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Rural MAHA followers say Trump hasn’t improved health of their communities, poll finds
Rural voters have been an important voting bloc for Trump and Republicans in recent elections.
Biokineticists fight disease using exercise science: how to bring their skills to rural patients
Biokineticists can help identify NCD risk in rural communities, but gaps in referral pathways and public healthcare integration may limit access to follow-up care.
Oklahoma officials cite early milestones in first year of Rural Health Transformation Prog
State and health leaders say they are making progress as they work to improve rural health in Oklahoma.In the first year of the Rural Health Transformation Prog
Rural MAHA followers say Trump hasn’t improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Rural MAHA followers say Trump hasn't improved health of their communities, an AP-KFF poll finds
A new AP-KFF poll finds that the Make America Healthy Again movement has a substantial following among rural voters, but most don't think President Donald Trump's healthcare policies have benefited their communities.
Rural MAHA Followers Say Trump Health Policies Haven’t Reached Their Communities
President Donald Trump has championed sprawling health policy changes under the Make America Healthy Again movement, but a KFF-Associated Press survey of rural voters found people aren’t seeing the initiatives reach their communities.
When “DEI” research is cut, what happens to community health?
“I’m just going to run to the grocery store!” How many times have we said this without thinking about it? For most of us, it's usually an easy walk or a short drive to get the cheese we forgot. In reality, though, 13% of the U.S. population (about 39 million people) live in “food deserts,” which means living more than a mile from a grocery store in urban areas and more than 10 miles in rural areas. This was the case for people in Pittsburgh’s Hill District, where a quick run to buy food wasn’t an option. In the 1930s, federal maps marked the Hill as "hazardous" for lending, a practice known as redlining that steered investment away from Black neighborhoods. Decades of disinvestment followed, and residents went about 30 years without a nearby grocery store. This made it hard to keep healthy eating habits and contributed to chronic disease. When a grocery store finally opened in the area in 2013, researchers saw the opportunity and launched the PHRESH study, which initially compared the health of participants from the Hill district to those in the Homewood district. Over time, the study expanded to other factors such as brain health and Alzheimer's risk. Residents like Roderick Blair overcame initial hesitation to share their health data, trusting it would benefit their neighborhood. Then, in August 2026, the NIH abruptly canceled the study’s grant, citing that it was “subjective” and fell outside their scientific scope—an effect of the administration’s interpretation of diversity, equity and inclusion (DEI). Research like PHRESH can help determine what changes in a neighborhood actually improve health, so cutting it has left that question unanswered. Other canceled studies have examined health issues like maternal health, preterm birth rates, or sickle cell disease. Courts have reversed some of these grant cancellations, but not all of them. If we really want America to be healthier, research into why some communities get sicker than others is absolutely critical. The law that created the federal minority health research institute passed with bipartisan support in 2000. But these days, as evidenced by grant cancellations, the political shift in attitudes toward DEI means we often lose access to the health information we need to help all communities thrive. DEI vs. health equity vs. equality and the overlap (or lack thereof) The letters “DEI” evoke very different reactions depending on who you are in the U.S. DEI programs can address gender, disability, age, and other factors, but the fiercest debate centers on race. For some people, hearing DEI brings to mind policies that may have cost them a job or a college seat because they are white. Others see DEI as a matter of justice: a way to expand representation and opportunity for groups that have been historically marginalized. Both perspectives are rooted in lived experience, and both center on the same question: whether hiring and admissions practices are fair. Hiring and admission practices, though related, are not the same as health equity. Health equity is “the attainment of the highest level of health for all people.” It’s the recognition that some groups of people consistently experience worse health outcomes than others. For instance, black mothers die from pregnancy-related complications at three times the rate of white mothers, and rural Americans are more likely to die from issues such as heart disease and cancer. Equity is also often conflated with “equality,” which leads to misunderstanding of how to actually best support communities. Equality ignores the fact that we aren’t all starting life with the same resources or circumstances, whereas equity is about helping people get what they specifically need based on their situation so they have the chance to achieve the same outcome as anyone else. For example, if every household in Pittsburgh got a $30 grocery gift card, that would be equal. But during the decades the Hill District went without a grocery store, that card wouldn’t have helped much. Equity means making sure everyone can actually access a store in the first place. DEI policies can overlap with health equity in many ways. For example, they may help expand access to quality education and stable, well-paying jobs, which in turn can provide health insurance, safer housing, and improved finances—all of which can reduce health disparities. But to make that happen, we first need data to identify disparities in communities and to develop solutions that effectively address them. What we lose when the research stops Community data is important to health equity because: You can’t fix what you don’t see: Data show which communities are most affected by health factors such as infection, heart disease, and cancer. If we don’t know what is happening and where, then we can’t develop interventions to help. Poor health costs everyone: Chronic disease is expensive—both to the individual person and to the overall economy. Understanding what groups of people are most at risk allows us to develop interventions that can save everyone money. Disparities exist for many communities: Health equity includes disparities that exist due to a whole host of factors, such as family background, race and ethnicity, rural vs. suburban residence, gender and sexual orientation, veteran status, disability, and lower income. This means many Americans can benefit from research into differences in health outcomes and how to improve them. Trust is easy to lose: Some participants in the PHRESH study were initially vocal about their concerns about participating. But that trust was earned because the researchers kept their promises and centered their work on the community. When projects are canceled mid-cycle, researchers have no choice but to leave behind communities they had promised to help. This hurts trust in the long run. It’s also a very inefficient use of resources, and it will take significant time and effort to redo the work when the government realizes this work is important again. How should we talk about health equity? This is hard because the words “equity” and “DEI” are currently very politically charged. So whether you’re a public health professional, teacher, or friend, how we talk about this topic matters. The right framing can help people who might otherwise be skeptical see why health equity research is important and deserves funding. Here are some suggestions to help your conversations: Choose your words strategically: Who are you trying to reach with your message? Are they likely to be resistant to terms like “diversity” and “equity”? If so, find alternative words to use to still get the message across. It is frustrating to be in that position, but the goal of improving health is too important not to try to make inroads. Sometimes simply reframing can help the message reach those who need to hear it. Focus on the problem: The terms “health equity” and “DEI” are abstract. Make it more specific. For example, discuss differences in maternal death or ways to improve health outcomes in rural communities. These still have equity at their core but will likely be better understood by those you’re talking with. Focus on systems: Disparities exist, but if they are communicated poorly, people can mistakenly think the issue is the individual’s fault. Disparities are largely driven by failures of the system—such as lack of access to health care and a long legacy of racism. When discussing the disparities, frame them around these systemic issues to ensure blame isn’t placed on the individuals impacted. Tell stories: Personalize these policies by using stories from those impacted that connect to the data you’re trying to convey. This helps make the policies and outcomes more concrete and meaningful. Bottom line Some communities end up sicker than others. That’s just the facts. We can argue about the best way to do that research, but canceling it simply because it may be linked to DEI doesn’t make anyone healthier. It just leaves communities like the Hill district behind. And in the end, it causes us all to move backward in our efforts to improve health in this country. Love, EM Big thanks to MacKenzie Isaac & Legairre Radden, who reviewed this piece and generously shared their expertise and lived experience to help improve it. Dr. Liz Marnik, PhD, is Executive Director of The Evidence Collective and a science communicator and immunologist working at the intersection of public trust, science, and public health. To discuss communication training on topics like health equity and storytelling, email Liz at liz@yle.health or learn more on our website. Your Local Epidemiologist (YLE) comprises a team of experts, ranging from physicians to immunologists to epidemiologists to nutritionists, working together with one goal: to “translate” ever-evolving public health science so that people are well-equipped to make evidence-based decisions. The YLE suite of newsletters reaches over 475,000 people across more than 132 countries. This newsletter is free to everyone, thanks to the generous support of fellow YLE community members. To support the effort, subscribe or upgrade below: Your Local Epidemiologist is a reader-supported publication. 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Governor, health commissioner tout Oklahoma's Rural Hospital Transformation Program
Gov. Kevin Stitt was joined by State Health Commissioner Keith Reed at Southwestern University in Weatherford to announce the latest update on Oklahoma’s Rural Hospital Transformation Program.
State health officials back mental health first aid training at colleges, universities
By Skye Crawford Key Takeaways: When she was growing up in rural southeastern North Carolina, Alicia Freeman saw people whose mental health and substance use concerns went untreated because her area had very few resources to help them. Freeman, who’s been at UNC Chapel Hill since 2019, said watching her community members struggle is part […]
South Dakota awards over $13M in behavioral health grants to expand rural care
South Dakota is awarding over $13M in behavioral health grants to help 12 rural clinics expand mental health care, modernize technology, and improve crisis care.
Oklahoma rural health gets $223M from One Big Beautiful Bill as SWOSU brings care closer to home
Oklahoma rural health just got a $223 million boost, and SWOSU is using part of it to bring care closer to home for those in western Oklahoma.
Clemson Rural Health launches diabetes management program in Midlands South Carolina
Clemson Rural Health is delivering a new diabetes management program in Orangeburg, South Carolina, and surrounding counties through $600,000 in funding
Dartmouth Health announces at-home program to address rural challenges after $20M gift
Dartmouth Health and the Geisel School of Medicine at Dartmouth College announced Tuesday they’re launching a new at-home health care program, an effort to address healthcare delivery challenges in rural New Hampshire and Vermont where patients often live far from doctors and health facilities.
Heartland Whole Health Launches 'Blueprint for Rural Healthcare Transformation'
Bentonville's Heartland Whole Health Institute has launched Heartland Whole Health Connect, which it calls a pioneering initiative designed
Rural healthcare providers in Colorado get boost from federal government
Michigan got $173M to transform rural health. Where is it going?
Some rural healthcare leaders say the first round of funds allocated from the Rural Health Transformation Program don’t go far enough to stabilize their industry amid federal cuts.
Millions of dollars are coming for rural health. But thousands are losing Medicaid to pay for it.
Many West Virginians will stop qualifying for Medicaid. A new rural healthcare fund won’t help them pay for care.
Rural Hospital Administrators: The Rural Health Transformation Program Isn’t Helping, Yet
The Rural Health Transformation Program (RHTP) was supposed to help rural hospitals deal with cuts to federal funding as a result of H.R. 1, or the “One
Rural Colorado communities getting healthcare upgrades with $170M in federal grants
Grant funding will benefit 250 projects aimed at strengthening rural Colorado’s healthcare workforce, equipment and services
Grand County Rural Health Network honors 2026 health service award recipients
Grand County Rural Health Network has named Mara Pacyga, Dr. Eliza Buyers and Hannah Wynd recipients of its 2026 Award for Excellence in Health Service, recognizing their leadership and contributions to health care access and...
Haaland Tours Rural New Mexico Hospital, Highlights Medicaid and Health Care Challenges
Overview: Democratic gubernatorial nominee Deb Haaland visited Presbyterian Española Hospital on Sunday, touring its facilities and meeting with health care professionals about challenges facing rural hospitals and the potential impact of Medicaid cuts. Native Vote 2026 Deb Haaland (Laguna Pueblo), the Democratic nominee for governor of New Mexico, visited Presbyterian Española Hospital on Sunday, where […]
Haaland Tours Rural New Mexico Hospital, Highlights Medicaid and Health Care Challenges
Native Vote 2026 Deb Haaland (Laguna Pueblo), the Democratic nominee for governor of New Mexico, visited Presbyterian Española Hospital on Sunday, where she toured health care facilities and participa...
Texas awards $51 million in first round of Rural Texas Strong funding
Gov. Greg Abbott announced on Monday that Texas is awarding $51 million in federal funding to rural hospital districts and authorities as part of the state’s Rural Texas Strong initiative.
Michigan got $173M to transform rural health. Where is it going?
Some rural healthcare leaders say the Rural Health Transformation Program doesn’t go far enough to stabilize their industry amid federal cuts. Meanwhile, Michigan lawmakers say there’s a ‘transparency issue.’
Colorado distributes $170 million in federal funding to help 91 rural healthcare organizations
The transformation grants aren’t meant to replace that funding, but to make rural health care more sustainable in the long run.
State awards nearly $170 million to rural healthcare providers
Colorado is awarding nearly $170 million in federal grants to rural healthcare providers across 52 counties to expand telehealth, strengthen the workforce and improve access to care.
Delaware health centers receive nearly $23M for technology, mobile care
Gov. Matt Meyer and other Delaware officials announced nearly $23 million in federal funding to upgrade patient records, expand care coordination and improve access to services in rural communities between three federally qualified health centers.
Dakota State University awarded $1M to strengthen rural healthcare cybersecurity
DSU’s new CyberRx SD will help South Dakota healthcare providers modernize technology, protect patient data and build long-term digital resilience.
Missouri doesn't require asking pregnant patients about their mental health. New moms keep dying
Asking the right questions is just the first step. Actually getting support, especially for moms in rural Missouri, is where providers say things get even harder.
A rural Michigan town lost its hospital. The impact goes beyond healthcare.
A rural hospital closed, giving three-days notice. A Michigan town is living with the consequences.
Barbour Community Health psychologist wins statewide award for school-based mental health work
The West Virginia Psychological Association named Dr. Casey Jo Cottrill of Barbour Community Health Association its 2026 Early Career Citizen Psychologist for her work expanding behavioral health care in rural schools.
In 1980, His Business Became The Fastest Company In History To Reach $1 Billion In Sales. Today, His Heirs Sit On Top a $453 Billion Combined Fortune. Here’s How Sam Walton Built the Biggest Retail Empire in America’s History
Sam Walton opened a single discount store in rural Arkansas in 1962 with no obvious path to greatness. What he built in the decades that followed rewrote every assumption about how fast a retail empire could grow and how much wealth one family could accumulate.
Mobile clinics draw hundreds to Kansas City as rural hospitals close
Leaders from across the country gathered in Kansas City this weekend to discuss mobile health clinics as an option for rural healthcare access.
Webb County commissioners to consider rural healthcare access, constable gear and arena zone
Webb County commissioners are scheduled to meet Monday morning to discuss agenda items addressing healthcare access, law enforcement equipment, and regional economic development.
The most pressing midterm issues for rural voters
Affordability matters most for rural voters heading into the midterms.
Soaring diesel prices are clobbering Trump’s MAGA faithful, exposing rifts
Pain at the pump for rural Republicans is shifting the political map.
Telehealth provider, children’s services group share how they’ll use grants to better rural healthcare
The first awards through the Mississippi Rural Health Transformation Program have been announced, detailing who is receiving the grants and what they will use them for.
Trump administration awards $23M to boost rural healthcare in Delaware
A major infusion of federal money is headed to Delaware health centers, with nearly $23 million aimed at expanding care and modernizing services.
Trump administration awards $23M to boost rural healthcare in Delaware
A major infusion of federal money is headed to Delaware health centers, with nearly $23 million aimed at expanding care and modernizing services.
Trump administration awards $23M to boost rural healthcare in Delaware
A major infusion of federal money is headed to Delaware health centers, with nearly $23 million aimed at expanding care and modernizing services.
Trump administration awards $23M to boost rural healthcare in Delaware
A major infusion of federal money is headed to Delaware health centers, with nearly $23 million aimed at expanding care and modernizing services.
Mental health screening: “We don’t want anybody to fall through the cracks”
LIBERTY — Just 10 minutes during fall semester makes a difference in the mental health of Liberty students. The school district, in partnership with the Rural Behavior Health Institute (RBHI) […]
Alaska to launch second funding round for Rural Health Transformation Program
The federal program is meant to produce long-term transformation, but strict rules are leading to short timelines.
Guthrie talks data center costs, health care during Owensboro business visit
Congressman Brett Guthrie toured Custom Audio-Video during a Friday visit to Owensboro, then spoke with Owensboro Times about congressional efforts addressing data center electricity costs, Medicare physician payments, and cybersecurity at rural hospitals.
Guthrie talks data center costs, health care during Owensboro business visit
Congressman Brett Guthrie toured Custom Audio-Video during a Friday visit to Owensboro, then spoke with Owensboro Times about congressional efforts addressing data center electricity costs, Medicare physician payments, and cybersecurity at rural hospitals.
Rural Health Transformation Project funding could bring childcare to Juneau hospital workers
A Juneau nonprofit received grant funding to create a childcare center for Bartlett Regional Hospital employees.
Rural Health: Addressing nursing shortage is vital
Among the projects under West Virginia’s Rural Health Transformation Program is Mountain State Care Force, which is meant to address the shortage of healthcare workers in many of our communities. This week, the initiative awarded $201,403 to the WVU Medicine Center for Nursing Education, where it is expected to increase capacity for approximately 100 additional […]
Mississippi's governor awarded more than $104 million to improve rural healthcare. Where's it going?
Mississippi Today reports that a few recipients received a large share of federal funds to boost rural health in Mississippi
Watch: How data centers impact the environment and health in rural areas
Find fresh angles and untold stories about data centers' impact on rural environmental health from a panel of experts.
Arkansas Invests 54 Million to Boost Rural Health and Workforce in 54 New Projects
Governor Sarah Huckabee Sanders announced $54.6 million in new rural health funding for 54 projects across Arkansas Thursday, including eight awards totaling more than $5 million for projects serving Southeast Arkansas. Jefferson Hospital Association received two awards totaling $1.03 million. Of that amount, $360,000 will […]
The governor awarded more than $104 million to improve rural healthcare in Mississippi. Where is the money going?
A handful of recipients accounted for a substantial share of the first round of federal awards to boost rural health in Mississippi, according to an analysis of funding conducted by Mississippi Today.
On the Move: Week of September 25
Jenn CrimminsUnityPoint HealthPromoted to executive director, rural health partnershipsjennifer.crimmins@unitypoint.org
Delaware awards $23M to local health centers, braces for Medicaid reductions
Three Delaware medical centers are poised to receive nearly $23 million this year as the state looks to bolster rural healthcare.
St. Bernards Foundation receives two grants for rural healthcare
St. Bernards Foundation announced Thursday it received two grants through the state of Arkansas’ Rural Health Transformation Program totaling $4.8 million.
$54.6 million in rural health transformation funds awarded
Gov. Sarah Sanders announced Thursday (Sept. 24) $54.6 million in awards to recipients of the second round of Rural Health Transformation Program (RHTP) grants, which follows $149.3 million announced in...
Governor announces another $54.6 million in rural health grants
Gov. Sarah Huckabee Sanders announced an additional $54.6 million in federal funding to bolster rural healthcare on Thursday, the latest allocation from the state's share of a $50 billion fund established by Congress last year.
Arkansas Rural Health Transformation Program Awards UAMS $5 Million to Fund 6 Initiatives
LITTLE ROCK — The University of Arkansas for Medical Sciences (UAMS) received more than $5 million in funding under the HEART and RISE ARKANSAS initiatives of the Arkansas Rural Health Transformation Program (RHTP).
Arkansas awards $54M in second round of federal rural healthcare funding
Arkansas awarded $54.6 million to dozens of recipients through a new federal program to support projects aimed at bolstering rural healthcare, state officials announced Thursday.
New dual-degree program focuses on rural health, serving the underserved
Campbell University has approved a new graduate education program, Dual Degree Doctor of Osteopathic Medicine (DO) and Master of Science… More on this post
Glenville State establishes College of Business as programs expand beyond campus
Glenville State University has established a College of Business as the rural West Virginia university expands online and graduate business programs.
Climate change is expanding extreme heat's threat to human health
I was 12 when the worst heat waves hit our home in rural New South Wales, Australia. It was summer vacation, a few weeks after we'd celebrated Christmas. I sat at the kitchen table, next to the sheets ...
How the fate of a rural hospital could help flip the House
In one Virginia race and others, Democrats are highlighting the rising costs of health care and possible closures of facilities, putting Republicans on defense.
Valley fever spreading to Central Valley cities, linked to oil drilling
Researchers at UC Berkeley have discovered valley fever spores in cities in the Central Valley and linked nearby oil drilling to an uptick in infection risk — challenging the long-held belief that the deadly disease only affects rural areas.
Lawmakers consider ways to reduce Oklahoma’s high veteran suicide rate
Wait times for mental healthcare, access to firearms and gaps in veteran services in rural Oklahoma could contribute to the state’s high veteran suicide rate.
In rural Pa., doctors confront the hidden health impacts of environmental disasters
This article originally appeared on Inside Climate News, a nonprofit, non-partisan news organization that covers climate, energy and the environment. In February 2023, George Garrow jumped in his car and hurried to help people impacted by a freight train that had derailed in East Palestine, Ohio. The crash happened about a quarter-mile west of the […]
Jason Landers: Facing WV's rural healthcare crisis (Opinion)
West Virginians are facing a challenge that we cannot overcome through our unwavering grit alone. There is a growing rural health crisis.
Idaho state, healthcare, tribal leaders meet to advise process for millions in rural health grants
The Idaho rural health task force received an update on the awarding of $186 million in grants, which must be done by Oct. 30.
Rhode Island rural health projects take shape with $156M federal award
With $156 million in federal funding, Rhode Island is developing plans to transform healthcare in its rural communities.
Bipartisan bill would expand federal maternal health programs, research and rural care
The Mothers and Newborns Success Act would put more federal money into maternal care.
13 Cool Tractor Supply Gadgets You Might Not Realize Exist
As one of the biggest suppliers around for equipment useful for those living in more rural settings, Tractor Supply sells a lot of obscure stuff.
Environmental disasters are becoming a public health focus
Researchers are learning more about the long-term public health effects of living through extreme weather, especially in rural communities.
Iowa agriculture officials urge rural residents to prioritize safety, mental health this Harvest Season
Iowa agricultural officials are reminding drivers to expect slow-moving combines and grain carts on two-lane country roads over the coming weeks during Harvest Season.
Economic Frustration Tests Trump’s Standing With Rural Voters, New KFF-AP Poll Finds
Rural voters rank the cost of living and cost of healthcare as top issues they want to hear about from midterm candidates as they face a tightening pocketbook pinch.
‘The Red Goose’ explores life’s ‘quiet wonders'
Local author Allen Guy Wilcox explores family, loss, rural America and everyday life in his debut poetry collection, “The Red Goose.”
KFF/AP Survey Probes Rural Voters’ Increasing Anxieties About the Rising Cost of Living, Including Health Costs, Heading into the Midterm Elections
Rural voters’ frustrations about the cost of living in their community are growing and appear to be chipping away at Republicans’ enthusiasm to vote as the midterm elections near, a new KFF/AP Survey of Rural Voters finds.
In Rural Pennsylvania, Doctors Confront the Hidden Health Impacts of Environmental Disasters
Researchers are learning more about the long-term public health effects of living through extreme weather, especially in more isolated communities.
Hospitals are conveners, not dividers
In this climate, it has become too easy to point fingers without offering meaningful solutions to the country’s healthcare affordability crisis. To make matters worse, there is a tendency to turn our back on complex problems that don’t have easy answers in favor of oversimplified rhetoric that ignores reality. As chief executive of a rural […]
Rural Arkansas shouldn’t have to sit on the sidelines
I grew up in Columbus, a small community outside of Hope, Arkansas. I have spent my professional life in Little Rock, but I have never lost sight of where I...
Trump administration announces $45M investment in Missouri rural health care
The Trump administration has announced more than $45 million in funding to support rural health care infrastructure in Missouri.
Trump administration announces more than $45M to upgrade rural healthcare in Missouri
The investment would support hospital infrastructure improvements, expand behavioral and maternal healthcare access for Missouri.
Federal Rural Health Funds Can’t Stop Harm to Hospitals from Medicaid Cuts - Kentucky Center for Economic Policy
Rural health funds should send just under $1.1 billion Kentucky, not even a tenth of what rural Kentucky is expected to lose in Medicaid funding.
Telestroke program offers fast stroke care in rural areas
Technology has made healthcare more accessible. The telestroke program at Sanford connects neurologists in Fargo with patients in Bemidji.
Jiang Feng: The Unravelling of German & European Politics
A state election in eastern Germany has become a revealing test of the changing political landscapes of Germany and Europe, writes Jiang Feng, Professor and Chairman of the Council of the Shanghai Academy of Global Governance and Area Studies (SAGGAS) at Shanghai International Studies University. His analysis follows the decisive victory of the Alternative for Germany (AfD) (which has been classified as right-wing extremist by German authorities)in the state of Saxony-Anhalt on 6 September, in which it finished far ahead of its mainstream rivals. Jiang previously served as Minister-Counsellor at the Chinese Embassy in Berlin. The following article was published on 8 September 2026 on huanqiu.com, the online platform of the Global Times. On 6 September, the results of the state election in Saxony-Anhalt, Germany, were announced. The Alternative for Germany (AfD), classified as far-right by German authorities, made history by becoming the largest party in the state parliament, winning 43.8 per cent of the vote — twice its share in the previous election. The Christian Democratic Union (CDU), which had governed the state continuously for 24 years, won just 17.2 per cent, its worst result ever in Saxony-Anhalt. On the night the results were announced, the atmosphere at the CDU gathering was unusually calm. There was neither shock nor argument, as if the defeat had long been expected. Several veteran party members who had spent years working in the state government said: “Defeat is not a bad thing. It is time to make changes.” This state election has not only upended Saxony-Anhalt’s political landscape, but also laid bare the deep tensions between Germany’s traditional party structure and model of governance, on the one hand, and an increasingly polarised society on the other. Its repercussions are already being felt at the federal level, making Saxony-Anhalt a useful case study of the broader trend towards political polarisation and realignment in Europe. Governing Difficulties after Electoral Victory The most immediate consequence of the election is a historic setback for the mainstream party order that took shape in post-war Germany. In Saxony-Anhalt, the AfD has leapt from a peripheral party to the largest political force in the state. Its electoral base has expanded beyond the traditional category of “marginal protest voters” to take on the characteristics of a cross-class coalition. The party has not only consolidated its support in rural areas, but also attracted many middle-class voters and even members of the social elite with stable jobs, their own homes, and substantial incomes. It has thus evolved from a “protest party” into one with the potential to govern. Despite its commanding lead in the vote, however, the AfD faces an institutional obstacle to governing the state: the mainstream parties’ long-standing “firewall” against it. Neither of the two potential routes to forming a government appears likely to break the current political deadlock. The first would be a coalition of establishment parties, led by the CDU and bringing together the Social Democratic Party (SPD), the Greens, the Left Party (Die Linke) and the Sahra Wagenknecht Alliance (BSW) in a cross-camp government. In terms of parliamentary arithmetic, such a coalition could prevent the AfD from forming a government and preserve the outward stability of the traditional political order. Yet these parties are fundamentally divided over key issues including immigration, the energy transition, economic management, and cultural and education policy. Coalition negotiations would therefore be extremely difficult, and even if a government could be formed, it would most likely prove short-lived. More importantly, an alliance of establishment parties aimed at keeping the largest party out of government would play directly into the AfD’s narrative that “political elites are suppressing public opinion”. It could deepen perceptions of political unfairness, further strengthening the AfD’s political capital, and creating a dynamic in which “the more it is suppressed, the more people vote for it”. Ulrich Siegmund, the AfD’s candidate for state premier, has said that if efforts to form a government fail because other parties refuse to cooperate, the AfD will push for a fresh election, which he believes could deliver the party an absolute majority of seats. This points to more intense political battles ahead. The second option would be a coalition between the AfD and the BSW. Together, the two parties would command a simple majority in parliament, making this, on paper, the quickest route to forming a government. The BSW is the only elected party that has not ruled out cooperation with the AfD, and the two parties share some common ground, including on policy towards Russia. There is therefore a degree of political basis for cooperation. Were such a coalition to materialise, Germany would see its first state government jointly formed by a party defined as far-right and one with a far-left background, creating what might be called a “bipolar anti-establishment alliance”. Such an outcome would fundamentally break with the ideological boundaries of post-war German party politics. It is worth noting that even if the AfD ultimately fails to enter the state government, its roughly 47 per cent share of parliamentary seats would give it a powerful blocking minority. Without its consent, major decisions requiring a two-thirds majority — including constitutional amendments, significant budgetary adjustments, and state-level institutional reforms — would be extremely difficult to pass. Therefore, whoever ultimately forms the government, the AfD will be an unavoidable force in Saxony-Anhalt politics, with a direct influence on the state’s legislative process. Systemic Failures in Germany’s Governance Model The Saxony-Anhalt election result reflects a systemic failure of Germany’s post-war mainstream-party model of governance to adapt to rapidly changing socioeconomic conditions. It stems from multiple, mutually reinforcing structural tensions and highlights the existing political system’s difficulty in adapting to “an increasingly polarised society First, collective anxiety has replaced individual material hardship as a central driver of political mobilisation. The rise of the AfD can no longer be explained simply by poverty or social marginalisation. Its increasingly cross-class electoral base suggests that what is driving voters towards the party is, above all, concern about the broader direction of society. This anxiety about the future of the political community goes beyond individual gains and losses. In political discourse, economic anxiety has become closely intertwined with immigration, while immigration and refugee issues are, in essence, questions of social fairness. This perception turns conflicts over the distribution of social resources into negative assessments of governing parties, providing a broad social basis for far-right political narratives. Second, regional disparities and East German identity have undermined the strategy of addressing eastern Germany’s structural challenges at the regional level. More than three decades after German reunification, eastern states such as Saxony-Anhalt have experienced periods of economic growth, but their underlying economic structures remain weak, and household incomes and wealth remain significantly below those in western Germany. At the same time, they continue to face population outflow, an ageing population, labour shortages, and other structural challenges. At a deeper level, historical experiences — including the collapse of the former East German economic system, mass unemployment during the transition, and the westward shift of decision-making power over major issues — have left some residents with a sense of being “second-class citizens” and of being excluded. For years, the German government treated the “syndrome” of reunification as a regional problem to be gradually addressed at the local level. That approach is becoming increasingly unsustainable, as regional development disparities emerge as a core structural factor shaping national politics. Third, the erosion of institutional trust is perhaps the most decisive factor. AfD supporters tend to distrust establishment institutions, including parliament, government, and the mainstream media. Their concerns about economic security, pensions, and social fairness are significantly greater than the social average. Increasingly, their support for the AfD reflects not an expectation that the existing system can be improved, but a search for an alternative to the current political order. Such a systemic deficit of trust will be extremely difficult for the traditional parties to repair in the short term. Fourth, a generational shift in political mobilisation has amplified political polarisation. Unlike traditional parties, which rely heavily on offline rallies and mainstream media coverage, the AfD has developed a social-media mobilisation strategy built around “raising an issue — identifying who is responsible — offering a simplified solution — building a shared identity”. It turns complex social tensions into concise political narratives, rapidly channelling public sentiment into political support. The contrast on the eve of the election was particularly telling. The establishment parties, together with trade unions and churches, organised an offline march attended by more than 10,000 people, but its reach was largely confined to those present and to traditional media coverage. The AfD held a much smaller indoor event, yet livestreaming on TikTok, YouTube, and other platforms, combined with the involvement of online influencers, gave it a reach and mobilising capacity far beyond that of the march. The contrast illustrates how the traditional parties’ methods of political mobilisation are increasingly struggling to keep pace with a political environment transformed by changes in media technology. A Microcosm of Structural Political Change in Europe The shockwaves from the Saxony-Anhalt election quickly travelled beyond the state to the federal level. Calls for political accountability followed immediately after the results were announced. The governing CDU and SPD are now under enormous pressure, while Chancellor Friedrich Merz and Vice Chancellor Lars Klingbeil face an unprecedented test. Political polarisation in Germany is no longer simply a regional phenomenon. The post-war model of multiparty government by establishment parties is breaking down and being reshaped. Viewed in a broader European context, the Saxony-Anhalt election is part of a continent-wide wave of party polarisation, mainstream-party decline, and rising right-wing forces. Far from an isolated phenomenon, it is a microcosm of the structural political changes unfolding across Europe. Weak economic growth, cultural tensions over immigration, and declining trust in institutions are fuelling the rise of right-wing forces in several countries, challenging the liberal internationalist order established in post-war Europe. As a core member state of the European Union, Germany’s ability to adapt its political system and the direction of its politics will have profound implications for both European integration and the evolution of the international order. Subscribe [ Pekingnology China’s Germany watchers take stock of Berlin’s uneasy turn On 7 December 2025, nearly 50 Chinese scholars and policy researchers gathered in Beijing for the 2025年德国形势年终研讨会 “2025 Year-End Seminar on the Situation in Germany… Read more 9 months ago · 31 likes · 1 comment · YIRUI LI and Yuxuan JIA ](https://www.pekingnology.com/p/chinas-germany-watchers-take-stock?utm_source=substack&utm_campaign=post_embed&utm_medium=web&embedding_publication_id=1151841) [ Jiang Feng on Germany's 2025 and beyond: no easy exit ](https://www.eastisread.com/p/jiang-feng-on-germanys-2025-and-beyond) Yirui LI and Yuxuan JIA · Jan 24 The following is an op-ed by Jiang Feng, published on 29 December 2025 at Shanghai Observer 上观新闻, the digital platform of Jiefang Daily, the official newspaper of the Shanghai Municipal Committee of the Communist Party of China (CPC). [ Read full story ](https://www.eastisread.com/p/jiang-feng-on-germanys-2025-and-beyond)
USDA awards GJ Business Incubator with nearly $700K in rural development funding
The USDA awarded $692,075 in rural development grants and microloan funds to the Grand Junction Business Incubator Center to support Western Slope startups.
Medford meeting in October focuses on urban, rural political divide
‘Common Ground Discussions’ will be held as part of statewide series of public events; recommendations will be sent to Legislature A meeting will be held in Medford in late October […]
WV to allocate nearly $300,000 in Rural Health Transformation funds to expand nursing workforce
The state will contribute $291,403 of its federal Rural Health Transformation funds to the WVU Medicine Center for Nursing Education.
StartUp Hutch Announces Latest Rural Business Microgrant Awards - Ad Astra Radio
HUTCHINSON, Kan. — September 21, 2026 — StartUp Hutch has awarded two additional Rural Business Resilience & Expansion Initiative Microgrants to businesses in Arlington. The latest recipients are: Francisco Villanueva, Carolyn’s Essenhaus Destiny Love, Farmers Insurance The Rural Business Resilience & Expansion Initiative Microgrant program provides grants of […]
Democrats try to ride data center backlash to election victory in rural US Midwest
Mounting public anxiety about AI, cloud-computing infrastructure has transformed data center construction into a contentious midterm elections issue
Does more funding mean rural buses are back in business?
A rise in bus miles with council funding might be starting to reverse the reduction in services.
Young people in Morocco split over whether politics can deliver change as election draws near
In Morocco’s election race, a rural funeral has become an unexpected campaign stop for candidates aiming to engage disenchanted young voters
Young people in Morocco split over whether politics can deliver change as election draws near
SIDI MOUSSA EL MAJDOUB, Morocco (AP) — A funeral in rural Morocco for an elderly woman became an unlikely campaign stop for candidates trying to motivate disenchanted young voters ahead
Young people in Morocco split over whether politics can deliver change as election draws near
SIDI MOUSSA EL MAJDOUB, Morocco (AP) — A funeral in rural Morocco for an elderly woman became an unlikely campaign stop for candidates trying to motivate disenchanted young voters ahead of parliame…
Young people in Morocco split over whether politics can deliver change as election draws near
SIDI MOUSSA EL MAJDOUB, Morocco (AP) — A funeral in rural Morocco for an elderly woman became an unlikely campaign stop for candidates trying to motivate disenchanted young voters ahead of parliamentary elections Wednesday. Moroccan young people’s struggles to find jobs and opportunity drove Gen Z-led protests last year and a surge of migration to […]
Ebola outbreak update: Cases and deaths; Dungu health zone, Haut-Uélé province now affected
A total of 73 new confirmed cases of Ebola Virus Disease (EVD) were reported on September 18, 2026, including 25 community deaths. Of these confirmed cases, 46 were from Ituri province, 18 from North Kivu, 6 from Haut-Uélé, and 3 from Tshopo. A new health zone, Dungu, in Haut-Uélé province, was affected during the day. As this zone borders South Sudan, strengthening cross-border surveillance is necessary. During the day on September 18, 2026, 12 deaths within Ebola Treatment Centers (ETCs)—10 in Ituri and 2 in North Kivu—were unfortunately recorded, bringing the total number of deaths for the day to 37. However, 41 patients were declared recovered (30 in Ituri, 6 in Haut-Uélé, 3 in North Kivu, and 2 in Tshopo) after testing negative for EVD twice. Since the start of the epidemic in the Democratic Republic of the Congo (DRC), a cumulative total of 7,614 confirmed cases, including 3,676 deaths, has been recorded, representing a case fatality rate of 48.3%. The epicenter remains Ituri province, which accounts for 77.2% of the confirmed cases reported across the seven affected provinces and also accounts for 63.0% of the new confirmed cases. A new health zone was affected on September 18, 2026. Consequently, 63 out of 167 health zones (37.7%) across 7 provinces are affected. Subscribe to Outbreak News TV on YouTube Response measures feature 97% traveler screening at entry points, surveillance expansion to new area Dungu, and community outreach sensitizing over 110,000 people in one day. The Democratic Republic of the Congo’s health system faces deep, structural constraints that predate the current Ebola outbreak and make epidemic response far harder. These problems are most acute in rural areas and the conflict-affected east. Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe Eastern provinces have seen health facilities damaged, looted, or abandoned. Insecurity delays patients, blocks supply deliveries, and exposes staff to attacks. Millions of displaced people live in camps with poor water, sanitation, and health services, increasing outbreak risk. Vast distances and poor roads mean many people walk hours or days to reach care. These same weaknesses explain why Ebola has continued to spread into new, under-prepared health zones even as some original hotspots show improvement: surveillance, laboratory turnaround, contact tracing, and infection control remain thin outside the best-supported sites. The Ministry of Health and partners have scaled up treatment centres, laboratories, and vaccination in the current outbreak, and some digital surveillance systems (DHIS2) provide a useful backbone. However, the underlying gaps in staffing, basic infrastructure, reliable funding, and logistics have not been closed. Without sustained investment in those foundations, the system will remain vulnerable to both routine disease burden and the next large outbreak. If you like the reporting on Outbreak News Today, please consider a paid subscription for $5/month or $30 a year. Help support the cause of this niche journalism. It is appreciated.
NH's Business: Access to healthcare for adults in rural New Hampshire & Vermont
Fred Kocher sits down with Dr. Nathan Goldstein and Angelo Volandes with Dartmouth Health to talk about how adults can navigate healthcare in rural settings.
NH's Business: Access to healthcare for adults in rural New Hampshire & Vermont
Fred Kocher sits down with Dr. Nathan Goldstein and Angelo Volandes with Dartmouth Health to talk about how adults can navigate healthcare in rural settings.
Want to entice new residents? Offer cash, for a start
Lincoln County in Kansas is among the rural counties around the country that are offering cash grants as relocation incentives, even as they have a mixed record of helping cities and towns stand out as people return to rural America.
Millions of funds from Rural Health Transformation program earmarked for Coast efforts
Mississippi is awarding more than $104 million to modernize and expand rural healthcare. The funding is part of the state’s Rural Health Transformation Program. George County is receiving multiple awards for hospital and healthcare upgrades, including new patient monitoring, lab and maternal health equipment, cybersecurity improvements, and other technology. Memorial Health System is also receiving millions for projects in Stone...