Farming fertilizer stuck in the Strait of Hormuz leaves U.S. farmers roughly 25% short of needed supply

The U.S. fertilizer supply system doesn't have fertilizer 
reserves. China's does. (Photo by L. King, Unsplash)

As the U.S.-Israeli conflict in Iran continues into its third week, fertilizer supplies needed by U.S. and Canadian farmers remain strangled in the Straight of Hormuz. 

The loss of fertilizer imports in March catches farmers at a time when they are planning their spring planting rotations, reports Ed White of Reuters. "More than 30% of world nitrogen fertilizer exports, as well as fertilizer components like sulfur, pass through the now effectively closed Strait of Hormuz."

Besides delaying fertilizer supplies, the war has caused existing fertilizer prices to surge. White writes, "Any available [fertilizer] supplies have spiked more than a third since the war in Iran paralyzed global trade."

Farmers in both countries can scarcely afford the disruptions, since high input, labor and fuel costs already have many farms operating with razor-thin profits or at a loss. Unlike China, U.S. fertilizer suppliers "do not hold strategic reserves of fertilizer," White adds. The lack of reserves leaves American planters vulnerable to global supply chain shortages and price volatility.

Corn and wheat crops require liberal doses of synthetic urea to grow healthy yields. White reports, "The U.S., which in some years imports half of its urea fertilizer, is about 25% short of the usual supplies that farmers buy for spring planting, according to The Fertilizer Institute, which represents the U.S. fertilizer supply chain."

Even if the Strait of Hormuz opened today, some of the fertilizer bottle-necked there might be rerouted to countries willing to pay more. Josh Linville, a fertilizer market analyst at StoneX, told Reuters, "Not only am I worried about incoming vessels being turned around to other, better-paying destinations, there's ⁠an argument to be made, if somebody was willing to go and buy up (supply on) barges, to load them onto a vessel and export it."

"The American Farm Bureau Federation warned that fertilizer supply shortages could hit the ⁠U.S. food ​supply," White adds. "Most fertilizer needs to be applied before the crop starts growing, so any supplies arriving ​too late cannot be used ⁠for the 2026 crop."

Mobile health clinics are combating maternity care deserts in Florida

An OB/GYN mobile outreach clinic directed by researchers Adetola F. Louis-Jacques, Arielle Ayotte, and Michelle Nall at the University of Florida is helping to address a maternity care desert in north-central Florida, they report for The Conversation.

Nationwide, 2.5 million, or 4%, of American women of childbearing age live in a maternity care desert, they report. A maternity care desert is any county with no hospital, birthing center or obstetric health care professional. “Women in maternity care deserts travel an average of 35 miles to reach a birthing hospital, compared to an average of 9 miles for women in full-access counties.”

Traveling longer distances for obstetric care is directly correlated with poorer infant and maternal health outcomes, studies show.

Florida counties with full, low, or no access to maternity care. 
(Map via The Conversation CC, data from March of Dimes 2023 statistics, Click to enlarge)

In Florida, only three of the 14 north-central counties have full access to obstetric care, the researchers explain, and six have low access. The other five counties are deserts that they estimate to have 3,400 women of childbearing age. They also found in a 2024 report that 18 of Florida’s 21 rural hospitals have no more obstetric care, often because of a lack of funding.

Their new mobile clinic, started in February last year, offers prenatal and postpartum care, breastfeeding support, family planning, annual gynecological exams and preventive health screenings. They have already cared for 194 women in 616 visits.

Everything is free to the patients, and they offer assistance to help eligible patients apply for Medicaid benefits. “In 2023, about 1 in 7 women of childbearing age in Florida were uninsured,” they report.

A survey of mobile clinic patients across the U.S. found they “reported receiving holistic care, feeling safer than they’d felt in other health care settings and interacting with staff who were mindful of health care costs,” as well as being able to “maintain continuity of care.”

Most mobile clinics don’t offer maternal and infant health services, the researchers explain, and as maternity care deserts grow, more OB/GYN mobile health clinics like this one can directly provide low-income, rural areas with regular prenatal and postpartum care that women wouldn’t have access to otherwise.

Congress could change USPS finances and avoid more service cuts that disproportionately hurt rural areas

Rural residents are more dependent on 
the USPS. (Photo by A. Land, Unsplash)

The U.S. Postal Service can't borrow any more money to cover ongoing deficits, and unless changes to its funding are made, USPS leadership has warned that the service will run out of money sometime in 2026. Elena Patel reports for Brookings.  "This fiscal crisis reflects a structural mismatch between what Congress requires the Postal Service to do and how it is financed."

When the USPS was created, its financial foundations included a monopoly on letter delivery tied to a universal service mandate; however, as the number of letters mailed in the U.S. steadily declined beginning in 2007, the universal service requirement remained in place. The lack of letter revenue essentially meant USPS could no longer afford to deliver to all 169 million addresses that Congress mandated it serve with affordable rates.

Once letter revenue tanked, the USPS still delivered to every address despite the financial toll. "The USPS nationwide delivery network ensures that access does not depend on geography or profitability," Patel explains.

Brookings graph, from USPS Form 10-K Operating Statistics, FY 2007–2025.

For rural communities, USPS mail carriers often go the "last mile" to complete a delivery. The mail is a backbone for small-town businesses, finances and even medical care. Patel writes, "Particularly in low-density and rural communities, the mail remains essential infrastructure. It delivers prescription medications, ballots, and online purchases, and it supports local small-business activity."

Patel suggests some USPS changes that Congress could enact, which are edited for brevity below.

• Restructure pension liability finances, "including shifting these costs to the Treasury, as is done for other federal agencies."
• Pay universal service costs: "The cost of the universal service obligation exceeded the value of the postal monopoly by roughly $2-$3 billion per year for the last several years. . . . Congress could fund that mandate explicitly through annual appropriations."
• Increase the USPS borrowing cap and allocate funds for infrastructure improvements. "Additional capital flexibility could ease short-term liquidity pressures and allow USPS to finance modernization over time rather than from current cash flows."

Congress can "realign the financing framework with the universal service mandate it has imposed," Patel adds. "Or it can allow liquidity constraints to narrow that mandate by default. In practice, that 'default' path would likely involve deferred payments, delayed investment, and increased pressure for service cuts that fall most heavily on the communities most reliant on the mail."

Opinion: The Rural Health Transformation Program challenges states to build and overhaul systems

R.J. Marse

When the Centers for Medicare & Medicaid Services announced $50 billion in funding for the Rural Health Transformation Program, many Americans may have assumed the money would help struggling rural hospitals shore up their finances and stay open. 

But RHTP program dollars aren't meant to prop up declining systems by helping them maintain the status quo of rural health care, writes R.J. Marse, General Counsel at Sprinter Health, in his opinion for Healthcare IT Today. "At $50 billion over five years. . . the amount is significant, but more noteworthy is the program’s intent."

The program aims to change how rural health care is approached and practiced by incentivizing innovation, technology and successful outcomes across a system.

RHTP challenges rural health systems to go beyond traditional health care infrastructure by designing and launching treatment that includes "telehealth and remote monitoring. . . technology-enabled solutions that allow providers to practice at the top of their license," Marse writes. "It even allows states to invest in early-stage healthcare companies, a signal that the ultimate goal is innovation."

Marse explains, "Funding is conditioned on outcomes, so while the aim is to reach more rural patients in more rural communities, interventions will need to do so in ways that measurably improve health and lower long-term costs."

RHTP structural demands push rural health care systems to combine modern medical treatment models with the inherent challenges of working with a rural population. Marse writes, "RHTP demands confronting the fact that many rural patients will not engage with care unless it comes to them – or, at least, closer to them. . . . Rural care transformation must, by necessity, be hybrid. It should deliver care virtually when appropriate, and physically when and where it’s needed."

"Rural health doesn’t need another bailout. It needs fundamentally different operating models that can endure when federal dollars dissipate," Marse explains. "Five years from now, RHTP will be judged not by how much money was spent, but by what was built." 

New $100,000 visa fee leaves rural schools with few options to fill in-person teaching positions

Many rural schools have depended on foreign teachers
to fill teaching positions. (Photo by K. Eliason, Unsplash)

At a time when rural schools can least afford to lose teachers, some school administrators have stopped offering international teacher contracts or contract renewals due to higher visa costs and uncertain immigration policies, reports Michael Melia of The Associated Press.

Teachers are in short supply across the U.S., with the shortage most acutely felt in rural counties that can't offer higher salaries or city amenities to recruit new educators. To fill the gaps, rural schools turned to international teachers. Melia writes, "More than 2,300 people with H-1B visas work as educators across 500 school districts."

Superintendent Vallerie Cave, who oversees schools in rural Allendale County, S.C., has consistently employed foreign teachers to fill roughly 25% of her open teaching positions, Melia reports. But this year, Cave is ending contracts and not extending new offers. She told AP, "Some of my very best teachers are having to return to their countries."

Early in 2025, the Trump administration raised H-1B visa fees to $100,000, which allowed "highly skilled foreign workers to be employed in the U.S," Melia explains. "The Trump administration argued American employees were being replaced, particularly in highly paid roles at tech companies."

In rural counties like Allendale, where poverty is high and teacher salaries are low, paying higher visa fees isn't feasible. And while many rural administrators will try to hire locally to fill gaps left by international teachers, many will add more online teaching or "consider hiring uncertified instructors, combining classes or dropping course offerings."

Some international teachers could teach in American schools with a J-1 visa, which "is not subject to the new fee," Melia adds. But many international teachers have decided not to teach in the U.S. for now and have chosen to go home. In turn, many American rural school districts are avoiding any visa issues by eliminating international teacher hires.

Like many rural school superintendents, Cave says she will do all she can to fill teaching gaps with certified teachers, but admits it will be hard. She told the AP, "I can’t really do competitive pay. For rural America, impoverished America, it is still a problem recruiting teachers.”

A $700 million regenerative farming pilot program may falter without the needed USDA staff and expertise

Clover is a "workhorse" cover crop used in regenerative
farming. (Photo by Veronica White, Unsplash)

Despite a $700 million budget and farmers excited about the program, the Regenerative Agriculture Initiative may have trouble getting off the ground. "The USDA’s Natural Resources Conservation Service has lost more than 2,000 employees since January 2025, potentially harming the department’s ability to roll out the initiative," reports Claire Carlson of The Daily Yonder.

The initiative was announced last December as a joint effort by the USDA and the Department of Health and Human Services to help farmers incorporate more regenerative farming practices, such as cover crops and no-till farming.

For the most part, the Trump administration's NRCS layoffs mostly terminated newer or early-career employees, who "are the employees who would have likely helped with the rollout of the Regenerative Agriculture Initiative," Carlson reports. "Without the necessary staffing, the initiative could falter — even though it’s likely to be very popular among farmers."

At its current staffing levels, the NRCS doesn't have enough employees to help farmers through the application and award process, and it may lack personnel with the right expertise, Carlson reports. 

When the Regenerative Agriculture Initiative was announced, U.S. Secretary of Agriculture Brooke L. Rollins, U.S. Health and Human Services Secretary Robert F. Kennedy,Jr. and Centers for Medicare & Medicaid Services Administrator Dr. Mehmet Oz issued a shared press release extolling the need for "American farmers [to] adopt practices that improve soil health, enhance water quality, and boost long-term productivity, all while strengthening America’s food and fiber supply."

It's unclear how American farmers can meet those goals without the necessary USDA staff at the Natural Resources Conservation Service to support farmers who want to participate in RAI. Carlson adds, "For farmers planning to apply for funds through the initiative, it’s quite possible their questions to the agency will go unanswered with fewer people on the job to assist."