earlier this year. I don’t care what you think of Warren’s politics or the Saddleback mega-church he founded. It’s impossible not to be moved hearing the Warrens talk about their son’s struggle and their devastating bereavement. They didn’t just rely on prayer to heal his mental illness; they sought professional help in many different forms. They also tried to prevent him from getting hold of the gun he used to take his own life.

I did not realize until recently that suicide has directly affected Representative Bruce Braley’s family. His niece Kayla ended her life nearly three years ago. I’ve enclosed his statement on National Suicide Prevention Week after the jump.

Suicide is a leading cause of death for young Iowans. Too many families who keep a gun at home for “protection” end up grieving for a teenager who died accidentally or deliberately because that gun was close to hand at the wrong time. Research has shown that “access to firearms is associated with increased suicide risk” for adults as well as children, but the teenage brain is particularly impulsive and emotionally volatile. Please keep your firearms away from young people and anyone suffering from serious mental health problems.

The suicide rate among U.S. veterans has long been a national disgrace. Some of the helplines on this page are specifically aimed at veterans suffering from suicidal thoughts.

Des Moines-based blogger Ben Gran wrote a powerful post earlier this year about six people he has known who ended their own lives.

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U of I hospital won't ask Branstad for Medicaid abortion reimbursement

Iowa House Republicans failed in 2011 and again last summer to curtail Medicaid coverage of abortions in this state. A compromise passed near the end of this year’s legislative session gave the governor power to determine whether the state should reimburse abortion providers for certain Medicaid cases. However, administrators at the University of Iowa Hospitals in Iowa City have apparently let Governor Terry Branstad off the hook: the hospital no longer bills Medicaid for the handful of abortions that might be eligible for coverage.

Follow me after the jump for background and more details on the current policy.

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Five problems a Monsanto lobbyist won't help Bill Northey solve

Iowa Secretary of Agriculture Bill Northey announced yesterday that he has hired Mike Naig as the Iowa Department of Agriculture and Land Stewardship’s new deputy secretary. In the press release I’ve posted after the jump, Northey praised Naig as a “tremendous asset” and a “natural fit” for IDALS. Naig has spent the last 13 years working for Big Ag companies or trade associations, most recently as a state lobbyist for Monsanto.

While Naig helps the agriculture department be “accessible to Iowans by traveling regularly” to meetings, and assists in managing the IDALS budget and personnel, Northey will continue to ignore some big problems facing Iowa farmers. Research has implicated Monsanto’s genetically-modified “Roundup ready” seeds and/or glyphosate, the key ingredient in Roundup herbicide, in the following trends:

the accelerated evolution of herbicide-resistant weeds;

“sudden death syndrome,” a crop disease affecting soybeans;

“harmful changes in soil” and possibly a “fungal root disease” in conventional crops;

digestive problems in hogs fed a diet of GM crops;

other diseases and reproductive problems observed in swine and cattle fed a diet containing Roundup ready corn and soybeans.

But never mind all that.

Speaking of government officials with their heads in the sand, you won’t hear anything from the Iowa Department of Public Health about the risks of glyphosate exposure in humans. Nevertheless, research has linked the key ingredient in Roundup herbicide to breast cancer, birth defects, obesity and other “diseases and conditions associated with a Western diet.”  

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A few links and two inconvenient truths about obesity in Iowa

Public policy has been slow to make a dent in the obesity epidemic, which turns out to be “a lot more deadly than previously thought.” But a new report from the U.S. Centers for Disease Control shows that Iowa is one of eighteen states where obesity among low-income preschoolers declined by a statistically significant amount from 2008 through 2011. An estimated 14.4 percent of low-income two- to four-year-olds in Iowa were obese in 2011. Iowa Department of Public Health officials credited several programs with helping to reverse the trend.

Adult obesity is still a major health problem, according to the latest “F as in Fat” report by the Trust for America’s Health and the Robert Wood Johnson Foundation. Iowa had the twelfth-highest adult obesity rate in the country at 30.4 percent in 2012. The sort-of good news was that for the first time in decades, obesity rates held steady in most states. But it’s depressing to see that the adult obesity rate exceeds 20 percent in even the “healthiest” state of Colorado now. As recently as 1991, not a single state had an obesity rate that high.

Speaking to Radio Iowa about the new obesity estimates, Iowa Department of Public Health Director Mariannette Miller-Meeks had sensible advice:

“People don’t have to go out and do a programmed physical aerobics program for 30 minutes or an hour or two hours a day. […] Just eating less, a plant slant to your diet, and trying to get in 30 minutes of exercise a day.”

Mark my words: the Iowa Farm Bureau and other groups representing industrial agriculture will go nuts over Dr. Miller-Meeks encouraging Iowans to bring “a plant slant” to their diet, especially if she runs for Congress a third time in Iowa’s second district. But here’s an inconvenient truth for Big Ag: peer-reviewed research shows that “meat consumption is associated with obesity” in U.S. adults.

Here’s the second inconvenient truth: even if everyone ate responsibly and exercised regularly, Americans would be more prone to obesity because of exposure to certain chemicals, such as the endocrine disruptors Bisphenol-A (BPA) and phthalates, and some organotins used in pesticides. Long-term, low-level exposure to the prevalent herbicide atrazine can cause insulin resistance and obesity too (click here for an explanation of that research in layman’s terms).

Three years ago, a White House Task Force on Childhood Obesity called on federal and state agencies to “prioritize research into the effects of possibly obesogenic chemicals.” That won’t happen in my lifetime, at least not in Iowa.

P.S.- For anyone wondering, Iowa Department of Public Health Medical Director Dr. Patricia Quinlisk warns against ingesting a tapeworm as a weight-loss method.

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IA-03: Staci Appel launches campaign (updated)

Former State Senator Staci Appel rolled out her campaign in Iowa’s third Congressional district yesterday. Despite ruling out a race against ten-term Republican Representative Tom Latham earlier this year, citing “family obligations,” Appel filed papers with the Federal Election Commission a few days ago. After the jump I’ve posted background on the candidate, including her introductory video (with transcript) and an e-mail stating the case for her candidacy.

Many Democrats in Iowa and Washington have urged Appel to run for Congress, especially since Latham’s first declared challenger Mike Sherzan ended his campaign in April.

IA-03 is a swing district on paper, containing 157,406 registered Democrats, 164,101 Republicans, and 156,340 no-party voters as of July 2013. That said, any Democratic nominee will be an underdog Latham. He says and does little in Congress but has a history of outperforming the top of the Republican ticket.

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Weekend open thread: Summer safety edition

What’s on your mind this weekend, Bleeding Heartland readers? It finally got warm enough to go swimming in Iowa, so I wanted to re-post this link on recognizing the signs of drowning. A few excerpts from the article are after the jump. A person in trouble in the water looks nothing like common depictions on television or in movies.

The Environmental Working Group’s latest guide to sunscreens is the best resources for finding effective sun protection with minimal harmful chemicals. Other good links on that site: Nine Surprising Facts About Sunscreen, why it’s better to avoid sunscreens containing vitamin A, and why marketing of sunscreens with SPF above 50 is misleading.

A recent report by AAA and experts from the University of Utah again confirmed that hands-free cell phones are not safe to use while driving. The DC Streets blog posted a good summary of the findings. The full report is here (pdf), and you can download a fact sheet here (pdf). I’ve posted excerpts from the AAA study after the jump. Earlier research reached similar conclusions (pdf) about distracted driving, one of the leading causes of fatal car accidents. Pull over when you need to make or answer a call. Even if both hands are on the wheel, a cellphone conversation can lead to “inattention blindness.” Many people wrongly believe it’s safe to send voice-activated texts while driving, texting while driving is extremely dangerous as well as illegal in Iowa.

If you saw the moon Saturday night or early Sunday morning, you witnessed the largest full moon of the year.

UPDATE: The wet weather has ushered in a banner year for mosquitoes, but it’s safer to protect yourself with DEET-free products. Also, watch out for poison ivy if you are out and about. It’s prevalent along recreational trails.  

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Warning signs on GMO feed and animal health

A new study in a peer-reviewed journal indicates that pigs fed a diet containing genetically-modified corn and soy had more severe stomach inflammation and (in females) heavier uteri than pigs fed an equivalent diet in conventionally raised corn and soy that was not genetically-modified. You can read the full article describing research on an Iowa farm here (pdf). For a summary of key findings, click here or here. The pigs “were reared under identical housing and feeding conditions.”

These results are disturbing, considering that more than 90 percent of the corn and soybeans grown in Iowa are now “Roundup Ready” biotech varieties, sprayed with glyphosate, the key ingredient in Roundup herbicide. Many anecdotal reports have linked animal health problems to genetically-modified feed. At the 1000 Friends of Iowa annual meeting on June 8, large-animal veterinarian Arthur Dunham described nutritional deficiencies, fertility problems, and unexplained deaths that he has seen increasingly in the cattle and swine herds of his clients. Dunham has been in practice for nearly 40 years and presented data about lower levels of certain vitamins and minerals (including B-12, calcium, magnesium, phosphorus, potassium, manganese, and iron) in feed made from genetically-modified crops.

Monsanto and its allies dismiss such data as anecdotes and cite their own corporate-funded studies, which allegedly show the safety of GM crops. The new scholarly article describes the limitations of earlier research and calls for further studies on the subject. (Very few studies have been conducted over a time period longer than 90 days, for instance.) One Danish hog farmer saw big improvements after switching from genetically-modified feed, but Roundup crops are so dominant in this country that it can be hard for farmers to source animal feed that hasn’t been sprayed with glyphosate.

IA-Gov: Jack Hatch is in (sort of)

State Senator Jack Hatch announced on twitter and Facebook this evening that he will “take the next step on the road to Terrace Hill in 2014” tomorrow. It’s no surprise, since he had previously signaled his intention to challenge Governor Terry Branstad.

I will update this post tomorrow with details from Hatch’s announcement. His campaign website is here. Any comments about the governor’s race are welcome in this thread.

UPDATE: Added the official bio from Hatch’s website after the jump.

SECOND UPDATE: At a press conference on May 29 (audio at Radio Iowa), Hatch said he is exploring a run for governor and will tour Iowa for three months before deciding whether to pursue the campaign by the end of the summer. He hopes to raise $1 million by the end of this year. Hatch indicated that he will not run for governor if either Tom Vilsack or Chet Culver decide to seek the office again.

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Health insurance compromise will be key issue in Iowa Senate district 27 (updated)

Many questions remain to be answered about Iowa’s new plan to provide health insurance to low-income citizens, but this much is clear: resolving the impasse over Medicaid expansion will be a major theme in State Senator Amanda Ragan’s re-election campaign next year.

Follow me after the jump for background on Ragan and more details about Iowa Senate district 27, sure to be targeted by both parties in 2014.  

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Record nitrate levels are wake-up call on Iowa water

The Des Moines Water Works provides drinking water for roughly 500,000 people in central Iowa, about one-sixth of the state’s population. The utility owns the world’s largest nitrate-removal system, larger than those operated by cities ten times the size of the Des Moines metro area. Last Friday, that facility was switched on for the first time in nearly six years when “levels of health-threatening nitrates hit records in both the Des Moines and Raccoon rivers.”

The news should be a wake-up call to state leaders: Iowa needs more than a voluntary strategy to reduce nutrients in our waterways. Not only are many of our rivers too polluted to support aquatic life, they are becoming more difficult and expensive to purify for drinking water. Nitrate levels are high in other parts of Iowa too, not only in the Des Moines area.

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Iowa Senate rejects Branstad's alternative to Medicaid expansion

Less than 24 hours after the Republican-controlled Iowa House approved language to enact Governor Terry Branstad’s Healthy Iowa Plan, the Iowa Senate voted on party lines today (26 to 24) to reject the House version of Senate File 296. A conference committee will now attempt to work out a compromise on whether to expand Medicaid to all Iowans earning up to 138 percent of the poverty line, as the 2010 federal health care reform law envisioned.

After the jump I’ve posted a video of Senate President Pam Jochum speaking on the Senate floor today to contrast Medicaid expansion with the governor’s plan. I’ve also enclosed details on Branstad’s highly implausible claim that his plan would cost poor Iowans less out of pocket than expanding Medicaid. Senate Democrats have pointed out that Iowans living in poverty could never afford the co-pays and premiums envisioned in the Healthy Iowa Plan.

Finally, I’ve added below excerpts from the Iowa Hospital Association’s latest blog post explaining why Medicaid expansion is a better choice than the governor’s plan.

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Republican lawmaker voices doubts on alternative to Medicaid expansion

For months, I’ve been wondering if and when some Republican lawmakers would balk at supporting Governor Terry Branstad’s “costs more, covers less” alternative to expanding Medicaid in Iowa.

For the first time yesterday, an Iowa House Republican said he may not vote for Branstad’s plan. I doubt it’s a coincidence that the wavering lawmaker is unusually knowledgeable about health care services in Iowa.

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Bruce Braley explains his support for Keystone XL

Last week, Representative Bruce Braley (D, IA-01) voted for a bill that would force the construction of the Keystone XL pipeline. He did not send out any press release explaining that vote.

A Bleeding Heartland reader contacted Braley about his support for Keystone XL and shared the congressman’s reply. I’ve posted it after the jump, along with information challenging some of Braley’s assertions.

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Iowa Medicaid expansion news roundup (updated)

Last week Governor Terry Branstad finally introduced legislation to enact his Healthy Iowa Plan instead of the Medicaid expansion foreseen under the 2010 federal health insurance reform law. Strangely, neither the governor’s office nor the Iowa House Republican caucus held a news conference or even posted a press release about House Study Bill 232. The bill arrived at the statehouse on Thursday, April 4, after many legislators had left for the weekend.

So far House and Senate Republicans appear united behind Branstad’s approach, while the governor’s office strives to counter the obvious case against his plan (costs more, covers less). I’ve posted arguments for both sides and other news links after the jump.

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Weekend open thread: Not learning from experience edition

What’s on your mind this weekend, Bleeding Heartland readers? This is an open thread.

Governor Terry Branstad didn’t draw the right lessons from Indiana’s experience when he proposed his Healthy Iowa Plan as an alternative to expanding Medicaid. Below I’ve posted excerpts from Laura Hermer’s recent commentary on the Healthy Indiana Plan.

Iowa’s top economic development official, Debi Durham, still can’t answer basic questions about why the state offered more than $100 million in tax incentives to a company that was going to build a fertilizer plant in Iowa anyway. Follow me after the jump for Durham’s non-responsive response on the Orascom deal during this week’s “Iowa Press” program.

Speaking of which, the Branstad administration is stonewalling Iowa Watchdog reporter Sheena Dooley’s efforts to obtain more information about the Orascom deal.

UPDATE: For the hundredth time, family budgets are not comparable to the federal budget. Plus, Michael Tomasky summarizes three basic principles of fiscal policy that should be conventional wisdom already: “Modest deficits are perfectly sustainable. Budget cutting, far from being ‘responsible,’ hurts the economy. And balanced budgets don’t create jobs-it’s the other way around.”

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Weekend open thread: Health and happiness edition

Happy St. Patrick’s Day to Bleeding Heartland readers who celebrate the occasion. This is an open thread; all topics are welcome. For a laugh, enjoy The Onion’s recent write-up of Iowa fashion week: “The big themes this season are ‘roomy,’ ‘loose,’ and ‘comfortable.'”

After the jump I’ve posted a few links about health and happiness, including details from Gallup’s 2012 report on well-being in the United States. Iowa ranked ninth on the “Gallup-Healthways Well-Being Index” but was not one of the “elite five states” that have shown consistently high levels of resident well-being over five years.

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Branstad running out of excuses not to expand Medicaid (updated)

Iowa Senate Democrats offered Governor Terry Branstad a compromise this week to address his concerns that the federal government will not keep its promises to fund the Medicaid expansion provided under the 2010 health care reform law. Follow me after the jump for details on their latest offer and a cost comparison of Medicaid expansion and Branstad’s “Healthy Iowa Plan.”

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Latest Iowa Medicaid expansion news and discussion thread

Expanding Medicaid in Iowa would add nearly $2.2 billion to the state’s economy, create an estimated 2,362 jobs, and save state government about $1.6 billion, according to a new study. For now, Governor Terry Branstad is sticking to his alternative plan for covering some low-income Iowans, but Senator Tom Harkin predicted last week that federal officials will not approve a waiver for Branstad’s approach.

Follow me after the jump for details on those stories and more about Medicaid in Iowa. I’ve also enclosed a moving personal statement State Senator Mary Jo Wilhelm delivered today about Iowans who can’t afford health insurance.

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Will Branstad's "Healthy Iowa Plan" fly? (updated)

Governor Terry Branstad announced his administration’s alternative to Medicaid expansion this morning at his regular weekly press conference. The “Healthy Iowa Plan” would cover approximately 89,000 Iowans with income below the federal poverty level. In contrast, Medicaid expansion would cover up to 150,000 Iowans with income below 133 percent of the poverty level.

Details on the new plan are after the jump. Early reaction from Senate President Pam Jochum suggests that the Iowa Senate will not be inclined to approve this proposal. I also question whether the U.S. Department of Health and Human Services will grant a waiver for Branstad’s plan. Federal officials have already denied requests from Branstad and other governors to allow a smaller Medicaid expansion than what the 2010 health care reform law provides.  

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Iowa counties would save millions from Medicaid expansion

Cutting property taxes has long been a policy goal for Governor Terry Branstad, so why is he rejecting a path to save Iowa counties tens of millions of dollars a year on mental health services? As Tony Leys reported yesterday for the Des Moines Register, the Iowa Department of Human Services has estimated that expanding Medicaid as foreseen under the 2010 federal health care reform law would save counties between $27 million and $60 million each year.

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Latest news on the conflict over expanding Medicaid in Iowa

This week New Jersey’s Chris Christie became the eighth Republican governor to recognize that only a chump would turn down 100 percent federal funding to provide Medicaid coverage to low-income constituents. But Governor Terry Branstad doubled down on his determination not to allow Medicaid to expand in Iowa.

While some advocates are hoping Republican legislators will help pass a Medicaid expansion bill by a veto-proof majority, that scenario appears extremely unlikely. A prolonged standoff between Branstad and Iowa Senate Democrats seems unavoidable.

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Branstad has no case against expanding Medicaid (updated)

Five years ago this week, I was hospitalized with an infection that might have become life-threatening or permanently debilitating had I not had health insurance coverage, which allowed me to receive a relatively early diagnosis. Every day in this country, uninsured people hunker down, hoping their health problem will go away without an expensive doctor’s visit. That’s one of many reasons studies have shown that expanding Medicaid saves lives.

Governor Terry Branstad sounds determined not to expand Medicaid, but none of his arguments can withstand scrutiny.

UPDATE: Branstad confirmed on February 23 that he will not agree to expand Medicaid. Added details and other related news below.

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Cleaner air coming near three of Iowa's largest coal-fired power plants

MidAmerican Energy has agreed to reduce coal emissions at one of its Iowa power plants by the end of 2014 and to phase out seven coal-fired boilers at three Iowa power plants by April 2016, thanks to legal action by the Sierra Club. The settlement announced yesterday means that in future years, fewer people near or downwind of the plants in Council Bluffs, Bettendorf, or Sergeant Bluff will suffer the “devastating impacts of coal on the human body.”

Follow me after the jump for details on this very big news for Iowa air quality.

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Iowa reaction to Obama's gun law proposals

Today President Barack Obama and Vice President Joe Biden revealed a list of proposals designed to reduce gun violence. The full transcript from the press conference is here. It’s embarrassing that we needed a presidential order to allow the Centers for Disease Control to study this issue.

After the jump I’ve posted excerpts from the president’s remarks and a statement from Representative Steve King (R, IA-04). I also included some comments from Iowa legislators about possible state legislation related to guns or gun violence. I will update this post as needed with more comments on these issues. UPDATE: Added Senator Tom Harkin’s comments.

SECOND UPDATE: Added comments from Representative Dave Loebsack (D, IA-02).

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Branstad's new property tax plan and other Condition of the State news (updated)

Governor Terry Branstad just finished delivering his annual Condition of the State speech to Iowa House and Senate members. He unveiled a new property tax reform plan, which would cut commercial property taxes by 20 percent over four years. Previously the governor had called for cutting commercial property taxes by 40 percent. Branstad also urged legislators to approve the key points of education reform proposals he released yesterday. Finally, he outlined three policies that, in his view, would help Iowa become the healthiest state in the country.

Links and more details are after the jump. I will update this post later with more information and reaction. The video of Branstad’s speech will be available on IPTV.org and will be broadcast statewide on Iowa Public Television at 6:30 pm on January 16.

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Themes from the Iowa legislature's opening day in 2013

The Iowa House and Senate began their 2013 session yesterday with the usual welcoming speeches from legislative leaders and the ritual of choosing desks for each lawmaker in the chambers. Judging from this photo, returning legislators get first dibs.

As was the case in 2012, social issues like abortion and same-sex marriage were absent from the opening-day speeches. Republican leaders emphasized the need to cut both property and income taxes. Iowa House Speaker Kraig Paulsen also claimed credit on behalf of Republicans for Iowa’s improving fiscal condition. House Majority Leader Linda Upmeyer spent a fair amount of time criticizing Congress before calling for state action to improve education and cut taxes. House Speaker Pro Tem Steve Olson repeated some themes of last year’s election campaign and quoted U.S. Senator Marco Rubio of Florida. Similarly, Senate Minority Leader Bill Dix concentrated on tax reforms.

Senate Majority Leader Mike Gronstal focused on education and workforce training programs to address “Iowa’s skill shortage.” Senate President Pam Jochum focused on health-related issues: improve mental health services, helping elderly people stay in their own homes, and expanding Medicaid, which she described as “the biggest opportunity for this session to make a positive difference for Iowans.” Iowa House Minority Leader Kevin McCarthy emphasized the need for bipartisan work on a range of issues: education, mental health care delivery, the transition to a new maximum security prison, and protecting natural resources.

Follow me after the jump for excerpts from the opening-day speeches by legislative leaders (as prepared for delivery). I included the full text of Jochum’s remarks, because her personal journey says a lot about who she is. Jochum also paid a lovely tribute to former Republican State Senator Pat Ward, who died last year.  

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NRA "blame everything but guns" links and discussion thread

Politicians and commentators continue to react to recent comments by National Rifle Association Executive Vice President Wayne LaPierre. He broke the NRA’s weeklong silence following the Sandy Hook elementary school shooting with a December 21 speech (falsely billed as a “press conference”) and an appearance on NBC’s “Meet The Press” two days later.

LaPierre rejected any new restrictions on guns or ammunition and blamed a wide range of cultural influences for mass shootings. He suggested that Congress should respond by funding armed security officers in every school in the country.

This thread is for any comments about the root causes of violence or policies that could prevent future gun-related tragedies. I’ve enclosed lots of relevant links and analysis after the jump.

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Steve King gains new platform for battling USDA

U.S. House Agriculture Committee Chair Frank Lucas announced today that Representative Steve King (IA-04 in the new Congress) will chair the Subcommittee on Department Operations, Oversight, and Nutrition. King has been one of the loudest critics of the U.S. Department of Agriculture in recent years. His new position will give him a more visible platform to battle policies championed by U.S. Secretary of Agriculture Tom Vilsack–the husband of King’s most recent Congressional challenger, Christie Vilsack.

King opposed the USDA’s settlement in the Pigford case, which involved longstanding government discrimination against African-American farmers. He also objected to the hiring of a claimant in the Pigford settlement to a prominent USDA position. Though King has tried and failed to block spending on the Pigford settlement, chairing a subcommittee may allow him to investigate what he describes as “fraud” in USDA payments to African-Americans.

Regarding the USDA’s nutrition programs, King wants to spend less on the Supplemental Nutrition Assistance Program (commonly known as food stamps) than the Obama administration. He wants to overhaul the USDA’s new school lunch standards and has sponsored a bill to overturn restrictions on calories and portion sizes for children in public schools. In King’s view, “nutrition Nannies” at the USDA, led by Vilsack, have “put every kid on a diet.” Vilsack announced earlier this month that school districts will have more time to adapt to the new rules, but he defended the standards as an important weapon against the childhood obesity epidemic. I expect King to hold hearings on this issue in early 2013.

After the jump I’ve posted King’s press release about his new position. He vowed to make sure tax dollars are spent wisely in USDA programs.

Following the 2010 elections, King was expected to become chairman of the House Judiciary Committee’s subcommittee on immigration issues, but House leaders feared he was too much of a lightning rod for that job.

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Iowa political reaction to the Sandy Hook school massacre (updated)

The horrific mass killing at Sandy Hook elementary in Newtown, Connecticut has dominated news coverage since Friday, and almost everyone I know has been talking about the tragedy. But only a few Iowa politicians have publicly discussed the events or possible ways to prevent similar crimes.

Remarks by Senator Tom Harkin, Representative Dave Loebsack, State Senator Rob Hogg, and Governor Terry Branstad are after the jump. I’m disappointed but not surprised that the governor is not open to any new restrictions on assault weapons or large ammunition clips. Senator Joe Manchin of West Virginia, who like Branstad has an “A” rating from the National Rifle Association, today called for moving “beyond rhetoric” on gun control. His comments are also below.

I’ve sought comment from other members of Iowa’s Congressional delegation and will update this post if I hear back from any of them. UPDATE: Added Representative Bruce Braley’s comments below.

SECOND UPDATE: Added Senator Chuck Grassley’s comments during a December 17 radio interview.

LATER UPDATE: Added comments from Iowa Department of Education Director Jason Glass.

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Health care exchange and Medicaid expansion news roundup

Last week Iowa Governor Terry Branstad confirmed that Iowa will pursue a “partnership” health insurance exchange next year, rather than setting up its own insurance exchange for implementing the 2010 health care reform law, or letting the federal government set up an exchange for Iowa.

In addition, the governor again signaled that he is against the now-optional Medicaid expansion for states, because he believes it would become too expensive for Iowa in the future.

Links and recent news about health care reform in Iowa are after the jump.

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