Related Rural Blog Posts
- Posted byon April 1, 2014 at 11:28 AM EDT
A 65-year-old veteran living in a rural community presents at his local Critical Access Hospital (CAH) with symptoms of pneumonia. After evaluating the patient, the physician discharges him with a prescription for antibiotics. What the physician doesn’t know is that his US Department of Veterans Affairs (VA) providers had prescribed warfarin (a blood thinner) to help prevent harmful blood clots that may cause a stroke. Yet certain antibiotics, when combined with warfarin, can lead to an adverse drug reaction that could include bleeding or interfere with the protection the anticoagulant (blood thinner) provides, which could lead to a stroke.
Following the lead of the White House Rural Council, we in the US Department of Health and Human Services (HHS) and the VA are working with our public and private partners to ensure rural providers and the communities they serve have health IT tools to help them avoid scenarios like this one.
Nearly 70% of veterans get health care services at both VA and non-VA clinics and hospitals. The percentage is higher among those veterans who live in rural and frontier areas of the country. In a recent evaluation of the VA Blue Button program conducted by Dr. Carolyn Turvey of the Iowa VA medical center, 52.5% of participants reported they carry information from one provider to another; about 13% indicated their providers use phone, mail or fax; 15% indicated that they do not know how their providers communicate between one another, and 15% reported their providers do not communicate at all. Currently there is no systematic and streamlined way for VA and non-VA health providers to exchange the patients’ health information to coordinate or co-manage care. One solution is to empower patients to initiate electronic transfer of their health information between their health care providers. That’s where our joint work comes in.
- Posted byon March 26, 2014 at 12:09 PM EDT
Recently, representatives from the White House Domestic Policy Council, the U.S. Department of Agriculture, the Department of Health and Human Services, and the Department of the Treasury joined representatives from various community projects from around the country to discuss how to increase healthy food access to communities in need. The event included representatives from the National Sustainable Agriculture Coalition, the Food Research and Action Center, PolicyLink, and the Fair Food Network.
Participants shared their stories of success, and what we can do to encourage more healthy foods in these communities. For example:
- Mary Donnell, the Executive Director of Green City Growers Cooperative, spoke about her urban greenhouse project in downtown Cleveland, Ohio. After its inception in 2012, Green City Growers has become the largest food production greenhouse in a core urban area in the United States. The cooperative manages over three acres of urban space and employs 25 people from the community. It produces over 3 million heads of lettuce annually, which is then distributed to Cleveland’s most distressed neighborhoods. The organization creates jobs in Cleveland while providing nutritious food to food deserts across the city, one of this Administration’s key goals.
- Gray Harris, the director of the Sustainable Agriculture Programs at CEI, shared her organization’s story as a Community Development Financial Institution in rural Maine. As a CDFI, CEI invests in community-based projects contributing to local economies. CEI’s specific expertise is in strengthening the local food supply chain to increase healthy food access across New England. CEI has invested in nearly 300 food system projects, and it maintains a current active $6.2 million loan portfolio for food system investments. These investments help farms in Maine to stay in production, despite recent stressors on farmers.
- One last story that really exemplified President Obama’s commitment to increasing access was presented to the group by Todd Chessmoore, the Superintendent of the Cody-Kilgore School District in Cody, Nebraska. Cody is a town of just 150 people, and for over a decade, its residents, many of whom are lower income or elderly, had to drive over 30 miles to buy groceries. In order to eliminate this food desert, the Cody-Kilgore School District opened its own student-run and operated Circle C grocery store, the town’s only dedicated food retailer.
These stories were just a few we heard during this event, emphasizing the unique and innovative work being done across the country to enhance health and access to food for folks from all walks of life. The Obama Administration has made increasing healthy food access a priority. In partnership with the White House, the Department of the Treasury, HHS, and USDA have been working collaboratively to support innovative strategies to increase healthy food access.
One such strategy is the Health Food Financing Initiative, or HFFI. The recently signed Farm Bill authorizes an HFFI program at USDA, and the President’s most recent budget proposal includes a $13 million request for this work. The initiative will provide financial and technical assistance to eligible fresh, healthy food retailers for the purposes of market planning and promotion efforts as well as infrastructure and operational improvements designed to stimulate demand among low-income consumers for healthy foods and to increase the availability and accessibility of locally and regionally produced foods in underserved areas.
This program will help USDA to continue collaboration with other federal partners to ensure that communities in need have access to fresh, healthy, affordable food. It will expand healthy food access for families on SNAP – some 46.6 million individuals in 2012, the vast majority of whom are children, elderly, or living in households where members were employed in low-wage jobs.
A particular focus for USDA will be the expansion of healthy food options in rural areas, which often lack grocery stores and other retail outlets. HFFI will allow USDA and our partners to support creative strategies to increase access to healthy foods in rural America.
The USDA’s Know Your Farmer, Know Your Food initiative also coordinates work on local food investments, including distribution, which is a key element of increasing healthy food access. The White House Rural Council is making healthy food access in rural communities a priority, as it impacts the future health and economics of rural America.
Doug McKalip is the Senior Policy Advisor for Rural Affairs at the White House Domestic Policy Council.
- Posted byon February 21, 2014 at 1:00 AM EDT
This week, the President traveled to the North American Leaders Summit in Toluca, Mexico, to California to address the current drought and to meet with the King of Jordan, and to Upper Marlboro, Maryland to announce an increase in fuel efficiency standards for heavy trucks. That's February 14th to February 20th or "Don't Make Small Plans, Make Big Plans."
- Posted byon February 18, 2014 at 5:54 PM EDT
Forty-two percent of the Appalachian Region's population lives in rural areas. President Obama’s Made in Rural America export and investment initiative presents a strategic opportunity to expand the region’s exporting sector, grow jobs, and ensure long-term sustainable growth. It is one more example of how the White House Rural Council works to provide economic opportunity in rural America.
Over and over, my travels throughout the region have underscored the role that expanded export markets can have in creating jobs and strengthening local economies. Yet many small businesses in Appalachia view entering the export market as a daunting challenge, something they haven’t really focused on before. The President’s proposal is specially designed to help these rural companies get in the export game by connecting them to export information and assistance. These additional resources will strengthen the capacity of Appalachian business to compete and succeed in the global economy of the 21st century.
Rural enterprises from across Appalachia have a history of demonstrating their competitive success in capturing new export opportunities. In September 2013, an Appalachia USA delegation of 18 home furnishing and wood product enterprises generated over $50 million in new export sales at the FMC international trade show in Shanghai, China. One month earlier, a 22-member mining equipment, technology, and service delegation achieved similar export success from their Appalachia USA pavilion at the Asia-Pacific International Mining Exhibition in Sydney, Australia.
First-time export ventures are a challenge but they offer the potential of significantly expanded markets. At the U.S. Commercial Service 2013 Trade Winds Business Forum in Seoul, South Korea, Appalachia USA delegates from a small manufacturing enterprise in Sistersville, West Virginia seized the opportunity to make their first sales into the global market. It is small manufacturers like this who will have greater opportunities under the President’s plan.
By creating a comprehensive strategy connecting federal resources with rural leaders and businesses to expand exports, the Made in Rural America initiative will bring new and welcome energy to Appalachia’s growing export sector. The President’s initiative will help increase the number of small manufacturers who can succeed, and it will help Appalachian businesses sell to the world.
Earl F. Gohl is the Federal Co-Chair of the Appalachian Regional Commission, a regional economic development agency that represents a partnership of federal, state, and local government established by an act of Congress in 1965.
- Posted byon February 15, 2014 at 3:32 PM EDT
On Friday, President Obama headed to California to tour drought-affected areas and talk to those affected by impacts of one of the state’s worst droughts in over 100 years. While there, President Obama announced new actions that the Administration will take to help the farmers, ranchers, small businesses, and communities being impacted.
President Obama laid out these Administration actions while touring fields from Joe and Maria Gloria Del Bosque's farm that will lay fallow this year because of the drought:
First, we’re accelerating $100 million of funds from the farm bill that I signed last week to help ranchers. For example, if their fields have dried up, this is going to help them feed their livestock.
Second, last week, we announced $20 million to help hard-hit communities, and today, we’re announcing up to $15 million more for California and other states that are in extreme drought.
Third, I’m directing the Interior Department to use its existing authorities, where appropriate, to give water contractors flexibility to meet their obligations.
And fourth, I’m directing all federal facilities in California to take immediate steps to curb their water use, including a moratorium on water usage for new, non-essential landscaping projects.
- Posted byon February 7, 2014 at 4:40 PM EDT
Today, in East Lansing Michigan, on the campus of one of our nation’s first land grant colleges, President Obama signed into law the Agricultural Act of 2014, also known as the Farm Bill, or as Secretary Vilsack likes to call it – the Jobs Bill, the Research Bill, the Food Bill, etc.