Half-baked state audit doesn't settle questions about Medicaid savings

Privatizing Medicaid saved the state of Iowa about $126 million during the fiscal year that ended June 30, according to a report State Auditor Mary Mosiman released on November 26.

I put low odds on that estimate holding up after a more diligent auditor takes office.

Even if it did, this review of “savings” was too narrow to reveal whether turning Medicaid over to for-profit companies was a good deal for Iowans.

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Even in defeat, Peter Cownie's better off than Iowans with bad shoulder injuries

Ninth in a series interpreting the results of Iowa’s 2018 state and federal elections.

Money couldn’t buy a sixth term for State Representative Peter Cownie. Republicans spent more trying to hold his district than on any other Iowa House race, by far. Nevertheless, Democratic challenger Kristin Sunde defeated Cownie by nearly 1,200 votes in House district 42.

The loss must sting. Cownie would have led the House Ways and Means Committee next year, a powerful position as Republicans in full control of state government plan more tax cuts skewed toward corporations and wealthy people.

But in this season of giving thanks, Cownie can be grateful he will continue to be well-compensated. In contrast, Iowans with career-altering shoulder injuries are experiencing tremendous hardship under a 2017 law Cownie introduced and fast-tracked.

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Weekend open thread: Incredible 2018 election stories

Hope Bleeding Heartland readers had a happy, meaningful Thanksgiving and will enjoy some time off this weekend. If you have lots of extra food from the holiday meal, here are four ways to make soup from leftover turkey, mashed potatoes, or sweet potatoes, and here’s one way to use up cranberry sauce.

It’s been too long since I put up an open thread. All topics are welcome in the comments section.

I’ve been thinking about the many historic results from this year’s election. In Iowa alone, we saw the first woman elected governor, the first two women elected to the U.S. House, the first Democrat elected state auditor in decades, a record number of women elected to the state legislature, a Democratic sweep of targeted state House seats in the Des Moines suburbs, and at least seven newly-elected lawmakers who had run for office unsuccessfully in 2014 or 2016.

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Iowa wildflower Wednesday: Wahoo

Many thanks to Lora Conrad for wrapping up this year’s wildflower series with an informative piece about a beautiful tree. Iowa wildflower Wednesday will return sometime during the spring of 2019. Happy Thanksgiving to the Bleeding Heartland community! -promoted by desmoinesdem

Driving along a rocky dusty Iowa back road along the banks of the Des Moines River in Van Buren County about eighteen years ago, I spotted the brightest possible pink glowing from a small tree amid the drab, frost-killed brush….. and came to an immediate stop (it’s a very quiet road.) There this rather frail, otherwise naked little tree sat with probably a hundred bright seed pods beginning to burst open. What could it be?

Upon talking with an elderly neighbor native to the area, I learned it was commonly called a Wahoo – a name that is an appropriate expression when one sees its unusual beauty for the first time. However, the word Wahoo probably derives from a Dakota word meaning “arrow-wood.”

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Nate Boulton now subject of Iowa Senate ethics complaint

The Iowa Senate Ethics Committee has received a formal complaint from Sharon Wegner regarding alleged sexual misconduct by Nate Boulton before he was elected to the legislature, Brianne Pfannenstiel reported for the Des Moines Register on November 19. It’s unclear whether the complaint will lead to a broader investigation of Boulton, who has ignored calls from some leaders of his caucus to resign.

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Why Jerry Foxhoven is wrong about closing Iowa's mental health institutions

Leslie Carpenter is an advocate for improving the treatment of people with serious mental illnesses in Iowa and across the country. -promoted by desmoinesdem

While speaking at the National Alliance on Mental Illness Iowa Annual Conference on November 16, Iowa Department of Human Services Director Jerry Foxhoven advised the attendees that it was a good thing that two of the state’s four in-patient mental health institutions (MHIs) were closed, and that we have moved to community-based care. He further shared that it was a good thing to go from more than 700 beds to the current level of 64 beds for adults in the whole state.

We should recall that this reduction of state-operated acute care beds has caused Iowa to be ranked 51st by the Treatment Advocacy Center.

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Lessons of 2018: Changing trends in Iowa's largest counties

Eighth in a series interpreting the results of Iowa’s 2018 state and federal elections.

Last week, Bleeding Heartland examined votes for governor in counties containing Iowa’s mid-sized cities, which collectively accounted for roughly 15 percent of Iowans who participated in this year’s election.

Today’s focus is ten counties where more than half of this year’s Iowa voters live. Whereas Fred Hubbell underperformed in all seventeen “micropolitan” areas, the results in larger counties were a mixed bag for the Democratic nominee.

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Ethics board investigating pro-Republican law-breaking in Iowa House race

A pro-Republican mailing to thousands of Warren County households last month was not only sleazy, but also unlawful.

The Iowa Ethics and Campaign Disclosure Board will investigate who paid to send a letter attacking Democratic State Representative Scott Ourth “to every mailbox in Iowa House district 26” and “what campaign finance laws were violated in the process.”

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Reproductive rights in peril as another Iowa Supreme Court justice retires

In a landmark ruling five months ago, the Iowa Supreme Court held that a 72-hour waiting period for women seeking abortions violates the rights to due process and equal protection under the Iowa Constitution.

This summer Governor Kim Reynolds replaced Bruce Zager, one of the justices who joined that 5-2 majority opinion. She will soon replace a second justice who concurred. Daryl Hecht announced today that he will resign from the Iowa Supreme Court in December in order “to commit all of his energy” to battling melanoma.

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Grassley to chair Senate Finance Committee

U.S. Senator Chuck Grassley told reporters today that he will lead the Senate Finance Committee in the new Congress. The current chair, Senator Orrin Hatch, is retiring. Grassley’s official website notes,

Senator Grassley calls this committee the quality of life committee because of the committee’s jurisdiction, which includes all tax matters, health care, Social Security; Medicare, Medicaid, social services, unemployment compensation, tariffs and international trade. Legislation acted on by the Committee on Finance raises virtually all federal revenue, and expenditures authorized by this committee represent as much as two-thirds of the federal budget.

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Lessons of 2018: Mid-sized cities bigger problem for Democrats than rural areas

Seventh in a series interpreting the results of Iowa’s 2018 state and federal elections.

Fred Hubbell’s narrow defeat has generated a new round of conversations about Iowa Democrats struggling outside major metro areas. Although Hubbell received a historically high number of votes for a Democratic candidate for governor and carried Polk County by a larger margin than any previous nominee from his party, he finished 36,600 votes behind Kim Reynolds statewide, according to unofficial results.

Hubbell outpolled Reynolds in only eleven of Iowa’s 99 counties. In contrast, Tom Vilsack carried 48 counties in 1998, when he became the first Democrat elected governor in three decades. He won 68 counties when re-elected in 2002, and Chet Culver nearly matched that result, beating his Republican opponent in 62 counties in 2006.

While many commentators have focused on declining Democratic performance among rural voters, attrition in Iowa’s mid-size cities is a more pressing problem for the party’s candidates at all levels.

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Iowa wildflower Wednesday: Wild and crazy wild cucumber

Luther College Associate Professor Beth Lynch shares her knowledge and photographs of a native vine related to cultivated squashes, gourds, and cucumbers. -promoted by desmoinesdem

In August I received a phone call from a woman I did not know asking about a plant. It turned out that she was sitting in my friend Phil’s kitchen, having just made the drive from the Twin Cities to Decorah. On the drive, she had seen massive mounds of a flowering vine clinging to trees and shrubs along the roadside and was sure it must be the first wave of an invasion.

In fact, what she and many others noticed this summer was the exuberant growth of the native wild cucumber (Echinocystis lobata). This plant is native to eastern North America, but for some reason people seemed to really take note of it this year. It has likely become more common because it is well suited to nutrient-rich, disturbed landscapes created by humans.

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Lessons of 2018: Fred Hubbell outperformed Cindy Axne in IA-03

Sixth in a series interpreting the results of Iowa’s 2018 state and federal elections.

Cindy Axne beat two-term U.S. Representative David Young in Iowa’s third Congressional district, while Fred Hubbell lost to Governor Kim Reynolds. So Axne must have done better than Hubbell, right?

Wrong.

Hubbell received more votes than Axne in each of IA-03’s sixteen counties, according to unofficial results. And contrary to what the red and blue counties above might lead you to believe, Hubbell outpolled Reynolds in the third Congressional district as a whole.

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