Photo by Jonathunder of Cornerstone Assisted Living in Mason City, available through the GNU Free Documentation License via Wikimedia Commons

Randy Evans is executive director of the Iowa Freedom of Information Council and can be reached at DMRevans2810@gmail.com. 

A few months ago, I bumped into a former aide to Governor Robert Ray. As we reminisced about the governor, our conversation turned to his nearly daily meetings with journalists.

The aide said yes, those press conferences provided reporters with access to the governor and his comments on issues the state was handling and hearing about from Iowans.

But Ray believed the daily press gatherings had another important benefit, too: Ray could do his job more effectively by listening to the journalists’ questions, the aide said.

Randy Evans is executive director of the Iowa Freedom of Information Council and can be reached at DMRevans2810@gmail.com. 

Deanna Mahoney was like countless Iowa women through the years. She nurtured three children. She worked outside the home to supplement the family income. She loved bowling and mushroom hunting.

That is how she lived.

How she died tells us so much about the way some business owners, and too many government leaders in Iowa, have pushed aside their legal, moral and humanitarian obligations, especially to vulnerable Iowans.

John and Terri Hale own The Hale Group, an Ankeny-based advocacy firm working for better lives for all Iowans. Contact them at terriandjohnhale@gmail.com.

A crisis ignored eventually leads to catastrophe. That’s what we’re witnessing in long-term care services. 

As far back as 1990, the U.S. Bipartisan Commission on Comprehensive Health Care described as a “crisis” the challenges the nation faced in providing long-term care services to people with disabilities and older citizens.

That commission also used phrases like an “urgent need for action” and “current conditions that are unconscionable” when urging Congress to act on recommendations that would ensure all Americans have access to high-quality, affordable long-term care services in the setting they prefer.

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.

Randy Evans can be reached at DMRevans2810@gmail.com.

People in the health care field have worked their tails off since the COVID-19 pandemic hit Iowa with a vengeance in 2020.

Doctors, nurses, and all manner of technicians and support staff have performed heroically under circumstances that often were trying.

But the death this year of a patient at a Centerville care center has struck a chord with many Iowans — and not just because COVID claimed another life. The reaction has ranged from sadness to anger because the person’s treatment was unprofessional, uncaring and incompetent, if not bordering on criminal.

An earlier version of this commentary appeared in The Prairie Progressive‘s fall 2021 issue.

In a media release earlier this year and a commentary published in some Iowa newspapers, Senator Chuck Grassley asserted, “it appears that the standard of care and quality controls at many state veterans homes falls well short of those required by other government supported nursing homes.” He was referencing the number of COVID-19 deaths and infections in veterans homes across the country.

How many is many? The senator’s letter to U.S. Veterans Affairs Secretary Denis R. McDonough cited a handful of media reports in footnotes. Although some of those articles cited statistics provided by the government, the numbers Grassley used are flawed.