Iowa’s Republican leaders have few checks remaining on their power. But one law approved during the 2023 legislative session appears unlikely ever to go into effect.

Federal judges in four states have blocked the government from enforcing bans on gender-affirming care for minors.

U.S. District Court Judge James Moody issued the most comprehensive ruling on the matter on June 20, when he permanently enjoined an Arkansas law enacted in 2021. Moody found the law violated the Fourteenth and First Amendments of the U.S. Constitution. Three other judges, including two appointed by President Donald Trump, have issued preliminary injunctions on similar laws in Indiana, Alabama, and Florida while litigation proceeds.

Although Arkansas Governor Sarah Huckabee Sanders has said she will appeal the ruling in Brandt v Rutledge, Judge Moody’s extensive findings of fact could influence the outcome on the Eighth Circuit Court of Appeals, where a challenge to Iowa’s ban on gender-affirming care may eventually be heard.

Tony Leys is Rural Editor/Correspondent for Kaiser Health News, where this story was first published. Follow him on Twitter @TonyLeys.

KNOXVILLE, Iowa ― Bette Helm was glad to have someone to talk with about her insomnia.

Helm lives in a nursing home in this central Iowa town of about 7,500 people, where mental health services are sparse. On a recent morning, she had an appointment with a psychiatric nurse practitioner about 800 miles away in Austin, Texas. They spoke via video, with Helm using an iPad she held on her lap while sitting in her bed.

Video visits are an increasingly common way for residents of small-town nursing homes to receive mental health care. Patients don’t have to travel to a clinic. They don’t even have to get cleaned up and leave their bedrooms, which can be daunting for people with depression or anxiety. Online care providers face fewer appointment cancellations, and they often can work from home. While use of some other telehealth services may dwindle as the COVID-19 pandemic winds down, providers predict demand for remote mental health services will continue to increase in rural nursing homes.

You have to hand it to Deidre DeJear.

Governor Kim Reynolds has all the advantages of incumbency. She has spent most of the year avoiding unscripted questions and taking credit for projects that President Joe Biden and a Democratic Congress made possible. While the challenger has struggled to get her message in front of voters, Reynolds enjoys free media coverage almost daily and has blanketed the state with (sometimes racist) television commercials for the past six weeks.

The day before the only scheduled debate between the candidates for governor—Reynolds would not agree to the traditional three—the Des Moines Register published a new Iowa Poll by Selzer & Co showing the incumbent ahead by 52 percent to 35 percent among likely voters.

In other words, the odds facing DeJear could hardly be longer.

Nevertheless, the challenger spoke with clarity and confidence throughout the hour-long “Iowa Press” appearance, using facts and personal stories to great effect. She refused to take the bait when Reynolds fell back on divisive talking points about what “they” (Democrats) supposedly want to do.

I hope voters will take the time to watch the whole program, or read the transcript on the Iowa PBS site. Eight exchanges struck me as particularly revealing.

Melissa Halverson, DNP ARNP is a Des Moines area nurse practitioner specializing in gastroenterology.

This November, Polk County voters will fill three seats on the Broadlawns Board of Trustees.

When I heard my friend and former colleague Kacey Davis was running for Broadlawns Board of Trustees, I must admit I was a little surprised. After all, she had a toddler, and a demanding job. That seemed to be a lot to handle even without a campaign in the mix.

But I should not have been so surprised. As a family nurse practitioner in community health, Kacey knows firsthand the barriers to finding medical care and mental health services for our most vulnerable residents. Helping to break down those barriers motivates her to serve on the Broadlawns Board of Trustees.

Steve Corbin is emeritus professor of marketing at the University of Northern Iowa and a freelance writer who receives no remuneration, funding, or endorsement from any for-profit business, nonprofit organization, political action committee, or political party.

Most people have memorized their Social Security number, cell phone number, anniversary, birthday and the 911 emergency medical, fire and police protection services number. On July 16, the number “988” became an easy-to-remember crisis hotline number we should log into our memory bank.

Anyone who needs support for a suicidal, mental health, substance use crisis, or other emotional issue can dial or text 988. The nationwide set-up should strengthen and expand the existing Lifeline system, which is a national network of more than 200 local, independent and state-funded crisis centers.

Both the new 988 hotline number and the previous ten-digit number (800-273-8255) will remain in operation, providing 24/7 free and confidential support for people in distress.

David Farwell of Spillville, Iowa is a service-connected PTSD disabled veteran and activist for veteran health services as owed to them by law.  

I’ve moved 49 times in 50 years, which is not surprising for a military brat and former global project leader at an international corporation.  

What may be surprising is why my last move was from a Chicago high-rise to Spillville, Iowa, and how an invisible epidemic shattered my life, ended my career and brought me to the tiny town in Iowa where Dvorak completed his New World Symphony.