Sharon Mayer is a Pella resident and health care advocate.

Rising health care costs are top of mind for many seniors, who often live on fixed incomes and struggle to afford our care. That’s why millions of people forgo critical vaccinations, including for shingles.

Luckily, I was able to get the shot covered by Medicaid. But many aren’t able to afford this important, preventative measure. Thankfully, starting in January, seniors could save hundreds of dollars when getting vaccinated against this painful illness.

Herb Strentz examines Chuck Grassley’s recent political messaging and low points from his record in the Senate.

The home stretch of this midterm election campaign is unfolding in in 3-D format — Dire, Divisive, and Despairing. That’s particularly true of the U.S. Senate race between Republican incumbent Chuck Grassley, seeking his eighth term at age 89, and Democrat Michael Franken, a retired U.S. Navy admiral, who will be 65 on election day, November 8.

That 3-D nature of our Iowa politics was illustrated well in one of the Grassley campaign’s recent television commercials.

In a backhanded way, Grassley acknowledged why it is time for Iowans to vote him out of office.

Julie Russell-Steuart is a printmaker and activist who chairs the Iowa Democratic Party’s Disability Caucus.

Glenn Hurst is a rural doctor in the small southwestern Iowa town of Minden and a founding member of Indivisble Iowa, whose activism helped elect U.S. Representative Cindy Axne. He faces Abby Finkenauer and Mike Franken in the June 7 Democratic primary for U.S. Senate.

Dr. Hurst has earned our endorsement for his strong experience advocating for people with disabilities and because he is laser focused on improving the lives of the American people in crucial ways.

Bleeding Heartland welcomes guest posts advocating for Democratic candidates in competitive primaries for local, state, or federal offices. Please read these guidelines and contact Laura Belin if you are interested in writing.

I want to introduce myself to the readers of Bleeding Heartland. I am Michael Andreski, a Democratic candidate in district 31 of the Iowa House of Representatives.

Why am I running for this office? The short answer is because the opportunity was there, and I was encouraged by several people, including Democratic State Representative John Forbes of Urbandale.

But the long answer is that as a fifth-generation Iowan, I could no long sit on the sidelines and see the state where I was born, raised, educated, started a career, and raised a family continue to become a place I no longer recognize as the Iowa I know and love.

Chris Peterson is a family farmer who lives near Clear Lake (Cerro Gordo County).

When most people think of small businesses, they imagine a brick and mortar store on Main Street that offers retail or restaurant services. Most would not think of the work worn hands of a person caring for Berkshire hogs on a small farm. But that’s exactly what family farms are: a small business. 

Farming is the only thing I’ve ever known – it’s the only thing I’ve ever wanted to do. I’m a third generation American farmer and I had my first pigs when I was a sophomore in high school.

John and Terri Hale own The Hale Group, an Ankeny-based advocacy firm focused on making Iowa a better place for all. Contact terriandjohnhale@gmail.com.

Two months ago, Bleeding Heartland published a column recounting our first-time escape to Arizona for a brief respite from Iowa cold and snow, and our encounter with someone who surprised us when he said “I used to be proud to be an Iowan.”

The column outlined the reasons he, and we, were frustrated about the Iowa that we now see vs. the Iowa that used to exist. They included:

RJ Miller: I chose to run to take the voices of my community and make their voices louder.

I am a community activist who’s been organizing in Des Moines since 2019 around the issues of racial discrimination, civil and human rights, and urban violence.  Originally a victim of gun violence in Minneapolis, I overcome the obstacles of gang activity and incarceration in order to inspire and support my community in a collective effort to defeat the issues that plague the inner city. 

My mission is to uplift, empower, and transform the Des Moines community through restorative justice, empowering the youth, and investing in solutions that will combat the forces of colonization and oppression at large.

The Hurst for Iowa campaign just received an overwhelming endorsement from Iowa’s leading progressive organization, Iowa Citizens for Community Improvement Action Fund. In the announcement, they stated, “We’re endorsing Glenn because he’s with us on the issues and on challenging business-as-usual politics and the status quo. He shares our belief that real change comes from the ground up, and he has a plan to win and can excite a grassroots base to turn out to the polls on June 7.”

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

Several years ago, my wife and I had a friend our family called Grandma Ruth. Ruth was special to us. She was one of the first people we brought my newborn daughter to meet. She had taken a special interest in our kids and was always present for their big events. Often, we would pick her up and bring her to our house for football parties and holidays. She included us in the celebration of her life events as well. She was estranged from her own family and just became part of ours.

I learned a lot from observing how Ruth navigated her world. She had learned how to use senior transportation services to get to doctor appointments as well as to the grocery store or other activities. She knew how to arrange Meals on Wheels and how to keep current with her disability to remain eligible for services she absolutely needed.

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

Several years ago, a man called my clinic seeking an appointment. He did not have insurance, and in fact had not seen a physician since childhood. But on this day, he was desperate. He had felt a popping sensation in his abdomen and thought he might have a hernia. If that was true, he needed surgery, and we were the gateway to that service. We agreed to see him and to work out a payment plan later.

When I entered the exam room, it was clear something was wrong. Here was a man in his late 50s who did not look well. His skin had a bronze-yellow tint, his cheeks were sunken in, and his belly protruded. He was weak and disheveled. He repeated his story about the popping sensation and told me he could feel something protruding.

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

In my very first days of private practice, I met a patient with an aggressive form of breast cancer. She was young, in her 30s. She and her husband had two children under the age of 5 and were doing the same struggling most young middle-class Americans do at that point in life. They worried about bills, insurance, saving for big purchases. They were not likely thinking about retirement, and they had no plans for a medical emergency. Now their family was faced with a medical crisis that no one could have predicted.

I could tell her hands were full as her husband tried to wrangle the kids who were up and down the walls of the exam room as she explained her situation to me.

Glenn Hurst is a family physician in southwest Iowa and a Democratic candidate for U.S. Senate.

The United Auto Workers strike at John Deere is about fair wages and the value of work, but also about the corruption of our corporate welfare system and the devaluing of American lives. Sadly, the corporate value of workers mirrors the values of our own government.

The shift of the distribution of wealth in this country from the time of Ronald Reagan’s “trickle-down” economics clearly demonstrates how that policy failed Americans. Wealth consolidated at the top, and a minuscule portion barely trickled down to just the highest 10 percent of earners.

A third Democrat joined the race for Iowa’s U.S. Senate seat on July 29. Dr. Glenn Hurst made clear that one issue in particular is driving his campaign.

“I went back to school and became a doctor because I saw a need in the rural communities I love and call home,” Hurst said in a news release. “I’ve had a front-row seat to the tricks insurance companies use to avoid paying for care, drowning providers in paperwork when we should be with our patients. I’m running for the U.S. Senate because Iowans deserve better. We deserve Medicare for All.”

Charles Bruner is a longtime advocate for policies that support children and strengthen families. -promoted by Laura Belin

About this essay

I studied political science at the beginning of the 1970s at one of the elitist of universities, Stanford University. My graduate school class, if not all radicals, shared a serious critique of American government and the military-industrial complex, the Vietnam war, the academic privilege and not freedom that embodied the Stanford administration, and the failure for society to listen to youth and follow-through on the vision expressed in the decidedly liberal document, The Port Huron Statement.

I returned to Iowa in 1975 feeling alienated and full of angst at my better understanding of the darker side of American politics. But I had no clue how to contribute to changing it. Fortunately, I found a group of 20-somethings in Iowa – largely through the Community Action Research Group (Iowa’s Public Interest Research Group) – doing that work in the policy field on the environment. They connected me to a job at the Iowa Welfare Association funded by the Compensatory Education and Training Act, the federal jobs program that provided nonprofits with funding to create jobs. It gave me space to learn and grow, as it did for others in my group.

Khadidja Elkeurti was field director for Kimberly Graham’s 2020 U.S. Senate campaign. -promoted by Laura Belin

Growing up in Cedar Rapids as a child of Algerian immigrants, many people ask why my parents chose to move to Iowa of all places. When my parents received their green card in 1995, they chose the small town of Elkader because of its historical relevance in being named after the Algerian revolutionary who fought for independence from colonial France. Despite their thick accents and unfamiliarity with American culture, my parents were welcomed to the town with open arms.

Many years later, they decided to stay in Iowa because of its renowned K-12 public school system, and the strong and diverse Muslim community found in Cedar Rapids.

In recent years however, our current leadership has threatened the future of a prosperous Iowa. Public education in our state is being undermined, and the current rhetoric around immigrants and people of color is becoming increasingly dangerous.

The U.S. House and Senate on December 21 approved a $2.3 trillion package to fund the federal government through September 30, 2021 and provide approximately $900 billion in economic stimulus or relief connected to the coronavirus pandemic.

No one in either chamber had time to read the legislation, which was nearly 5,600 pages long, before voting on it. Statements released by Iowans in Congress, which I’ve enclosed below, highlight many of its key provisions. The unemployment and direct payments to families are clearly insufficient to meet the needs of millions of struggling Americans. Senate Republicans blocked aid to state and local governments, many of which are facing budget shortfalls. President-elect Joe Biden has vowed to push for a much larger economic stimulus package early next year.

The legislation headed to President Donald Trump’s desk includes some long overdue changes, such as new limits on “surprise billing” by health care providers for emergency care and some out-of-network care.

A reality check courtesy of Jim Chrisinger. -promoted by Laura Belin

There are some true socialists on the left fringes of the Democratic Party, just like there are some true fascists on the right fringes of the Republican Party. It’s offensive, however, that people who should know better accuse Joe Biden, Kamala Harris, and Nancy Pelosi of being socialists, or even communists.

My wife and I lived in a socialist and communist Czechoslovakia from 1987 to 1990. We saw socialism and communism up close.

Let’s get real.

Kay Pence is Vice President of the Iowa Alliance for Retired Americans. -promoted by Laura Belin

U.S. Senator Joni Ernst is no longer working for Iowans. She is working at the behest of President Donald Trump, no matter what he says or does. She has become a puppet to Trump no matter how low he sinks, voting with the president more than 91 percent of the time and following his lead to attack our healthcare and defund Social Security.

The Iowa Alliance for Retired Americans recently invited Ernst and her Democratic challenger Theresa Greenfield to virtual forums celebrating the anniversaries of Medicare and Social Security. I was not surprised when Ernst failed to show up for either forum, because she has such a dismal record on both issues.  

Two of Iowa’s best resources for public policy research have merged, the institutions announced on August 6. The Child and Family Policy Center and the Iowa Policy Project are building “on a collective 50 years of experience” and will be known as Common Good Iowa.

Look to Common Good Iowa for the rock-solid research, rigorous policy analysis and focused advocacy that Iowans have come to expect from CFPC and IPP, and for a new, invigorated approach to advance a bold policy agenda advancing equity and effective policy in four areas:
‍
• Well-being of children and families, especially those failed by our current systems
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• Adequate and equitably raised revenue to support strong public structures
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• Workplace fairness and living wages for all Iowans
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• Clean air, water and sustainable energy for a healthy future for all

Common Good Iowa will maintain offices in Des Moines and Iowa City, according to a news released I’ve enclosed below.

The two organizations have long collaborated on research published under the banner of the Iowa Fiscal Partnership. Some of their “greatest hits”:

Julie Ann Neely explores the “commonality between the financial pressures of rural hospitals and the financial pressures of urban hospitals as they treat unprecedented numbers of COVID-19 patients.” -promoted by Laura Belin

Having chest pains? Cut off a finger? Need medical care now? For anyone living in a rural area there is no guarantee the closest hospital can provide needed emergency care. 

Signs may say “Hospital” and the doors may be open, but odds are they will not have the capability or staff to care for an urgent need or life-threatening emergency.  Logic tells us in an emergency increased time and distance can be life-threatening.  One study found that rural hospital closures are associated with a 5.9 percent increase in inpatient mortality.  1, 2

Ours is a “profits above all else” economy, and rural hospitals close because they are not profitable, often operating at a loss. Those that remain open have restructured, eliminated services, and reduced staff to the point they can no longer offer basic medical care. Hospitals lose money delivering babies which has caused dozens of Iowa hospitals, rural and urban, to discontinue this service.  Iowa is 50th out of 50 states for the number of obstetricians per population. 3 , 4

Due to the nature of the population served, rural hospitals cannot compete, and rural residents are the losers.

Elisa Hernández Pérez is an immigrant from Spain living in Iowa City. -promoted by Laura Belin

When I moved to Iowa from Spain, my mom’s main worry was not whether I would be too cold in the snowy winters, nor if I would make friends quickly, nor if I would miss the food or going to the beach. Her main worry was what could happen to me if I found myself in need of even the most basic health care.

Scott Roland is an activist from Cedar Rapids. -promoted by Laura Belin

Introduction

Whatever we think that we are doing, it is certainly not working. We are asked to embrace some variation of the status quo that offers us ruinous household debt, political corruption that has become normalized, stagnant growth rates, perilously insecure employment, a natural environment that is on a course to become barely inhabitable, and a health care system that leaves many just one medical emergency away from bankruptcy. As a society, we have fallen into a chasm, and have brought our diminished faith in American exceptionalism with us. 

These problems have been exacerbated by a complacent political class, but politicians like Kimberly Graham offer us a credible path forward. Absurdly, some have painted her as an unrealistic radical, but in much of the developed world, she would be a mainstream social democrat. Her desire is not a destructive revolution, but decency: universal publicly financed health care, wages that ensure that households live above the threshold of poverty, elections that can’t be bought by the highest bidder, a system that does not leave students shackled in debt, and a Green New Deal to address the trillions in negative externality costs related to climate change.

Dan Piller speculates on what the federal government might attempt if the 2020 presidential and Congressional elections swing toward Democrats. -promoted by Laura Belin

Democrats have learned, the hard way, to never count on a landslide before votes are cast. But the combination of a 1930s-style economic collapse, President Donald Trump’s manic blunderings, and his dismal poll numbers no doubt generate dreams in progressive minds of a landslide election in November that sweeps them into unchallengeable control of both the White House and congress in a manner similar to the Democratic sweeps of 1932 or 1964.

So what might happen if Joe Biden and a host of happy progressives settle into power in Washington next January (probably after walking past gun-toting, camouflage-wearing Trumpers making a Last Stand)?

Nancy Bobo is a retired non-profit executive, founder of the Democratic group Women for a Stronger America, and a Democratic volunteer in Des Moines. -promoted by Laura Belin

In early March, the week before everything started shutting down due to the COVID-19 pandemic, my husband and I hosted a house party for Mike Franken, Democratic candidate for U.S. Senate. A friend had introduced me to Mike several weeks earlier, and I was exceptionally impressed. I was pleasantly surprised when our house filled wall-to-wall that morning with the biggest crowd we’ve ever hosted for a political candidate.

Guests arrived curious to meet Mike and knowing little about him. Numerous guests had come supporting another candidate and changed their allegiance that day. Mike’s background, experience, and a certain degree of Iowa charm were compelling. He left with a pile of checks and new supporters. Today, Franken’s support is clearly growing.

Sami Scheetz: Democrats must speak to issues working-class people face and welcome the diverse coalition Bernie Sanders formed in Iowa. -promoted by Laura Belin

For more than 150 years, Iowa has served as a progressive beacon for the rest of the nation. We outlawed the death penalty nearly 60 years ago and became one of the first states to legalize same-sex marriage in 2009. Contrary to the popular belief that most Midwesterners are centrists, Iowa Democrats have historically been leaders of this nation’s progressive movements.

Dan Guild spins some scenarios for the Democratic primaries. -promoted by Laura Belin

Mathematically, there is a way to stop Bernie Sanders, but it won’t be easy.

Four years ago I wrote these lines in a post about the Republican presidential race:

In politics we often talk of the narrative. The narrative is not about delegate math, it is about momentum. It asks who is winning and why. It is unforgiving: you either win or you lose. It is difficult to lose and maintain any semblance of energy in a campaign (something seen in Rubio’s implosion) but it also means no more money for future primaries.

In any primary fight, there are times when these two forces are at odds. Such is the case now.

This is precisely the state of the race for the Democratic nomination. It is reasonably easy to create scenarios where Sanders does not get close to a majority of delegates. The problem is primaries are a dynamic process. The difference between winning and losing is stark. Losing drives candidates from the race or makes them irrelevant.

Heather Strachan is a mental health professional, criminal justice reform advocate, and a former rural organizer for Barack Obama’s 2008 campaign. -promoted by Laura Belin

Throughout caucus season I have fielded questions from advocates and professionals alike asking why mental health has gone largely ignored in the presidential race. All eyes are on Iowa at a time when we have reached the bottom of the pile in terms of the number of available beds, the number of psychiatric providers per capita, and the availability of community-based services. One in five Iowans will experience mental illness in their lifetimes, and this has far-reaching effects throughout families and entire communities, including my own.

The candidates are not solely to blame: the media are mostly not asking the question.

Aime Wichtendahl is a city council member in Hiawatha (Linn County) and Iowa’s first openly trans elected official. -promoted by Laura Belin

A few years ago, I stopped into a gas station near my house to grab a soda. As I was preparing to pay for it, I noticed that the cost of a bottle had increased slightly so I asked the clerk about it.

“Everything goes up except the wages,” he said.

“Hopefully that wouldn’t be true for much longer,” I replied.

At that time Linn County had initiated a plan to raise the minimum wage to $10.25. I had served on the working group that made the recommendation to the Board of Supervisors. And while $10.25 wasn’t yet a livable wage, it was a start.

Edward Cohn lives in Grinnell and is a member of the Poweshiek County Democratic Central Committee. -promoted by Laura Belin

I’m like a lot of Democrats: when the 2020 campaign began, I loved the idea of an Elizabeth Warren presidency, but I wasn’t sure whether Warren would be a strong candidate in November. Luckily, I live in Iowa, which means that I’ve had a lot of chances to see the Democratic field in action. After seeing 47 speeches by nineteen candidates, I can confidently say Warren is exactly the leader America needs.

Stacey Walker is a Linn County supervisor who has endorsed Bernie Sanders for president. -promoted by Laura Belin

There’s a popular expression that not paying attention to politics is a privilege. In this time and moment, this is an obvious truth. Only those in the gilded classes are protected from the pervasive social and economic harms that haunt and oppress most Americans. This enormous shield of privilege allows for the bliss that comes with inattentiveness; a sedative that can lull us into ignorance and apathy.

A comparable privilege which I’ve struggled for years to articulate is the one that comes with being able to wholeheartedly support a candidate for president who espouses a politics of incrementalism. An endorsement of this sort of politics suggests an immunity to the social and economic harms I referenced earlier.

The Democrats I know supporting Joe Biden have health insurance. They have good jobs and they don’t have any fear of life or limb when interacting with the police. While this may not seem like much to some, for many Americans this basic sense of security is a Maslovian dream.

My father used to say the most optimistic person is the guy on the brink of bankruptcy. He’s always thinking the next sale or the next deal will turn everything around.

Cory Booker remained “incomprehensibly upbeat” on the campaign trail, in the words of Rebecca Buck, who spent a year covering him for CNN. The senator from New Jersey wasn’t just another unsuccessful candidate falling for his own spin. Booker made believers out of many who were closely watching the campaign.

Jim Eliason chairs the Buena Vista County Democrats. A version of this commentary first appeared in the Storm Lake Times. -promoted by Laura Belin

I’ve heard a lot of stump speeches in the last year. If I were running for president, here’s the one I’d give.

More than 125 authors contributed to the 290 guest posts Bleeding Heartland published this calendar year–way up from the 202 pieces by about 100 writers in 2018 and the 164 posts by 83 writers the year before that. I’m immensely grateful for all the hard work that went into these articles and commentaries and have linked to them all below.

You will find scoops grounded in original research, such as John Morrissey’s exclusive reporting on Sedgwick landing a lucrative contract to administer Iowa’s worker’s compensation program for state employee, despite not submitting the high bid.

The most-viewed Bleeding Heartland post this year was Gwen Hope’s exclusive about the the Hy-Vee PAC donating $25,000 to the Iowa GOP, shortly before President Donald Trump headlined a Republican fundraiser at Hy-Vee’s event center in West Des Moines.

Several commentaries about major news events or political trends were also among the most widely read Bleeding Heartland posts of 2019. I’ve noted below pieces by Ed Fallon, Tim Nelson, Bruce Lear, Randy Richardson, J.D. Scholten, Dan Guild, State Senator Claire Celsi, and others that were especially popular. (This site has run more than 630 pieces since January 1.)

Five Democrats are now competing for the chance to take on U.S. Senator Joni Ernst next November. After making low-key appearances at Democratic events around Iowa for about six months, Cal Woods made his candidacy official on December 17.

Assuming all five candidates file nominating petitions in March, the crowded field increases the chance that no one will win the nomination outright in the June 3 primary.

Iowa State University economist Dave Swenson: Of three possible approaches to health policy, only Medicare for All “reduces the damage that the existing system causes and remedies the cumulative policy failures of the past 70 years.” -promoted by Laura Belin

Health care delivery in the U.S. is a market failure and a governmental failure.

The private sector cannot adequately supply all that is demanded because many of those seeking health care cannot pay for what they need. Government systems, while attentive to the needs of the elderly, disabled, poor, and many veterans, nonetheless fail to cover all who require health care, because policies and funding are inadequate.

As a consequence, too little health care is delivered. And too little health care is socially destructive.

Emily Holley is a lifelong Iowan and executive director of the 501(c)(4) organization Iowa Voices. -promoted by Laura Belin

We know that personal stories are powerful. Stories we hear from a mother, plagued with anxiety, who can’t afford her son’s autism medications. Stories from a rural physician who’s worried about his own patients foregoing cancer screenings simply because it’s too expensive.

Bruce Lear suggests a Democratic message resting on “four pillars that sustain small towns.” -promoted by Laura Belin

When I was a kid, my mom always warned, “Keep a screen door between you and the Fuller Brush Man.” Back in the day, Fuller Brush salesmen were mobile carnival barkers. They would literally get a foot in the door and then grow roots on the couch until Mom gave up and bought something.

They were fast talkers.

They weren’t from around here.

I am afraid that too many candidates now treat rural America like the Fuller Brush man of old. They barnstorm a small community without ever stopping to hear what makes the heart of rural America beat.

Jeff Cox publishes the Prairie Progressive newsletter. -promoted by Laura Belin

We need a new New Deal. Who can deliver it?

The mainstream media likes to depict the Democratic Party as divided between centrists and progressives. An equally important divide is between defeatists who think that Donald Trump’s supporters have taken over the country, and optimists who look to a bright future for Democratic Party ideas.

Expanding Medicaid “saved the lives of at least 19,200 adults aged 55 to 64” during the four years after the Affordable Care Act went into effect, including an estimated 272 Iowans, according to a new paper by Matt Broaddus and Aviva Aron-Dine for the Center on Budget and Policy Priorities.

Conversely, 15,600 older adults died prematurely because of state decisions not to expand Medicaid. […] The lifesaving impacts of Medicaid expansion are large: an estimated 39 to 64 percent reduction in annual mortality rates for older adults gaining coverage.

Barb Kalbach is the Board President of Iowa Citizens for Community Improvement Action and a fourth generation family farmer from Adair County. -promoted by Laura Belin

Caucus season means endless polls constantly taking the temperature of how Iowans are dividing themselves among this year’s over-abundant crop of charismatic politicians. At the Polk County Steak Fry the paid staff and supporters of the campaigns competed to hold the most signs and chant their candidate’s name the loudest.

What gets lost in the caucus circus is how much unites us beyond the candidates, like the Selzer Iowa poll for the Des Moines Register in March, which showed 91 percent support among Iowa Democratic caucus-goers for the Green New Deal, 84 percent for Medicare for All, and 76 percent for tuition-free public college.