State moves forward on merging human services, public health programs

The state of Iowa is looking for a private company to help integrate programs of the Iowa Department of Human Services (DHS) and Department of Public Health (IDPH).

Governor Kim Reynolds indicated this summer that she planned to merge many operations of the departments, which serve a combined total of more than 1 million Iowans. After Gerd Clabaugh announced plans to retire as IDPH director, Reynolds appointed DHS Director Kelly Garcia to serve simultaneously as interim director of public health, saying in a news release, “This is an opportunity to increase cooperation and collaboration between these two agencies to better serve Iowans.”

A Request for Proposal reveals more details about the planned scope of the reorganization, which is scheduled to begin early next year. Notably, control of infectious diseases is among the areas of the IDPH’s work that will be “excluded from the redesign.”

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An open letter to the Des Moines School Board

Dave O’Connor teaches at Merrill Middle School in Des Moines. -promoted by Laura Belin

On October 14, the president of the United States held a superspreader event at the Des Moines Airport for 6,000 mostly un-masked, non-socially distanced supporters. Governor Kim Reynolds was right at his side. He did it on the same day that our neighbors in Wisconsin, who are now at the epicenter of the pandemic, opened a field hospital with 500 beds to try to relieve pressure on their overtaxed hospital system, and only eight days after hospitalizations for COVID-19 reached an all-time high in Iowa–a record that has been surpassed multiple times since.

And just for good measure, the rally directly violated the governor’s own emergency proclamations, which require organizers of mass gatherings to “ensure at least six feet of physical distance between each group or individual attending alone.”

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The COVID fatigue factor

Ira Lacher explores the phenomenon of COVID fatigue, which is “no surprise to psychologists” despite the devastating impact of the pandemic. -promoted by Laura Belin

With more than 224,000 Americans dead from COVID-19 and perhaps another 25,000 more to join them in November, you would think just about everyone would consider the coronavirus pandemic to be the top issue in the election.

And, that reasonable conclusion would join others from the Bizarro World.

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Book excerpt: Killer Politics

Norman Brewer was a reporter and editor for the Des Moines Tribune from 1965 to 1978, then joined Gannett News Service in Washington, D.C. He also worked in The Des Moines Register bureau there and was director of employee communications at the Transportation Security Administration. -promoted by Laura Belin

In Norman Brewer’s novel Killer Politics: A Satirical Tale of Homegrown Terrorism, a Trump-like president inspires a white supremacist and his terrorist cell to attack civilians in a bid for civil war or martial law.

Excerpts from the novel, available on Amazon, follow.

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Kim Reynolds' commitment to "normalcy" is getting a lot of Iowans killed

Governor Kim Reynolds found a way to make a bad situation worse.

In the past month, Iowa’s coronavirus deaths have accelerated, while hospitalizations have nearly doubled, far surpassing the previous peak in early May.

Despite numerous warnings from experts that Iowa is on a dangerous path, Reynolds refuses to take any additional steps to slow community transmission of the virus. Instead, she is sticking with the “trust Iowans to do the right thing” playbook, confident that hospitals will be able to handle the influx of COVID-19 patients.

The numbers speak for themselves.

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For those who deplore hatred, an alternative to hating Trump

Herb Strentz: I think I’ve found a way out, at least for me. I no longer “hate” the president. -promoted by Laura Belin

Many people are hesitant to say they “hate” Donald Trump. The hesitancy may spring from Biblical and other religious tenets, philosophy, wisdom and advice, going back at least 2,500 years to Confucius.

And, after all, the New Testament of the Christian Bible does call for people to love their enemy, to pray for those who persecute you, etc.

And there is even older advice about having to dig two graves if you seek revenge or hate — one for the object of your revenge or hatred and the other for yourself because of the self-destructive nature of revenge and hatred.

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Broadlawns board endorsement: Bill Taber and Kavi Chawla

Dr. Mary Krieg and Janet Metcalf co-authored this endorsement of their colleagues on the Broadlawns Board of Trustees, Bill Taber and Kavi Chawla. -promoted by Laura Belin

Since 1924, Broadlawns Medical Center has served as the safety net hospital for Polk County by ensuring that high quality healthcare is affordable and accessible to everyone. Broadlawns is governed by a seven-member, nonpartisan board of trustees. Each of the seven trustees are elected to serve six-year terms. The board is comprised of unpaid, elected officials who take a sworn oath to govern in the best interest of the hospital, its patients and its employees.The trustees are charged with the responsibility of fulfilling the hospital’s mission to build a healthy community through the delivery of accessible, cost effective and high-quality patient care, and demonstrating fiscal stewardship to safeguard the long-term sustainability of the organization.

As current trustees for Broadlawns, we take the responsibilities of governance very seriously and our sole motivation is to ensure that our county hospital is positioned to capably attend to the healthcare needs of the community, both now and in the future. We are dedicated public servants who recognize that the health of our community is of paramount importance to the overall stability of Polk County. In 2016, the board adopted a new vision for Broadlawns to be the best public hospital in the United States, and the board and leadership are committed to achieving this distinction.

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Donald Trump's last, best hope?

Dan Guild: Contrary to the usual dynamic of a debate between an incumbent and challenger, Donald Trump now looks like the risky alternative. -promoted by Laura Belin

To candidates who are behind, debates are “the thing with feathers.”

They offer one last chance to change the trajectory of a race. Historically they have mattered on occasion. In an unusual year, how they might matter is very, very, strange.

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Federal officials: Iowa can't use CARES Act funds for software system

The state of Iowa’s contract with Workday to upgrade computer systems “is not an allowable expenditure” under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), the U.S. Treasury’s Office of Inspector General informed Iowa Department of Management Director David Roederer on October 16.

The State Auditor’s office released a copy of the letter on October 21. State Auditor Rob Sand announced two days earlier that he had also informed Governor Kim Reynolds and Roederer that spending $21 million on Workday-related costs was “not an appropriate use” of the Coronavirus Relief Fund.

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Most Iowans with felony convictions still not registered to vote

Only a small fraction of newly eligible Iowans have registered to vote since Governor Kim Reynolds issued an executive order restoring voting rights to most people who have completed felony sentences.

Justin Surrency was first to report for WHO-TV on October 19 that 2,550 Iowans with felony convictions had registered to vote since the governor’s order. Erin Murphy reported for Lee Newspapers on October 20,

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Auditor: Iowa governor misused $21 million in COVID-19 relief funds

Governor Kim Reynolds erred in directing that $21 million in federal funding from the Coronavirus Aid, Relief and Economic Security (CARES) Act be used to cover the cost of a software system purchased before the COVID-19 pandemic, according to State Auditor Rob Sand.

Sand announced on October 19 that he and the U.S. Treasury Department’s Inspector General “have advised Iowa Governor Kim Reynolds that her decision to use millions of CARES Act dollars to help implement a new software system for state government was not an allowable use of the funds.” The Treasury Department and governor’s office did not respond to requests for confirmation and comment.

Sand also described as “questionable” the use of CARES Act funds to pay the governor’s permanent staff. Bleeding Heartland was first to report last month that Reynolds directed $448,449 in COVID-19 relief funds to pay a portion of salaries and benefits for 21 of her staffers from mid-March through June 2020. Sand warned that a federal audit may eventually determine that the payments did not meet requirements, so reallocating the funds to purposes clearly allowed under the CARES Act would be less risky for taxpayers.

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Four questions Iowa reporters should ask Terry Branstad

Former Governor Terry Branstad is back in Iowa, having resigned as U.S. ambassador to China in order to campaign for President Donald Trump, Senator Joni Ernst, and other Republicans on the ballot. He’s defending Trump’s trade policy toward China, despite the impact on Iowa farmers. Speaking with reporters on October 10, Branstad “discounted polls showing President Trump and Joe Biden tied in Iowa.”

It’s a waste of time to ask any politician about polls, and Branstad has already spoken to the media at length about U.S. foreign policy toward China. Here are four more salient matters Iowa reporters could raise with the former governor.

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Joni Ernst learned the wrong lesson from Chuck Grassley

Senator Joni Ernst shouldn’t be in this position.

Given Iowans’ tendency to re-elect incumbents and the state’s rightward drift this past decade, she should be running ten points ahead.

Instead, Iowa’s Senate race is universally seen as a toss-up. Ernst has led in only two polls released since the June primary. Democratic challenger Theresa Greenfield has led in fourteen polls during the same period.

Not all of Ernst’s political problems are her own creation. The COVID-19 pandemic and President Donald Trump’s disastrous leadership have put at risk several GOP-held seats that once seemed safe.

But Ernst could have set herself up better to survive a tough environment for her party. Her most important strategic error was not following the example Chuck Grassley set as a 40-something first-term senator.

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Donald Trump's tax problems revisited

Richard Lindgren: “When I run the numbers, Donald Trump appears to own, to use a phrase a business colleague described him with in the 1990s Atlantic City era, a ‘zero-billion-dollar business.’” -promoted by Laura Belin

Ever since I began my own blog in January of 2018, Donald Trump’s “not-normal” finances have been in my head and have been discussed numerous times. Now that the media frenzy over his Covid diagnosis has abated somewhat, perhaps we can get back to Trump’s financial frauds. In light of the recent excellent reporting from the New York Times and others, this is a look back at what I got right and what I got wrong in some early posts about Trump’s wealth and taxes.

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What would Jesus do about Iowa's broken mental health system?

Leslie Carpenter: Eliminating inpatient psychiatric beds has dire consequences for people with serious brain disorders. -promoted by Laura Belin

Mercy Iowa City recently announced that it will be closing its inpatient psychiatric unit, due to “the financial impact of COVID-19.” Hospital officials confirmed that the unit (recently staffed for ten inpatient beds) will close by the end of the calendar year, “in favor of expanding our outpatient service where there is greater community need.” 

However, outpatient care is no substitute for patients who need inpatient care. In fact, there’s no state in our country that needs to expand inpatient care more than Iowa.

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When it comes to the Senate, all roads lead to Iowa

Dan Guild: The Senate incumbent massacre that took place in 1980 seems more relevant to this year’s election with each passing day. -promoted by Laura Belin

It is clear that Iowa (along with North Carolina) is ground zero in the battle for control of the U.S. Senate. With Democratic control of the House almost a certainty given generic ballot polling, and Joe Biden the overwhelming favorite in the presidential race, I think the Iowa Senate campaign is the most important single race in the country. 

Without Iowa, a President Biden will find it difficult to get much accomplished (even if they do get to 50 seats in the Senate). With it, his margin to pass a public option for health insurance and act on climate change becomes much more manageable.

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Iowa wildflower Wednesday: Purple rattlesnake-root (Glaucous white lettuce)

Katie Byerly, also known as Iowa Prairie Girl, profiles a rare, beautiful plant native to 20 states and most of Canada. -promoted by Laura Belin

I was walking through Ada Hayden Prairie in Howard County, Iowa, the first time I saw Purple rattlesnake-root (Prenanthes racemosa). Anytime I see a new plant I find myself thinking out loud “I wonder what that is?” But the first time I saw purple rattlesnake-root, sometimes called Glaucous white lettuce, it hadn’t bloomed yet and my wondering was more like “what the in the world is that??!” And maybe a few other words too.

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