SCROLL NEWS / DISCOVERY
Search headlines
Find the stories shaping the conversation.
Results for " RURAL " 1,206 found 🔀 AI-powered Shuffle
Texas Tech University Health Sciences Center Awarded Grant to Improve Diabetes Testing Access in Rural West Texas
The American Medical Association (AMA) awarded $50,000 to Adrian Billings, M.D., Ph.D., as part of a new grant to improve access to A1C testing in West Texas.
Arkansas announces $149.3 million in first-round rural health grants
Arkansas Governor Sarah Huckabee Sanders announced on Thursday, $149.3 million in awards to recipients of the first round of Rural Health Transformation Program grants.
The Literacy Crisis Reaches Dog-Bear Science
“New analysis of more than 300 bear encounters suggests our canine companions often increase odds of conflict and rarely serve as early warning systems many recreationists assume,” reads a subhead in Mountain Journal. The thing is, that study reaches no such conclusion. But you have to read beyond the abstract to understand that. Mountain Journal is not alone. Let’s look at a brief list of takeaways published elsewhere just to establish that none of them seem to know how to read science. Wes Siler’s Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe Here’s CBC: “A new peer-reviewed study, The Canine Conundrum: Is a Dog a Help or Hindrance in Bear Country?, dug into conflicts similar to what the video depicts, by analyzing 326 reported human-bear conflicts from 1901 to 2023 involving dogs.” “The study found 54 per cent of conflicts were started by dogs. In the encounters researchers included in the study, five people and 56 dogs were killed, and 170 people were injured.” “Lana Ciarniello, an independent researcher who co-authored the study, said researchers found when a person goes hiking with at least one other person, the odds of a negative bear encounter decrease by 50 per cent.” “However, when a dog is involved, the chances of a negative bear encounter increase because ‘a dog really adds a chaotic factor into the mix of recreation,’ said Ciarniello.” Again, the study finds no data supporting that conclusion. “Hiking with your pet dog may make you feel safer in bear country—but a hiker’s recent encounter and a new study prove that the numbers don’t add up,” writes Backpacker, which is now part of Outside. The numbers don’t add up to support this take. There’s plenty more examples, but all are equally dumb, so I’ll stop there. How did so many people get this so wrong? Three reasons: 1) the study is published behind a paywall, with only the abstract freely available. 2) the methodology sets out to create work relevant to a hyper-specific audience, not the public. And 3) the dataset studied is almost absurdly limited and doesn’t bear (get it?!) comparison to wider information. Let’s work through all three. The Problem is Money I understand the irony, since I’m writing about this on a subscription-model newsletter, but information wants to be free. The study is published by The Wildlife Society and costs $16 to access. Reprinting it is specifically prohibited by the terms of use, so I can only share snippets and my conclusions with you here. Having worked as a journalist for 24 years, I can report with some authority that journalists are both lazy and cheap. I don’t think it’s a stretch to say that much of the material you’re seeing written about this study is drawn from the freely-available abstract (above) only, and not a deep dive into its methodology or data. And that’s a problem, because abstracts are where researchers are able to break from their numbers and editorialize their opinions about conclusions. So what’s getting reported isn’t based on numbers, it’s based on an opinion designed for a specific audience, not the general public. Hell yeah ladies, kick that bear’s ass. The Methodology is Designed to Support a Predetermined Conclusion One of the biggest issues with the science that everyone likes to cite about bear spray’s efficacy is that no one understands that study was designed for a specific audience, looking for a specific answer. And since that audience is not the public, and our safety was not the question being asked, its conclusion is rendered irrelevant to our needs. Yes, I’m talking about Efficacy of Bear Deterrent Spray in Alaska, which was created by Tom Smith and Stephen Herrero, two of the same scientists who put together this dog-bear conflict analysis. In the spray study, the purpose was to present relevant agencies with the information they needed to issue their field workers with bear spray. As such, incidents where people were unable to access the spray or similarly failed to get it deployed in time were excluded from the results, and only incidents they deemed successful were included. Could a ranger roll down their vehicle’s window and scare a bear away from a dumpster by spraying it? Turns out the answer was yes, and that was good enough for the purposes of that study. The sample size of actual bear attacks—the thing you and I would want bear spray to provide a solution to, was too small to draw conclusions from, and didn’t indicate success in that role. Is a Dog a Help or Hindrance in Bear Country? has similar limitations. “Insights provided here are intended to help wildlife managers create effective guidelines regarding the presence of domestic dogs in bear habitat,” is explained clearly by the study’s text. To conduct the study, Smith and Herrero went looking for publicly available reports of dog-bear conflicts: “All incidents included in our analysis involved at least one bear, one dog, and one person who was at immediate risk of injury (e.g., not in a protective structure such as a cabin or vehicle), injured, or killed,” explains the report’s methodology. Why is that a problem? “We recognize that data used in this study are biased in that people generally only report adverse interactions with bears, not benign ones. Consequently, we assume that for the most part, people and their dogs pass through bear country without incident.” As was the problem with the bear spray study, people are drawing conclusions here from a study that was never intended to be relevant to the general public. The Smith-Herrero database famously excludes Alaska’s Defense of Life and Property records, which are elsewhere considered the largest and most authoritative source on human-bear conflict. The Dataset is Absurdly Limited A 2009 study conducted by the Washington Department of Fish & Wildlife estimates that each year there are at least 43,000 documented complaints of human-bear conflict across North America. Is a Dog a Help or Hindrance in Bear Country? Examined those reports for years ranging from 1901 to 2023, and only managed to find 326 such incidents that met the criteria explained above. Let’s do some quick math, poorly. 43,000 incidents x 122 years = 5,246,000 total incidents of documented human-bear conflict. Smith and Herrero were only able to find 326 incidents that met their criteria for dog+human+bear+risk or occurrence of injury. That means there’s a 0.006 percent chance that the study’s conclusion—that dogs make bear encounters more dangerous—even gets a chance of occurring. And remember, that’s only in documented conflicts. There’s no way to know how many people across North America run into a bear in any given year without any conflict, but it’s probably safe to assume that the total number is well in excess of 43,000. And, dig deeper into the study and you can find further restrictions that skew its conclusions even more. “While the people involved in these incidents did not report the level of training their dogs had received, it is our assumption that most were untrained companion dogs as opposed to well-trained bear dogs, such as Karelians and livestock guardian breeds that have proven to be significant aids in bear country,” the study’s methodology explains. And that’s a problem, because an ongoing study here in Montana is finding that the simple presence of a Kangal like our youngest dog Teddy can reduce visits to private property from grizzly bears by 87.8 percent. In addition to being a badass, Teddy is also a companion animal. And in my admittedly limited sample size of the three dogs currently present in our living room, she’s no more effective than her mutt brothers. Plenty of people own a dog capable of deterring bears, even if they didn’t set out to own a bear dog. The real purpose of this study appears to be a recommendation that leashes are mandated and recreationists pursue training in their deterrent of choice. But that doesn’t make for sensational headlines. Are There Any Real Takeaways Here? Let’s throw some numbers around, just to try and get our hands around what the larger picture might look like for bears and dogs here. The American Veterinary Medical Association estimates that 42.6 percent of American households own a dog. The Canadian Animal Health Institute says roughly 35 percent of households in Canuckistan own a dog. In an attempt to create the worst possible result for dogs, let’s run with that 35 percent number. And given that outdoorsy and rural people are more likely to both own a dog, and have bear encounters, let’s just make a giant assumption and apply that number to those 43,000 conflicts documented annually. If 35 percent of 43,000 human-bear encounters involve a dog, then we can assume that at least 15,050 dog-bear conflicts are occurring annually in North America. 15,050 x 122 = 1,836,100. Smith and Herrero were only able to find 326 incidents that met their human, dog, chance or occurrence of injury criteria across 122 years. And only 170 documented human injuries. So, with all the obvious caveats about these numbers in no way describing reality beyond narrow study parameters, what they actually found is that your risk of injury if your dog tangles with a bear is only 0.009 percent. I’ll take those odds next time I’m hiking my dogs in bear country. Top photo: “Superintendent Horace Albright, eating pancakes with bears, at Lake Lodge, Yellowstone National Park.” NPS. A journalist with more than two decades of experience working around the world, Wes Siler is here to cut through the outrage and disinformation to bring you the factual, insightful, actionable reporting you need to understand what’s going on. Upgrading to a paid subscription supports this reporting, and buys personal access to Wes, who will help you save money on gear, plan outdoor adventures, and prepare for real life, and who promises he’s less salty in real life than he sometimes comes across as on the Internet. Wes Siler’s Newsletter is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
Arkansas Awards $149.3M in Rural Health Transformation Grants
Arkansas awarded $149.3 million in rural health grants to 50 projects after healthcare providers submitted more than 500 proposals for funding.
Arkansas awards nearly $150 million in rural health program funding
Arkansas awarded $149.3 million in federal funding to 50 projects to support rural healthcare efforts statewide, Gov Sarah Huckabee Sanders announced Thursday.
Arkansas Rural Health Transformation Program Awards UAMS Nearly $12 Million to Fund 4 Initiatives
LITTLE ROCK — The University of Arkansas for Medical Sciences received nearly $12 million in funding under the THRIVE and PACT initiatives of the Arkansas Rural Health Transformation Program (RHTP).
Governor Sanders announces nearly $150 million in rural health grants
Gov. Sarah Huckabee Sanders announced Wednesday that Arkansas will award $149.3 million in the first round of grants through the state’s Rural Health Transforma
Sanders Announces Nearly $150 Million Awarded in Rural Health Transformation Funds - Arkansas Governor
LITTLE ROCK, Ark. — Governor Sarah Huckabee Sanders today announced $149.3 million in awards to recipients of the first round of Rural Health Transformation Program (RHTP) grants, established through President Trump’s One Big Beautiful Bill. The initial funding round will award $55.7 million through the Telehealth, Health-Monitoring, and Response Innovation for Vital Expansion (THRIVE) initiative and […]
Georgia’s 87 rural hospitals to receive $93.3 million for health upgrades from US government
Nearly 90 hospitals in Georgia will get a piece of a new $93.3 million investment from the Trump administration.
$50B Rural Health Transformation Program Needs More Transparency, Groups Say
States must submit Rural Health Transformation Program progress reports to the federal government, but they aren’t required to proactively post those reports, or related information, publicly.
MFU Foundation report finds that small businesses are squeezed by anticompetitive conduct
PAUL, Minn. - Growing monopoly power and anticompetitive conduct across the economy are key reasons rural Minn...
Rural health grants aimed at offsetting Medicaid cuts go to 80 unique institutions
According to a brief from KFF, the fund could offset 37% of the estimated federal Medicaid spending cuts in rural areas.
Maternal healthcare gap has widened between urban and rural Texas
Between 2022 and 2024, the number of Texas “maternal care desert” counties grew to 129, meaning more than half of the state's counties had no birthing locations and no clinicians who deliver...
How preference for sons affects women's mental health in rural India
In rural India, having a son is a strong social expectation that puts pressure on women to bear male children. A new study from the University of Illinois Urbana-Champaign examines how a firstborn son ...
Faulkner University Awarded More Than $3 Million to Transform Rural Health Care Access and Workforce Development in Alabama
Faulkner has been awarded more than $3 million through Alabama's Rural Health Transformation Program (ARHTP) to expand health care access.
Nebraska State Fair brings in entertainment for all tastes and budgets
GRAND ISLAND, NE – The 2026 Nebraska State Fair begins this Friday, August 28th and runs through Labor Day, September 7th in Grand Island. The 2026 Nebraska Lottery Concert Series features a great…
Why the Democrats' Path Back to Power Runs Through the Kitchen Table
A unique new messaging study underscores the supremacy of economic populism in rural America and beyond.
Juno Health and SlicedHealth Partner to Deliver Comprehensive Revenue Optimization for Rural and Critical Access Hospitals
Juno Health, a trusted healthcare technology partner for acute care, teams up with SlicedHealth, a leading healthcare revenue cycle and operations intelligence company, to offer SlicedHealth's revenue cycle tools as an integrated and included complement to Juno EHR's native revenue cycle management suite. This partnership delivers a more powerful, end-to-end financial health solution to the small hospitals and clinics the two companies serve.
CDC releases latest life expectancy data
Deleted public comments on White House proposals, how Trump cuts are reshaping rural health care, and more Morning Rounds news
How Trump's cuts are reshaping America’s health system
A scramble to prepare for massive federal cuts across the health care system is hitting rural states like Maine particularly hard.
First-of-its-kind PA program at UM hopes to boost rural health access
The University of Montana is making history with the launch of a new health care training program.The university is beginning its first week of classes for its
Third time the charm? Democrat Christina Bohannan tries again in pivotal House race in Iowa
Bohannan is focusing on rural areas she previously lost, hoping to capitalize on Trump's declining popularity and economic issues.
Governor Ivey Announces First Grants in $144 Million Rural Healthcare Program
Gov. Kay Ivey announced Monday the awarding of 138 grants totaling more than $144 million to healthcare providers and institutions across Alabama as part of the
Governor Ivey Announces First Grants in Major New Rural Healthcare Program Totaling More than $144 Million -
MONTGOMERY – Governor Kay Ivey on Monday announced the awarding of 138 grants worth a total of more than $144 million to healthcare providers and institutions throughout the state as part of the Alabama Rural Health Transformation Program (ARHTP). The … Continued
Patients wary of governments, companies pushing AI as a rural healthcare solution
Two of the nation’s most powerful health officials predict artificial intelligence will play a key role in solving rural America’s health challenges.
Community Voice: Mobile crisis services help fill Tennessee’s youth mental health gap
As concerns grow about the future of healthcare access in rural Tennessee, mental health professionals at Youth Villages encourage families to become familiar with a resource that remains available statewide: mobile crisis services.
Cityblock to Acquire Homeward Health, Secures $116M Series E
Cityblock Health plans to acquire rural healthcare provider Homeward Health and has raised $116 million to expand its value-based care model to rural and Medicare Advantage populations.
Bipartisan Energy Politics | Reading and Podcast Picks
Reading and Podcast Picks is a collection of what we’ve been reading and listening to over the last week or so about energy topics. In addition to these R&P Picks, paid subscribers receive access to the full archives, Grid Roundups, and select episodes of the Energy Capital Podcast. Please subscribe today. Texans, legislators debate transmission lines at hearing | Texas Tribune “Republican legislators, Democratic statewide candidates, landowners from rural Texas and environmentalists” alike joined together Wednesday to protest the buildout of 765-kV lines across the state. At the protest and nine-hour hearing that followed, lawmakers heard a variety of recommendations, including from local officials arguing for more local control of data center proposals and more time to reform the process behind approving transmission lines across Texas. Though discussed in separate hearings, landowners and protesters said the issues are connected… Regulators have already been working through a new way to decide how much of the cost of building new transmission lines needs to be paid for by individuals and how much needs to be paid for by companies such as data centers. Experts said they believe the new system will lower the burden on residential consumers relative to the industrial groups. Data-Center Backlash Leads to New Land Rush in Texas Oil Patch | The Wall Street Journal While the data center protests rage, investors converge on the Permian Basin to build data centers powered by cheap natural gas. “A lot of places you see all over the country they’re worried about water, they’re worried about power, they’re worried about transmission, and the Permian has all of those things in spades,” said EagleRock Chief Executive Greg Pipkin Jr. Dallas-Fort Worth Dethrones Virginia as the World’s Top Data Center Market | Dallas Innovates Two reports show growth in North Texas data centers despite political concerns about the industry. Boasting five highly ranked data center markets, Texas is experiencing an explosion of data center activity. Long anchored by the DFW market, “the state is growing at a pace that could soon bring total installed capacity in line with — and potentially beyond — that of Virginia,” the Cushman & Wakefield report said. A new report from commercial real estate services provider JLL takes a slightly different view, anointing Texas the top data center market in North America. Texas eclipsed longtime frontrunner Virginia based on the level of existing and under-construction data center inventory in the state as measured by gigawatt capacity. A gigawatt equals 1 billion watts.
In rural Chad, solar kiosks bring healthcare closer
Solar-powered telemedicine is helping rural Chadians overcome distance and limited access to doctors.
Dartmouth Health ending telehealth services for rural hospitals
Dartmouth Health ending telehealth services for rural hospitals
Dartmouth Health ending telehealth services for rural hospitals
Dartmouth Health ending telehealth services for rural hospitals
Nearly $20 million in federal dollars help expand rural healthcare access in Marion, Polk
Marion and Polk counties are getting a slice of a $50 billion federal funding package to advance rural healthcare access.
New mental health practice opens in Danville, aims to expand access in rural communities
Dartmouth Health ending telehealth services for rural hospitals
Dartmouth Health is ending telehealth services for emergency and intensive care that connected smaller hospitals to specialists during emergencies.
More than 500 applicants seek share of Louisiana rural health millions
By Nolan Mckendry | The Center Square More than 500 applicants are seeking a share of Louisiana’s new federal rural health funding, but not every request will be approved as they […]
Small Towns, Big Care: Three Rivers Hospital Tackles Rural Health Access on "All Access hosted by Andy Garcia"
Healthcare availability in isolated regions faces unprecedented operational strain as small facilities close nationwide. Filmed on location on August 13, 2026, a new feature from "All Access hosted by Andy Garcia" highlights how Three Rivers Hospital maintains comprehensive, 24/7 care across a remote service territory. The Public Television segment illustrates how a facility established by local residents decades ago continues to serve as an independent medical hub. Through continuous quality pr
The business case for turning the barn lights back on
As U.S. farms disappear at an accelerating rate, the loss of each one ripples far beyond the family that ran it, hollowing out the rural communities built around them.
Cityblock acquires Homeward Health to move into rural healthcare, lands $116M funding round
Cityblock Health, a company primarily focused on providing care for urban Medicaid and dual-eligible members, is acquiring Homeward Health to expand deep into rural markets, the company announced T | Combined, the two companies will serve nearly 250,000 people and are positioned to reach the120 million people receiving government-funded healthcare in the U.S., Toyin Ajayi, Cityblock Health CEO and co-founder wrote in a blog post.
Fire destroys Umatilla pallet business along Highway 395
UMATILLA — A large commercial pallet fire broke out early Wednesday, Aug. 19, causing numerous propane tanks to explode along Highway 395 near Union Street in Umatilla. The Umatilla Rural […]
Kelly applauds Trump administration's announcement of $35 million in new rural health care funding for Pennsylvania
WASHINGTON, D.C. -- Today, U.S. Rep. Mike Kelly (R-PA), a member of the Ways & Means Subcommittee on Health, applauded the Trump administration that $35 million, made possible through the federal Rural Health Transformation Program (RHTP), is being put to work to improve health outcomes among rural Pennsylvanians by updating to new, more modern screening technology, buying equipment to bring additional operating rooms online, and expanding transportation options.
MDARD announces funding for Saginaw townhome project, West Branch business
New investments announced by the Michigan Department of Agriculture and Rural Development Wednesday at the Upper Peninsula State Fair include grant funding for projects in mid-Michigan.
Health outcomes in rural America: A prevention-to-crisis view on determinants of health, chronic diseases, and economic consequences
This America's Rural Future symposium explores the interconnections between health outcomes and economic development in rural areas.
Rural Health Network Grand Opening in Chowchilla
Rural Health Network opens a new location in Chowchilla providing the community local access to health care.
ULM receives $2.1 million from LDH to expand health sciences offerings
The University of Louisiana Monroe (ULM) has been awarded $2.1 million from the Louisiana Department of Health (LDH) through the Rural Health Transformation Project to expand programs in its College of Health Sciences, providing a significant investment in the university’s efforts to strengthen the rural healthcare workforce in Northeast Louisiana and across the state.
WKU Institute for Rural Health presents to Kentucky General Assembly
WKU Institute for Rural Health (IRH) gave a presentation to the Kentucky General Assembly’s Interim Joint Committee on Health Services about its work to improve healthcare access and outcomes in rural Kentucky.
Alaska awards millions in rural healthcare funding, including to restart Presidential Fitness Test
More than $230 million remains to be distributed in Alaska through the Rural Health Transformation Program.
Burcum: At a packed forum, Faribault charts a course for rural health care
Regarding the proposed Allina-Sutter merger, residents want specifics on their hospital’s future ― not talk of synergies and efficiencies, Jill Burcum writes.
Rural Health Transformation Program Rolls Out in Texas, to Excitement and Confusion
Healthcare providers in Texas say the Rural Health Transformation Program provides much-needed funding. But they worry about tight timelines, lingering questions and awkward restrictions.
Senator Ron Wyden hears from rural Oregon, health care concerns - KOBI-TV NBC5 / KOTI-TV NBC2
MEDFORD, Ore.- Senator Ron Wyden is hosting a field hearing with Oregonians to talk about health care and what he can do to help. Senator Wyden was at the Rogue Valley Times, where he live-streamed on YouTube and took questions from rural Oregonians. Some gave their testimonials about having to pay anywhere from 900 to […]
Farm Bill Politics - AG INFORMATION NETWORK OF THE WEST
American Farm Bureau Federation President Zippy Duvall says lawmakers must stop with the farm bill delays and deliver some certainty to rural America.
Chronic pain is missing from America’s heat warnings
The results of a new study suggest that chronic pain deserves a place in how the country prepares people for extreme weather. They also show that rural residents may be the least protected.
Byron business celebrates grand opening thanks to Business Builder Grant
LINCOLM, Neb. — A year ago, Free Day Popcorn in Byron received a Business Builder Grant award through the Nebraska Regional Food Systems Initiative — part of the University of Nebraska-Lincoln’s Rural Prosperity Nebraska. This...
Guest Commentary: For rural Floridians, better healthcare starts with better transportation
For many rural residents, access to healthcare doesn’t end with whether a provider or clinic exists. It begins with whether they can get there.
Thomson Health Fair bridges crucial healthcare gap for rural community
The event is part of an ongoing, vital effort to bridge the gap between health services and rural communities, providing access to resources that are often difficult to secure in rural areas.
Wyoming directs rural health funds to critical access hospitals, EMS and more
Wyoming is receiving $205 million for the first year of the federal Rural Health Transformation Program to expand the capacity of the state's healthcare system.
New Mexico behavioral health committee approves $40M in funding for rural behavioral health plans
The New Mexico committee tasked with rebuilding the state's behavioral health infrastructure approved $40 million in funding requests Friday.
Maine to explore the role of AI in rural health care
The state needs “a new approach to delivering rural health care,” officials said in a proposal for federal funding.
Geisinger College of Health Sciences celebrates 2026 School of Nursing graduates, expanding access to care across rural communities
Geisinger College of Health Sciences celebrates 2026 School of Nursing graduates, expanding access to care across rural communities
Robert F. Kennedy Jr. visits Atwater to announce $102M investment in rural health care centers
U.S. Health and Human Services Secretary Robert F. Kennedy Jr. visited Castle Family Health Centers in Atwater to announce a $102 million investment alongside other members of the Trump administration.
State announces $4.5M in funding for Alaska health projects
The 19 projects across the state will receive federal funding under the Rural Health Transformation Program.
Luján, hospital leaders talk Medicaid 'headwinds' and rural health gaps at Rio Rancho roundtable
U.S. Sen. Ben Ray Luján, a Democrat from New Mexico, told hospital administrators at Presbyterian Rust Medical Center that Republican-backed federal Medicaid cuts won’t just hurt New Mexicans enrolled in the program — they’ll raise care and insurance costs for everyone else, too. Presbyterian Delivery System President Chad Aduddell told Luján the nonprofit system — […]
Rural health panel divvies $205M in federal funds for Wyoming healthcare
by Katie Klingsporn, WyoFile In its marathon meeting Tuesday, Wyoming’s new rural health advisory panel earmarked roughly $200 million in President
Rural health panel divvies $205M in federal funds for Wyoming healthcare
by Katie Klingsporn, WyoFile In its marathon meeting Tuesday, Wyoming’s new rural health advisory panel earmarked roughly $200 million in President
Asia-Pacific parliamentarians urge bolder action for universal health coverage, climate resilience and responsible AI
Parliamentarians representing 16 countries from across the Asia-Pacific region concluded the Ninth Meeting of the Asia-Pacific Parliamentarian Forum on Global Health (APPFGH) today, reaffirming their key role in advancing universal health coverage (UHC) amid the risks and opportunities posed by AI and climate change. In adopting the Phnom Penh Communiqué, parliamentarians urged fellow legislators regionwide to strengthen sustainable financing for UHC to widen access to health for all, including the most vulnerable populations; promote responsible governance of AI amid ethical concerns over this fast-evolving technology; and build climate-resilient health systems to anticipate and respond to mounting pressures ranging from rising sea levels in coastal areas to air pollution and other environmental degradation.The National Assembly of Cambodia, with support from Cambodia’s Ministry of Health and the World Health Organization (WHO), hosted the Forum in Phnom Penh from 11 to 13 August 2026 – the first time the Forum has convened in a Mekong country.Parliamentarians urge action to close gaps in accessIn the Communiqué, parliamentarians recognized that at-risk and marginalized groups are the ones most severely affected by gaps in access to health services. These groups include people living in poverty, women and children, persons with disabilities, older people, migrants, refugees, and those in rural, remote or island communities. The Communiqué urges fellow parliamentarians and policy-makers to advocate for laws and policies that support sustainable financing to protect people from financial hardship, with a focus on primary health care, prevention and equity. "The Communiqué is a call to action. It sets out ambitious, concrete measures that deliver meaningful impact on the ground. We are all accountable for advancing universal health coverage and translating our commitments into tangible results. Cambodia is fully committed to advancing UHC, including the promotion of ‘healthy people, prosperous country’ campaign,” said Samdech Maha Rathsapheathika Thipadei Khuon Sudary, President of the National Assembly of the Kingdom of Cambodia.His Excellency Professor Chheang Ra, Minister of Health of the Kingdom of Cambodia, highlighted the need for collaboration beyond the health sector. “Universal health coverage cannot be achieved by the Ministry of Health alone. It requires support, particularly from parliamentarians, across political, legislative, financial, social protection, education, infrastructure, and environmental domains. While each country follows its own path, one factor is universally critical for success: strong governance and leadership. We all believe in this principle, and in our respective political roles, we remain committed to strengthening these key success factors to ensure that no one is left behind.”Promoting responsible AI adoption Parliamentarians acknowledged that, while AI has already demonstrated its ability to improve access to health services and support delivery, careful and ethical governance is necessary to safeguard quality, safety, privacy and public trust. This underscores the importance of parliamentarians in promoting legal and regulatory frameworks addressing liability, records ownership and data governance, while embracing innovation that protects ethical practice.“Without strong governance, safeguards for privacy and data security, sustainable financing, and attention to those most at risk of exclusion, new technologies may widen existing gaps instead of closing them. This is why parliamentarians matter. We pass laws. We approve budgets. We scrutinize government action. We represent communities. We can ask whether health services are reaching rural, remote, ageing, poor, and marginalized populations. We can ask whether innovation is being guided by equity, evidence, and ethics,” said Hon. Man Hee Lee, President of the Asia-Pacific Parliamentarian Forum on Global Health.Building climate-resilient health systemsParliamentarians also reiterated that the climate crisis is a direct threat to people’s health and to achieving UHC more broadly, deepening the same gaps in access already faced by at-risk and marginalized communities. They recognized the need for WHO Member States to ensure sufficient national appropriations and oversight, and for parliamentarians to raise awareness in their constituencies and mobilize local action in building climate-resilient and sustainable health systems.“Universal health coverage, climate change and AI cannot be addressed in isolation. The same communities struggling to access health services today are often the ones most exposed to climate shocks, and most in need of the opportunities AI can offer if this technology is governed responsibly,” said Dr Saia Ma’u Piukala, WHO Regional Director for the Western Pacific. “Having served previously in this Forum myself as a parliamentarian from Tonga, I recognize how the Phnom Penh Communiqué reflects the shared resolve of legislators across the Asia-Pacific region: the laws parliamentarians pass and the budgets they approve help ensure this progress reaches the people who need it most.”As the Forum drew to a close, delegates reflected on what they would carry back to their own parliaments and constituencies.“I wish to share three points here worth carrying home from Phnom Penh: we need to invest in primary health care as the foundation of coverage; we need to remove the barriers that keep people from care, whether financial, geographic or social; and we need to build systems that are inclusive by design, protecting those most at risk of being left behind,” added Hon. Ouch Borith, First Vice-President of the Senate of the Kingdom of Cambodia.###Notes for editors:The Asia-Pacific Parliamentarian Forum on Global Health (APPFGH) is a platform for parliamentarians to exchange ideas, build political will, strengthen capacity and foster collaboration towards sustainable health action. This was the ninth meeting of the APPFGH, with the theme “Universal Health Coverage in the era of Climate Change and Artificial Intelligence”. Target 3.8 of the Sustainable Development Goals calls on countries to achieve universal health coverage, including financial risk protection, access to quality essential health services, and access to safe, effective, quality and affordable essential medicines and vaccines for all. In the Western Pacific, UHC service coverage index (SDG 3.8.1) rose from 63 in 2000 to 81 in 2023 (figures include Indonesia), and roughly one in four people in the Western Pacific have experienced financial hardship (SDG 3.8.2). Progress towards UHC in the Asia-Pacific region remains uneven, with hundreds of millions of people still lacking access to essential health services or facing financial hardship due to health-related expenses. Strengthening the role of parliaments – through legislation, financing and oversight – is central to closing this gap and accelerating progress towards UHC across the region.Parliamentarians participating in APPFGH in Cambodia this week include: Hon. Pehin Dato Adanan YUSOF, Brunei Darussalam; Hon. Rosmawatty ABDUL MUMIN, Brunei Darussalam; Hon. LORK Kheng, Kingdom of Cambodia; Hon. YOS Phanita, Kingdom of Cambodia; Hon. KHOUN Khundy, Kingdom of Cambodia; Hon. HENG Halim, Kingdom of Cambodia; Hon. KHOENG Noupheap, Kingdom of Cambodia; Hon. SENG Nhak, Kingdom of Cambodia; Hon. LY Sukry, Kingdom of Cambodia; Hon. NHOEURN Raden, Kingdom of Cambodia; Hon. Dr Ratu Atonio LALABALAVU, Republic of Fiji; Hon. Vijay NATH, Republic of Fiji; Hon. Man Hee LEE, Republic of Korea; Hon. Dr Jiho CHA, Republic of Korea; Hon. Jonghun BAEK, Republic of Korea; Hon. Youngsuk SEO, Republic of Korea; Hon. Dr Phayvanh KEOPASEUTH, Lao People’s Democratic Republic; Hon. Suhaizan Bin KAIAT, Malaysia; Hon. Dr Perpetua KONMAN, Federated States of Micronesia; Hon. Ganmaa DAVAASAMBUU, Mongolia; Hon. Charmaine SCOTTY, Republic of Naoero; Hon. Vincent Ambance KUMURA, Papua New Guinea; Hon. Dr Edwin CRUZADO, Republic of the Philippines; Hon. AUUAPAAU Mulipola Aloitafua Mulipola, Samoa; Hon. ASIATA TAVUI Tafu Salevao, Samoa; Hon. Dr Alani Petelo TANGITAU, Tonga; Hon. Paul PAOLO, Republic of Vanuatu; Hon. Franklyn Ezra WILLIAM, Republic of Vanuatu.For more information, contact: WHO Regional Office for the Western Pacific: wprocom@who.int National Assembly of the Kingdom of Cambodia (International Relations Department): ir.nacambodia@gmail.com
Patients wary of government, companies pushing AI as a rural healthcare solution
Two of the nation’s most powerful health officials predict artificial intelligence will play a key role in solving rural America’s health challenges, but some rural Americans are skeptical.
Rural health panel divvies $205M in federal funds for Wyoming healthcare
Panel assigned money to hospitals, EMS services and maternal care in attempt to shore up medical access.
Health insurers are dumping Medicare Advantage plans. Here’s how many seniors could be affected.
Older adults could be scrambling for new health coverage next year, especially in rural markets that have fewer insurance choices.
Nashville's Main Street Health ranked fastest-growing private company in U.S.
Main Street Health is ranked fastest-growing company in U.S. thanks to creative approach to rural health.
WHO receives US$4 million from CERF to sustain health services and strengthen health system resilience across Syria
Damascus, Syrian Arab Republic, 11 August 2026 – The World Health Organization (WHO) has received US$4 million from the United Nations Central Emergency Response Fund (CERF) to protect access to essential health...
March of Dimes report highlights Arkansas’ gaps in maternity care
Upcoming Medicaid cuts “could lead to additional labor and delivery unit closures and put entire rural hospitals at risk,” according to Arkansas Advocates for Children and Families.
Medical systems, health agencies get $80 million from feds to boost rural health
Dozens of projects from county health departments, healthcare systems and Maryland hospitals will share $80 million in new federal funding to improve access to healthcare in Maryland’s rural communities, the Moore administration announced Monday.
Patients Wary of Governments, Companies Pushing AI as a Rural Healthcare Solution
The $50 billion federal Rural Health Transformation Program is set to flood rural America with new AI health tools. That’s despite little evidence on whether health-related AI can improve access to care and patient health in those communities.
State finalizing agreements for about $39 million in Rural Health Transformation funding, Singh says
The West Virginia Department of Health is finalizing agreements to award approximately $39 million in federal funding.
Maryland Department of Health Announces $80 Million in First Round of Rural Health Transformation Program Awards
Maryland Department of Health Announces $80 Million in First Round of Rural Health Transformation Program Awards
With Medicaid cuts ahead, Louisiana’s rural health providers battle over payments
As the pool of Medicaid patients shrinks and Medicaid funding runs up against new limits, independently owned health clinics will receive a much larger share of what’s available once their new reimbursement rates go into place.
Exmoor market health hub helping farmers discover hidden conditions
Exmoor Rural Health Hub runs screening clinics twice a month at Cutcombe Market in Wheddon Cross.
He left his job to help farmers keep rural Japan alive through tourism
After seeing how venture capital transformed US cities, Japanese entrepreneur Daisuke Fujii found a new way to help farmers boost their income: agritourism.
Medicaid Cuts Could Kill Safety-Net Health Centers
Federally qualified health centers are an essential source of medical care for poor and working-class Americans, especially in rural areas and neighborhoods of color. Medicaid cuts in Donald Trump’s Big Beautiful Bill could shut them down.
GCSU grant seeks to grow rural business - The Union-Recorder
Georgia College & State University has been awarded more than $700,000 in federal funding to boost business development throughout Georgia, specifically within rural areas.
Alaska officials award less than 2% of rural healthcare funding, postponing decision on remainder
The state Department of Health awarded $4.5 million out of $272 million in federal funds available.
Public Notice - Rural Health Transformation Advisory Committee Meeting
Notice is hereby given that a public meeting of the Rural Health Transformation Advisory Committee will be held on Tuesday, August 11, 2026. The meeting will convene at 8:00 am in the Turntable room of the Thyra Thomson State Office Building at 444 W. Collins Drive, Casper, Wyoming. At the meeting, the Committee will discuss […]
Transforming healthcare in Western NC
The Rural Health Transformation Program could offer significant healthcare access improvements to the NC mountains.
Rural behavioral health in New Mexico: why the money doesn't become care
A nonprofit healthcare CEO says New Mexico has plenty of money but needs to approach delivering services in rural areas differently.
Delaware allocates funding to bring new health centers to 4 middle schools in rural Sussex County
The effort expands health care access for schools located in provider deserts and brings the model directly to middle schools, which have historically been ignored statewide.
Developer unveils plan for massive performing arts district in rural Johnson County
The 335-acre site sits at the northwest quadrant of 175th Street and Interstate 35. More details are expected to come later this month.
Reimagining Rural Maternal and Child Health
Rural Health Transformation Program Insights (Download) Maternal and child health (MCH) outcomes continue to raise national concern despite ongoing targeted initiatives, community-based interventions, and executive measures aimed at improving population health and saving lives. Although maternal mortality rates have decreased in recent years, the United States has seen maternal deaths well above global rates compared […]
Morgridge hosts annual science camp for rural high school students
The Morgridge Institute’s Rural Summer Science Camp allows Wisconsin high school students to experiment in the University of Wisconsin-Madison’s world-class bioscience labs.
Texas rural clinics turn to telehealth
Clinics with better internet connections are now offering telehealth services to patients who can’t do it from their homes.
Rural Health Transformation Program Reporting
August 5, 2026 Mehmet Oz, AdministratorCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesAttention: CMS-10949P.O. Box 8010Baltimore, MD 21244-8010 RE: Rural Health Transformation Program Reporting Dear Administrator Oz: The Bipartisan Policy Center appreciates the opportunity to comment on CMS’s proposed Rural Health Transformation Program (RHTP) reporting requirements (file code CMS-10949). The work the … Continued
Community Power in Practice: Lessons for Rural Health
Drawing from a recent report and their own experiences, speakers shared insights on building deeper relationships through community power building.
700-acre motor sports park in Powhatan gets thumbs-down from planning commission
“It’s not going to stay a 700-acre hunting property forever,” said Throttle Therapy owner Scott McAdoo. “We’re just trying to keep Powhatan rural by supporting outdoor recreation.”
New Mexico Health Care Authority releases $50M to rural health care providers
New Mexico Health Care Authority announced $50 million in state funds to 41 rural healthcare providers. (Getty Images)
AHA urges CMS to prioritize hospitals, providers with Rural Health Transformation Program funding
The AHA Aug. 5 provided comments to the Centers for Medicare & Medicaid Services on the distribution of funding for the Rural Health Transformation Program. The program will fund $50 billion to rural providers from fiscal year 2026 to FY 2030.
Chartbook 464 The"China squeeze" - the politics of development counterfactuals.
There are three types of China shock discourse. Each has a distinct temporal register. China shock 1.0 was a phrase coined by US academics in the 2010s to retrospectively summarize the impact on particular US labour markets, which they identified through painstaking empirical investigation. China shock 2.0 on everyone’s lips in Europe in the mid 2020s is an alarm raised by trans-Atlantic policy thinkers warning of a coming disaster which they project onto Europe’s ailing car industry. The third type of China shock discourse - commonly known as the “China squeeze” launched most recently by Indian economists Shoumitro Chatterjee and Arvind Subramanian in the pages of Foreign Affairs - mobilizes a different, more speculative temporal register: the counterfactual realm of alternate history. The China squeeze argument asks not what has happened, or what is going to happen, but what might have been. Specifically, what options for economic development might have been open to Global South economies like India or the economies of sub-Saharan Africa, had it not been for China’s spectacular industrialization since the late 1990s and the persistent competitiveness of China’s manufacture in low-skilled segments. Chatterjee and Subramanian’s argument is that whilst China has built a powerful position in electrical machinery and other high-skill manufacturing, which is now delivering China Shock 2.0, it also continues to run a trade surplus in low-skill, labour-intensive manufacturing. This surplus is large and has remained largely unchanged in fifteen years. Indeed, in the 2010s, in trade with low-income countries, China’s surplus rapidly increased. On their reading, this squeezes low-income producers in low-skill sectors in which they “should” be able to compete. Source: “China’s Mercantilist Squeeze on Developing Countries” Shoumitro Chatterjee and Arvind Subramanian. Peterson Institute for International Economics 26-7 May 2026 Chatterjee and Subramanian’s wording is telling: (emphasis mine) The canonical trajectory of economic development in the post-World War II period is for countries to transition from agriculture to manufacturing, first in low-skilled manufacturing and then later on to high-skill manufacturing (Herrendorf, Rogerson, and Valentinyi 2013). At the global level, this implies that high-income countries (HICs) that once specialized in low-skilled activities cede manufacturing export space to poorer countries that come along to occupy that space. In 1965, advanced economies accounted for about 60 percent of global value-added exports in four key low-skilled manufacturing sectors, i.e., apparel, leather, textiles, and footwear. Over time this share declined and began to be occupied first by the East Asian tigers and, beginning in the late 1990s, by China. Today China accounts for about 50 percent of the global market. The question is whether China, with its rising prosperity, is continuing to behave like its richer counterparts and ceding export space to poorer followers or to behave unlike them and continuing to occupy space. In terms of the conceptual maneuvers it performs, of the three China shock discourses, the “China squeeze” argument is by far the most ambitious. After all, it bases its critique of China on a counterfactual imagining of the world. Like any counterfactual argument, to construct this alternative reality it must rely on a heuristic model. To make their argument Chatterjee and Subramanian mobilize two key claims. The first reference point is the actual history of rich-country industrialization, what they refer to as the “canonical path”. The idea is that countries transition from agriculture to light industry and low-skilled manufacturing and from there up the value chain. To make this useful as a standard of comparison and a means to construct a normative standard, they adjust sectoral export shares for two factors: 1. the underlying level of economic development of the exporting country, as measured by national income and 2. the degree to which the sector in question is internationalized. The idea being that for a high income country to have a high export share in low-skill sectors is anomalous and even more so if that particular product is highly internationalized and thus suitable for being “conceded” to lower-income competitors. Where should this process end? Here Chatterjee and Subramanian introduce their second benchmark. Their normative idea of a global development path is one in which, in due course, low-skill manufacturing exports are distributed in proportion to a country’s share in the global labour force. They imagine, in other words, a world of proportional, polycentric global development without much national specialization in low-skill manufacturing. A useful benchmark is that, in labor-intensive manufacturing sectors, a country’s share of world exports should be broadly commensurate with its share of the world’s low-skilled labor endowment. … In the Heckscher-Ohlin model, this would be true if value added per worker and export propensities, i.e., fraction of output that is exported, are the same across countries. It is this pleasant liberal vista of orderly global development, progressing towards a general distribution of low-skilled manufacturing against which they judge reality and conclude that the low-income countries are suffering a “China squeeze”. China is not exiting low-skill sectors fast enough Allowing for its gdp level and the degree of globalization, China’s share of low-skill manufacturing exports is far higher than it “should” be. Relative to population, its low-skill share of exports is far too high. That in turn yields the conclusion that huge numbers of jobs - the authors suggest tens of millions - are being hoarded by China. For the four sectors captured in figure 4, this excess in value-added exports is $110 billion in 2022. For all low-skilled sectors overall captured in appendix figure D.1, excess value-added exports amount to $365 billion. The crowding out of LMIC exports by China is therefore substantial. Both these claims have in common that they are strong structuralisms. The first is that development paths ought to resemble each other. The second is that broadly speaking as far as low-skilled manufacturing is concerned, all countries are alike. If the world currently diverges from the distribution of trade implied by these assumptions, if China is not following the advanced economy path and has huge exports, this must be the result of “policy”, which the authors then put in question as illegitimate or unfair. Thus the naturalistic construction of a canonical path leading to a “level” distribution of low-skilled manufacturing reveals itself to be a polemical tool. From the point of view of China shock polemics, this discourse is no doubt welcome. But as an account of economic history, it must surely be regarded as nothing short of bamboozling. Development paths do not follow a regular, natural sequence. As David Fishman put it aptly, “development is not a queue”. They are always and everywhere, through and through political. Development is not so much a process, as a project. Each such project is more or less well adjusted to its context. As Gerschenkron taught uneven and combined development implies differentiation rather than simple imitation on a single parth. It may be true that Europe and the US exited relatively early from low-skill work. But clearly technology has changed. As C&S themselves point out, China no longer enjoys a low wage environment. Do they really believe that such huge differences can be accounted for either by industrial policy, which as they admit does not operate powerfully in low-skill sectors, or by exchange rate manipulation? What is overwhelmingly dominant in explaining the persistence of “low-skill” manufacturing in China are surely the network effects of complex supply chains. Indeed the label of “low-skill” may miss the point. The degree of globalization which Chatterjee and Subramanian decide to conjure away in their model of the development path - to allow for the fact that Europe and American textiles exporters did not enjoy just-in-time logistics in the 1950s - obscures the point that the networks through which Chinese factories supply the world are themselves key parts of the low-skill industrialization project. China isn’t knocking out 1970s style “cheap”. It has redefined the entire product cycle. C&S’s casual reference to “T-shirts” is telling. In today’s “fast fashion”, there is weight on both terms. Fashion and fast. China’s success in delivering on both at unprecedentedly high speed and at unprecedentedly low cost, isn’t a low-skill operation at all. If we see development trajectories not as the serial repetition of the same, but as distinctive, crafted projects that cumulate in complex agglomerations of skill, technology and labor, then this explains why the assumption that low-skilled manufacturing should follow the distribution of population flies in the face of all experience. As countless cases attest, low-wage, low-income developed economies are not by themselves the makings of a competitive production base. As Leon Liao puts it quite fairly: “International trade has never been allocated according to population. A country’s population gives it no natural claim to an equivalent share of global exports." And the remarkable fact is that Subramanian alone and with co-authors has long been making this point, not to pillory China, as is the case of the tendentious _Foreign Affair_s and Peterson pieces, but to highlight the great counterpart to China’s industrial success, namely India’s relative failure. The much-quoted Foreign Affairs piece showed low-skill export shares only for China, not for India. If you put both countries in the picture as Chaterjee and Subramanian have done on other occasions, the picture looks like this. China is far above the line, but India, almost as large in terms of population, is no less anomalous, just in the opposite direction. As far as global populations are concerned, and the imagining of tens of millions of “squeezed” jobs, it is this Sino-Indian pair that account for a huge share of the action. What this graph reveals is not China’s cheating, but India’s “greatest development failure”, at least this is the argument made Arvind Subramanian, this time in co-authorship with Devesh Kapur, in their major book, A Sixth of Humanity. Independent India’s Development Odyssey which appeared with Oxford University Press earlier this year. In this highly critical work on India’s development, China is repeatedly evoked, not to criticize but as a benchmark against which to illuminate what India’s political economy has not delivered i.e. large-scale formal employment for hundreds of millions of citizens. Kapur and Subramanian leave no doubt, if you want to understand why China, not India was the main driver of manufacturing globalization from the 1980s, don’t look to slots opening up in the division of labour thanks to the liberal mindedness of advanced economies, look to the contrasting political economy of the Maoist PRC and India’s post-independence political economy. As Kapur and Subramian note: The great divergence between China and India did not begin in 1978 with the Deng reforms—it was well underway by then. In one of the great ironies of modern history, the conditions created by Maoism turned out to be a great launching pad for industrial globalization. As the comparison of India and China in 1980 makes clear, to imagine manufacturing would be equally distributed when populations are so differently endowed in terms of educational and nutritional is fanciful. Here is the data from Kapur and Subramanian, data which I explored back at the very beginning of Chartbook. As Kapur and Subramanian insist, the striking fact is that even as India’s growth accelerated from the 1980s, structural change has not. Formal employment in India lags woefully behind. Why? As Kapur and Subramanian note, the path-dependent impact of India’s poor early start was devastating. The list of factors they mention is long and weighty: We argue for a new five-fold explanation applicable at different stages of Indian history: in the initial stages, the legacy of two key pre-1980s policies, the neglect of agriculture and the strangling of the domestic private sector, were critical. The failure of broad-based agricultural growth militated against rural industrialization, which would have been devoted to satisfying local needs that would have necessarily been labour intensive. Then, when the boom came after 1980, the thicket of regulation and broader labour protections that were legislated prematurely in a nascent democracy, underpinned by a deep ideological aversion to private capital in general and big capital specifically, became a barrier to attaining the size that would be necessary to compete globally. Similarly, the reforms after 1991, while wide-ranging, did not quite encompass non-tradeable inputs critical to manufacturing, namely, land, logistics infrastructure and power. A combination of low investment (logistics infrastructure), regulation (land) and the continued monopoly supply by state governments (power), combined with residual socialism, kept costs at 75–100 per cent above efficient supply. These factors were compounded on the supply side by the government, which dominated the formal labour market and established exorbitantly high wages at the lower end of the skill spectrum. This made their employment in the labour-intensive sector by the private sector less attractive. Finally, when the services sector and its exports boomed, wages soared even further via a Dutch Disease effect: one successful tradeable sector killed and cannibalized another less-skilled tradable sector, namely, manufacturing. Thus, scarcity-inducing policies of the planning era, precocious democracy and a Gandhian aversion to size; inefficient, monopolistic supply of critical non-tradable inputs; the behemoth of government; and super-successful skill-intensive services successively undermined India’s unskilled labour employment opportunities. The employment failure seems to have been over-determined. … Less quantifiable but no less important are some of the sociological factors that have undermined manufacturing and factory jobs. Take the impact of the success of the IT sector—located in urban areas with better working conditions, such as air-conditioned offices, good schools for children and attractive entertainment options. It became a more attractive place for engineering and management graduates to flock to. … Consider manufacturing and female employment. Indian society makes it difficult for women to work, reflected in India’s unusually low female labour force participation (elaborated in Chapter XIII). Indian society, in particular the routine harassment of women in public spaces, makes it even more difficult for them to travel long distances to take up work.37 Combined with onerous regulations on creating hostels and dormitories for women—which, in turn, prevents multiple shifts of operation—factories need to be located in areas with a large female labour pool. While firms can take apparel plants to female labour or bring them to the plants by building large-scale dormitories, this raises costs. If there was a case for subsidies to encourage labour-intensive manufacturing, housing subsidies to build dormitories for women workers would be a good place to start. All of this meant, that when opportunities did open up, in part thanks to adjustments in China, India was in no position to take advantage. Here is the account of the 2020s from Kapur and Subramanian. It stands in dizzying contrast to the one-sided, “China squeeze” argument delivered in the Peterson and Foreign Affairs pieces: In 2022, for example, India’s share of global exports in clothing (the canonical labour-intensive sector) was 3.1 per cent compared to 32 per cent for China. This is extremely disappointing because China started vacating export space in this sector after the Global Financial Crisis as its wages started rising; it then vacated further space in the aftermath of geopolitical developments that led investors to seek alternative investment locations. Between its peak and today, China lost about 7.5 percentage points of global export share (worth about $43 billion in 2022); over this period, India’s export share remained stagnant at 3 per cent, while that of Vietnam and Bangladesh rose by 3.5 to 4 percentage points. China’s loss did not translate into any gain for India in terms of low-skill exports and employment. Put differently, when the conditions for dynamism and prosperity were established after 1991, and even more tantalizingly when the global export opportunities opened up, it was as if India was a high-wage economy and only skilled labour could benefit from the dynamism. It had converted its physically abundant unskilled workforce into an economically expensive resource, penalizing its use. It is not my mission here to argue for or against Kapur and Subramanian’s interpretation of India’s development trajectory. The point in this context is simply that the “China squeeze” such as it is can only be understood, in relation to the heavy burden of domestic constraints that Kapur and Subramanian so unsparingly enumerate. I am concentrating here on India because it is the great counterpart to China and the unspoken reference point of the “China squeeze” discourse. But the point is more general. Can anyone with a straight face suggest that the main problems afflicting the development of South Africa or Nigeria, the great centers of mass underemployment in sub-saharan Africa, are cheap competition from China driven by Beijing’s industrial policy and an undervalued RMB? Likewise, is the main problem of the American working-class the threat of Chinese competition or the manifest crisis of social reproduction in the United States itself? The point here, as in the discourse around China shock 2.0 in Europe, is to insist that we should not normalize the world and pathologize China, without actually investigating what is going on in America’s industrial wastelands, the German car industry, or India’s lopsided labour market. One-sided pathologization should be understood for what it is, a polemical gesture. Concepts like China shock and China squeeze are, what Reinhart Koselleck, following Carl Schmitt, would have described as “asymmetrische Kampfbegriffe”, or “asymmetrical counter-concepts” or “asymmetrical combat concepts”. If the function of arguments like the “China squeeze” is to alert elites in the rest of the world of the need to rejuvenate and energize their development projects, so be it. But let us see the resulting discourses as the mobilizing interventions that they are. Interestingly, a significant slice of China’s public sphere - the so-called industrial party - have been obsessed for the last twenty years with precisely these questions of counterfactual economic history. Since the mid 2000s, a massive online discourse developed around an alternative history in which Chinese techno-patriots were asked to imagine how they would proceed if they had the possibility of traveling back in time to transport modern technology into the Ming dynasty (1368-1644) thus averting the “great divergence” of the 18th and 19th centuries. It is a fantasy of course, but also a goad. The point was not directed at Westerners. The alternate history is dramatically nationalist, but few n the West had even heard of it until recently. The adherents of the industrial party are not liberal moralists. They don’t project natural ladders of international development and ask why others don’t cede space. They take the Realpolitik of global economic development for granted. Their pointe was directed against fellow Chinese. The rallying cry of the alternative narrative was this: Now that we are beginning to gain steam and push forward on our national development path, now that we are breaking out of the inferior position assigned to us even in the early years following WTO accession, do not lose yourself in humanistic imaginings about better futures. In the spirit of Deng, they called on China to embrace the hard truth of development. Perhaps one might of the Industrial Party as a cultural trend born out of desire for symbolic revenge against those who had inflicted the century of humiliation. In terms of the various temporalities of the “China shock” - retrospective, prospective and counterfactual - one might think of the Industrial Policy discourse as truly speculative, conjuring up the China shock that never was. Or perhaps one might better think of it as imagining a world in which a powerful China was no shock at all, but simply a defining fact of modern history. I love putting out Chartbook. I am particularly pleased that it goes out for free to thousands of subscribers around the world. But, writing this newsletter takes a lot of work. If you are enjoying it and would like to support the project, sign up for one of the subscription options here. It is the equivalent of a fancy cup of coffee per month! Subscribe
Silver Bay clinic closure draws concerns over rural health care access
Aspirus Lake View’s Silver Bay Clinic will close Dec. 31. The health care provider announced that future clinic visits, laboratory services and radiology will relocate to the Lake View Two Harbors Clinic. The Minnesota Department of Health held a hearing July 28 to provide a forum for community members to discuss the change in services....
Evers says new SNAP rule will hurt small businesses, rural Wisconsinites
Gov. Tony Evers is urging federal officials to reverse new requirements for stores that accept food assistance, saying the coming changes will worsen food insecurity in the state.
Maine to award $30 million through federal rural health fund
The Maine Department of Health and Human Services said it has identified 11 rural hospitals that could participate.
Bridging the Political Divides: Rural Women Running
Rural women running for political office this year gathered in a park near the Mississippi River in central Minnesota. Here is some of what they said. "It is going to be fast, and it is going to be hard, but we can get this done. I am done hearing that women cannot win, because look at us here.”
Minot business leaders see economic opportunity with proposed pig iron plant
KMOT’s Joe Skurzewski met with business leaders in rural Minnesota to learn more about a proposed pig iron plant for Minot and its role in a renewed push for domestic steel production.