Montana
Child care challenges continue in Montana
HELENA — Child care is a tricky issue. A conference in Helena brought together industry leaders throughout the state to address the issues faced by businesses and parents alike.
“For parents, it’s an expensive service. A lot of parents rely on child care. So, when they don’t have access to child care then they’re not able to participate in the workforce, which has a big impact on our local and statewide economy,” says Caitlin Jensen, Executive Director at Zero to Five Montana.
The Montana Child Care Business Connect Summit aims to support child care businesses and address issues faced by the industry and parents.
Jessica Dehn owns 11 child care centers in Montana, Washington, and North Dakota and was at the conference on Wednesday. She’s found it difficult to balance keeping her prices affordable and paying her employees a living wage, especially in cities like Bozeman.
“Wages have gone up at my facilities about 50% or more, sometimes 100% depending on the role, over the last four years. And it’s still not necessarily a living wage in Bozeman, Montana,” says Dehn.
Dehn adds that she helps bridge the affordability gap through scholarships for qualifying families, but that the funding for those scholarships comes from inside the company. Covid relief that helped offset that burden is disappearing. She is also looking at other ways to offset costs, like partnerships with other businesses. She’ll be headed to Washington D.C. soon to possibly speak with lawmakers about other possible solutions.
“For the time being, I think the wins will be in the business sector more quickly, and helping government to see the state of the Montana economy is reliant upon this as well. I think people know that intellectually, but when it comes down to individual pocketbooks or funding like different budgets of different organizations at the state that gets more challenging,” says Dehn.
Other organizations are also working to provide parents with additional childcare options. The Helena Family YMCA has offered summer camps and after-school care in previous years but is preparing to launch before-school care and looking for a new space to host child care during work hours. The Y supports many low-income families, saying about 56% of their after-school children receive Best Beginnings child care scholarships.
Ashley Callison, Senior Youth Development Director at Helena Family YMCA, says child care is an essential cornerstone of our society.
“Just that it’s really important work and it’s valuable work that I think gets overseen a lot. And people don’t realize what a vital role that child care is in families lives and in our society because that’s how parents get to work every day and someone has to care for their kiddos and help them have great experiences throughout their childhood,” says Callison.
For many Montanans living in rural communities, accessing specialized healthcare isn’t as simple as booking an appointment. It can mean hours on the road to cities like Great Falls. But a growing outreach effort from health care like Benefis Health System is changing that reality by bringing providers directly to patients.
Brianna Juneau reports – watch the video here:
Providers travel to bring specialty care to Montana communities
Instead of requiring long-distance travel, Benefis doctors and advanced practice providers are hitting the road, delivering care in towns across North Central Montana. The goal: reduce barriers to access and ensure patients receive timely treatment closer to home.
“In this geographic area, sometimes some of the more medically complex children are seen by pediatricians,” said pediatrician Rachel Amthor. “It can be an opportunity to try to reach some children with medical complexity who do live in a rural area.”
That access can be especially impactful for young patients. In some communities, clinics are located near schools, allowing children to attend appointments without missing an entire day of class.
“There’s very much a community atmosphere with the clinic,” Amthor said. “I’ll have some patients walk from school during the day to come to their checkup and then walk back. They don’t have to miss a lot of school because everything is so close.”
But for many adults, particularly those working in agriculture, traveling for care can be a major obstacle.
“They either have to arrange transportation or they don’t drive at all—it’s an ordeal,” said Elizabeth O’Connor, a cardiothoracic nurse practitioner. “Some of our patients travel for a whole day to get here and back, or they have to spend the night. A lot of farmers and ranchers just can’t leave their property for that long.”
By bringing services into rural towns, providers can catch health issues earlier and make critical adjustments before conditions worsen.
“We’re able to make some simple adjustments in their medications that may prevent heart attacks, strokes, heart failure, admissions,” O’Connor said. “Providing access can certainly improve—if not longevity—the quality of their life.”
Benefis’ outreach clinics now serve a wide range of communities, offering specialty care that would otherwise require travel:
Choteau: Cardiology, OBGYN, Podiatry, Pediatrics
Fort Benton: Pediatrics, Cardiology, Podiatry, Dietician/Nutrition services, Diabetes Education, Functional Medicine and Hormone Replacement Therapy
Conrad: Cardiology
Cut Bank: Women’s Health
Havre: Nephrology and Neurology
Rocky Boy: Women’s Health and Nephrology
Shelby: Orthopedics
White Sulphur Springs: Women’s health
Lewistown: Orthopedics and Dermatology
Browning: Nephrology
Many of these services are critical for managing chronic conditions, ranging from heart disease to kidney disorders, where consistent follow-up care can significantly impact outcomes.
For providers like Amthor, the outreach effort is deeply personal.
“I became a pediatrician because I wanted to treat kids in underserved areas,” she said. “I was not expecting to be working in rural Montana, but that has been different and very good.”
As the program continues to grow, Benefis leaders say they hope to expand services even further, reaching more communities and reducing healthcare disparities across the state.
In places where distance has long defined access, these traveling clinics are helping ensure that quality care is no longer out of reach, but right down the road.
Oil pipelines, it turns out, are one of the few things that can still get Montanans riled up. And now, here we go again.
Donald Trump has finalized the approval of one of the largest cross-state pipelines in U.S. history, a nearly three-foot wide pipeline that will carry oil from Canada through Montana to Wyoming when built out. It means if this thing goes ahead, you are looking at around 550,000 barrels a day moving through the region. That is no small enterprise either, and it has already placed Montana squarely in the middle of a well-worn debate.
Joe Raedle/Getty Images
A Debate Montana Knows All Too Well
If all of this is ringing any bells for you, you are not wrong. Montana has been here before when it comes to pipeline debates, and just like last time, people are already divided. On one side, you have folks looking at this and thinking jobs, energy independence, and perhaps, bringing some much-needed relief to the gas pump. Because in all honesty, fuel has been rough lately. Every single fill-up makes you feel like you are buying concert tickets, not gas. For a lot of people, it sounds like progress.
Shawn Thew-Pool/Getty Images
Not Everyone Is Celebrating
Then there is the other camp, and they are hardly celebrating. Once again, environmental concerns are front and center. Spills, land impact, long-term risk. Everything that tends to get brushed aside until something actually breaks. Montana is not exactly short on people who care about the land. That part is not political. That is just reality out here. So when a pipeline cuts across the state, it quickly feels like poking a hornet’s nest.
Joe Raedle/Newsmakers
So Where Does This Go From Here
So where does that leave things? That is the question right now. Is this a move toward cheaper energy and greater stability, or is it another gamble with long-term consequences? The truth is, it is probably both. That said, construction crews are not rolling in tomorrow. The project still has hurdles to clear and could run into legal challenges. But the conversation is already here, and it is not going anywhere. And if history is any guide, Montana is going to have plenty to say about it.
Counties with the highest cancer rates in Montana
Gallery Credit: Stacker
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