Iowa
Iowa Medical Society Says Physician Shortage In Iowa Is Concerning – KIWA Radio
Iowa — Leaders of the Iowa Medical Society say the state faces a workforce crisis in the healthcare sector. Dr. Christina Taylor is president of the Iowa Medical Society’s board of directors.
Iowa already ranks 45th in doctor-to-patient ratio.
Dr. Gerard Clancy is a clinical professor of psychiatry and emergency medicine and one of five deans at the University of Iowa’s College of Medicine. He says the number of physicians, nationally, does not match demand.
Iowa Medical Society CEO Steve Churchill says the group will ask the 2025 Iowa Legislature to provide state funding to significantly increase the residency slots for medical students at Iowa hospitals and academic centers.
The group will be asking lawmakers to fund the creation of 200 more residency slots — at a cost of 20 million dollars a year. The Iowa Medical Society will also recommend expanding state programs that erase college debt for physicians who choose to practice in Iowa after getting their medical license. The Iowa Medical Society leaders discussed the state’s physician shortage during a weekend appearance on “Iowa Press” on Iowa PBS.
Iowa
Double scolding to Iowa DNR is a moment to pivot and stand up for water quality | Opinion
Iowa leaders do not have to abandon or betray pro-business stances if they want to do better for Iowa water and for Iowans.
See how Iowa DNR conducts beach monitoring tests at Iowa’s lakes
The Iowa Department of Natural Resources conducts weekly tests to monitor beach water quality at 39 state-owned beaches.
The battle for clean water in Iowa has been locked in a stalemate for years. Advocates jump up and down pointing to obvious evidence that dangerous chemicals pervade streams, rivers and lakes, threatening people’s health and taking away recreation opportunities. The state’s elected and appointed officials, citing various measures of their own, say things are getting better thanks to their strategy of working together with agricultural and industrial polluters. Little changes (except continued damage to waterways).
A pair of developments this month, though, call into question Iowa’s entire approach to managing water. A state administrative law judge and the federal Environmental Protection Agency, in unrelated writings, say the Iowa Department of Natural Resources thinks too narrowly about water pollution.
If state leaders take the criticisms seriously, they can chart a different course of more aggressive protection and restoration of this precious resource. New approaches to monitoring, regulation, enforcement and spending can spur a better future for the welfare of Iowa and its people.
Monitoring: DNR wrongly omitted rivers from impaired-waters list, EPA says
The EPA chided the DNR in a letter this month, saying stretches of the Cedar, Des Moines, Iowa, Raccoon and South Skunk rivers should have been included on the DNR’s list of impaired waters in the state. The assessments involved are technical, but the gist is that Iowa improperly treated nitrate pollution as though it does not have toxic effects on humans. Nitrates are a form of nitrogen that commonly results from manure and fertilizer runoff.
The rivers involved supply drinking water for large cities, including Des Moines and Cedar Rapids. It is distressing to learn that the DNR could miss the mark on such a crucial question of public health – all the more so when considering the possibility that the EPA might cease to be an effective backstop on such questions. New York congressman Lee Zeldin, Donald Trump’s announced choice to take over the EPA, pays lip service to conservation, but he, Trump and other voices likely to be influential in the new White House have made plain their top priority is removing restrictions on business. In the future, responsibility could fall solely on the DNR to correctly look out for drinking-water interests.
Regulation: Availability cannot be the only consideration in water-use matters
Another of the DNR’s tasks is to manage water-use permits for farms and other businesses that use a lot of it. According to an order by state administrative law judge Toby Gordon, the DNR’s management mostly focuses on availability of water. Gordon, reviewing a permit for a controversial feedlot in northeast Iowa, says that’s contrary to state law, which calls for environmental impact to be considered, too.
Indeed, here’s Chapter 455B of the Iowa Code: “The general welfare of the people of the state requires that the water resources of the state be put to beneficial use which includes ensuring that the waste or unreasonable use, or unreasonable methods of use of water be prevented, and that the conservation and protection of water resources be required with the view to their reasonable and beneficial use in the interest of the people.”
DNR Director Kayla Lyon can accept Gordon’s order or seek changes. She should agree to it in this case, but more importantly, she and her department need to adopt this reasoning in all contexts, not just water-use permitting. They should more often push back on the operations in Iowa whose proposals risk — or promise — damage to the environment.
Industry, including agriculture, drives Iowa’s economy, of course. And that will still be true if DNR personnel insist more often that industry take responsibility for side effects. The DNR has the authority it needs; it’s a matter of discretion.
Before voting no on Lyon’s confirmation this spring, state Sen. Pam Jochum, a Dubuque Democrat, told colleagues that “I think that Kayla Lyon — if she was allowed to do what a director can do, provide policy direction to this body on what the problems are and how to fix them and the funding that needs to accompany that to solve those problems — this state would have clean water.”
Many tools are available to Lyon, her DNR and state boards responsible for the environment: They can reject applications. They can impose more conditions on permits. They can fine offenders more often. They can refer more severe offenders for prosecution.
Enforcement: Attorney general should step up its enforcement
In egregious cases, the Iowa Attorney General’s Office can take over enforcement actions and seek penalties of greater than $10,000, the statutory limit for the DNR’s administrative process.
If regulators believe that some Iowa businesses count those meager fines as merely a cost of doing business, then they should more freely get the attorney general involved.
Attorney General Brenna Bird’s office should have the resources to pitch in. Unlike almost all other state agencies, which have as usual requested status quo budgets for 2025-26, Bird is asking lawmakers for $1.7 million in new money to hire seven attorneys and a paralegal for various needs. In addition, Bird has unquestionably fulfilled her 2022 campaign promise to use the office’s resources to litigate furiously against the Biden administration – which won’t exist after Jan. 20. Maybe dashing off memos and briefs in favor of Donald Trump’s agenda will take just as much time. Or maybe some time could be sliced off for work more directly relevant to Iowans’ lives and communities.
Spending: Time to finally raise sales tax for the outdoor trust fund
Even if Iowa transformed its regulatory scheme on a dime into one that reliably preserved water quality, the problems that have accumulated over decades will require investment for mitigation and restoration. State appropriations and other sources can be a piece of that puzzle. But Iowa also has a ready-to-go mechanism for spending on conservation and recreation priorities: the Natural Resources and Outdoor Recreation Trust Fund, approved by 63% of voters in 2010 and stubbornly empty since.
Filling the trust fund’s coffers requires increasing the sales tax, which the Iowa Legislature has refused to do. Gov. Kim Reynolds proposed this in early 2020, but the idea fell apart when COVID-19 tanked most of that year’s legislative session. Lawmakers’ bills to take similar steps also have fizzled.
With Republican majorities passing income tax reductions and proposing to take a new bite out of property taxes, there’s no time like the present to fund some necessary government work, including conservation, with a higher sales tax.
The stakes: Protecting water is Iowa law
Private environmental groups have done laudable work bringing the DNR’s shortcomings to light and collecting wins in court and in administrative proceedings. They’ll continue to do that even if the EPA gives up on water quality. But those battles are costly, and the environmental groups lack the authority of government.
Lyon and the DNR, as well as Bird, Reynolds and majority leaders in the Legislature, do not have to abandon or betray pro-business stances if they want to do better for Iowa water and for Iowans. But they need to realize that doing better for water quality and for people is part of their charge. It’s been there in state law for decades.
Lucas Grundmeier, on behalf of the Register’s editorial board
This editorial is the opinion of the Des Moines Register’s editorial board: Carol Hunter, executive editor; Lucas Grundmeier, opinion editor; and Richard Doak and Rox Laird, editorial board members.
Want more opinions? Read other perspectives with our free newsletter or visit us at DesMoinesRegister.com/opinion. Respond to any opinion by submitting a Letter to the Editor at DesMoinesRegister.com/letters.
Iowa
Iowa victorious in 20th straight Cy-Hawk dual, winning 21-15
IOWA CITY, Iowa (KCRG) – With four victories after intermission, including a technical fall and major decision, the Hawkeyes extended their winning streak over Iowa State to 20 in a row.
The Hawkeyes took the dual 21-15.
Early on, the matched looked dead even, with the teams trading decisions. But at 157 pounds, Iowa State’s Paniro Johnson picked up six points with an injury default win over Jacori Teemer. Teemer appeared to injure his hamstring, but Iowa head coach Tom Brands did not comment further on his status.
Iowa responded four straight wins from Michael Caliendo, Patrick Kennedy, Angelo Ferrari and Stephen Buchanan to seal the dual. Kennedy’s win came by technical fall, Buchanan’s by major decision. Yonger Bastida defeated Ben Kueter at heavyweight to earn the last points for Iowa State.
With the win, Iowa improves to 4-0. With the loss, ISU drops to 1-2.
No. 2 Iowa 21 – No. 12 Iowa State 15
125 – Adrian Meza (ISU) dec. Kale Petersen (Iowa) , 5-1
133 – Drake Ayala (Iowa) dec. Evan Frost (ISU), 11-7
141 – Zach Redding (ISU) dec. Ryder Block (Iowa), 5-4
149 – Kyle Parco (Iowa) dec. Anthony Echemendia (ISU), 4-3
157 – Paniro Johnson (ISU) inj. default Jacori Teemer (IA), 3:32
165 – Michael Caliendo (Iowa) dec. Connor Euton (ISU), 12-7
174 – Patrick Kennedy (Iowa) tech. fall Aiden Riggins (ISU), 19-4
184 – Angelo Ferrari (Iowa) dec. Evan Bockman (ISU), 8-2
197 – Stephen Buchanan (Iowa) major dec. #20 Christian Carroll, 10-0
285 – Yonger Bastida (ISU) dec. Ben Kueter (Iowa), 7-2
Copyright 2024 KCRG. All rights reserved.
Iowa
Iowa Should be Relieved the Season is Almost Over
The Iowa Hawkeyes were able to cobble together a 29-13 win over the Maryland Terrapins on Saturday afternoon in spite of entering the game with major distractions.
The chief distraction at hand was the status of Iowa’s quarterback situation, as the Hawkeyes were forced to roll with Jackson Stratton thanks to Cade McNamara and Brendan Sullivan both being sidelined.
McNamara’s status was particularly murky, as the initial consensus was that he would regain his starting job once it was revealed that Sullivan would be out for the season with an ankle injury.
However, confusion over McNamara’s availability made things, as head coach Kirk Ferentz would say, “cloudy,” and he ended up not being medically cleared to play due to a concussion he suffered back on Oct. 26.
Either way, Iowa emerged victorious in spite of Stratton going 10-of-14 for 76 yards. Kaleb Johnson carried the day, as per usual, racking up 164 yards and a touchdown on 35 carries. Kamari Moulton also rattled off 114 yards, with 68 of those yards coming on a touchdown scamper.
But even with the running game operating smoothly (for the most part), you just felt like the Hawkeyes were lacking.
Maryland is not a good football team, so beating the Terrapins is not really a good barometer to determine how well Iowa played.
Because I’ll be honest: if the Hawkeyes faced an even decent ballclub on Saturday, they may very well have lost with all of the opportunities they blew.
Iowa had to settle for five field goals, and Moulton fumbled inside the red zone early in the first quarter. This should have been a much wider margin of victory than 16 points.
Yes, the defense held serve, but, again, it’s Maryland we’re talking about here.
The 2024 season has been a cluster of inconsistency for the Hawkeyes. They entered the season full of promise, but it has not materialized like they hoped.
It has reached a point where it has almost feels like Iowa needs to put this thing out of its misery. The Hawkeyes have no quarterback. They have no weapons in the passing game. Their defense isn’t quite as stingy as it was last season.
Iowa is 7-4, but it has been unable to put together a stretch of consistently sound football all year long. Fans are frustrated, and just getting a run-of-the-mill bowl game is not going to satisfy them.
Things need to change at Iowa City, because what the Hawkeyes are doing now isn’t working. The offense needs an overhaul. No more skirting the issue under center and with wide receivers.
The problem is this isn’t the NFL. You can’t just sign a bunch of free agents, make trades and draft players overnight. It’s going to involve a stark change in recruiting, and Iowa is somehow going to have to land a couple of big names via the transfer portal.
I don’t want to rain on the parade. The Hawkeyes won, and that’s great. Be proud of the kids for playing their guts out in the face of all of the adversity.
But man, it has certainly been a pedestrian season.
Iowa will close things out against Nebraska next week.
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