Friday, October 25, 2024

Piles of dead dairy cows in California show an industry that wasn't prepared for H5N1 bird flu's aggressive spread

H5N1 can be more deadly for younger cows.
(Adobe Stock photo)
After the H5N1 bird flu virus was detected in California in August, the virus spread aggressively and has infected at least 124 dairy herds and 13 dairy workers, reports Susanne Rust of the Los Angeles Times. "And according to dairy experts, the spread of the virus has yet to abate." The virus has killed dairy cattle at an "unexpected rate," which has left some dairies with roadside piles of dead cows awaiting rendering service pickup.

While roadside patches of dead cows are grisly, John Korslund, a retired Department of Agriculture veterinarian epidemiologist, said "there was probably very little risk to public health in having the animals piled up," because the virus doesn't last long in a carcass. 

Anja Raudabaugh, chief executive of Western United Dairies, "said although the dairy farmers she represents had been reading about the virus for months before it hit, no one was prepared for the devastation and unevenness with which the virus has struck California’s dairy herds," Rust reports. "She said on some farms, the cows seem virtually unaffected, despite being infected. While on others, the animals are dying in droves."

The virus' biggest toll has been on younger dairy cows, but farmers are doing what they can to keep them alive. Raudabaugh told Rust, “given the extreme rearing and raising and just expenses that go into raising these animals, there’s hope that on the other side of the virus, they will come back into production that’s sustainable for the farmer. So it’s definitely a last resort if they are culling them.”

Dairy farmers are concerned that even if a cows survive the virus, their milk production could indefinitely decrease. Rust reports, "The Department of Agriculture has a program to pay back farmers for production loss due to the virus. The program covers the three weeks of production lost by a cow when it is removed from the milking herd to recover, as well as the seven days afterward when production is still low." There is no protection for permanent production loss.

Report: Chain drugstores get $23.55 to fill a blood pressure prescription, but a small drugstore gets only $1.51

Adams Family Pharmacy often loses money filling
prescriptions. (Photo by A. Miller, KFF Health News)

Even as independent pharmacists face low or no profits from medication sales, pharmacy middlemen reimbursements favor large drugstore chains. The Federal Trade Commission and several lawmakers are starting to take aim at prescription benefit managers' power and repayment practices.

"On Sept. 20, the FTC sued three of the largest PBMs. . .The lawsuit followed a scathing FTC report that said the 'dominant PBMs can often exercise significant control over which drugs are available, at what price, and which pharmacies patients can use to access their prescribed medications,'" reports Andy Miller of KFF Health News.

How PBMs dominate reimbursement in Georgia is a drastic example of smaller pharmacies being shorted. The American Pharmacy Cooperative, which represents independent pharmacies, "reviewed the price differential paid to a north Georgia pharmacy and nearby chain stores," Miller explains. "The analysis showed chains were paid well beyond the family business. For example, the chains received an average of nearly $54 for the antidepressant bupropion, while Bell’s Family Pharmacy in Tate, Georgia, got $5.54. . . . For a drug used to treat blood pressure, amlodipine, chain pharmacies received an average of $23.55, while Bell’s got $1.51. . . Bell’s Family Pharmacy closed earlier this year."

Nikki Bryant is a pharmacist and co-owner of Adams Family Pharmacy in rural Cuthbert, Georgia, who has worked to find creative ways to bolster the business' income because the pharmacy loses money. "Bryant and other independent pharmacists say they lose money filling certain prescriptions while reimbursements favor chain pharmacies like CVS that have corporate ties to pharmacy benefit managers," Miller adds. "Bryant said she can make more profit on cake and coffee than with many medications."

Some lawmakers are scrutinizing PBMs. "Members of both parties in Congress have tackled PBM reform," Miller reports. "House members recently introduced another proposal, known as the Pharmacists Fight Back Act, which supporters say would add transparency, limit costs for patients, ensure they get the benefit of drugmaker discounts, and protect their pharmacy choices."

Years of underpayments by PBMs to smaller pharmacies have disproportionately harmed rural communities by "accelerating closures of mom-and-pop pharmacies across the country, said the National Community Pharmacists Association," Miller reports. "The U.S. loses almost one such pharmacy a day, said Anne Cassity, a senior vice president of the association."

Is sewage sludge used on farms and golf courses in your community? Tips for journalists to investigate issues.

A sewage sludge treatment tank in Scottdale, Penn.
(USDA photo, Lance Cheung via Flickr CC)
It may not sound pretty, but looking into sewage sludge disposal practices can be a story that helps your community's health. "There was a time when the Environmental Protection Agency renamed toxic sludge as 'biosolids,' and journalists went along with it," reports Joseph A. Davis of the Society of Environmental Journalists. "As we are becoming aware of more and more toxic chemicals, it is hardly a surprise that we are finding them in sewage sludge. The surprise is that some farmers are spreading them on their fields."

The multiple contaminants within sewage sludge are a health threat to humans and the environment because PFAS or "forever chemicals" can be present in sludge; however, sludge pollutants can also include "heavy metals like lead, other toxic organics like dioxins, PCBs, pharmaceuticals whose names you can’t even pronounce," Davis explains. "The problem gets much harder when you realize there are thousands of individual PFAS chemicals. Not to mention all the other chemical families."

The problems with sludge, even when treated, or labeled "biosolids" remain extensive. EPA rules may not be enough to keep people and nature safe because current rules "allow — some say encourage — sterilized, dried sludge to be spread on fields, golf courses, etc," Davis writes. "The big question is whether harmful chemicals are getting into people’s food and water."

Davis offers the following story ideas:
  • Where does your sewage go when you flush the toilet? Talk to your local sewage treatment agencies and ask them what they do with their sewage sludge.
  • Ask who takes the bulk of processed sludge from your local agencies? There may be companies who distribute it in large quantities to farmers, golf courses, etc., who apply it to land. Talk to them. Talk to their customers.
  • The EPA has to review its 'biosolids' rules every two years to see whether they should be updated as new contaminants come to light. What do local sewage officials and environmental advocates think about the EPA’s performance?
  • Some disposal of sewage sludge on land requires a National Pollutant Discharge Elimination System (water pollution) permit. Check the permit database for permittees. Check the EPA’s ECHO enforcement database for violators. Talk to permittees and permitting agencies.
  • Does your local sludge go into the retail market? What companies and brands sell it? Ask for their test results on chemical contamination. Figure out what they didn’t test for.
  • Talk to groundskeepers or managers at local golf courses. Do they use sludge products on their courses? What can you learn about the run-off situation?
  • Go to meetings of local garden clubs and community gardens. Or visit on-site. Ask members what they do, especially with vegetable gardens.
Reporting resources:

Researchers are modifying the DNA of corn seeds to reduce pollution and dependence on fertilizer .

Pivot Bio's microbes help nourish corn seeds in the ground and reduce their need for
chemical fertilizers. The process has a lot of unanswered questions. (Privot Bio graphic)

In a novel approach to stemming agriculture's contribution to climate change, researchers are altering bacterial DNA, so that corn seeds require less chemical fertilizer to thrive, reports Eric Lipton of The New York Times. "Globally, the manufacture, transportation, and use of chemical fertilizer is responsible for pollution with the equivalent planet-warming power of about 1 billion metric tons of carbon dioxide each year. That’s more than the combined releases from all the coal-burning power plants in the U.S."

Research on genetically modified bacteria that is sprayed on corn seeds and then planted in the U.S. corn belt is ongoing. If successful, it could revolutionize how plantings are nourished throughout their growth cycle while helping reduce carbon emissions. Lipton writes, "Just five years after they were introduced, the seeds are being used on 5% of American corn crops."

The sprayed seeds are produced by Pivot Bio, a California-based company, which "estimates that last year, its treated seeds prevented the release of an estimated 706,000 metric tons of carbon dioxide equivalent — comparable to the greenhouse gasses from burning 1.5 million barrels of oil," Lipton reports. "But it’s also producing intense pushback."

The alteration of bacteria and its application to corn seeds has some organic farming groups up in arms and "manufacturers of chemical fertilizer are also raising doubts about the new industry player," Lipton adds. "Pivot’s own advisers concede there are unanswered questions." David Kanter, a Pivot adviser who teaches environmental studies at New York University, told Lipton, "We have rarely created a solution to an environmental problem that doesn’t create other unforeseen consequences down the line."

Meanwhile, other companies are creating their own hubs of fertilizer-replacement research. "The goal is to supplant as much as half the fertilizer used today," Lipton reports. "Companies, including Ginkgo Bioworks and BioConsortia, are developing their own versions. Academics at M.I.T. and other universities are trying to make further advances. . . . At this point, scientists don’t believe they can completely eliminate the need for chemical fertilizer."

An Ohio county with big Amish community is becoming an economic hub. Economists say the model can be replicated.

Horse-drawn buggy in rural Holmes
County (Wikipedia photo)
Hard work, generosity and 'extreme networking,' are a few of the reasons the Amish community in Holmes County, Ohio, is thriving. The group's unique ways of supporting new businesses can serve as a model for other places looking to bolster economic mobility, reports Scott Calvert of The Wall Street Journal. "Between 2005 and 2019, average household income in Holmes County rose 24% for 27-year-olds raised in lower-income homes."

By some measures, Holmes should be struggling, but instead, it's becoming an economic hub. "Economists and local business leaders believe much of the progress stems from entrepreneurial growth fueled by cooperation and innovation, all buttressed by tight family and community ties," Calvert explains. "Mark Partridge, an Ohio State University economist who has studied Holmes County, points to an 'extreme networking effect,' where companies — and cousins — routinely help each other out."

Location of Holmes County
in Ohio (Wikipedia photo)
Experts point out that being Amish isn't necessary to replicate what's going on in Holmes County. Partridge told Calvert, "You can have a tight social network with effective social organizations, chambers of commerce, business organizations, and other kind of nonprofits.” Calvert reports, "While rural areas are often hampered by young talent moving away for better job opportunities, many Holmes County natives remain, held in part by the Amish tradition of staying near one’s community."

Sharing -- even with business competitors -- is a key ingredient in this community's success. Calvert writes, "Steve Miller, 31, started Grand Design Roofing in his 20s with a partner. Their Covid-era boom is over, he said, but business is still robust enough to sometimes overextend him and his six workers." Miller told Calvert, "If we’ve got plenty of jobs, I just go to my competitor and I give him a couple jobs. . . . I’m here so my employees can make a good, honest living. . . . I’m not here to collect all the wealth I can absolutely collect.”

Tuesday, October 22, 2024

Powerful pharmacy benefit managers are tasked with cutting costs, but their practices can undercut small pharmacies

PBMs increase profits when independent pharmacies
go out of business. (Adobe Stock photo)
The loss of independent pharmacies across the country has been a concern for rural residents, but who are the fabled PBMs, or pharmacy benefit managers, how do they operate and what do they gain when they force smaller pharmacies to close, ask Reed Abelson and Rebecca Robbins of The New York Times. "A New York Times investigation found PBMs, which employers and government programs hire to oversee prescription drug benefits, have been systematically underpaying small pharmacies, helping to drive hundreds out of business."

PBMs garner the power to underpay smaller pharmacies from "two main sources. First, the three biggest players — CVS Caremark, Express Scripts and Optum Rx — collectively process roughly 80 percent of prescriptions in the United States," Abelson and Robbins explain. "Second, they determine how much drugstores are reimbursed for medications that they provide to patients. . . . When local drugstores fold, the benefit managers often scoop up their customers, according to dozens of patients and pharmacists."

The process of how pharmacists purchase medicines, sell them to patients and receive reimbursements is undermined by PBMs who seek to add to their profits by undercutting smaller drugstores' drug reimbursements. The Times reports, "To take just one example: For a month’s supply of the blood thinner Eliquis, several pharmacists in different states said, the big three PBMs routinely paid them as much as $100 less than what it cost the pharmacies to buy the medication from a wholesaler.

"By contrast, the PBMs sometimes pay their own pharmacies more than what they pay local drugstores for the same medications. Independent pharmacies are powerless to fight back. As the unprofitable transactions pile up, some are unable to stay afloat. . . . [The closures] have disproportionately affected rural and low-income communities, creating so-called pharmacy deserts that make it harder for residents to get prescriptions and medical advice."

There is an inherent tension between PBMs and any pharmacy seeking drug reimbursements. The PBMs' purpose is to cut costs, which is accomplished by paying pharmacies less. Those savings can, "in turn, lower insurance premiums for workers and people covered by government programs like Medicare," Abelson and Robbins write. "But that apparent frugality often benefits the PBMs in ways that have nothing to do with their clients’ interests. . . .At the same time that PBMs are reimbursing pharmacies at rates below their costs, the benefit managers are often charging employers much higher prices and pocketing the difference, according to insurance paperwork reviewed by The Times."

Rural pharmacies have been forced into closure for years; now bigger chains are shuttering stores

A Walgreens pharmacy in Murphy, North Carolina,
pop. 1,600. (Wikipedia photo)
 
Over the past decade, rural, independent pharmacies faced shrinking profits and many closed. But now, even big chains are struggling to keep the current drugstore model profitable, reports Nathaniel Meyersohn of CNN News. "CVS is closing 900 stores. Walgreens announced it plans to close 1,200 stores, meaning 1 in 7 will disappear. . . .They are now shutting down because of shifting consumer habits, competition and changes in the pharmacy industry."

Both independent and larger drugstore chains blame some of their financial decline on pharmacy benefit managers, or PBMs, which negotiate rebates from drug manufacturers to insurers. "PBMs have been cutting reimbursement rates to boost their own profits, Elizabeth Anderson, an analyst at Evercore IRI," told CNN. "The pharmacy industry has complained that PBMs have too much control and can squeeze pharmacies. PBMs argue that they help keep drug prices down by negotiating with drug makers."

Walgreens added primary care clinics to try and bolster its bottom line, but the venture was unsuccessful. "Walgreens took a $5.2 billion stake in VillageMD, a primary care network, in 2021. But VillageMD has not been profitable for Walgreens, and Walgreens has tried to cut costs," Meyersohn writes. "The chain has been closing VillageMD locations and said over the summer it will divest from the company."

When the past 20 years of pharmacy availability for Americans is scrutinized, rural residents usually end up with fewer options and a longer drive for medication treatment, but the same can be true for poorer neighborhoods. Meyersohn reports, "Roughly one out of every eight pharmacies closed between 2009 and 2015, which disproportionately affected independent pharmacies and low-income neighborhoods, according to a study published in the Journal of the American Medical Association."

Opinion: Reporter's shield law needs to be extended to the federal level: 'The PRESS Act is needed now.'

Shield law protections by state (Graph by the Reporters Committee
for Freedom of the Press)

The New York Times editorial board offers a compelling piece on the importance of a reporter's shield law and why its protections need to be extended to the federal level. "Safeguarding the anonymity of reporters’ sources is essential . . . . It has been recognized by governments or courts in 49 states and the District of Columbia as a form of protection for journalists and news outlets against unfair or overbearing efforts by the government to ferret out their sources. . . There is nothing of the sort, however, on the federal level, where the need is arguably greatest."

A bipartisan bill representing those federal protections, known as the Protect Reporters From Exploitative State Spying Act, or PRESS Act, has already moved through the House of Representatives and is awaiting release by the Senate Judiciary Committee. The editorial board writes, "It would shield reporters from court-ordered disclosure of their sources of information, except in the rare cases in which disclosure is necessary to prevent an act of terrorism or imminent violence."

Freedom of speech and whistle-blowing protection remain essential parts of a healthy democracy. The editorial board adds, "Leaks and whistle-blowers have often proved essential to the public’s understanding of major events and the workings of government at all levels. There is nothing ideological about their usefulness; they can be just as effective in exposing the unwelcome truth about Democratic administrations as Republican ones. By protecting reporters from having to reveal their sources, the bill would ideally encourage more whistle-blowers to help shine a light on government abuses."

Some members of the House having been "targets of sharp investigative reporting or frequent critics of the news media," the editorial board adds. Still, every member has "supported swift passage of the PRESS bill. . . Nothing in the PRESS Act would prevent the government from prosecuting leakers, and the government has vast powers to monitor its officials without demanding that reporters divulge the information they seek. . . . The PRESS Act is needed now."

Rural Main Street businesses have struggled, but some entrepreneurs have taken on the challenge with success

Over the past two decades, rural Main Street rehabs have proved challenging to create and sustain, but some entrepreneurs have seen "the blight as an enticement — not a deterrent," reports Lori Ioannou of The Wall Street Journal. "Many Main Streets are riddled with shuttered storefronts and struggling businesses. Here is a look at three entrepreneurs who challenged the odds on Main Street, and how they fared."
Harvey and his "Delta Dirt" family


Harvey Williams Jr. moved his family from the big city of Dallas to rural Helena-West Helena, Ark., where he grew up. Williams was an agricultural engineer, and as he explored business potentials in his hometown "he was inspired to create Delta Dirt Distillery at 430 Cherry St., making sweet-potato vodka from produce harvested on his family’s farm," Ioannou writes. "The distillery opened in April 2021, and locals began spreading the word on social media. . . . The distillery has become a tourist attraction, and many also take a tour of the Williams farm to learn about the history of Black farmers in America."

While on vacation, Jennifer Jones and her husband Brian fell in love with Big Stone Gap, a former coal town of about 5,300 people "nestled in the Appalachian Mountains," Ioannou reports. The couple closed their California business and moved to the western Virginia town. "In April 2022, they bought a struggling vegan pizzeria and its building on 215 Wood Avenue East. At the time, Wood Ave. East was a shadow of its former glory, lined with failed and struggling businesses."

The Jones family helped revive Big Stone Gap's
Main Street businesses.
The Jones' efforts were rewarded by an outpouring of community support. "The town manager and other local small-business owners and residents pitched in to help get the business up and running," Ioannou writes. "For their part, the Joneses have supported community events and hosted local festivals that have helped market the business. That pay-it-forward mentality among civic leaders and small-business owners has ignited a small-business revival in Big Stone Gap."

Not every Main Street venture is a success. For Bill Waterhouse and his partner, Sonja Olbert, being able to pursue their passions and help their small community meant adapting. Read their story here.

Quick hits: Small-town murder mysteries; slower mail for rural residents; a new hearing aid; Halloween night skies

Rossif Sutherland and Kristin Kreuk star in the new Global/FOX series 'Murder in a Small Town.' (Global TVvia IMDb photo/The Daily Yonder)

There's nothing quite like small-town murder tales to get people glued to their television screens week after week. "The latest TV series on FOX puts its own spin on a genre that has stood the test of time," reports Keith Roysdon of The Daily Yonder. "We haven’t yet reached the point where it’s become obvious that something is very, very wrong in the town of Gibsons . . . . 'Murder in a Small Town' is good, dependable murder-of-the-week television, probably not dissimilar to how 'Murder, She Wrote' was perceived for most of its run."

In Lancaster County, Penn., Democrats see an opportunity even though the county typically votes Republican, "the demographics are shifting here and throughout the state," report Campbell Robertson and Robert Gebeloff of The New York Times. "Pennsylvania is arguably the most pivotal state in the election, carrying 19 electoral votes, the most of the so-called swing states. After voting for the Democrat in every presidential election going back to 1992, the state went for Donald J. Trump in 2016 by less than a percentage point. Joe Biden won in 2020, by a little over a percentage point."

Jim and Sharon Erwin enjoy the natural beauty of
 Gunnison, Colo.
(Photo by Jim Erwin via WSJ)
As baby boomers head into retirement, some choose to resettle in rural places for reasons that range from cutting costs to living closer to natural attractions. "The move to remote mountain and lake areas is helping reverse a long decline in the rural population. From April 2020 to July 2023, the rural counties retirees flocked to grew 4% versus less than 1% for rural America as a whole," report Anne Tergesen and Veronica Dagher of The Wall Street Journal

If slower is cheaper, is that OK? That depends. "The U.S. Postal Service is moving forward with a plan to slow down delivery for a relatively small portion of mail, telling its regulator the changes would save nearly $4 billion annually and better reflect the evolving nature of mail usage," reports Eric Katz of Route Fifty. Advocates for rural residents say the change will disproportionately affect mail delivery and pickup in more remote areas. Liz Carey of The Daily Yonder reports, "The plan would eliminate evening mail pickup in rural and remote areas, which could affect delivery times for areas that are more than 50 miles from a large USPS regional processing facility."
Apple's AirPods Pro 2 with hearing aid feature
(Apple photo via Wired)

Over-the-counter hearing aids seemed like a "cheaper and more accessible [solution] for people with mild to moderate hearing loss. Instead, people are returning them at high rates," reports Julie Jargon of The Wall Street Journal. "Doctors lauded the move as a solution for over 20 million American adults who have hearing loss that isn’t severe enough to warrant expensive prescription devices. In reality, many go for $1,500 to $2,000 . . . . The struggles come as Apple prepares to release a potential game-changer — a software update that will turn its popular, $249 AirPods Pro 2 into hearing aids."


This year's spooky season will be topped off by rarely-seen cosmic visitors. "In the days leading up to Halloween, Tsuchinshan-ATLAS, also known as Comet C/2023 A3, will be at its brightest, and likely visible to the naked eye. . . just look to the western sky shortly after sunset. As the days pass, the comet will get fainter and move to a higher part of the sky," reports James Wray for The Conversation. "The second comet, C/2024 S1 (ATLAS), should be visible around the end of October. The comet will pass closest to Earth on Oct. 24 – look low in the eastern sky just before sunrise. Then, after swinging around the Sun, the comet may reappear in the western night sky right around Halloween."

Friday, October 18, 2024

Younger people left metro areas for smaller cities during the Covid era, and many aren't going back 'anytime soon'

University of Virginia graph, from Census Bureau Annual
Age Estimates
The population of some bigger U.S. cities is shrinking as younger residents move to smaller towns and cities even as Covid-era worries wither, reports Paul Davidson of USA Today. "Since the pandemic, cities with more than 1 million residents have lost adults ages 25 to 44 while towns with smaller populations have gained young people, after accounting for both those moving in and leaving, according to a University of Virginia analysis of Census Bureau data."

Hamilton Lombard, the study's author and a demographer at the University of Virginia’s Weldon Cooper Center for Public Service, told Davidson, "Younger adults have driven most of the shift. . . since the pandemic. . . . The migration of younger adults into small towns and rural areas picked up last year rather than returning to pre-pandemic trends."

The age group's surprising shift in geography and lifestyle preferences has some experts scratching their heads. "The migration of young adults to small towns unexpectedly accelerated last year. From 2020 to 2023, young people comprised 54% of population gains in areas with fewer than 250,000 residents," Davidson reports. "Since 2020, areas with fewer than 1 million residents have added 25- to 34-year-olds in large numbers while more densely populated areas have lost them."

"Those in the 25 to 44 age bracket may not come back to large metro areas anytime soon," Davidson reports. Remote work options have "allowed more young Americans to live in smaller towns with more open spaces, natural beauty and low costs. . . . As large-city home prices and rents have soared, young people have flocked to smaller, more affordable markets."

Grocery store chains still use 'old-school' spying to out-price competitors. The practice has piqued antitrust interests.

Kroger ads provide competitors price information, but
"spies" also visit stores in person.
When big grocery stores battle for market share, most chains deploy old-timey spies who sleuth prices, quality and customer behaviors. The "old-school tactics are fueling the government’s case against Kroger-Albertsons deal," reports Patrick Thomas of The Wall Street Journal. "Grocery-store operators scrutinize the websites and promotions of rivals and send managers to walk through competitors’ stores to help establish what shoppers will pay for items."

In the case of the proposed $20 billion merger between Kroger and Albertsons, how grocery stores compete matters. Government antitrust lawyers seek to block the merger because grocery companies "commonly use rivals’ prices as a benchmark in setting their own," Thomas explains. "Federal Trade Commission attorneys argued that Kroger won’t have the same incentive to lower prices in its stores without Albertsons. Price checks can provide a ceiling for what grocers charge shoppers."

While antitrust lawyers say competition between big grocery store chains helps keep prices down, attorneys for Kroger say merging with Albertsons will enable them to compete with Walmart. Thomas adds, "Kroger and Albertsons also said they price check against a number of different competitors in a given area, including Walmart, Target, and Amazon.com’s Whole Foods Market, not just each other."

Still, the active competition between grocers demonstrates how prices can be affected by grocery store sleuthing. James McCann, the former chief executive of grocery chain Ahold USA, told Thomas, "It’s about the perception of price in your store. If you are expensive, a lot of customers will migrate to other places." Thomas reports, "McCann said it is common to send an employee across the street to a competitor three times a week to check prices on about 30 items."

Even though Walmart is the world's largest retailer, it also uses old-school spying to gain market knowledge, and in turn, the company uses that on-the-ground information to squeeze cheaper prices out of suppliers. Thomas adds, "The retailer also has regional managers visit competitors and its buyers pressure suppliers to offer lower wholesale prices if managers find items sold cheaper elsewhere, people familiar with the process said."

Rural Wisconsin communities face division and racism fueled by immigration concerns as presidential race tightens

Sauk County is as diverse as its voters. The community includes
farms, outdoor and natural attractions, arts and a robust tourism sector.
As both presidential campaigns vie for votes in Wisconsin, some of the state's rural voters say election rhetoric has become harmfully divisive and tinged with racism, reports Dionne Searcey of The New York Times. In Sauk County, Wisconsin, residents can see their community's partisan divide by tallying neighborhood political yard signs. The heated debates even moved owners of the Square Tavern in Baraboo, the county seat, to "post handwritten notes admonishing customers along the giant mirror behind the bar: 'No Politics and No Religion.'"

While Trump and Harris court all Wisconsin residents to swing to their side, winning over Sauk County voters may be the jewel in the battleground state's rural crown. "Sauk County has been a presidential bellwether in recent years, voting for the winner in the past four elections," Searcey explains. "Sauk County, which is mostly white with a small but growing nonwhite population, has been roiled by its own racial skirmishes in recent years."

Like many Americans, Sauk County voters want the next president to address crime, abortion "and especially immigration," Searcey writes. 

Some Harris supporters "complain that much of Trump’s message is aimed at stoking racist attitudes to earn him votes. Their chief example: Trump’s proclamation from the debate stage that Haitian immigrants are eating cats and dogs." Searcey explains. While Trump's claim is false, it resonates with some Sauk County voters who may fear immigrants. "This summer, a county board meeting turned hostile over worries that refugees might someday settle nearby."

As Harris and Trump stump in pivotal states, how racial and migrant conflicts will be dealt with by the next commander-in-chief matters. Searcey reports, "Trump’s backers say it is Democrats who are using race to win votes, tossing around accusations of racism as a cudgel. His supporters say they are tired of being labeled racist or xenophobic for complaining about urgent issues, in particular immigration."

Meanwhile in places like Baraboo, "the divisions were evident on a recent afternoon of door knocking with Karen DeSanto, a Democrat running for the State Assembly," Searcey adds. "On the same block, three residents had three different ideas about the election: one undecided, one supporting Harris and the other backing Trump. Immigration was on everyone’s mind."

FEMA maps didn't prepare N.C. homeowners for Helene; some think flood insurance model needs an overhaul

Some homes became part of mudslides and slid into Helene's
racing, torrential waters. (WHAS ABC photo via youtube)
The Federal Emergency Management Agency's flood maps don't include heavy rain and other water sources that put certain areas at risk. In regions of North Carolina, the agency's omissions left many homebuyers unaware and uninsured against the ravages of Hurricane Helene, report Kevin Crowe, Shannon Osaka and John Muyskens of The Washington Post.

The Post used an "analysis of flood risk data from First Street, a climate modeling group, and found that just 2% of properties in the mountainous counties of western North Carolina fall inside areas marked as having a special risk of flooding. . . . (a) designation, which compels homeowners to buy flood insurance if they want to get a federally backed mortgage."

Experts have long warned that FEMA's maps are lagging behind science and current weather trends, but communities often balk at mapping changes. "Local officials often resist changes that show their areas more at risk, because the designation comes with extra costs," the Post reports. "Once an area is designated in the special flood zone, buildings have to follow more stringent federal guidelines." Some experts are pushing to have the entire federal flood insurance model overhauled.

FEMA's maps underestimate flood risk because the agency fails "to take into account flooding from heavy rain, small streams and tributaries, or climate change’s future impact — and can fall short when assessing current risks in a wetter, hotter world," the Post reports. When a region's topography and current climate threats are not figured into risk equations, homebuyers are left unknowingly vulnerable to flooding.

"In Buncombe County, where rising waters swamped areas like Asheville and Swannanoa, First Street’s maps show a much larger area of flood risk than the FEMA maps do," the Post article explains. "About 2,100 properties out of about 125,000 in the county are in FEMA’s flood zone, compared with 19,500 under First Street’s model."

A young farmer and former addict offers hope for recovery: 'The only thing you’re not coming back from is death.'

Nathan Caburn, a successful Mississippi Delta farmer
and past opioid addict. (Photo by C. Bennett, Farm Journal)
Nathan Casburn could be a poster child for a drug-addicted prodigal son, who threw away his farm and family for oxycontin and heroin highs.

Casburn's story is a tale that resonates with opioid-ravaged families and reflects what the love of a father and the support of a rural community can do for addicts who want to go home and begin again, writes Chris Bennett of Farm Journal. "Casburn is a most unlikely survivor. He tells a hellish tale of loss and triumph on the farm — without a shred of blame cast beyond his own shadow."

As a teenager, Casburn obsessively played video games. He told Bennett, "I played every waking moment I could, to the point of fixation. I knew I was different from the other kids and not in a good way; I was geared toward escapes. In my case, an obsession with video games was a symptom of my unhealthy mindset.”

From video game escapes, Casburn went on to alcohol. Bennett writes, "In 2004, on backroad gravel, Casburn, a high school junior, broke two vertebrates in an alcohol-related car crash. The subsequent pain management became a party, legitimized by medical approval in the age of OxyContin. Casburn was in love. Welcome to the wonder world of opioids."

Casner wanted nothing to do with his family's Mississippi Delta farm in Tallahatchie County. He was all about the highs. "Next stop, 75 miles west to Ole Miss and Oxford, and a chain of descent in a college town: DUI’s, car wrecks, arrests, hospitalization, overdoses, academic probation, and legal woes," Bennett explains. "By 2014, with no job, no degree, and no prospects. . . . OxyContin and other legal pharmaceuticals were out of his price range. He responded with the most hellish economic decision of his life. Go home to the farm and tap the vein. Heroin."

"Rain or shine, addiction woke Casburn at dawn every day, demanding a morning fix," Bennett writes. "In 2017, at 29, Casburn’s body gave out. After two weeks in intensive care due to a heart valve infection derived from heroin use, he returned home, and checked into rehab. . . . Three weeks after rehab, Casburn was back on the needle."

Then death came knocking. Casburn told Bennett: "I had an out-of-body experience with no drugs involved. I saw everyone going on with life, and me stuck right there dying as an addict. Right then, in the library, I dropped to my knees and threw up a prayer in desperation, but I meant every word. I called out to God for mercy and forgiveness. I told Him that if He would help me, then I’d do everything He asked. That prayer was answered.”

He told Bennett, “All the people around me in our farming community came to help me in one way or another." Bennett adds, "Seven years after crashing to his knees, Casburn has earned a stellar reputation and built a thriving farm life. . . . In March 2024, he and his wife Caitlin were blessed with a baby girl — Nora." He is grateful for a "particularly stalwart source of support — his father, Rea."

Casburn wants people who are addicted to know there is always hope. He told Bennett, "Never, never believe that you can’t get out of drugs. You’re never too far gone. The only thing you’re not coming back from is death.”

Tuesday, October 08, 2024

Editor in North Carolina had to balance his storm-reporting duties with his other roles as a firefighter and EMT

Moss Brennan
Moss Brennan is editor of the Watauga Democrat newspaper in western North Carolina, and he also is a volunteer firefighter and an emergency medical technician. As Lauren Watson reports for Columbia Journalism Review, Brennan had to balance those roles as the flooding and winds from Helene led to extensive damage and hundreds of emergency rescues where he lives and works. 

In addition to his job at the Watauga newspaper, Brennan also is executive editor of Mountain Times Publications, which serves three rural counties in the region. 

As Watson reported, "In the days leading up to the arrival of Hurricane Helene last week, he was preparing for what he imagined would be some flooding and structural damage — possibly a handful of dramatic rescue missions — to report on. But he never anticipated the breadth of devastation and destruction that Helene would ultimately bring."

When the storm hit, Brennan first focused on his emergency services duties. “'If there is somebody that is hurt or their life is on the line, that comes first, before the story,'' he told Watson. "Balancing the two roles can be tricky ('I’m human, so it’s not perfect'), but Brennan also recognizes the responsibility that comes with his newspaper job."

Brennan told Watson: "I oversee the papers in Ashe, Watauga, and Avery counties, and during the week, we were the only outlet able to offer regular updates and reports to those communities."

As he delivered papers to people throughout the devastated communities, he found them welcoming of trustworthy information the newspapers provided. "I met people who told me that this was the first news they had gotten since last week.

"The Watauga County emergency services also asked for a bunch of papers so that their own damage assessment teams could give them out to people who lost everything and had no information about what was going on."

In North Carolina mountain towns, residents went 'old-school' to communicate; it's a model for other communities

Mountain communities in North Carolina used the old-fashioned town meeting to
share information, food and other post-hurricane resources. (Black Mountain, N.C. town photo)

In post-Hurricane Helene North Carolina, small mountain communities found communicating hard, so they resurrected the town meeting. "Spotty phone service was just one of the many problems facing western North Carolina and the surrounding region, where floods and landslides turned some communities into rubble," reports Jacey Fortin of The New York Times. "Being cut off from the modern world left many residents feeling frustrated and alone. So they turned to methods that have been out of date for a century or more."

Residents of Black Mountain, N.C., "pitched in to make signs alerting their neighbors to the daily gatherings, using posters, markers, wooden boards, spray paint, and anything else they could get their hands on," Fortin explains. "About 1,000 people turned out for daily updates in the town square." Other small towns used town squares as food distribution hubs. The town gatherings also "provided a much-need sense of community amid the widespread destruction."

In Banner Elk, N.C., a Blue Ridge Mountain town, connectivity was unreliable, so they relied on word of mouth to share information. Lora Elder, a Banner Elk volunteer, told Fortin, “It’s a very old-school method, but that’s how the word’s been getting spread.” Even as internet and cell service slowly return to these areas, their impromptu town meeting model is an example for other rural communities to use during disasters.

Election workers can be the best whistleblowers about interference, but they need protection from backlash

Election workers and officials help keep American
democracy healthy. (Photo by Ernie Journeys, Unsplash)
With November elections less than a month away, "lawyers at the Government Accountability Project, a nonprofit whistleblower protection organization, are preparing for a potential influx of calls from a new type of client this fall: election workers," reports Molly Bloom of Route Fifty. "Local, county and state election officials, poll workers and even contractors like voting machine operators are best positioned to identify and warn of attempts to interfere with the election process."

Over the past decade, election workers have faced increasing public scrutiny, rudeness and even threats of violence. Bloom explains, "Nearly 40% of local election officials reported experiencing threats, harassment or abuse last year, according to a Brennan Center for Justice survey. And 62% reported concerns about political leaders engaging in efforts to interfere with how election officials do their jobs."

Dana Gold, director of the Government Accountability Project’s Democracy Protection Initiative, told Bloom, "These are just public servants who we are depending on to really protect our democracy." The initiative created a guide for whistleblowers in battleground states. It aims to empower election workers with knowledge on how and when to speak up if something seems irregular.

For U.S. democracy to remain healthy, election workers need to report possible election interference without fear of retribution from the public or political officials. Bloom reports, "The laws protecting those who might blow the whistle on any interference, much like the laws governing the administration of elections, vary by state." Gold told Bloom, "There's no one law for whistleblowers. That's why it's important to get advice early.”

In 2021, when the Election Official Legal Defense Network was founded to "provide pro-bono legal help and advice for election officials, it was hailed as the first organization of its kind."

Both parties agree medical debt is a burden for many Americans and are working to pass laws that offer relief

Solving Americans' medical debt problems has
bipartisan support. (Photo by K. Sikkema, Unsplash)
Lawmakers from both parties agree too many Americans are saddled with medical debt and the problem requires bipartisan intervention. "Democrats and Republicans in statehouses around the country have been quietly working together to tackle the nation’s medical debt crisis," writes Noam N. Levey of KFF Health News. Florida House Speaker Paul Renner, a conservative Republican, told Levey, "Regardless of their party, regardless of their background . . . any significant medical procedure can place people into bankruptcy. This is a real issue."

Some states have passed laws banning unpaid medical bills from consumer credit reports and "restrict medical providers from placing liens on patients’ homes," Levey writes. A significant medical debt can cause a financial spiral for people who end up "draining savings, taking out second mortgages, or cutting back on food and other essentials."

States are trying different approaches to address the problem. "When Arizona consumer advocates put a measure on the ballot in 2022 to cap interest rates on medical debt, 72% of voters backed the initiative."

Legislative efforts to bar medical debts from consumer reports or to limit a hospital's collection activity vary from state to state. "When Colorado last year became the first state to bar medical debt from residents’ credit reports, just one Republican lawmaker backed the measure," Levey writes. "New Mexico state Sen. Steve Neville, a Republican who backed legislation to restrict aggressive collections against low-income patients in that state, said he was simply being pragmatic."

Flora & Fauna: Flightless eagle mystery solved; beware of black-legged ticks; secret lives of plants; Pesto the Penguin

Bald eagle that was captured and believed to be ill. (Photo by
Wilson's Creek National Battlefield via The Guardian)
People thought this raptor was wounded because he couldn't fly. As luck would have it, this bird was not ill, but he had gobbled up his Thanksgiving dinner early. "Wildlife officials in Missouri rescued what they thought was an injured and flightless bald eagle, only to discover it had gorged itself on a roadkill raccoon and was 'too fat to fly,'" reports Richard Luscombe of The Guardian. "The eagle was released, completely healthy and full of energy, after a short period of 'rehabilitation' at the zoo’s wildlife hospital."
 
Among stretches of corn and beans in Midwestern Iowa, swaths of pollinator-loving plants and flowers grow. These "prairie strips" were sown by farmers and "they are part of a growing movement to reduce the environmental harms of farming and help draw down greenhouse gas emissions," reports Cara Buckley of The New York Times. "While giving fauna a much-needed boost and helping to restore the land. . . .The aim is to reduce nutrient runoff from cropland, and help birds and bees."

Black-legged ticks are small, wingless, bloodsucking arthropods that spread diseases, such as lyme and babesiosis, by latching onto wildlife or human hosts. "Lyme is the most commonly reported illness spread by ticks," reports Kevin Loria of The Washington Post. "But it is far from the only one: The black-legged ticks that carry Lyme can spread at least six different illnesses. Babesiosis is a parasitic illness, spread by Babesia microti parasites, which can live inside black-legged ticks. . . . It can be serious, especially for people who are immunocompromised."

Runnels the hound dog, reporting for duty.
(Texas A&M photo via Ambrook Research)
Livestock can die from bovine respiratory disease, which is notoriously difficult to detect. To help farmers avoid the pain and expense of losing cattle, scientists are exploring how canines can help identify BRD. "At Texas A&M University, a cross-discipline pilot study set out to discover whether working dogs, with their superior olfactory senses, could be used as early BRD detectors," reports Jesse Hirsch of Ambrook Research. "After many trials. . . researchers got up to 82% accuracy with one dog, and 65% with the other. But. . . the dogs didn’t fare nearly as well when given only two chances to distinguish between a BRD-infected swab and a clean one." 

Kate McCulloh
Flora have secret lives of their own. Although they can't ambulate, they find ways to move, morph and adapt to everything humans and Mother Nature "hurl their way," writes Kate McCulloh, an associate professor of botany at the University of Wisconsin. "Their complex physiology responds to each of these threats in often quite subtle ways. The solutions that plants employ differ among species, varying with the climate in which those species evolved."

Colorado mountain lions should be protected from hunts, writes Dan Ashe, a former director of the U.S. Fish and Wildlife Service, in his opinion for Writers on the Range. "Emerging science tells us that these apex predators aren’t the enemy, they’re allies. They are likely providing an important ecosystem service in checking the spread of chronic wasting disease, CWD, an existential threat to healthy deer and elk populations, by targeting animals weakened by the disease." Mountain lions should be left alone to "do their job as predators."

Pesto and his "short" parents. (Sea Life
Melbourne Aquarium photo via CNN News)

Taller and decidedly fluffier than his parents, "Pesto" the baby king penguin is adorable and famous. "Photos of Pesto – who is 90 centimeters tall (about three feet) – towering over his parents have gone viral online. He has also provided opportunities for people to learn more about penguins," reports Lilit Marcus of CNN News. "Although most people recognize the adult black-and-white birds, king penguins are born covered in brown feathers. Once they learn how to swim, they will begin shedding those feathers – a process known as fledging. . . . Pesto’s biological father, Blake, is one of the aquarium’s oldest and largest penguins. But he’s being raised by Tango and Hudson, younger penguins whom Sea Life keepers wanted to try out as parents."

Friday, October 04, 2024

Newspapers, radio stations serve as a ‘lifeline’ for residents after major storm damage from Helene

The Henderson Lightning was chock-full of storm
information and free. (Henderson Lightning photo)
In the aftermath of terrible storm damage in the Carolinas, Georgia and Florida, many residents found themselves in dire need of reliable information about the damage and recovery efforts.

Local media organizations stepped up with round-the-clock radio broadcasts, updated information online and even free newspapers.

The Hendersonville Lightning, based about 25 miles south of Asheville, N.C., offered its newspaper for free to readers and packed its paper and website with storm-related coverage. As the community began its recovery efforts, The Lightning’s coverage included updates on power restoration, information about how to get rid of debris and details on which health centers were open and which ones were still closed.

In a thoughtful note to readers on Oct. 2, Editor Bill Moss explained why they were giving readers access to the newspaper for free and how else they were trying to navigate in the aftermath of the storm.

"Amid all the hardship and challenges in the post-Helene world, the last thing we want to ask people to do is dig for four quarters to get news of this historic disaster," Moss said. "We've unlocked racks at six locations in and around the city. These are the only racks that will be filled this week. For the sake of our distribution team, first responders and utility crews, we want to avoid adding traffic on hazardous roads."

After letting readers know details about where to find the free newspapers, Moss also wrote: “Subscribers are welcome to grab one, too, as we don't know when they'll get home delivery via U.S. mail of this week's issue” . . . . “Bear in mind, too, of course, that we're continuously posting updates on the website on the disaster, recovery, how to get help and more.”

Brian Stelter of CNN wrote about how the marathon broadcasts at radio stations in and around Asheville served residents with vital information and comforting reassurance.

“As communications across the region remained severed for many, the voices on the radio became a lifeline for locals in dire need of reliable information; sharing updates on road closures; opening the phone lines to anyone with working wireless or landline phones; and reassuring listeners that help is on the way from government organizations and volunteer groups,” Brian Stelter of CNN reported.

WWNC, the oldest station broadcasting in western North Carolina, and six other stations owned by iHeart came together to simulcast their coverage of the weather emergency, host Mark Starling told CNN."

And “Blue Ridge Public Radio provided live coverage on the radio and online, including lists of 'who to contact' for help with missing persons and power outages.”

College student voters are 'propelled by concerns that directly affect them,' such as the economy, global warming

College students working to get youth registered to
vote. (Photo by Yunuen Bonaparte, Hechinger Report)
This year's election issues have energized college student voters to weigh in on state and national issues. "Students had a decisive impact in several battleground states in 2022," reports Jon Marcus for The Hechinger Report, which covers education. "And they want to do it again."

Whereas college voters have typically had lower election turnout numbers, state and national debates over big topics have inspired more younger voters to engage. "Young people say that they’re propelled by concerns that directly affect them, such as global warming, the economy, reproductive rights," Marcus writes. "More than half of Americans ages 18 to 24 turned out for the 2020 general election."

Heated partisanship has led younger voters to get involved. College student activist Andrew LoMonte, told Marcus, "What people are realizing is that the issues the candidates are talking about actually matter to us. . . . You’d think the dysfunction would scare people off, but it’s a motivator."

The younger vote matters most in swing states where winning margins can be razor-thin. "Young voters had “a decisive impact” on Senate races in 2022 in battleground states including Wisconsin, Nevada, Georgia and Pennsylvania. . . . Sixty-six percent of college students voted in 2020, up 14 percentage points from 2016. Younger students ages 18 to 21 voted at the highest rates of all."

States with abortion-related referendums have seen big jumps in youth voting registration. "College students were widely credited last year with helping elect a liberal candidate to the Wisconsin state Supreme Court, which is due to take up two major abortion cases," Marus adds. "They have also registered and voted at high rates in several swing states."

Increases in youth voting registrations do not necessarily mean "that high youth voter turnout in November is assured. The proportion of college students who voted in the 2022 midterms was down from the record set in 2018," Marcus notes. "Not all groups of students vote in equally high numbers. . . . [In 2020] students majoring in education, social sciences, history, and agricultural and natural resources turned out at the highest rates; those in engineering and technical fields, at the lowest."

Opinion: Iowa editor considers where Americans can 'find center again' after this year's elections

Art Cullen
By Art Cullen
Editor, The Storm Lake Times

What comes after Nov. 5? Most Americans and the betting markets believe that Kamala Harris will win the election. . . . No matter what happens, we need to find center again. Quick like.

What the Republic cannot endure, and which gives enemies of freedom oxygen, is the contempt that has taken hold American-to-American.

We talk past each other and grow apart.

How do we talk to the other side?

We know what we want in Iowa: clean air and water, safe schools that teach you how to be a citizen, good food and good basketball, smooth roads and friendly neighborhoods, easy access to comprehensive and affordable health care. The ability to prosper. That’s pretty much it.

We’re not getting what we deserve, except for the basketball.

Trump and Harris voters can agree on that. So we should start there.

Farmers who vote Republican are not gung-ho for pipelines going wherever the power brokers would like, and neither are environmentalists. Each likes supporting more on-farm conservation. White males and Black women are suspicious of unchecked corporate power. A lot of union members will vote Republican for a whole host of reasons, but find common cause with Democrats on basic human equity.

We all want to strengthen rural healthcare. We like independent producers and businesses. . . . It’s not as if there is not common ground. . . . Right-to-repair is not left or right. Neither is enforcement of anti-trust laws. . . . We all recognize that it is tough to fill jobs in food and agriculture because it’s tough work. Nobody expects to get rich, but they expect respect and a wage that lets them get ahead.  

This is why people are anxious and don’t think that things are working their way. They’re not. Things work for people with a firm grip on power. We can organize ourselves around how to make our place better, instead of how we can lock up our adversaries.

It starts with city hall, the courthouse and the school house. It starts by us talking about issues and confronting power that prevents progress. It starts by listening. . .

Art Cullen is the editor of the The Storm Lake Times in Storm Lake, Iowa, covering Buena Vista County and parts of neighboring Clay, Pocahontas, Sac, Ida and Cherokee counties. This opinion was lightly edited.