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Podcasting about policy and the impact on quality of life. (TheRuralImpact.com) 30+years in health care (urban and rural.) Speaker, strategist, writer, collaborator solving complex issues, passion for cooking, grand mothering, dog mothering & golfing.
792 followers 1,183 following 881 posts
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It must stop. We are under attack by the current occupant of the Whitehouse. He needs to be stopped.
Because things are quite scary I give you a fearless hummingbird!
Important to be clear. It’s not the career professionals who have been working for decades to keep us safe. The defunding of the CDC and other agencies is happening in rooms where those who should be at the table have been left out. This is a Trump administration specific crisis in the making.
This week’s actions are the latest in a pattern showing RFK Jr. disregard for science, public health, and the federal workers who keep this country safe from multiple health threats. Nurses demand he resign or be fired immediately as head of HHS. www.nationalnursesunited.org/press/nation...
Rotten to the very core.
The New Yorker…
#resistance Over 5000 US government health employees denounce “dangerous and deceitful” RFK Jr statements www.bmj.com/content/390/...
When I reported for duty at Naval Station Great Lakes, I never imagined that some day a US President would seek to use it as a base for surveillance and enforcement activity on American soil. Our military was not set up to cater to the whims of a would-be American dictator.
NEW! @mrbimpact.bsky.social w/Jeff Strohl @georgetowncew.bsky.social on policy shifts and impacts on rural ed and workforce. Then, Gbenga Ajilore @centeronbudget.bsky.socia on tariffs, taxes, & impacts on households & communities. PLUS a health policy from @ruralhealth.bsky.social.
Dear people who are saying that the CDC directors who quit yesterday should have “stayed and fought”, With all due respect, you do not grasp the magnitude of the problem of RFK Jr. He is asking them to do unethical and immoral things that will actively harm the people of the United States. 1/3
Absolutely on cue. He is a menace to humanity.
Another new episode. If you’ll do me the honor, please have a listen. Hard truths, connecting a lot of dots with trusted experts. podcasts.apple.com/us/podcast/t...
We’re in deep trouble.
I have a list of things we can do to change this tempo of tragedy The proposals are based on real data They have had signals of efficacy It may feel hopeless today but: I refuse to give up. Because - Our babies & our communities deserve better than a rolling litany of horrors.
There will be severe backlash and absurdly unnecessary consequences.
The CDC quietly scaled back a surveillance program for foodborne illnesses. As of July 1, a critical surveillance program is monitoring for only two pathogens instead of the usual eight. www.nbcnews.com/health/healt...
Makes absolutely no sense.
Laurie Dann, inside an elementary school in Winnetka, Illinois, United States, on May 20, 1988 she shot six children, killed an 8 year-old. My oldest was 3 at that time. She's turning 40 next week. Decades of abject policy failure. Save the prayers, change the policymakers.
7 ways to fight back when your health insurance says 'no' to prior authorization www.nbcnews.com/health/healt...
America First? Not When It Comes to Your Health. www.nytimes.com/2025/08/24/o...
Not a shred of truth will ever come from this administration do not trust a single word all of it, lies. Give me a break.
Thanks @meganranney.bsky.social Signed and now sharing across all the platforms I am on!
I believe it's called, bending over...
If you think the economy is bad now, just wait until close to 20 million people no longer have health insurance.
📢Listen to Matt Hildreth @ruralorganizing.bsky.social and @mrbimpact.bsky.social discuss the rural challenge of gerrymandering, politicians redrawing district maps to manipulate and influence election outcomes, how to build civic muscle, and develop the next generation of rural leaders.
I am going to label this week’s episode as mandatory homework. 🎧 promptly 🙏Thanks @julierovner.bsky.social! podcasts.apple.com/us/podcast/k...
Amen 🤬
This little cutie keeps escaping mama taking up residence under my deck. This morning, my pup came nose to nose with it, and I thought she would think it’s an active chew toy. Once I got her secure in the house, I came back out and the baby charged me like a bull. #Resilience #Persistence #Courage
Thank you!
This is full-on authoritarianism. Free Nicole Collier. #txlege
Free speech baby!
Incompetent and dangerous. Trump Bows to Putin’s Approach on Ukraine: No Cease-Fire, Deadlines or Sanctions www.nytimes.com/2025/08/16/u...
Utterly incompetent.
Being “rural” is convenient when the almighty dollar is involved. www.fiercehealthcare.com/providers/hu...
Dangerous territory. Aggression against the people from within seems like a very bad move. Border Patrol Agents Show Up in Force at Newsom Rally www.nytimes.com/2025/08/14/u...
NEW EPISODE and it is a big one! @mrbimpact.bsky.social Tony Pipa, @brookings.edu & Brent Orrell, AEI discuss the Commission on U.S. Rural Prosperity. Next, Matt Hildreth, RuralOrganizing.org on organizing America's next generation of rural civic leaders. https://tinyurl.com/4ufvb7de
Good morning early birds! Sharing a @ruralimpactpodcast.bsky.social new episode. Today with Tony Pipa, Brookings, Brent Orrel, AEI & Matt Hildreth @ruralorganizing.bsky.social it’s a jam packed show on rural policy! podcasts.apple.com/us/podcast/t...
But the current administration is silent. Nothing more should be expected when enemies of science have taken power. Project 2025, DOGE, every leader at HHS wants to destroy CDC, NIH, FDA, they are clear on their mission. This tragic event was provoked by them. The media is playing favor with a lid.
Liars. Every single thing, a lie. No matter how big or small, at every pass, they intend to completely erase the past, distort the present, write the future. The American system of Government is failing miserably. Congress has failed.
Colorada Governor calls the legislature in for special session to address the budget holes created by HR1 (the "OBBB). Immediate loss of $1.2 billion in revenue for the current fiscal year. www.colorado.gov/governor/new...
Grossly irresponsible of the Times to have this ludicrous credulous spin as the top story the morning after a president who rules by fiat proclaims a totally specious emergency to militarize the capital - an editorial insult to our intelligence and our democracy.
Missed you @julierovner.bsky.social! Speedy recovery to you! Still, good to listen to stay up to date on moving health policy. podcasts.apple.com/us/podcast/k...
I’ve been Bezos free since 10/25. It’s liberating.
He’ll disappear as many as possible one way or another. Trump Demands Census Excluding Undocumented Immigrants Amid Redistricting Fight www.nytimes.com/2025/08/07/u...
My new blog w/ @ewburak.bsky.social Actions speak louder than words when it comes to caring about kids covered by Medicaid. Trump Administration Blocks States from Keeping Babies and Toddlers Connected to Health Coverage ccf.georgetown.edu/2025/08/08/t... via @georgetownccf.bsky.social
New data from Census: in 2024 older adults now outnumber children in 11 states: Delaware, Florida, Hawaii, Maine, Montana, New Hampshire, Oregon, Pennsylvania, Rhode Island, Vermont, and West Virginia www.census.gov/newsroom/pre...
Disgrace.
They are rabid animals. It’s sickening.
Trump Administration Begins to Strip Federal Workers of Union Protections www.nytimes.com/2025/08/06/u...
When is a democratic republic not a democracy or a republic? When minority rule is locked in by gerrymandering, and one party redraws the map, not to reflect voters, but to erase them. They’re not winners. They’re hoarders of power.👇
Liar!
The highest levels of the Trump administration are collaborating with the FBI and DOJ to cover-up evidence the President committed sexual crimes against children. Unspeakably corrupt, and not a single Republican in Congress can be expected to speak out against it.
What is happening is a total disgrace and everybody knows it it’s really just reprehensible that everybody can’t say it out loud and I’m ashamed that so many people I know are not willing to say quiet out loud. It is a disgrace.
I don’t get it. All the prayers. No wars ended. No drought met with rain, no end to hunger, homelessness, disease or pain. Maybe prayers are meaningless hopes of those who want to believe, but alas policy really does matters.
Hawk strike! Took out a double pane window. Our poor puppy was home alone and glass was shattered EVERYWHERE. Thankfully it did not fly in the house. I can’t imagine!
I offer an edit. Dangerous idiots.
Wordle 1,505 2/6 2 baby! ⬜🟩🟨⬜⬜ 🟩🟩🟩🟩🟩
Good morning to all not in support of the moral rot that has taken over the U.S. Government.
Do yourself a favor, 🎧to @kffhealthnews.org @julierovner.bsky.social #WhattheHealth and share widely. You will be well-informed and fair warning, you may want to bang your head against a wall, use a pillow. shows.acast.com/6155f849336c...
He’s building a gold plated ballroom in what he thinks is a palace so….
It’s their oxygen.
But starve the country’s people of resources. He thinks he’s a king in a palace and not the people’s house. I will him evicted and re-convicted every single day.
Reflecting on the conversation. There is no time to wait and see or wonder the consequences of eliminating electoral relevance. www.theruralimpact.com/podcasts/the...
It’s painful. It must end.
I have a podcast on rural policy. You can imagine how many crickets we hear back from to answer for it. We learn from those with in, ears to the ground. Podcasts can inform where spin endlessly misinforms. www.theruralimpact.com/podcasts/the...
Do it. What a disgraceful idiot.
I really appreciated my conversation with Cynthia. When you listen, no matter where you live, you’ll be given ideas for how to turn frustration into positive meaningful action in the direction that advances civic and electoral engagement.
apnews.com/article/pand...
Top v. Bottom. That is it!
www.huffpost.com/entry/trump-... Now THIS Talk about a threat to National Security Here he is
Today is the 60th birthday of #Medicaid. It provides critical coverage & access to tens of millions and has never been more popular. While the reconciliation law inflicts great damage, Medicaid's financing structure and its individual entitlement allowing all eligible people to enroll remain intact.
Last week was all about Massive Medicaid Cuts just in time for the program's 60th Anniversary. Tomorrow on @ruralimpactpodcast.bsky.social we're talking about civic and electoral engagement and new voter laws on the books in 2025. Hint: There are a lot of them! youtube.com/shorts/vQ4XM...
"The savings Congress projects will appear clearly on ledgers. The costs, however, surface in other ways: delayed checkups, untreated diabetes, and emergency care that arrives too late." On this 60th anniversary of Medicaid, I urge you to read this well-done piece. www.forbes.com/sites/michel...
I want to wake up in the morning not in anguish about my grand children’s immediate and long term future. 😡💔
“Respondents also warned that the change would impose an average cost burden of $72.2 million annually on disproportionate share hospitals and $1.7 million on critical access hospitals.” Another rural gut punch. www.beckershospitalreview.com/pharmacy/how...
Every day a new loathsome bottom.
www.propublica.org/article/vene...
“The monies are not flowing to small- and medium-sized family farms…They’re flowing overwhelmingly to the largest producers.” Trump’s Tax Bill Expands Farm Subsidies. Not All Farmers Will Benefit. www.nytimes.com/2025/07/30/u...
Only 2.5% of the Medicaid cuts in the final budget bill were actually about addressing fraud despite claims to the contrary Read Andy Schneider's blog: Fraud and Abuse Against Medicaid: The Truth About the Budget Reconciliation Law ccf.georgetown.edu/2025/07/25/f... via @georgetownccf.bsky.social
We are broken. It’s that simple. A step away from shattered. The moral rot runs deep. The apathy astonishing. The stakes, well, been a good run Brian! Seriously, no guardrails. 😳
Disgraceful, privileged, evil. 🙏Stop sharing this content. We know they exist. Let’s diminish them to the point where they are no longer relevant, instead lift up those who are doing the work to tackle conditions on the ground to make change happen. These fools have no value. Give them no voice.
Now owned NYT. Disgraceful cowards.
The same prison that this violated human beings have been abducted and forced into. I’m so sick about it. I can’t imagine the trauma and horror. This could all stop right now if Congress and judges did their jobs!
And. This. Is. Just. The. Beginning. We stop allowing ourselves to be governed by politicians who take money from the fossil fuel industry. Or we lose absolutely everything.
It’s all a ruse. Everything they do is to deceive. Everything.
Trump holds on to our tax dollars that Congress approved for the explicit use of public schools like it’s his own bank account until forced to release the funds while school districts across the country sweat and scramble to the detriment if children.🤬
Tax payer dollars funding this no less.
All of them corrupt to their rotten core.
The cruelty will never be forgotten nor forgiven. Gazans Are Dying of Starvation www.nytimes.com/2025/07/24/w...
It’s heartbreaking.
While they are making sure that hospitals across this country close at the same time, it’s criminal and it’s gotta stop!
Please please please stop using the term bipartisan. It’s as fake as a Disney princess. Please, prove me wrong!
He’s a fake. He’s a fraud. He is a mob inciting, sycophantic, bootlicking traitor to the people of Missouri…
this is right www.todayintabs.com/p/billionair...
No guardrails. No accountability.
👀In the name of “protecting vulnerable Americans” the Trump Administration will rip away Medicaid coverage from babies and toddlers👀 CMS announces Medicaid demos that 8 states are implementing to cover babies and young children continuously w/o gaps due to red tape will no longer be allowed.
Thread on today's Congressional Budget Office finally released cost estimates of the budget reconciliation law and its draconian #Medicaid cuts. But we are still waiting on detailed coverage estimates (1/x): www.cbo.gov/publication/...
10 million is no small number and it does not begin to calculate the avalanche of other impacts. There will be a lot of pain.