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Midwives fill role in Alaskan maternal healthcare

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Midwives fill role in Alaskan maternal healthcare


FAIRBANKS, Alaska (KTVF) – Healthcare during pregnancy is vitally important, but the style of care can look different depending on what route you choose. Alaska, in particular, has the highest density of midwife practice, with 2022 statistics listing 11 midwives per thousand Alaskan births.

“And its very much based around a client or patient centered focus,” explained Tapia Stover, Nurse Midwife at Providence Alaska Medical Center, “around informed consent and making sure that the patient is the driver of their care. I always joke that I’m like the server at a restaurant. I can tell you what’s on the menu, I can recommend some specials, but ultimately the patient is the one who decides what’s best for them and their family.”

Typically, an expectant mother might choose to see a midwife if she prefers a home birth or perhaps more autonomy during the process than might be offered in an average hospital.

“Which not always but tends toward being a more pathologized model of care,” Stover said, “and so midwives tend more towards seeing this as a normal process that requires minimal interventions and really just a lot of support.”

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Stover added that close to 30% of all births in Alaska are attended by midwives – sometimes filling a vital role in rural Alaskan healthcare.

“Versus nationally [a percentage] like 1.6, or something in that neighborhood,” she emphasized. “So we’re like four times more utilizing out-of-hospital options than most of the states in the country. In Alaska some of our community midwives go out into the rural areas and some of our nurse midwives do too, especially through the Alaska Native healthcare system.”

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Alaska

Trump Repeals Biden Land Protections in Alaska, Other States

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Trump Repeals Biden Land Protections in Alaska, Other States


President Donald Trump on Thursday signed several congressional measures designed to undo Biden administration land conservation policies restricting energy development in the Arctic National Wildlife Refuge and federal lands in three Western states.



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Alaska Hosts US Bomber Exercise Against ‘Threats to the Homeland’

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Alaska Hosts US Bomber Exercise Against ‘Threats to the Homeland’


The United States deployed two bombers to simulate strikes against “maritime threats” to the homeland in response to a growing Russian and Chinese presence near Alaska.

Newsweek has contacted China’s Foreign Ministry for comment by email. Russia’s defense and foreign ministries did not immediately respond to a request for comment.

Why It Matters

Russia and China have closely cooperated in military matters under their “partnership without limits,” including a joint naval maneuver in the north Pacific near Alaska’s Aleutian Islands involving 11 Russian and Chinese vessels in summer 2023.

Facing a growing Moscow-Beijing military partnership, along with increased Chinese activities in the Arctic, the U.S. has been reinforcing its military presence in Alaska by deploying warships and conducting war games with its northern neighbor, Canada.

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Bombers, capable of flying long distances and carrying large amounts of armaments, are a key instrument for the U.S. military to signal its strength. The American bomber force has recently conducted operations as a show of force aimed at Russia and China.

What To Know

According to a news release, the Alaskan Command executed simulated joint maritime strikes with Air Force B-52H bombers and the Coast Guard national security cutter USCGC Kimball in the Gulf of Alaska on Tuesday as part of Operation Tundra Merlin.

The bombers are assigned to the 2nd Bomb Wing out of Barksdale Air Force Base in Louisiana, while the Kimball is homeported in Honolulu. The 354th Fighter Wing at Eielson Air Force Base in Alaska also deployed four F-35A stealth fighters.

Other supporting units included two KC-135 aerial refueling aircraft and an HC-130 aircraft on standby to conduct personnel recovery missions, the news release said.

During the operation, the bombers received target information from the Kimball for standoff target acquisition and simulated weapons use, while the F-35A jets—tasked with escorting the bombers—enhanced mission security and operational effectiveness.

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According to an Air Force fact sheet, each B-52H bomber has a maximum payload of 70,000 pounds and is capable of carrying up to 20 standoff weapons—designed to be fired from outside enemy defenses—such as the Joint Air-to-Surface Standoff Missile.

The simulated strikes “demonstrated the capability of the [U.S. Northern Command] and its mission partners to deter maritime threats to the homeland,” the news release said.

Homeland defense is the Alaskan Command’s top priority, said its commander, U.S. Air Force Lieutenant General Robert Davis, adding that the ability to integrate with other commands and partners is key to safeguarding the U.S. northern approaches.

What People Are Saying

U.S. Air Force Lieutenant General Robert Davis, the commander of the Alaskan Command, said: “Operations in the Alaskan Theater of Operations are critically important to North American Homeland Defense. Operation Tundra Merlin demonstrates the Joint Force’s ability to seamlessly integrate capabilities from multiple combatant commands and mission partners to deter and defeat potential threats in the region.”

The Alaskan Command said: “Operation Tundra Merlin is a Homeland Defense focused joint operation designed to ensure the defense of U.S. territory and waters within the Alaskan Theater of Operations (AKTO). The operation includes integration with partners in the region with the shared goal of North American defense in the Western Arctic.”

What Happens Next

It remains to be seen whether Russia and China will conduct another joint air patrol near Alaska following a similar operation over the western Pacific earlier this week.

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Dunleavy says he plans to roll out fiscal plan ahead of Alaska lawmakers’ return to Juneau

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Dunleavy says he plans to roll out fiscal plan ahead of Alaska lawmakers’ return to Juneau


Gov. Mike Dunleavy says he will roll out a new plan to stabilize Alaska’s tumultuous state finances in the coming weeks ahead of next month’s legislative session. The upcoming session provides Dunleavy his last chance to address an issue that has vexed his seven years in office.

“(The) next three, four, five years are going to be tough,” Dunleavy told reporters Tuesday ahead of his annual holiday open house. “We’re going to have to make some tough decisions, and that’s why we will roll out, in a fiscal plan, solutions for the next five years.”

The state’s fiscal issues are structural. Since oil prices collapsed in the mid-2010s, Alaska has spent more money than it has taken in despite years of aggressive cost-cutting and a 2018 move to tap Permanent Fund earnings to fund state services.

Dunleavy said a boom in oil and gas drilling and growing interest in a natural gas pipeline from the North Slope to an export terminal will likely ease the fiscal pressure in the coming years. He said his plan would serve as a bridge.

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“I think the next five years, we’re going to have to be real careful, and we’re going to have to have in place things that will pay for government,” he said.

Dunleavy, a Republican, declined to reveal even the broad strokes of his plan, saying he plans to hold news conferences in the coming weeks to discuss it.

Prior efforts by Dunleavy and the Legislature to come to an agreement on a long-term fiscal plan have failed.

Dunleavy’s early plans for deep cuts led to an effort to recall him. He has also backed attempts to cap state spending and constitutionalize the Permanent Fund dividend.

A prior Dunleavy revenue commissioner floated a few tax proposals during talks with a legislative committee in 2021, but Dunleavy has since distanced himself from those ideas. Alaska is the only state with no state-level sales or income tax, and asked directly whether his plan would include a sales tax, he declined to say.

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“You’re just going to have to just wait a couple more weeks, and we’ll have that entire fiscal plan laid out, so you guys can take a look at it, and the people of Alaska can take a look at it,” he said.

In recent years, Dunleavy has proposed budgets with large deficits that require spending from savings. His most recent budget would have drained about half of the savings in the state’s $3 billion rainy-day fund, the Constitutional Budget Reserve, or CBR.

Still, Dunleavy says he wants to find a sustainable fiscal path forward for the state.

“We are determined to help solve this longstanding issue of, how do you deal with balancing the budget, and not just on the backs of the PFD or the CBR — what other methods are we going to employ to be able to do that?” he said.

Whether lawmakers will be receptive is an open question. Democrat-heavy bipartisan coalitions control both the state House and Senate, and even some minority Republicans crossed over to override Dunleavy’s vetoes repeatedly this year.

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Dunleavy’s budget proposal is likely to offer some clues about the governor’s fiscal plan. He has until Dec. 15 to unveil it.



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