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    rural

    Surgeon walks in rural hospital.

    A Rural Health Fund Band-Aid Will Not Staunch the Bleeding

    The Trump administration’s rural hospital fund, meant to soften the impact of the brutal Medicaid cuts in HR1, will require a murky submission process and will not come close to closing the gap for rural communities.

    Ana Malinow
    Nov 04, 2025

    Amid furious efforts to cover their tracks, Republicans included $50 billion in new funding to offset the disastrous cuts that rural hospitals will face as a result of President Donald Trump’s House Resolution 1. Trump’s new Centers for Medicare and Medicaid Services Director, Dr. Mehmet Oz, gave an explanation which would be laughable if this weren’t so serious. He stated that the Rural Health Fund “is part of a broader effort to modernize rural healthcare… [and that] innovation is the reigning theme” citing growing opportunities for rural providers to become more engaged in the healthcare system.

    The “Rural Health Fund” was established by HR1 to soften the impact of the legislation, which cuts $911 billion in federal Medicaid spending over 10 years, due to start after 2030. The good news is that the distribution of the $50 billion will begin before the Medicaid cuts take effect (conveniently before the midterms). The bad news is that the temporary $50 billion in new funding will offset a little over one-third (37%) of the estimated $137 billion in permanent cuts to federal Medicaid spending in rural areas. People everywhere can do the math. Fifty is a whole lot less than 137.

    Keep ReadingShow Less
    Opinion
    healthcare
    Dems Decry GOP's $15 Billion Rural Hospital Fund as Sick Joke Compared to $800 Billion in Medicaid Cuts

    Dems Decry GOP's $15 Billion Rural Hospital Fund as Sick Joke Compared to $800 Billion in Medicaid Cuts

    Instead of offering a "disaster fund" for rural hospitals that would lose crucial funding due to Medicaid cuts, one Democratic senator said Republicans should not "create the problem in the first place."

    Julia Conley
    Jun 26, 2025

    "That ought to do it."

    That was Democratic Senator Ron Wyden's sardonic response Wednesday to a new proposal put forward by Senate Finance Committee Republicans whose proposed solution to the devastating impacts of the $800 billion in Medicaid cuts they want to impose is a so-called $15 billion "stabilization fund" for rural hospitals that rely on Medicaid to operate.

    Keep ReadingShow Less
    News
    medicaid
    Three United States Postal Service (USPS) mail trucks.

    Neither Snow, Nor Rain, Nor Sleet, Nor DOGE

    Help family farmers and other rural folks defend a strong public U.S. Postal Service from the Trump administration’s attacks.

    John Peck
    Mar 22, 2025

    Since 1775 when Benjamin Franklin became the very first postmaster general, the United States Postal Service has faithfully fulfilled the many lofty goals that are now inscribed outside the entrance of the U.S. Postal Museum in Washington D.C.: “Bond of the Scattered Family; Enlarger of the Common Life; Carrier of News and Knowledge; Instrument of Trade and Commerce.”

    Affordable universal reliable communication is not something many people can take for granted. In fact, the USPS was such a great American idea (like our national park system) that it has since been replicated across the globe. Under the pretense that the USPS is “bankrupt,” though, President Donald Trump and other neoliberal free marketeers are hellbent on imposing an austerity program and ultimately privatizing this vital public service.

    Keep ReadingShow Less
    Opinion
    u.s. postal service
    Kandace Creel Falcón gives talk on billboard of goats.

    Why Guaranteed Income Is the GOAT

    Minnesota's three-year-old Guaranteed Income for Artists pilot program offers a small yet mighty payment that has unlocked creative freedom and opened new opportunities that ripple through our communities.

    Kandace Creel Falcón
    Nov 21, 2024

    If you were driving by a remote stretch of Minnesota County Highway 210—connecting Wahpeton, North Dakota and Fergus Falls—you would see a massive billboard depicting a painting of three goats. It looks out of place—colorful and vibrant on a desolate stretch of highway mostly used by westbound truckers and locals. On the top left-hand corner of the billboard rests a stark reminder to anyone looking up: "In rural we tend to the herd."

    My wife and I share a farm with Edith, Willa, and Milagro—our three goats and the willing subjects of the billboard—and 10 laying chickens, two inside dogs, and three outside cats. As a recipient of Minnesota's three-year-old Guaranteed Income for Artists pilot program, I was inspired to create the billboard as a tribute to the state's guaranteed income pilot, which tends to the community and is changing the lives of artists like myself.

    Keep ReadingShow Less
    Opinion
    universal basic income
    Tim Walz

    The Progressive Populism of Tim Walz

    Walz is making an argument for Harris and the party that is rooted in the rural values of regions where Democrats have struggled to compete in recent years.

    John Nichols
    Aug 09, 2024

    Kamala Harris set up a virtual primary for the Democrats who wanted to join the party’s 2024 ticket as her vice-presidential running mate. She offered them all—governors and senators, progressives and centrists, East Coasters and Midwesterners, Southerners and Westerners—an opportunity to secure the nomination. And they all gave it their best.

    So how did Minnesota Gov. Tim Walz, arguably the least well-known and least politically connected of the finalists, come from the back of the field to win Harris’ confidence?

    Keep ReadingShow Less
    Opinion
    tim walz
    ​A rural house is painted with “American Gothic” by Grant Wood.

    Raging Against White Rural Rage

    In their new book, Tom Schaller and Paul Waldman write as if economic class no longer exists or matters.

    Les Leopold
    Apr 17, 2024

    I don’t like to slam books, especially those ahead of mine on the best seller list. It might seem like petty jealousy. But one recent release, White Rural Rage by Tom Schaller and Paul Waldman, is seriously flawed.

    For starters, the authors write as if economic class no longer exists or matters. According to this book, all rural white people, or at least most of them, share similar racist attitudes. Class distinctions between bosses and workers, rich and poor, are meaningless.

    Keep ReadingShow Less
    Opinion
    working class
    A woman lays in a hospital bed

    Idaho Hospital Ends All Labor and Delivery Care, Citing Abortion Ban

    "Consequences for Idaho physicians providing the standard of care may include civil litigation and criminal prosecution, leading to jail time or fines," said Bonner General Health as it closed its obstetrics unit.

    Julia Conley
    Mar 22, 2023

    Rural areas in the U.S. have faced a decline in hospitals that provide obstetric services for years, and the fate of one hospital in northern Idaho suggests that abortion bans could worsen the trend.

    As The Washington Post reported reported Tuesday, Bonner General Health in Sandpoint, Idaho has been forced to announce the impending closure of its labor and delivery department, citing staffing issues as well as the state's punitive abortion ban—one of the strictest in the nation—and threats from state Republicans to make the law even more stringent.

    Keep ReadingShow Less
    News
    abortion bans
    See More

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