IOWA CITY, Iowa -- More than 4,000 medical professionals from across the country are demanding policy action on climate change. The coalition includes more than a dozen doctors and nurses from Iowa, who say the effects are visible in the patients they serve.

They have signed a letter asking their patients to get behind political candidates willing to consider the issue.

John Macatee, a retired doctor from Iowa City who practiced family medicine, said there are concerns within the medical community about climate change resulting in poorer health outcomes. In Iowa, he said, there's a ripple effect within agriculture.

"There's ever increasing severity of weather changes causing flooding, which is decreasing crop yields, and depression and suicide," he said.

In a 2019 report from the Iowa Policy Project, the authors predicted that the Midwest will see the biggest spike in premature deaths related to rising temperatures linked to climate change. While polls show more people, including younger conservatives, acknowledging the impact of a warming climate. many candidates still express support for the oil industry.

In asking patients to seek out politicians who support action on climate change, Macatee said it isn't about partisanship. He called this a "human" issue.

"Just like COVID, it's affecting us all," he said, "whether we're Republicans or Democrats or Independents."

One of the groups in the coalition is the Medical Society Consortium on Climate and Health. Some of the key demands include leaders who prioritize renewable energy over fossil fuels, and those who pay close attention to the science and medical communities.

The letter is online at medsocietiesforclimatehealth.org, and the Iowa climate report is at iowapolicyproject.org.


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Some state and local lawmakers are on a long list calling on New York Gov. Kathy Hochul to require big oil companies to help offset the costs of damages caused by climate change.

More than 60 New York elected officials have signed a letter emphasizing the need to keep up with climate extremes through local projects to protect coastlines, restore wetlands, elevate or buy out threatened homes, improve water and sewer systems, retrofit public buildings and more.

Dominic Frongillo, co-founder and executive director of Elected Officials to Protect America and a former council member and deputy supervisor in Caroline, said the major question is who will pay for the projects?

"In Caroline, New York, we were hit by two 100-year storms in five years, causing millions of dollars in public infrastructure damage," Frongillo recounted. "Our taxpayers can't support that. We need the Climate Change Superfund Act to protect our communities and protect our taxpayers from the damages caused by 'Big Oil.'"

A study from the State Comptroller estimated from 2018 to 2028, more than half of New York's municipal spending outside of New York City was, or will be, related to the climate emergency.

The Climate Change Superfund Act passed the state Senate earlier this year and is supported by more than 240 environmental, faith, civic and labor groups.

In the decade from 2011 to 2021, New York was hit by 16 major climate-related disasters, for which FEMA allocated more than $17 billion in assistance.

Cate Rogers, a council member for the Town of East Hampton, said when funds to help communities hit by extreme weather run out, additional support will have to come from local and state governments, which she claims is unfair.

"The funding burden must fall directly on the polluting big oil companies that are responsible for the climate emergency, not our taxpayers," Rogers argued. "We cannot stand by and let 'Big Oil' continue to post record profits while we clean up their mess."

East Hampton just secured a $600,000 state grant for a plan to consider moving downtown Montauk if it becomes necessary. Rogers noted regardless of which government entity pays for the necessary expenses, it is still coming from taxpayers rather than the polluters.

As world leaders gather in Dubai for the international conference on climate change, the City of Long Beach is acting on multiple fronts to help the U.S. lower carbon emissions.

The city's Climate Action Plan looks to reduce pollution from shipping, trucking, and public transportation. Mayor Rex Richardson said the idea is to improve air quality and spur the green economy.

"We're on track to have 100% zero-emission cargo handling equipment by 2035," said Richardson. "We're investing in infrastructure for charging for clean trucks, and we're investing in subsidies to help small truckers transition to zero-emission vehicles."

Advocates are pressing the Environmental Protection Agency to adopt strict rules for heavy-duty vehicle emissions by early next year.

Meanwhile, Long Beach's Clean Trucks program is phasing out polluting diesel trucks and the city is now home to the state's first heavy-duty electric vehicle charging port.

Another project aims to let ships plug in right when they dock to avoid idling.

The federal government just announced plans to build a hydrogen hub in the city. And plans are in motion to start manufacturing offshore wind turbines at a special pier at the port.

Tonya Calhoun, PhD - director of community engagement at the Environmental Defense Fund - praised the mayor's West Side Promise program, which aims to improve the quality of life in lower-income neighborhoods where life expectancy is 14 years lower than in wealthier areas.

"These frontline communities experience firsthand the fundamental intersections between climate change and poverty and economic opportunity and human health and quality of life," said Calhoun. "And so the community came together and said we want to be more resilient and this is how we want it to be done. We want to be part of the solution."

The city is also working to reduce drilling and wean itself off oil revenue, improve energy efficiency in homes and buildings, electrify the city's vehicle fleet, replenish sand at the beaches to guard against sea level rise, and plant more shade trees so people can use less air conditioning and save energy.

Military veterans and lawmakers say investing in the clean-energy economy with Inflation Reduction Act funds is the way forward to combat climate change and bolster national security.

Stephanie Kifowit, D-Oswego, attended the Elected Officials to Protect America's annual Climate Emergency and Energy Security Summit in Washington D.C. last week and said Illinois has a strong agricultural economy that is jeopardized by a number of environmental threats. Kifowit says she is honored to have participated in the summit where she was able to collaborate on strategies to address climate change and promote energy independence.

"What we are looking at here is reducing energy costs, good-paying jobs and small-business support. And in Illinois we are focusing on electric vehicles to make sure that we have the charging stations, the battery storage that we need and the partnership between the state and the functional federal government," she said.

Kifowit says in 2021, the state of Illinois passed the Reimagining Energy and Vehicles Act that strives to make Illinois a hub for electric vehicles and battery production. She says the state is also looking at what she calls "all types of renewable energy," including wind, solar and nuclear, to ensure a better tomorrow for future generations.

Alex Cornell du Houx, president and co-founder of Elected Officials to Protect America, is a also former Maine state representative and Marine combat veteran. He said people in the military realize that the climate crisis is what he considers a "threat multiplier," driving instability and increasing climate-fueled issues in the U.S. He said by leveraging IRA funds to invest in the clean-energy economy, he United States will be more self-reliant.

"We can get to 48% to 43% reduction in carbon pollution by 2030 with the Inflation Reduction Act as long as we implement it well. And the next 10% or so can be done through rulemaking, so ensuring clean-car standards and EPA standards. It's actually an extremely attainable goal that we can do this."

du Houx added it is vital to also make sure marginalized and disadvantaged communities, which are often disproportionately impacted by climate change, are informed about the federal investments available through the Justice40 Initiative.