SCROLL NEWS / DISCOVERY
Search headlines
Find the stories shaping the conversation.
Results for " RURAL " 1,215 found 🔀 AI-powered Shuffle
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.
Gallatin College students get hands-on training, help reduce health care shortage
The state of Montana continues to face a shortage of health care workers, especially in rural communities.Now, students at Gallatin College Montana State Univer
Secretary Kennedy Brings ‘Take Back Your Health Tour’ to Southwest Virginia to Highlight Rural Health and Recovery
HHS Secretary Kennedy traveled to southwest Virginia as part of his “Take Back Your Health” tour.
In memory care deserts, senior centers can help close the gap in brain-related healthcare
Specialized health care for brain-related issues can be lacking in rural areas, but collaborative, community-based approaches can help address these inequities.
Medicaid Recipients Fear Federal Cuts to Health Care in Rural Montana
A few years ago, Owen Fulford’s parents began noticing their son was struggling with certain activities at home and at school. They switched him to a bigger school so that he would have access to more resources, and they got him into see a primary care physician who after some work referred him to a […]
Rural Health Transformation Funds Go to Tech Companies for Innovations
For eight states, about 10% of their allotment from the Rural Health Transformation Fund will go not to rural hospitals, but to tech companies seeking
Earlier Lifeline for Rural Hospitals Faces Test Under ‘Big Beautiful’ Law
A century-old rural Michigan hospital converted to a stripped-down model Congress created to help keep small facilities afloat, then it closed. The emergency hospital model, created a few years ago, is stabilizing some hospitals, arrived too late for others, and now faces major challenges under the One Big Beautiful Bill Act.
Federal Policy Priorities To Strengthen Rural Health and Maximize Rural Health Transformation Program Investments
Executive Summary Rural health care in the United States is at an inflection point. The Rural Health Transformation Program (RHTP), enacted as part of H.R. 1, is a $50 billion, five-year investment designed to help states improve access, quality, and outcomes by transforming rural health care delivery. This investment takes place alongside an estimated $137 … Continued
More than $50 million available in new rural health grants
Applications are open for a new wave of $50.5 million in Rural Health Transformation Program grants through the North Dakota Department of Health and Human Services.
Maine’s Democratic Senate candidate touts his rural appeal. His hometown has mixed feelings.
In Allagash, a hamlet of some 200 people near Canada, residents are sharply divided over Troy Jackson.
Chile declares health alert for hantavirus
The Chile Ministry of Health issued a Health Alert for hantavirus and other diseases, such as some arboviruses and avian influenza. This is the first time this measure has been taken and it will be in effect until July 31, 2027 and it extends from the Atacama region to the Magallanes region. “Hantavirus causes a disease that is endemic to Chile, transmitted by the long-tailed pygmy rice rat that lives in rural and semi-rural areas throughout almost the entire country. As a ministry, we are constantly monitoring its behavior and are very concerned and actively working because this year the virus's lethality has increased, and for this reason, we decided to declare this alert. As of last week, there were 46 confirmed cases and 18 deaths, representing a 39% lethality rate,” reported the Undersecretary of Public Health, Dr. Alejandra Pizarro. Cases have occurred in the regions of Valparaíso, Metropolitan, O'Higgins, Maule, Ñuble, Biobío, La Araucanía, Los Ríos, Los Lagos, and Aysén. By comparison, in 2025, there were 44 infections and eight deaths (18% case fatality rate). The health alert, which is preventative and prepared, will allow for the granting of extraordinary powers in the event of serious health emergencies to strengthen surveillance, ensure timely resource management, hire specialized personnel, implement health control measures, and expedite the acquisition of supplies through direct procurement. The alert does not imply that there is an ongoing epidemic or that the healthcare system is overwhelmed. Subscribe to Outbreak News TV on YouTube “Hantavirus is not exclusively a summer virus, as the long-tailed pygmy rice rat is present year-round. Therefore, we urge everyone to take extreme precautions: avoid touching rodents, ventilate homes before entering if they have been closed, clean unused spaces with water and bleach, and keep garbage covered and food stored away. Furthermore, it is crucial to be aware of the symptoms: fever, intense muscle pain, and difficulty breathing. If someone experiences these symptoms and has been in rural or semi-rural areas where the long-tailed pygmy rice rat may have been present, they should immediately go to a health center and inform the medical staff so that a hantavirus diagnosis can be considered promptly,” the official added. Since December 2025, the Pan American Health Organization (PAHO) has maintained an epidemiological alert due to the rise in hantavirus cases throughout the Southern Cone, and that the Ministry of Health had an epidemiological alert in place since November of last year. Chile eliminates leprosy As mentioned above, the Health Alert decree also covers diseases transmitted by the Aedes aegypti, Aedes vexans, and Anopheles pseudopunctipennis mosquitoes, such as dengue and Zika, which, according to the alert, “have a high epidemic potential, which could generate high demand and overload for health facilities.” For these diseases, the alert is in effect from Arica to Los Ríos. The authority stressed that it is essential to prevent mosquitoes from breeding in stagnant water and to monitor any suspected cases of people arriving from abroad infected with any of these diseases, in order to prevent any of these vectors from biting a sick person and starting to spread the disease. In the case of avian influenza, the alert was extended to the entire country, because unlike other years, the disease has been concentrated in wild and farm birds, not in poultry farms, increasing the risk of exposure for people. Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Subscribe
PSU rural health expert says coming Medicaid changes could mean more struggles for hospitals
As states and people who get their health coverage from Medicaid get ready to meet new requirements that take effect Jan. 1, 2027, a Penn State expert on rural health says the new rules will impact healthcare providers and hospitals too.
Medical AI should be built with healthcare, not around it
Sam Houston State University's Institute for Medical AI develops tools to enhance care in rural and underserved communities.
CMS Administrator Oz Joins Governors and NGA to Advance Rural Health Transformation and Address Medicaid Program Integrity
OKLAHOMA CITY – The National Governors Association (NGA) today welcomed Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz for discussion to advance the Rural Health Transformation Program (RHTP) and address Medicaid program integrity in states across the country. Tennessee Gov. Bill Lee facilitated the wide-ranging conversation during NGA’s annual Summer Meeting in Oklahoma City. “With […]
Bradbury Science Museum Brings Hands-On Activities To Rural Students Through Annual Summer Science On Wheels Program
A student from San Juan Elementary School dissects owl pellets as part of the anatomy and physiology unit. Courtesy/LANL Students at James H. Rodriguez Elementary School work on plastic straw rocket launchers. Courtesy/LANL LANL News: In June, the Bradbury Science Museum’s education team hit the road as part of the annual Summer Science on Wheels […]
NJ announces $83M in first round of federal rural health grants
New Jersey announced $83 million in rural health grants for 103 projects, the first round of funding in the new five-year program.
Vanderbilt Health, Nashville State partnership certifies 12 Clarksville medical assistants through rural workforce grant
Since launching in 2022, the CPiAH Medical Assistant Program has run 17 cohorts and graduated 186 individuals.
'We're committed to this region' | New hospital expands Margaret Mary Health in rural Indiana
In a time when rural hospitals often struggle to keep doors open, Margaret Mary Health celebrated the opening of a $125 million facility in Batesville Thursday.
Strengthening the rural workforce: East Alabama Health tackles nursing shortage
Apprentice programs at East Alabama Health cover nursing and other crucial roles , including medical coders, scrub techs and CNAs
Nevada invests $50M in rural healthcare with workforce grants
The state of Nevada is investing over $50 million to grow and sustain the healthcare workforce in rural parts of the state.
Essentia Health-Fosston expands access to specialty care
As rural health systems experience mounting challenges, Essentia Health-Fosston is embracing innovation to ensure patients can receive care from expert specialists close to home.
North Dakota launches new round of Rural Health Transformation funding opportunities | Health and Human Services North Dakota
North Dakota Health and Human Services (HHS) is launching a new wave of funding opportunities totaling approximately $50.5 million through the North Dakota Rural Health Transformation Program (RHTP), with several applications now open and additional opportunities to be released over the coming days. Together, they represent another major step in implementing the state's nearly $200 million in Year 1 Rural Health Transformation Program funding to strengthen rural healthcare.
UT health science center expanding Health Hubs program across Tennessee
A $4 million grant will expand TennesseeCares Health Hubs to 13 locations, bringing preventive care to rural areas.
Governor Meyer Announces Funding to Establish Four New School-Based Health Centers in Sussex County
The Delaware Department of Health and Social Services today announced awards to establish four new school-based health centers in Sussex County through the state's Rural Health Transformation Program.
Rural America’s Maternal-Health Crisis Is About to Get Much Worse
Care will be in shorter supply, travel distances will stretch farther, and high-risk situations will more likely result in tragedy.
The Big Beautiful Bill’s Market-Based Health Care Delusion
The Rural Health Transformation Program asks states to build market-style reforms in places where health care markets often do not exist.
Vermont drops ‘AHEAD’ healthcare model; shifts to $195M rural health fund
Vermont is abandoning a federal health care reform program started last year because of changes in federal funding.
Secretary Rollins expands rural small business opportunities
New Cooperative Interstate Shipment program for meat processors with the addition of Georgia.
Essay Penned by UNC Health Physician Published in Annals of Family Medicine
Family doctor draws on his experience to highlight relationship-centered care, especially in rural and underserved communities.
Facing financial headwinds, rural Arkansas hospitals turn to partnerships
There were 40 hospital mergers and acquisitions nationwide in the first half of 2026, one of the highest numbers in the same time span so far this decade.
NC Secretary of State visits Whiteville to meet with rural small business owners
North Carolina Secretary of State Elaine Marshall visited Whiteville to meet with small business owners and community leaders as part of her Rural Rise NC initiative, which aims to help small businesses succeed in rural areas.
How telehealth is helping close the healthcare gap in rural Zimbabwe
Virtual consultations are replacing hours of travel, bringing affordable healthcare closer to rural Zimbabweans.
Utah received millions to transform rural health. Will it work?
Utah received $195.7 million in federal funds to transform health outcomes in rural Utah. Will it make a difference?
Tolkkinen: A provocation at a rural Trump protest sparked anger, and then a dialogue
The backlash to the conservative protester’s action could have driven a deeper wedge in Aitkin. Three women wanted to make sure that didn’t happen.
Weiser’s leadership crucial for rural win-win
Attorney General Phil Weiser is going to win the gubernatorial election. That said, Colorado agriculture and rural communities have a 30-year track record of finding the win-win be it for species or industries or habitat. Former Governor Roy Romer possessed what Gov. Jared Polis has demonstrated repeatedly he doesn’t have: the willingness to find compromise […]
Iowa to use $10.5M for rural residency programs to fill doctor gap
Iowa is allocating $10.5 million towards creating rural residency programs as the state faces a physician shortage.
Rural Virginia has been kind to the GOP, yet Trump’s GOP allows rural healthcare to suffer
Policies put in place during President Donald Trump’s second term contribute substantially to the declining availability of medical care in the rural communities of the commonwealth — the same communities that are, by far, Trump’s strongest base of support, writes columnist Bob Lewis.
Trump administration demands hospitals share emergency room records
A tiny federal agency tasked with protecting the public from injuries caused by lawn mowers and coffeemakers is demanding that some of the nation’s biggest health systems turn over detailed, personally identifiable medical records of all patients who seek help at their emergency rooms.
Tracking State Rural Health Transformation Plans
KFF Health News is working to collect and post approved plans, by state, here and this database as more states respond to emails and public records requests for their documents.
Canceled federal grants hit teen pregnancy prevention in Baltimore, rural counties
The federal government's abrupt termination of teen pregnancy prevention funding last month means the loss of more than $3 million to Maryland programs, which are trying to see if they can still offer young people programming for without federal support.
How a rural health merger brought more care closer to home
The combination of Sanford Health and Marshfield Clinic helps recruit physicians, improve retention and expand access to care in rural communities.
Questions remain on rural health transformation funds effects on rural hospitals
But experts agree that the fund is not a solution to cuts to Medicaid and broader, systemic challenges of rural healthcare.
Bronin campaign, Iran war votes, TPS holders: CT politics news
Plus: Work stacks up for Congress post-recess, a report condemns "extorded compliance," and CT puts $10M towards rural infrastructure.
WV Superintendent of Schools Launches First AI and Digital Science Framework in the Nation
Charleston, W.Va. - West Virginia Superintendent of Schools Michele L. Blatt will share the state’s Artificial Intelligence (AI) and Digital Science Framework with educators during professional development sessions at the Charleston Coliseum and Convention Center, Monday through Wednesday, July 27-29, 2026. The Framework, the first of its kind in the country, outlines an approach for digital science and AI literacy education that equips students with the knowledge, skills and credentials to succeed in this rapidly evolving workforce. It also offers educators a way to increase efficiencies in their work and better personalize learning for students.Earlier this year, Superintendent Blatt appeared before a U.S. House of Representatives Subcommittee to share the state’s strategy on addressing the use of AI while also protecting students, their data and educational integrity. The Framework is the result of years of planning, collaboration and development. Digital science encompasses the evolving fields of computer science, AI literacy, data reasoning, cybersecurity awareness, media literacy and the practical application of digital technologies. The framework equips educators to prepare students with the AI and digital science knowledge and skills needed to thrive in the workforce of the future.The West Virginia AI and Digital Science Framework establishes a statewide structure for sustained success. From policy to educator development and student learning, it defines how the state will implement digital science and AI readiness at scale. It serves two priority goals:Respond to the rapidly changing technology landscapeEstablish best practices as a leader for rural models of AI readiness, workforce development and digital science educationWith three statewide commitments, educators will be equipped with understanding and the tools to support implementation. These commitments are:Student Access - Every student will have access to AI literacy learning experiences and digital science instruction before graduationEducator Capacity - All counties will sustain local AI training capacity through a train-the-trainer modelWorkforce Alignment - Every approved pathway will connect to employer demand, postsecondary alignment, and portable or verified credentialsNext week, the West Virginia Department of Education (WVDE) will launch the framework during three educator and staff development sessions. These sessions include unique opportunities for new county central office hires, the Support, Appreciate, Invest, and Learn (SAIL) Conference, and the West Virginia Middle Schools: Bridging the Future Initiative launch. Each session is designed to meet the needs of K-12 educators, professionals, paraprofessionals, service personnel and others who serve in the education community.West Virginia is a national leader in developing a framework for AI and digital science education. We are determined to elevate our model because it prepares students and educators for the future. Our partners at Prodigy Learning and Microsoft understand this commitment and believe, as do we, that our work has national implications for accessibility and scalability because we are building systems that address learning at all levels that lead to post-graduation success.Michele L. Blatt, State Superintendent of SchoolsAs part of the partnership, Prodigy Learning is providing West Virginia educators, at no additional cost, their in-person and virtual training on all products and the materials required for license renewal.
Recent Coverage Highlights AI Innovation, Rural Health Challenges and Cyclospora Response
A July 21 Detroit News story explored how health systems across the state are using artificial intelligence to improve diagnosis and treatment.
In greater Minnesota, the data center boom is reshaping local politics
The potential for tech warehouses to land in rural towns has triggered newly minted politicians, moratoriums and raucous meetings.
Statewide: Farmers and mental health
Financial stress and a lack of mental health resources in rural areas contribute to the problem.
Rural Health Disadvantages in the United States
Over the last 20 years, rural Americans have been dying at a higher rate than urban residents – and the gap is growing. According to the U.S. Department of Agriculture…
Democrats seize on AI data center backlash that's dividing rural Republicans
The fast growth of massive data centers has already upended races for local offices across the country, often uniting conservatives and liberals.
Democrats try to harness data center backlash that's dividing rural Republicans in places like Texas
Gina Hinojosa, the Democratic nominee for Texas governor, is focusing on data centers as a key issue in her campaign against Republican Gov. Greg Abbott
Boone Health celebrates new Glasgow clinic, advancing rural healthcare access
As Maui recovers from devastating fires, a study offers vision for new rural health model
A study of the long-term health impact of the Lahaina wildfires is inspiring a new model for disaster recovery and support.
Colorado Health Department releases data on the barriers rural communities face regarding healthcare
How the feds' healthcare grants could affect Idaho education: Three examples
Idaho has $186 million in federal rural grants to parcel out by the end of October. Workforce development is a “huge part” of the mix, Department of Health and Welfare Director Juliet Charron told EdNews in a recent interview.
HHSC Launching Rural Hospital Officers Academy | Texas Health and Human Services
HHSC is launching a Rural Hospital Officers Academy as part of the agency’s historic investment to strengthen rural health care in Texas.
Questions Remain on Rural Health Transformation Funds Effects on Rural Hospitals
Across the country, states are grappling with how to allocate their portion of funds from the Rural Health Transformation Program (RHTP) created in 2025.
Health care gives Democrats a potent issue for midterm elections in Iowa and beyond
In places like Iowa and rural America, health care cuts and lack of coverage are giving Democrats a potent issue to take votes from Republicans in their bid to retake control of Congress.
Colorado Commission prioritizes feelings over science
The Colorado Parks and Wildlife Commission voted Thursday and prioritized feelings over science-based management. Meanwhile, Rancher X is the beneficiary of those feelings-driven decisions. Well played, Governor. The newest appointees to the CPW Commission are just the parting gift you had in mind for rural Colorado. The Commission voted Thursday 6-5 to reject CPW staff […]
Colorado Commission prioritizes feelings over science
The Colorado Parks and Wildlife Commission voted Thursday and prioritized feelings over science-based management. Meanwhile, Rancher X is the beneficiary of those feelings-driven decisions. Well played, Governor. The newest appointees to the CPW Commission are just the parting gift you had in mind for rural Colorado. The Commission voted Thursday 6-5 to reject CPW staff […]
Grant will help Colby-Sawyer College train more regional mental health experts
Colby-Sawyer College received a $1.1 million grant from the Burkehaven Family Foundation to double the size of its master of social work program and provide student support services aimed at addressing the shortage of mental health practitioners in rural areas.
Denny Sanford, philanthropist who gave nearly $2 billion to Sanford Health, dies at 90
Thomas “Denny” Sanford, the Sioux Falls philanthropist whose generosity transformed a regional hospital system into one of the largest rural health networks in the country, died Saturday.
New Baystate Franklin doctors explore rural health needs on county tour
Six new Baystate Franklin family medicine residents toured Franklin County to learn about local community support services.
Will Colorado Gov. Jared Polis’ independent streak define his legacy?
Sometimes aligned with his party and at other times apart from it, Colorado Gov. Jared Polis has spent much of his tenure charting his own course. That independent streak carried through fights over labor policy, rural anger over wolf reintroduction and ultimately his decision to commute Tina Peters’ sentence, a move that reshaped his standing […]
'Not much we don't do' | In rural Ohio, a ministry started its own landscaping business to combat homelessness
Even though it can be hidden, homelessness still exists in small towns across Ohio. We went to a place in Clinton County that's doing something about it, despite a lack of resources.
Chico City Council approves entertainment zones for downtown and Meriam Park
CHICO, Calif. - Chico City Council voted 6 to 0 to approve an ordinance creating entertainment zones in downtown Chico and Meriam Park.The ordinance, taking effect September 18, 2026, will allow customers to carry approved alcoholic beverages and walk around outside within those designated areas."I feel like the downtown could use all the help it could get right now," said Celeste Cramer, general manager of Downtown Chico Business Association. "In the other areas where they have been doing the entertainment zones and throughout California, it has increased their sales. They haven't seen an increase in violence, or tickets, or anything like that. It's a good thing to try out."Numerous other cities around California such as Redding, Sacramento and San Francisco have put their own entertainment zones into effect and have had success.Action News Now stopped by both designated locations and spoke with organizers and bar owners."I'm super excited, I think this is an opportunity for us," said Scott Baldwin, owner of Argus. "We can get a booth at the farmers market. You can order a cocktail from that booth and then we'll have it ready for you at the door as you walk through. Think of it as a picnic situation. You can grab some tacos, you can get a Kentucky Buck. You can sit down anywhere in the entertainment zone and enjoy Argus outside of Argus."Chico's Chamber of Commerce hosted community stakeholder meetings and community engagement sessions to tailor the ordinance to the city's needs as a university town and rural area.The ordinance will allow people 21 and older to walk around with open containers of alcohol within the entertainment zones as long as they have a wristband, stamp or another visible marker showing they're allowed to do so."To us it's more than an ordinance," said Jen Rothenwander, marketing manager at Meriam Park. "It's an opportunity to invest back into the community, and to continue to do what Chico does well – which is to create the spaces for people to stick around and gather, and shop and spend."The Meriam Park entertainment zone will be enclosed by Springfield Drive, Alcott Avenue, Notre Dame Boulevard and E. 20th Street.The Downtown Chico entertainment zone will span mostly from Highway 32 to Lost Park.Chico Chief of Police Billy Aldridge spoke with Redding Police and was informed they had zero problems with their entertainment zone.Chief Aldridge endorses the ordinance in Chico. freestar.config.enabled_slots.push({ placementName: "actionnewsnow-com_blox_yup-rectangle-one", slotId: "actionnewsnow-com_blox_yup-rectangle-one", targeting: { "pos": "yup-rectangle-one" } });
W.Va. utilizing $10.5M in federal funding to address health and recovery programing
State officials announced federal funding has been allocated for health and recovery programming in West Virginia.West Virginia’s Rural Health Transformation pr
On Demand — Health on the Plains Coffee Hour, Featuring Tom Morris
On July 15, KHI hosted Tom Morris, M.P.A., for a discussion on the evolution of federal rural health policy and lessons for today.
Tech Briefs: Regional business accelerators combine for program focusing on agricultural, forestry and rural concerns
Plus: Emerging Tech Conference seeks proposals for this year’s event; professor emeritus at Virginia Tech makes seven-figure donation to support undergraduate research.
Knox County business damaged after dryer catches fire, Rural Metro says
The fire was extinguished within minutes of crews arriving on the scene.
'Plants get sick!': WashU scientists, U. City students research plants together
Biologist Rachel Penczykowski, in WashU Arts & Sciences, is an expert in infectious disease in plants. She conducts much of her research in the field — rural farmland, urban parks and, on this sunny day, a garden bed at Jackson Park Elementary School in the University City School District.
Governor Morrisey Announces $1.8M Investment to Address Critical Healthcare Workforce Shortages
Governor Patrick Morrisey announced a $1.8 million funding opportunity through the state's Rural Health Transformation Program (RHTP) to help address critical healthcare workforce shortages across West Virginia.
AI data center boom meets rural reality in Edgecombe County
This low-wealth county is facing economic promises and residents’ concerns over fossil‑fuel power, water use and rising utility bills.
Delaware expands payer and provider HIE access under RHTP
With an eye toward prior auth and insurance verification, the First State is using some of its Rural Health Transformation funding to broaden access to the health information exchange, reduce administrative workloads and enhance data usability.
They harvest the nation’s food, but a new rule may strip them of health insurance
Seasonal work. Inconsistent hours. Frequent moves. Cash payments and informal jobs. For farmworkers who rely on Medicaid, these common employment patterns could put their health coverage at risk. It’s a heightened concern for the estimated million-plus farmworkers who are U.S. citizens or legal permanent residents, as new work requirements kick in for the federal-state healthcare […]
Handover of Health Commodities
Joint Handover of Health Commodities Speech of Chargé d’Affaires Steve Bremner (…) Thank you for joining us. I am here today to demonstrate how U.S. foreign assistance under President Trump’s America First Global Health Strategy and our bilateral health MOU makes America safer and stronger while helping Madagascar build a more self-reliant health system. Through our bilateral Global Health Memorandum of Understanding (MOU) signed in December 2025 with the Ministry of Public Health, our two governments outlined shared priorities and responsibilities, including a strong focus on infectious disease threats and Madagascar’s increasing ownership and co-investment in its own health system. The MOU outlines the structure and terms of U.S. support to Madagascar’s health sector from 2026 through 2030, with a total commitment of $134,305,000 from the U.S. government and $41,216,252 from the Government of Madagascar to work jointly to address malaria, maternal and child health, polio and global health security issues. Stronger health systems help prevent instability and reduce the risk that infectious diseases reach the United States, making both our countries safer. America First foreign assistance is clear and disciplined: It is a tool of strategic engagement, not global charity. Every U.S. taxpayer dollar must show measurable results, reduce long-term dependence on U.S. taxpayer resources, and support greater self-reliance in recipient countries. Support must be efficient and targeted, with zero tolerance for fraud, waste, or abuse. This year, through the U.S.-funded Global Health Supply Chain Program – Procurement and Supply Management project, we are distributing: 989,250 long-lasting insecticide-treated nets, worth $2,000,000 to 63 districts and 1,661 Community Health Centers across Madagascar, with the third and final delivery of these nets having arrived in late June. Through the U.S.-funded Momentum Country and Global Leadership (MCGL) project, we are funding: The full cost of Starlink internet connectivity equipment procurement, installation, and one-year subscription for 31 priority District and Regional Health Offices. Through the U.S.-funded Strengthening Infectious Disease Detection Systems project, we are supplying: 908,523 pieces of critical medical equipment and a modernized digital surveillance system to the Ministry of Public Health. These materials will strengthen health systems, improve response capabilities, and help those most in need of protection from mosquito-borne diseases — particularly malaria, which continues to claim the lives of children and women at an unacceptable rate. Deployed effectively, they will contribute to reducing maternal and newborn mortality in rural and hard-to-reach communities where the need is greatest. In these same underserved areas, Starlink connectivity will play a critical role in enabling the rapid transmission of health data and information to central levels, ensuring that decision-makers receive timely, actionable intelligence and can mount swift, coordinated responses to protect populations. For Americans, this support delivers concrete benefits. Stronger health systems in Madagascar help detect and contain infectious diseases before they spread across borders, protecting American and Malagasy families. More stable, healthier countries can expand trade and economic cooperation with the United States. Our goal is not permanent support; it is temporary, targeted assistance that helps Madagascar save lives while achieving greater self-reliance and independence from foreign assistance. To the health workers and community health agents here that will use the products we’re delivering today: your dedication and skills save lives. Your work exemplifies the kind of local ownership that will enable Madagascar to reduce dependence on foreign assistance and manage the country’s health challenges. This targeted support delivers results today while helping Madagascar build toward a future where it can sustain and expand those health gains independently, ensuring that today’s U.S. support leads to Madagascar’s self-sufficiency. Thank you, Misaotra.
State budget advances plan to reopen Martin County hospital
ECU Health gets funding needed to begin converting the shuttered Martin General facility into a Rural Emergency Hospital.
Rural Passport Program supports small businesses in Western Iowa
The Rural Passport Program encourages visitors to explore Western Iowa’s small businesses by collecting stamps for prizes while supporting local shops and restaurants.
Bringing relief to NC maternity deserts
Program won’t try to eliminate NC maternity deserts, but will find ways to ease burden on rural mothers needing obstetric healthcare.
Managing water with local wisdom and science
Across a narrow watershed in Asakura, a rural city in Fukuoka Prefecture, centuries-old stone channels still guide water through fields and into the river below. Today, those same systems are the focus of researchers at Kyushu ...
Managing water with local wisdom and science
Across a narrow watershed in Asakura, a rural city in Fukuoka Prefecture, centuries-old stone channels still guide water through fields and into the river below. Today, those same systems are the focus ...
County Health Dept. seeks state funds for rural health initiatives
JACKSON, Wyo. — Wyoming’s Rural Health Transformation Program (RHTP) has opened its application window for funding opportunities related to strengthening rural health care, and the Teton County Health Department (TCHD) is preparing to apply. TCHD Director of Health Travis Riddell told Buckrail that the agency is planning to apply for multiple initiatives, including those related […]
EAST TEXAS POLITICS: Reps. Hefner & Harris weigh in on East Texas groundwater fight
State Rep. Cole Hefner, R-Mount Pleasant, discusses efforts to create a new regional groundwater conservation district. Holland asks Hefner about the process, how the district would be funded and his response to those who worry about adding another layer of bureaucracy and regulation. Hefner also reacts to Gov. Greg Abbott calling for a ban on data centers in rural neighborhoods and whether he thinks a special session should be called to create new legislation related to data centers.
Rural Health in Focus at NGA Health Policy Leadership Forum
Governors’ health advisors collaborate to sustain the rural health workforce, leverage the Rural Health Transformation Program and boost preventive care Charlotte, N.C. – The National Governors Association (NGA) this week hosted its Health Policy Advisors Institute, bringing together leaders from close to 20 states and territories to collaborate on strategies to advance access, trust and […]
Public Health Student Hollie Hagan found her calling in rural Kentucky
A high school internship at the Grayson County Health Department introduced Hollie Hagan to public health and set her on a path she never expected. Now a University of Kentucky College of Public Health student, Hagan is combining leadership experiences and rural fieldwork to prepare for a career serving communities like her hometown.
Over 50M Americans live in counties without a radiation oncology clinic
Between 2018 and 2025, practice sites disproportionately disappeared from rural areas, along with freestanding and community-based settings, ASTRO reports.
OHSU awarded $6.5 million to improve rural health
Six projects are among $97.1 million distributed by the Oregon Health Authority this week.
Revitalizing a rural health center in Togo
Reyneir M., who served as a Community Health Volunteer in Togo, shares a community-led project to acquire equipment and amenities for a maternity ward at a local health center in Togo.
At WVU, a NASA ESCAPADE researcher brings space science down to Earth
WVU researcher Chris Fowler is helping NASA’s ESCAPADE mission send satellites to Mars to study space weather and the Martian atmosphere. Back on Earth, he’s using a NASA early-career award to bring real spacecraft data and coding into rural West Virginia high schools.
Le Pen Launches Presidential Campaign, in a Twist for French Politics
The day after a court decided the far-right leader Marine Le Pen could run for office again, cheers and boos met her campaign kickoff in a rural stronghold.
UA gives high school students look at rural healthcare careers
High school students from rural Alabama explored healthcare careers that can make a meaningful difference in their communities.
Partnership leads to healthier moms and babies, building stronger families
In six rural counties across Indiana, Indiana University Health nurses works with families to navigate maternal and infant health
The politics of data centers
A recent poll revealed more than 60% of people in rural Texas areas oppose data centers being built in their community.