Rural hospitals in Nevada and across the country will be in dire economic straits once the COVID funding runs out, according to a new report.

Researchers at the Bipartisan Policy Center found 441 rural hospitals have multiple financial risk factors.

Julia Harris, senior policy analyst at the Bipartisan Policy Center and the report's co-author, said 116 hospitals closed between 2010 and 2019, and then the pace slowed during COVID.

"So, the CARES Act and the American Rescue Plan really did a lot to stave off more hospitals from closing," Harris acknowledged. "But that aid masked the fact that the underlying finances of rural hospitals continue to deteriorate, especially with new pressures brought on from the pandemic. "

All hospitals and especially rural facilities, have been hard hit during COVID with huge staff shortages and supply-chain issues driving up the price of goods they must purchase. And hospitals with a low volume of patients generally receive less funding.

According to an analysis from Becker's Hospital Report in March, six of Nevada's 13 rural hospitals are at risk of closing.

Joan Hall, president of Nevada Rural Hospital Partners, said some are considering joining a new federal program which would allow them to pare down their services but keep their emergency room.

"Some hospitals would not have inpatient services available," Hall explained. "They would have an emergency room and outpatient services, diagnostic labs, imaging, but perhaps you wouldn't be able to stay in the hospital if you needed. You'd have to be transferred."

The report recommended the administration and Congress hold off on scheduled budget cuts, make higher Medicare payments permanent, and keep flexibility in telehealth until two years after the public health emergency ends. Meanwhile, the state is collaborating with the University of Nevada Reno and the University of Nevada Las Vegas to train or recruit more medical professionals, especially nurses and respiratory therapists.

As the Atlantic coast braces for what could be an active hurricane season, environmental groups are warning about the dangers of agricultural pollution.

They say large amounts of animal waste, often stored in unsecured, outdoor lagoons, make already harrowing events such as flash floods an even greater health and safety risk.

Krissy Kasserman, factory farm organizing director for the group Food and Water Watch, said heavy downpours can spread toxins to local drinking water supplies and area farm fields.

"We see climate change making these storms bigger, they're more intense," Kasserman pointed out. "They flood these manure lagoons, which creates a really potentially deadly mess of pollution for people who live downstream to have to deal with."

Kasserman noted low-income communities are often closest to agricultural waste sites and are most at risk. She stressed the cost of cleanup for drinking water sources after storms often falls to ratepayers and well owners themselves.

Agricultural waste not only poses a risk during and after a storm but is a major source of greenhouse gas emissions, which scientists say are fueling more climate change-related weather events. It is estimated livestock production alone accounts for nearly 15% of worldwide emissions.

Kasserman argued federal legislation known as the "Farm System Reform Act" would impose a moratorium on construction of new and expanding factory farms to better protect nearby communities.

"The answer is to move toward a more sustainable form of agriculture that doesn't involve confining a large number of animals and their manure in one very small space," Kasserman contended.

Kasserman acknowledged it will take strong political will to stand up to "Big Ag" to get it done. Meanwhile, forecasters are warning residents along the Atlantic coast to prepare for an above normal number of hurricanes this season with up to 25 named storms along with four to seven major hurricanes by the end of November.

Like kids everywhere, New Mexico preschoolers balk at eating fresh vegetables. But an educational project has found that with a creative nudge, they'll try just about anything - even purple carrots.

Kids who start off eating processed foods are more likely to suffer health consequences, including obesity and juvenile diabetes. And often, low-income children of color don't have access to local fresh produce.

Sayrah Namaste, a program co-director with the American Friends Service Committee, leads an educational project that partners with the federal Head Start program, to provide young students with engaging nutrition activities.

"If we can intervene with children at a young age - before the age of 8 - to shape their palate, to shape their sense of what they want to eat," said Namaste, "we have greater success with their health outcomes."

The AFSC program helps small-scale, organic farmers supply fresh vegetables to preschoolers - especially low-income children - near Albuquerque, the Española Valley, the Taos Valley, and two nearby pueblos.

Until five years ago, most of the preschools were buying their vegetables from large grocers - but have since arrived at a price point with local farmers that benefits both groups.

To cajole them into trying more nutritious food, Namaste said they've introduced the kids to campaigns such as the "Great Carrot Crunch," "Cherry Tomato Chomp," and "Give Peas a Chance."

She said steamed broccoli and purple carrots have been recent favorites.

A recent activity included bringing a local organic farmer into the classroom, who along with drumming, showed them how to plant a garden.

"He taught them a song, a blessing before you plant your seeds," said Namaste. "And so, the kids got to do that and got to play on the drum - and then they planted the seeds together. So, he brought in the cultural pieces of farming, because farming is very cultural here."

Namaste added that structural racism has removed many New Mexico kids from their own cultures - and that led to a specific activity guide.

"We created a farm-to-preschool guide that's only for tribal preschools and tribal home visiting, and it's called Connecting with Corn" said Namaste. "It is restricted for use only with Indigenous folks, because it does talk about that, in the Southwest, corn is a really sacred crop."

Corn has been a diet staple of Indigenous communities for more than 3,000 years.



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New global guidelines for aquaculture aim to address growing concerns about the industry's impact on the oceans.

Scientists have suggested ways to protect aquatic ecosystems, reduce antibiotic use, and even prevent ocean litter from discarded aquaculture gear.

Danielle Blacklock, director of the Office of Aquaculture at the National Oceanic and Atmospheric Administration, calls the guidelines "a big deal," as consumer demand for seafood outpaces supply.

"We're developing a new food system for the first time in millenia," said Blacklock. "That means that things are changing quickly. We're learning fast. We're adapting."

Blacklock said the U.S. currently imports up to 85% of its seafood.

She said the new guidelines should help level the playing field for Massachusetts farmers to ensure they, too, can reap the financial benefits of aquaculture while using sustainable practices.

For the first time, the amount of seafood produced on farms has surpassed the amount harvested from the wild, according to the United Nations.

Critics of finned fish farms, in particular, say they're no different than land-based factory farms and are detrimental to ocean habitats.

But Blacklock said aquaculture, including New England's numerous shellfish and kelp farms, will play an important role in countering food insecurity.

"When we mix climate change with our growing population," said Blacklock, "it clearly starts to rise to the top as part of our solution set to fight hunger."

Blacklock said the new guidelines also suggest ways aquaculture itself can reduce its carbon footprint.

She said the new guidelines are voluntary - but if implemented, they could help lift local economies and coastal communities, while building climate change resilience.



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