South Dakota
What the reaction to a tragic shooting tells us about health care • South Dakota Searchlight
In spite of all the glitter, the dramatic headlines about stunning accomplishments and life-saving interventions as well as the raving of some politicians about the “best health care system in the world,” the U.S. health care system is, at its core, fundamentally dysfunctional.
How can I make such a provocative statement? The U.S. spends nearly twice as much per capita on health care as does any other developed country. In spite of this expenditure, 8-10% of Americans still have no health care coverage while most comparable countries provide health care coverage to all citizens.
Spending at this level would perhaps be acceptable if the population was in fact benefiting with better health outcomes. Here too we fall short. If we look at any of the usually cited metrics of population health such as life expectancy or infant mortality, the U.S. results are worse. Especially concerning is the fact that the U.S. rate of maternal mortality — women dying related to childbirth — is among the highest in the developed world and is getting worse.
U.S. residents increasingly express their dissatisfaction with the health care system. The Gallup organization recently reported that approval ratings on the quality of American health care are the lowest they’ve been in more than two decades.
All this has come to the fore with the recent tragic shooting of the CEO of UnitedHealthcare in New York. Though details continue to emerge, it appears the assassination-style killing was carried out by a young man intent on sending a message of both anguish and hostility toward the health insurance industry. He reportedly wrote in his notebook, “What do you do? You wack the CEO at the annual parasitic bean-counter convention.”
As disturbing and troubling as are the events surrounding the murder, the public reaction to it is similarly distressing. There has been a huge outpouring of support for the shooter almost as though he is being glorified as a folk hero. Additionally, online, there has emerged a range of merchandise (T-shirts, etc.) seeming to applaud the event. These reactions appear to confirm the broad-based unhappiness with health care services and how they are financed.
How can we understand or make sense of these developments? In the U.S., unlike many other developed countries, we have largely treated health care as a commodity to be bought and sold on a capitalistic, free-market model. In my view, this arrangement underlies many of the problems we have encountered.
I am not anti-capitalist. For a large part of the economy, this model has served us well. At the same time, I believe there are sectors of the economy where it does not work as well. We need to be smart enough — and tough enough — to sort out which is which.
In the classic capitalist model, profit and/or market share increase when the perceived value of the product or service increases. What we have too often seen in the health insurance industry is that in order to push up profits, the industry has restricted the services covered or, alternatively, has increased the barriers to receiving those services. This has been highly successful from an industry perspective in that profits have soared, but for many patients who are all too often in a captive market, it has restricted or denied needed care.
What to do? There is no immediate, simple answer. It would seem, though, that the events of the last several weeks should serve as a wake-up call. We have serious problems that demand serious thinking and open-minded discussions.
The fundamental lesson from these events, I believe, is that when profit drives health care decisions, investors win and patients lose. We can and must do better.
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South Dakota
Dept. of Agriculture and Natural Resources announces $48 million for statewide projects
SIOUX FALLS, S.D. (Dakota News Now) – The South Dakota Department of Agriculture and Natural Resources (DANR) has the approval of over $48 million in loans and grants for statewide projects.
Together with the Board of Water and Natural Resources, a total of $36,958,000 in state loans, including $425,000 in principal forgiveness, was authorized for drinking water and wastewater improvements.
More funding was distributed to the following programs:
BDM Rural Water:
- Received an additional $233,450 in American Rescue Plan Act (ARPA) funds to construct a new water treatment plant, install a new water reservoir, install a pipe to expand the water system, and replace water meters
Clay Rural Water:
- Received $334,250 in ARPA grant funds to construct two ground storage reservoirs near the Greenfield reservoir and the Wakonda Water Treatment plant
Mid-Dakota Rural Water System:
- Received $917,357.85 in ARPA grant to update the existing water system
Mitchell:
- Received $3,930,000 in Clean Water State Revolving Funds to upgrade the clay sanitary and storm sewer
Rapid City:
- Received a $14,512,000 Drinking Water State Revolving loan to make improvements to an existing well and also construct two new wells
Shared Resources:
- Received $1,500,000 in ARPA grant funds for a treatment plant, well field, distribution pipeline, and two storage tanks
Sioux Falls:
- Received $7,648,000 to complete a third connection to the Lewis and Clark Regional Water System
- Received $17,746,000 to construct a new Southeast Basin sanitary force main
South Lincoln Rural Water System:
- Received $328,250 in ARPA funds to install an elevated water tank, new pump station, and new water treatment plant
South Dakota Department of Agriculture and Natural Resources:
- Received $1 million in ARPA funds for its statewide Riparian Buffer Initiative
Toronto:
- Received $770,000 Drinking Water Revolving Loan to accommodate the Department of Transportation installing new storm sewers and highway surfacing
These programs are funded through a combination of federal appropriations, loan repayments, and bonds.
The board approved the funding during a January 8 meeting in Pierre.
Copyright 2026 Dakota News Now. All rights reserved.
The South Dakota Lottery offers multiple draw games for those aiming to win big. Here’s a look at Jan. 8, 2026, results for each game:
Winning Lucky For Life numbers from Jan. 8 drawing
05-12-13-39-48, Lucky Ball: 13
Check Lucky For Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your prize
- Prizes of $100 or less: Can be claimed at any South Dakota Lottery retailer.
- Prizes of $101 or more: Must be claimed from the Lottery. By mail, send a claim form and a signed winning ticket to the Lottery at 711 E. Wells Avenue, Pierre, SD 57501.
- Any jackpot-winning ticket for Dakota Cash or Lotto America, top prize-winning ticket for Lucky for Life, or for the second prizes for Powerball and Mega Millions must be presented in person at a Lottery office. A jackpot-winning Powerball or Mega Millions ticket must be presented in person at the Lottery office in Pierre.
When are the South Dakota Lottery drawings held?
- Powerball: 9:59 p.m. CT on Monday, Wednesday, and Saturday.
- Mega Millions: 10 p.m. CT on Tuesday and Friday.
- Lucky for Life: 9:38 p.m. CT daily.
- Lotto America: 9:15 p.m. CT on Monday, Wednesday and Saturday.
- Dakota Cash: 9 p.m. CT on Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a South Dakota editor. You can send feedback using this form.
RAPID CITY, S.D. (KOTA) – A harrowing scene at Sheridan Lake ended without serious injury Tuesday after a man, a woman and their dog fell through thin ice near the swimming beach, authorities said.
Keep pets on a leash and never attempt a risky rescue if someone falls through the ice, officials said. Call 911 immediately.
The South Dakota Game, Fish, and Parks agency advises that ice three inches or less is unsafe. Four inches is generally considered the minimum for walking, ice fishing or skating.
Lt. Casey Kenrick of the Pennington County Sheriff’s Office said the incident is a reminder to take extra precautions this winter.
“Usually at this time the ice is significantly thick on the lakes around the area, well, some aren’t even frozen all the way at this point. The temperatures have been up and down so much that the ice isn’t solid even though it may look like it is, so make sure you know the ice depth that you’re getting onto,” Kenrick said.
Kenrick said those precautions could mean the difference between a close call and a tragedy.
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Copyright 2026 KOTA. All rights reserved.
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