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A healthcare foundation for changing lives in New Mexico

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A healthcare foundation for changing lives in New Mexico


New Mexico’s rural healthcare system—foundational not just to the well-being of the many New Mexicans but also to the welfare of the state as a whole—is getting much needed attention this legislative session. If this attention is transformed into support by the end of the session on February 15, the results could be life-changing in many parts of the states.

Two-thirds of New Mexicans live in areas identified as having a health provider shortage by the federal government and many of those live in rural communities, where travel distances and reduced hospital services contribute to higher mortality rates, poorer maternal and child health, more cases of untreated chronic pain, and more substance abuse. Accessing routine care in the 26 of 33 New Mexico counties that are largely rural can involve multi-hour drives to the closest provider. Accessing emergency care can be close to impossible.

Healthcare policy experts report rural hospitals, often the only healthcare available to surrounding communities, are facing financial pressures, challenging patient needs, and other pressures and closing throughout the country. While accessing healthcare has become challenging everywhere, rural populations are losing services at higher rates than urban areas. In many ways, rural hospitals are suffering from economic long-Covid; they are still feeling the impacts of the financial losses of the pandemic and must deal with increases in medical malpractice insurance costs, workforce shortages, and rising costs from a depleted position.

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The shutdown of a small, rural hospital reverberates throughout the community and throughout the state. Hospitals and healthcare facilities are economic drivers, supporting one in 12 jobs in their communities on average. Rural patients who don’t have care close to home put greater pressure on emergency and healthcare transportation services and add to the patient load of rural healthcare facilities that are already at capacity.

Most importantly, New Mexico cannot expect to succeed—cannot expect to see its children thrive academically and emotionally or its adults prosper economically or socially—if New Mexicans are not healthy.

Over the last few years, the Legislature has taken significant steps to improve healthcare access in rural New Mexico, investing $364 million last year alone in incentivizing new and expanding rural health providers, supporting rural and tribal hospitals, and raising Medicaid payments to healthcare providers.

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This year, I am sponsoring a plan that would create a $70 million health facility viability fund to provide grants to healthcare providers that reestablish or expand services in medically underserved areas with operating costs and other expenses. Other legislation under consideration includes proposals to provide $51 million in emergency funding to small rural and frontier hospitals, $60 million for student loan payments for healthcare professionals, and $50 million for quarterly subsidies for small, acute care hospitals that face financial struggles because of patients’ unpaid bills, unaffordable medical malpractice and property insurance, and declining Medicare payments. In addition, legislators are discussing a bill that would leverage a pool of hospital payments with federal funds to raise Medicaid payments to the same level as those paid by commercial insurers.

Almost 200 rural hospitals have shut down nationwide in the last 18 years, and in New Mexico, one hospital has shut down and 15 have cut back services. Rural New Mexicans are losing access to essential services and their communities are losing jobs. The failure of rural hospitals exacerbates persistent health and economic inequities.

We have an opportunity this legislative session to build on the progress we’ve made to turn this failure around. Success in tearing down the barriers to rural healthcare will mean greater success for all New Mexicans.

Sen. Pete Campos, a Democrat from Las Vegas who holds a doctorate in educational leadership and a master’s in guidance and counseling, has been a member of the Senate since 1991 and a member of the Senate Finance Committee since 1997. Campos is also a member of the Legislative Finance, Revenue Stabilization and Tax Policy, and Water and Natural Resources committees. He has served as the senator from District 8 in northern New Mexico since 1991 and has served as president of Luna Community College, superintendent of the Las Vegas City Schools, and mayor of Santa Rosa.



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New Mexico

New Mexico’s Free Child-Care Plan Has a Feasibility Gap

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New Mexico’s Free Child-Care Plan Has a Feasibility Gap


Last month, New Mexico’s governor announced that the state would soon become the first in the country to offer universal free child care. This was a momentous development for child-care proponents such as myself, who have long argued that wide-reaching free programs are crucial for parents and for a healthy democracy. Notably, the policy frames child care not as a private service but as necessary social infrastructure—the kind that, like schools and roads and libraries, should be publicly funded and available to everyone, regardless of their income.

Since the announcement, advocates and pundits have been unreserved in their excitement: An article in Bloomberg declared this was proof that “Universal Child Care Doesn’t Have to Be a Fantasy.” A writer for The Nation made the case that other states should establish similar programs. But this victory lap may be premature. New Mexico has many hurdles to overcome before anyone can declare the policy a success—and the state could, after all of this attention, fail to fully deliver on its promise.

Although the universal policy will not take effect until Saturday, New Mexico already has, at least in name, one of the most comprehensive child-care funding programs in the United States. Its current system, which offers free care to families with children ages six weeks to 13 years, does have an income-based cutoff, but it’s a generous one, in effect meaning about 85 percent of children in the state are covered. Within that income band, any family with all parents working or in school part- or full-time qualifies. Those families are then guaranteed what is essentially a voucher, which fully covers fees at any child-care provider participating in the state system.

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In practice, though, the state-covered care has been hard for many families to access. Of the roughly 137,000 children under age 5 (the group with the most acute care needs), only about 21,000 actually receive benefits under the current program. Among the remaining kids, some are not eligible; other families take advantage of different care options, such as Head Start or free pre-K, which are run separately and not counted as part of the child-care-voucher program. But plenty of families do qualify, and many of them want free care—yet have been unable to find open slots at participating providers. Roughly two-thirds of kids who currently meet program requirements in the state don’t receive any help.

The obstacles to higher uptake are multifold and stubborn. Among them are a shortage of child-care educators, trouble creating care options that meet families’ needs, some providers’ reluctance to accept state vouchers, and uneven care availability in rural areas. These aren’t the type of problems that can typically be resolved quickly—and they are highly unlikely to be addressed before the new policy kicks off. At least in the immediate term, then, New Mexico stands to remain one of the many states falling short of a pledge to provide free or subsidized care.

Ambitious policies, even those whose aims aren’t fully met, have real value; despite the relatively low uptake, New Mexico’s current plan has been a boon to many families. But scarcity acquires a different symbolic tenor in the context of a commitment to be available for everyone. An unmet promise, particularly one announced with great fanfare, can make people feel duped. Because New Mexico is the only state with a program like this, the stakes are high: The new policy’s rollout, and its successes or stumbles, may shape views on the viability of universal child care across the country.


New Mexico’s new child-care proposal is bold. It will use the same voucher system as the current plan, along with the same age cutoffs for kids and many of the same eligibility requirements, but it will open coverage to families at any income level. In its idealized form, parents across the state (excepting stay-at-home parents) will be able to easily sign up for benefits and access the care they need.

Seeing this vision through, however, will involve a herculean effort: New Mexico will need to hire an estimated 5,000 new educators to work in the system, while maintaining its current labor force, which a representative for the state’s Early Childhood Education and Care Department estimates is roughly 13,000 educators. The state has succeeded at similar child-care recruitment efforts in the past. When Governor Michelle Lujan Grisham was elected, she and other legislative leaders funneled money into the field, and from 2019 to 2024, the number of child-care practitioners in the state grew by 64 percent, department representatives told me. But attracting and training thousands more could take years.

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Carrying out this recruitment in the places with the most need may be particularly difficult. New Mexico’s current child-care offerings are geographically lopsided. For example, in many regions the state is low on slots for children under 2 (an average of 32 spaces exist for every 100 children in that age group), but the sparsely populated Union County has no licensed infant slots at all.

For years, New Mexico had a way to address rural child-care needs: by relying on informal providers known as “registered homes,” in which neighbors (or sometimes grandparents and other family members) care for a few children living nearby and are compensated by the government for their labor. In addition to making it easier for families in rural areas to access care close to where they live, registered homes tend to have more flexible hours—a necessity for parents who aren’t working a traditional 9-to-5. Other parents turn to these homes to find providers who share their language or culture.

Yet the number of slots in registered homes has been falling for more than a decade; from 2019 to this year, it plummeted from nearly 13,000 to just over 3,000. The exact reasons for the decline are unclear, but the drop-off may be related to how “confusing” one provider said the process of registering a home was.

The state is aware of these supply limitations. Elizabeth Groginsky, the secretary of New Mexico’s Early Childhood Education and Care Department, told me that her team is launching a campaign to recruit 1,000 new registered homes, working to make the registration process easier, and creating a support network for registered homes’ providers. The department also plans to offer low-interest loans to encourage the construction of new child-care centers and licensed family child-care businesses, and the expansion of existing ones. And it will be increasing the baseline rate at which child-care programs are reimbursed for the children they serve, as well as offering even more to programs that commit to a $16-an-hour wage floor for educators, compared with the state’s minimum wage of $12 an hour.

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All of this, though, costs more than the state has set aside. The department will be asking the state legislature for $120 million in additional funding, but the money is not guaranteed to be approved, particularly in the face of budget uncertainty after Congress passed a bill in July that puts new financial burdens on states. Groginsky told me that, no matter what, New Mexico expects to be able to pay for its child-care program through 2026. After that, it’s up to the legislature. This uncertainty has prompted some child-care-center owners—who don’t have to accept state vouchers—to express wariness about participating.


Any major foundering in New Mexico could have long-lasting consequences. Take the case of Quebec, which in 1997 launched a universal, $5-a-day child-care program, whose failures continue to reverberate today. At the time the policy was announced, the province had the capacity to serve only 15 percent of its children. Parent demand for the universal program was much higher, so, to meet it, the province took shortcuts, such as lowering educator qualifications and relying on for-profit providers of questionable quality. Although many kids got great care, others ended up in overcrowded, unclean centers. Evidence suggests that some of the kids in substandard settings may have grown more anxious and less social.

More than a quarter century later, Quebec’s stumbles are still used to argue against expansions of publicly funded child care. In 2021, J. D. Vance co-authored a Wall Street Journal op-ed opposing President Joe Biden’s proposed investments in child care. It took only three paragraphs for Vance to bring up Quebec, asserting that “it was, to put it bluntly, a disaster for Quebec’s children.”

New Mexico doesn’t seem likely to let quality slide in the way Quebec did. The problem, rather, is that the state may not be able to ensure that all families have access to the care they desire. This is where the messaging becomes so important: New Mexico has pledged universal free child care, but it has left itself little wiggle room to explain the time it may take to reach that goal or the challenges that could stand in its way.

Success, then, will depend on whether the state can recruit educators quickly enough, on whether the legislature will continually approve the needed funds, on how many providers opt into the state system, and on how soon families can expect access to the child care they were promised. The state’s program is an admirable gamble—but it is still very much a gamble.

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NM legislators want ‘truth commission’ to investigate late sex offender Epstein

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NM legislators want ‘truth commission’ to investigate late sex offender Epstein


Two New Mexico state Democratic lawmakers said Monday they will work during next year’s legislative session to establish a “truth commission” to investigate the activities of the late convicted sex offender Jeffrey Epstein at his Zorro ranch near Stanley in Santa Fe County.



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This Uncrowded New Mexico Beach Is A Hidden Gem Nestled In An Underrated City – Islands

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This Uncrowded New Mexico Beach Is A Hidden Gem Nestled In An Underrated City – Islands






New Mexico’s famous Carlsbad Caverns National Park draws about 400,000 visitors each year, and is home to the largest accessible cave chamber in North America. Before or after a visit to the caves, the underrated city of Carlsbad makes a perfect base to recharge. With a peaceful setting along the Pecos River, Carlsbad entices visitors with river walks and wildlife. In the center of this metropolitan city is a rare gem: a riverfront beach park with soft sand, swimming areas, and even a small waterpark.

Formed by a dam on a portion of the Pecos River, the unique public space has an array of activities for park goers, ranging from beach volleyball to kayaking and boating. Spanning 125.6 miles, the Lake Carlsbad Recreation Area provides an urban oasis for residents and visitors alike, just steps away from all the attractions and dining options in Carlsbad. For a perfect combination adventure, visitors can spend time at Lake Carlsbad, or explore a nearby golf course, zoo, and both state and national parks. 

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Attractions in and around the Carlsbad Recreation Area

The Carlsbad Recreation Area has something for everyone, including five miles of walking paths lined with pecan trees for a relaxing stroll while soaking in the river views. Families can gather in picnic areas with barbecue pits, or take in a game of racquetball or mini golf. There’s also a beach and pavilion, swimming areas, and boat launches for a full day spent on the water. Kids will love the playgrounds, hockey rink, and skatepark. The city-run waterpark within the recreation area has six different small waterslides, a lazy river, children’s play areas, and lounge areas for a nominal entry fee of $5.

Less than five miles from the lake park is the Living Gardens Desert Zoo and State Park, which features hiking trails with amazing views of the valley, wildlife viewing, and educational tours. There are several lodging options for visitors, including tent and RV sites or rustic cabins at the Carlsbad RV Park or camping at Brantley Lake State Park. Right in the city, the Trinity Hotel offers an elegant stay in a historic building that dates back to 1892, or the highly-rated Fiddler’s Inn provides charming accommodations and a cozy atmosphere.

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To get to Carlsbad, the Cavern City Air Terminal has a small number of commercial flights to Albuquerque and Phoenix. Or, for more flight options, the El Paso International Airport is the next best option, and is about a 2.5-hour drive from Carlsbad. For further exploration of under-the-radar attractions, about 50 miles outside of Carlsbad is the breathtaking Guadalupe Mountains, which is somehow one of the least-crowded national parks.





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