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St. James hospital in Butte losing surgeons, union raises concerns about workers, patients – Daily Montanan

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St. James hospital in Butte losing surgeons, union raises concerns about workers, patients – Daily Montanan


St. James Healthcare in Butte appears to have lost more than half of its surgeons in the last year, and the Montana Nurses Association is urging Intermountain Health — which runs the hospital following a 2022 merger — to prioritize retention of critical health care providers.

Roughly one year ago, the hospital counted nine or 10 surgeons, and it has just four after Intermountain failed to retain three in contract negotiations and two others retired, according to the Montana Nurses Association.

“This is a really big impact” for surgical services, said Robin Haux, labor program director for the Montana Nurses Association.

St. James counts 67 beds in southwest Montana and is the only acute care facility in the region, according to information from Intermountain Health. A story about the merger from NBC Montana said it served nearly 40,000 members of the community in 2022; Intermountain did not provide an updated figure.

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In an email Friday, Intermountain Health did not dispute the union’s count of the more than 50% decrease in surgeons in the last year. In response to a question about plans and a timeline for filling positions in Butte, Intermountain emailed a statement with remarks from an interim president.

“We are excited to welcome several new providers across various specialties to St. James and Intermountain Health in the coming months,” said Pam Palagi, interim president of St. James Hospital, in a statement from an Intermountain media relations manager. “Those specialties include neurosurgery, orthopedic surgery, general surgery, endocrinology and walk-in care.”

Intermountain Health’s corporate offices are based in Utah. Its website says it works in seven states including Montana and at 33 hospitals and 385 clinics. It touts that it is “reimagining health care,” offers “pioneering research,” provides personal and affordable care, and is a partner with the Las Vegas Raiders.

The merger between Intermountain Health and SCL Health created the 11th largest nonprofit health care system in the U.S., according to NBC. At the time, the former president of St. James said patients would see a logo change as a result, but they could expect to see a high level of care continue.

“The great quality care that you are used to receiving will stay the same, and how you access and utilize our services will not change,” said then-President Jay Doyle in 2022 to NBC.

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Friday, however, Haux and Montana Nurses Association labor representative Emily Peterson said patients already are seeing impacts from the departures of providers. The lost doctors who have not been replaced include a urologist and gastroenterologist.

Peterson said the hospital recently had to reschedule three weeks’ worth of procedures for patients after Intermountain lost one surgeon. She said it canceled two weeks of appointments after it lost another.

“That is one big concern for our nurses,” Peterson said. “They know these patients need help, and it was more upsetting to them that the patients that needed procedures weren’t getting them than it was for them to not get their hours.”

However, the union is seeing employees have hours cut or have to take eight to 12 hours of paid time off a week. And without needed providers and a full schedule, they worry about the potential for staff cuts in the future.

“It is causing a lot of concern with the nurses and the surgical techs,” Peterson said.

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A petition launched Friday asks Intermountain, a nonprofit healthcare system that describes itself as the largest in the intermountain West, to address the crisis by prioritizing the retention of providers, strengthening their contracts, and keeping registered nurses and other staff in Butte.

The Montana Nurses Association has roughly 25 nurses in surgical services at St. James and 132 members at the hospital altogether. The Teamsters of the Montana AFL-CIO represent additional staff such as CNAs, or certified nursing assistants.

“This is really about protecting the ability to provide high quality care and really vital services and vital care to the community,” Haux said.

To fill one gap, a traveling doctor is slated to help temporarily, but at a high cost, Peterson said.

Dr. Nathaniel Readal, a urologist, said Friday he declined to sign a new contract with Intermountain because he believes some of the language in the agreement put him at risk legally.

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Most surgical specialists are generally required to take seven to 10 days a month of being on call, but in Butte Readal said he took an average of 270 to 300 days a year. That means staying within 30 minutes of the hospital and being available to deal with an emergency; in other words, it means no skiing, fishing, beer or golf.

“I take more call because there’s nobody else to do it. We have a pretty large patient base,” Readal said.

But he said he interpreted some of the language in the contract to suggest he would have to be on call and available basically around the clock and every day for existing patients he had cared for in the past.

If such a patient came in with an acute issue and Readal was, say, skiing and unreachable, he said he could be at medical legal risk as the agreement was drafted. He didn’t quibble with compensation, he said, but he requested language in the contract that would protect him legally, and Intermountain did not provide it.

“That was the thing they were unwilling to change and why I would not sign the contract,” said Readal, who had signed previous contracts before the merger.

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A story about Readal in the Montana Standard in 2018 said he completed his medical degree and residency at renowned Johns Hopkins Hospital in Baltimore and was working to make healthcare better and more accessible at St. James. In a way, the story said he represented the “future of Butte.”

The story said he and his wife were already a part of the community. Friday, however, Readal, said he is evaluating all his options for the future, in part because standard healthcare contracts make it difficult to remain in a community and care for patients if a provider doesn’t want to work for the medical group that staffs the hospital, or Intermountain in this case.

In the email from Intermountain, Palagi said the industry comes with some churn.

“Transitions in hospital leadership and physicians are common in the healthcare industry,” Palagi said. “At St. James, we prioritize continuity of care and employ robust recruitment strategies to ensure smooth transitions and maintain high standards of patient care.

“ … The bottom line is that St. James Hospital and Intermountain Health remain committed to ensuring the residents of Butte and southwest Montana have access to top-notch, patient-centered care right here in their home community.”

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The Montana Nurses Association said the administration at St. James wants to protect frontline employees such as nurses, CNAs, and other staff. Haux said they know how hard it is to replace those positions.

“But we also know they will not be able to continue this without providers and without a full schedule,” she said.

Haux said the petition does not force action by Intermountain. However, the Montana Nurses Association and Teamsters of the Montana AFL-CIO may pursue other options that would put pressure on the healthcare system if leaders do not respond.

“I don’t think … that will sit well with the Butte community if they choose not to respond,” Haux said. “That’s a very tight, close-knit community.”

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REAL Montana participants gain global perspective on agriculture during Morocco trip

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REAL Montana participants gain global perspective on agriculture during Morocco trip


GREAT FALLS — REAL Montana, short for Resource Education & Agriculture Leadership, is a two-year leadership development program through Montana State University Extension designed to strengthen the future of the state’s natural resource industries. The program combines in-state seminars, national travel, and an international study tour to expose participants to a wide range of perspectives.

Madison Collier reports – watch the video here:

Montana Ag Network: REAL group highlights international industry

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The mission is simple: build a network of informed leaders who can help advance Montana agriculture and natural resource industries in a rapidly changing world.

A global classroom

This year, participants traveled across Morocco, visiting farms, research centers, and food production facilities to better understand how agriculture operates on a global scale.

According to REAL Montana Co-Director Tara Becken, the trip is about more than just travel, it’s about perspective.

“We were able to see how Montana commodities fit into the global picture,” said Becken, who also attended the trip. “Wheat from Montana’s Golden Triangle ends up on a plate on the other side of the world.”

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Participants explored everything from citrus production to international trade, gaining firsthand insight into how food systems connect across continents.

Similar challenges, different landscapes

While Morocco’s environment and crops differ from those in Montana, participants said the challenges facing producers still felt familiar.

“Even though we’re worlds away, our challenges are very, very similar,” Becken said, pointing to issues like drought, labor shortages, and market pressures.

For Alice Miller, a participant in the program, those similarities stood out immediately.

“They’ve been dealing with drought. They’re working through input costs and labor… those are the same conversations we’re having here,” Miller said.

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From farm to global table

One of the most impactful moments for participants came from seeing food production up close and realizing how connected it is to back home.

“Eating oranges right off the trees and then thinking about how that food ends up on our grocery store shelves… it just hits different when you’re there,” Miller said.

The experience reinforced a broader takeaway: Montana agriculture plays a role far beyond state lines.

“Montana really is feeding the world. That’s not just a phrase, that’s a reality,” Miller said.

Building the next generation of leaders

The international trip is just one part of the REAL Montana program, which includes eight in-state seminars and a national policy-focused trip to Washington, D.C.

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Participants are selected from across Montana’s natural resource industries, including agriculture, energy, and forestry, with the goal of building a diverse network of future leaders.

Program leaders say those experiences are critical as the industry faces ongoing challenges, from global trade to shifting consumer demands.

“Unless we can understand the world around us, it’s really hard to tackle our own problems,” Becken said.

As the current class prepares to graduate, the focus now shifts to applying those lessons back home.

“We hope they go out and make a difference for the state of Montana and their communities,” Becken said.

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Looking ahead

Applications for the next REAL Montana class are open through March 31. The program targets individuals working in Montana’s natural resource industries who are interested in growing as leaders and making an impact in their communities.

For Miller, the experience is one she encourages others to pursue.

“It’s an investment you won’t regret making, in yourself and in your industry,” she said.

The Montana Farmers Union is now offering a scholarship to help offset the cost of participation for eligible members accepted into the program. The support is designed to make leadership development more accessible to those working in agriculture and natural resource industries.

More information on scholarship opportunities and the application process can be found on the REAL Montana website.

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Montana’s measures to tackle housing crunch offer hope for Michigan

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Montana’s measures to tackle housing crunch offer hope for Michigan


News Story


State House considers reforms that allowed greater variety of construction in Big Sky State

Michigan could follow Montana’s lead after state House members introduced a bipartisan package of bills aimed at making housing less costly.

“The bipartisan Housing Readiness Package modernizes our development processes to reduce unnecessary costs and delays, making housing more affordable and available across the state,” according to a press release from the House Republican caucus. “This is about ensuring Michigan is prepared for growth and that more residents have access to safe, stable homes.”

The package draws on ideas Montana successfully enacted in 2023 and 2025 to ease the state’s housing shortage. It includes Michigan House bills 5529, 5530, 5531, 5532, 5581, 5582, 5583, 5584 and 5585. The package is intended to restrain cities and counties from restricting accessory dwelling units, duplexes, and other non-single-family units; to limit protests and impact studies on developments; and to reduce local red tape.

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Housing costs in Michigan have almost doubled in recent years, according to the Federal Reserve Bank of St. Louis. Michigan has exceeded the pace of housing inflation found in other states.

The average price of homes in the state was about 75% of the national average in 2012, but it is roughly 82% of the average today, according to Jarrett Skorup, vice president of marketing and communications at the Mackinac Center for Public Policy.

Inflation, interest rates, and rising construction costs have increased housing prices, Skorup told Michigan Capitol Confidential, but local government red tape is still making things worse.

“A lot of this is because of dumb, unnecessary, big-government policies at the local level,” Skorup told CapCon in an email. “This bill package protects the private property rights of citizens in a way similar to what Montana and many other states have done. It is good policy that will help people afford to live where they want.”

Montana made changes to legalize duplexes, allow accessory dwelling units, open commercial zones to housing, and permit taller buildings that can accommodate more housing units.

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The laws faced a legal challenge, but the Montana Supreme Court unanimously upheld the bipartisan legislation.

“There are a lot of similarities between what is being proposed in Michigan and what we accomplished in Montana,” Forrest Mandeville, a Republican state senator from Stillwater County, told Michigan Capitol Confidential in an email.

Montana enacted laws that call for freedom to build duplexes and accessory dwelling units by right (with no need for extra approvals) in many cities. The Big Sky State also streamlined review processes and simplified public participation.

“These reforms were necessitated by a housing market that was seeing prices skyrocket and existing zoning that created a lot of single-family-only development in large areas,” Mandeville said.

A broad coalition supported the changes: builders, real estate agents, free-market advocates and some local government groups, Mandeville told CapCon. Housing prices and rents have stabilized since the legislation was enacted.

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“We tried to get government out of the way to encourage building without red tape,” Sen. Jeremy Trebas, a Cascade County Republican, told CapCon in an email about the housing situation in Bozeman. With a population of 60,000 and slow growth, the city faced a housing crunch, with a large inventory of aging and obsolete buildings. Expensive housing and taxes, Trebas said, were driving people to move to Washington, California and other states.

“If we could change land-use policy, encourage development of higher density like duplexes as infill, allow for housing in commercial zones (as it was a 100 years ago), reduce minimum lot sizes, and allow by-right accessory dwelling units and such, we could let the market work to produce density and supply without spending government dollars to incentivize it,” Trebas said.

Opponents of Montana’s reforms expressed concerns about more people moving in from out-of-state, said Trebas. He countered that Montana natives were hurt by high costs that price upcoming generations out of the housing market.





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‘Hannah Montana’ Vinyl Returns to Charts Following 20th Anniversary Special

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‘Hannah Montana’ Vinyl Returns to Charts Following 20th Anniversary Special


The buzz over the Miley Cyrus special has also led to a surge of renewed interest in the show’s popular soundtracks

If you purchase an independently reviewed product or service through a link on our website, Rolling Stone may receive an affiliate commission.

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Hannah Montana celebrated its 20th anniversary this week with a brand new special on Disney+ that reunited Miley Cyrus and company for a look back at the nostalgic Disney Channel series. While the special unveiled plenty of surprises (including a new song and celebrity cameos), the buzz over Hannah‘s anniversary has also led to a surge of new interest in the show’s popular soundtrack.

Hannah Montana spawned five studio albums, including a soundtrack for Hannah Montana: The Movie. It also led to Best of Both Worlds Concert, a live album that featured Cyrus performing both in character as Hannah and under her own name. All of the albums were originally released on CD, though vinyl pressings of each release came later as well. Three of the albums debuted at number one on the Billboard charts and all of them were later certified gold or higher by the RIAA.

Now, a number of the albums have returned to the bestsellers list, with four Hannah LPs currently sitting in the Top Ten of Amazon’s soundtracks chart. Here’s a look at the trending releases and how to buy them online.

This Hannah Montana vinyl has returned to the top ten of Amazon’s overall soundtracks chart. This is the soundtrack to season one of the Disney Channel show in an Amazon-exclusive “green splatter” colorway. While the original soundtrack was released in October 2006, this vinyl edition was released this past January ahead of the show’s 20th anniversary.

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Best Of Hannah Montana [Clear LP]

Amazon’s bestseller is this “Best Of” LP, which comes in an exclusive limited-edition purple vinyl colorway. First released in 2011, the album was later made available on vinyl in 2019. Hot off the 20th anniversary special, the LP has returned to number one on Amazon’s Disney soundtracks chart.

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Hannah Montana: The Movie (Original Motion Picture Soundtrack)

This two-LP set features all the songs from Hannah Montana: The Movie, which hit theaters in 2009. The track list includes hit songs from the original film like “The Climb,” “Butterfly Fly Away” and “Hoedown Throwdown.” It also includes the 2009 “movie mix” of “The Best of Both Worlds.” The discs come in a lavender colorway inspired by the colors in the show logo.

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Hannah Montana 2 (Original Soundtrack)[Color Splatter LP]

This LP features songs from season two of the Disney Channel series, including hits like “We Got the Party,” “Nobody’s Perfect” and “Life’s What You Make It.” Amazon has this available on a special “color splatter” vinyl.

All of the above vinyl releases are part of limited-edition drops that are exclusive to Amazon.

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Hannah Montana - Hannah Montana 3 (Original Soundtrack) LP

Urban Outfitters, meantime, has this tie-dye edition of the Hannah Montana season three soundtrack on vinyl. From Walt Disney Records, the LP gets you 14 songs on a groovy, 70s-inspired disc.

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Need somewhere to play your new Hannah Montana vinyl? Amazon has this light pink record player on sale for under $60 right now as part of the site’s Big Spring Sale event.

Victrola Journey II (2025 Model) – Bluetooth Suitcase Record Player

From popular turntable makers Victrola, the Victrola Journey II is the latest version of the brand’s bestselling suitcase record player, which offers a portable way to take your records on the go. This unit features a three-speed turntable, built-in speakers (with “enhanced bass”) and both Bluetooth capabilities and headphone outputs.

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A star-making vehicle for Miley Cyrus, Hannah Montana ran for four seasons from 2006 to 2011. You can stream every Hannah Montana episode and Hannah Montana: The Movie online through Disney+.



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