Posted inOctober 3, 2016: Purple Rain

Stopping the downward spiral

While the factors Elizabeth Zach cites  —  low reimbursement by public insurers, reduced inpatient services, hospital mergers and others  —  have historically impacted the ability of rural communities to sustain viable health services, this litany of forces reflects incomplete knowledge of research dating back 30 years (“A Rural Health Care Checkup: Lessons from the Central […]

Posted inSeptember 5, 2016: When the Doctor is Out

Dangers of privatizing parks

What will areas administered by the National Park Service become (HCN, 8/22/16)? Will the enormous shortage of congressional appropriations undermine a century of relative stability? Fifty years ago, massive infrastructure improvements were made under a program called Mission 66, but no such program has existed since. Congress got in the habit of not fulfilling appropriations […]

Posted inAugust 22, 2016: 100

Collaboration? Not so much.

I read your article on the Bureau of Land Management’s new collaborative approach to planning with skepticism (“BLM rethinks land-use planning,” HCN, 5/30/16). In this same region of western Montana, the U.S Forest Service has been applying the word “collaborative” to its timber sales because the Healthy Forest Restoration Act (HFRA) requires “public collaboration.” However, […]

Posted inAugust 22, 2016: 100

Desert rising?

The map showing the counties in Western states that support the American Lands Council makes it look like a Mormon conspiracy to re-create the State of Deseret (“Land transfer support, county by county,” HCN, 7/25/16). Add to this House Bill 4751 (the Local Enforcement for Local Lands Act, which would shift law enforcement functions from […]

Posted inAugust 22, 2016: 100

HCN as travel guide

Hillary Rosner’s excellent article “When Water Turns to Dust” in the June 13, 2016, issue became a surprise travel guide of sorts on our recent trip across the Great Desert. On our return from Tahoe and Yosemite, we made a point to stop at Mono Lake, in part because in was mentioned in Hillary’s article. Plus, […]

Posted inAugust 22, 2016: 100

Immigrants and jobs

In “Love and Death on the Border” in the July 25, 2016, issue, Jon M. Shumaker ends a paragraph about the risks immigrants take in illegally crossing the border with “All this in order to take dangerous, crappy jobs no one in this country wants.” With this seemingly trivial comment, he perpetuates a false assumption […]

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