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Our friend John Roberts with the Nebraska Rural Health Association says: “You can expand insurance coverage, but if you don’t have the personnel it won’t mean anything.”

That seems like an obvious point, yet it’s one that has gone unmentioned by most policymakers now arguing over health reform. In fact, few of the many challenges rural residents face in accessing quality care have made it into the national debate, which is sadly emblematic of the ways rural areas are overlooked in policy discussions.

Consider these alarming statistics:

• Though 25 percent of the U.S. population is scattered across 90 percent of our nation’s rural landscape, fewer than 1 in 10 physicians call such places home.

• Of the 65 million Americans living in areas with too few primary care providers, 50 million are rural residents.

• Over the last 25 years, 470 rural hospitals have closed and another 2,157 areas now suffer from acute physician shortages. In rural Minnesota alone, outlying areas are predicted to face a shortage of 8,000 registered nurses over the next decade.

For more of the story, read my editorial published in the Omaha World-Herald. Our broken health care infrastructure jeopardizes the health of rural residents and the health of rural economies. If this discussion isn’t part of health reform, rural America’s prognosis is grim.

What a great idea! For 24 hours starting at 8 a.m on Tuesday, November 17, all donations made to Main Street Project through GiveMN.org will be eligible for a portion of $500,000 in matching funds provided by The Minnesota Community Foundation and other local nonprofit leaders. The exact amount of matching funds that we receive will be determined by the total number of dollars raised over the 24-hour period and the number of organizations participating.

Here’s how it works:

  • Any individual may make a gift to Main Street Project through the GiveMN.org site.
  • It’s fast and easy – just visit www.givemn.org, click on donate, type in Main Street Project, and make your contribution!
  • Contributions may be made by credit card only, but all transaction fees are paid for, so 100% of your contribution will go to the Foundation.
  • The minimum contribution is $10 and there is no maximum.

If you’ve ever thought about supporting our work, Tuesday, Nov. 17 is the perfect time. To give, visit www.givemn.org. If you give, thank you!

It worked.

The BastaDobbs.com campaign mobilized more than 40 Latino groups and more than 100,000 individuals to speak out against Dobb’s hate speech about immigrants and Latinos. Here’s the powerful video the campaign used to expose his lies and put pressure on CNN to fire him:

Dobbs’ leaving is a victory and cause for celebration to be sure. But it’s also a call for us to keep up the pressure and continue to work for media justice for everyone. Here’s how Roberto Lovato, co-founder of Presente.org, the organization that coordinated the campaign, put it:

The community is newly empowered and energized, and we are ready to fight for a respectful and civil media discourse when it comes to immigration coverage on mainstream news. This is only the beginning of a much longer-term effort.”

Stay tuned.

Read the full announcement from BastaDobbs.com here.

Main Street Project’s Steven Renderos was interviewed by Craig Settles for a White Paper on Net Neutrality’s Impact on Low Income Communities:

Rural residents of all ages, cultures and economic status receive creative and practical tools from Main Street Project in Minneapolis, MN that gives them the opportunity to participate more affectively in all aspects of community life. One of their programs is an economic development initiative known as the Rural Enterprise Center, which organizes local resources in rural communities to develop and train successful entrepreneurs.

“The danger we face in the future is the possibility of telcos showing preference to content that’s in line with their commercial and political interests, “ says Steven Renderos, Media Justice Organizer for Main Street. “For small businesses the Internet is crucial for expanding their markets in a tough economic climate. It would be impossible to compete against some of the larger poultry and agricultural corporations were it not for an open Internet. Subsequently, part of the business platform in our program includes a presence on the Internet.”

Read the full paper here or download the PDF.

I recently led a training with seven organizations on digital storytelling.  All had one thing in common.  They were all featured case studies in a report titled “Strengthening Democracy, Increasing Opportunities” published by the National Committee for Responsive Philanthropy. The report “looks at data from 15 Minnesota nonprofits, which shows high return on investments and non-monetary gains on a range of issues including housing, civil rights, transportation and access to medical care.”

In partnership with NCRP and Headwaters Foundation for Justice (member of Minnesota MAG-Net), Main Street Project led a day long training on digital storytelling which resulted in seven powerful stories from organizations featured in the report.  The goal of the training in short was to bring the report alive through the  voices of the people who carry out that work on a daily basis.  Without it, as trainer amalia deloney said, “they’re just numbers on a page.”

Although the stories were very different, it was exciting to be around people who were truly passionate about their respective work.  Many felt some anxiety over the ability to edit their stories on a computer.  These are concerns and real barriers to our ability to communicate our stories in the digital age.  Placestories, the digital storytelling software we use, helps to bridge the technological gaps that many feel are holding them back.  The finished stories, of which a couple are sampled below, incorporate people’s own cultural knowledge of storytelling and makes the software work for them.  Not the other way around.  To view all of the stories click here

Signs are that the economic freefall of the past several years is beginning to reverse, as the federal stimulus package puts millions of unemployed workers back to work. Still, for far too many, Labor Day 2009 remains less a celebration of the hard work that built our nation than grim reminder of how far we still have to go.

Families living and working in rural communities know this firsthand, given they’re typically the last to profit from economic booms yet are among the first to go bust. That’s backed by the state’s latest Job Vacancy Survey, which reports 21,000 unemployed workers in and around Winona are vying for only 2,200 openings. As bad as it is, even that doesn’t tell the whole story.

In its analysis of the Survey, the JOBS NOW Coalition concluded of the openings more than half are part time, 65 percent require no education or training beyond high school and one in four pays less than $8.25 an hour, well below what is needed just to make ends meet.

But with such catastrophe comes great opportunity to rebuild an economy that works.

“Our decades-long experiment in free trade has now been judged a failure,” says Richard Levins, professor emeritus of applied economics at the University of Minnesota. “We need to go back to building a middle class in ways that work.”

Global corporations and their friends in Washington are quick to blame labor unions for America’s decline. Through billions spent in a three-decade propaganda campaign, many rank-and-file workers bought into the fiction, even as their own buying power failed to keep pace with costs. But unions aren’t the enemy of the middle class, as global corporations would have us believe; the opposite, in fact, is true: All workers benefit when labor unions are strong.

Proving that point are places like Newton, a town of 16,000 in central Iowa. In 2006, after a century of manufacturing Maytag appliances, the company was bought out and its union jobs transferred to low-paying plants in Mexico and Ohio. According to Iowa Workforce Development, a state agency, Maytag’s pay and benefits packages raised nonunion wages countywide by $3 an hour. The loss of Maytag not only impacted town residents but decimated the middle-class standing of thousands of working families miles beyond.

“The historical record is clear: Labor unions built the American middle class; labor unions bargain for the wages needed to restore the middle class to prosperity,” Levins says. “We can’t build a middle class on cheap wages and personal borrowing. Things just don’t work that way. We have to remember that middle-class economies don’t just happen; we can’t take them for granted. They have to be built and maintained. Labor unions do that job.”

In 1929, the top 1 percent of Americans claimed nearly a quarter of all wealth. In 1979, when labor unions were strong, the percentage of wealth concentrated among the super-rich dropped by more than half, to its lowest point in modern history. With the attack on unions – and the diminished power of workers overall – the trend once again reversed: In recent years 300,000 Americans at the top of the economic chain had incomes nearly matching 150 million wage-earners below.

“Just as Wal-Mart depresses wages and living standards for all workers, labor unions do the opposite,” says Kevin Ristau, education director with JOBS NOW.

We set aside this day to recognize the value of workers and their contributions to our nation. With much-needed change in federal policy strengthening the position of workers, Americans will rise above their current place as cheap commodity in a global market. And once done, we all will have much more to celebrate the first Monday in September.

Published in Winona Daily News.

Is it me or has it been an exceptionally bizarre few weeks on the health care reform front?

Opponents of health care reform, many of them hired by the insurance lobby, have stepped up their threats in recent days, alleging that congressional plans will mandate such things as death panels, forced abortions and rationed care (like a $5,000 deductible doesn’t ration care already?).  And they’ve cranked up the volume on their rants as well, often making it impossible for other voices to be heard at dozens of town hall meetings throughout the country. That’s a shame.

It’s hard to imagine how such outrageous and false claims can continue to show up in the media when they have been debunked time and time again. But the insurance industry is desperately trying to maintain the status quo, and will do and spend whatever it takes.

The real threat in this health care debate will come if the insurance companies succeed and reform efforts fail, putting additional millions of Americans and thousands of small businesses at risk, especially in rural areas.

No question, insurance company plans have failed rural America. They profit by denying care to people and we all pay the price.

We see the effects of this economic rationing today in rural communities, where much of our health care infrastructure has been lost. Without hospitals and clinics, the crisis in affordability has now grown to be a crisis in access as well.

Doing nothing is not an option.  Neither is tinkering around with insurance. Nothing short of a new public plan, one that is efficient, moral, and universal will make health care available in rural America. That’s why we’re joining the fight for reform, and asking you to do the same.

Call it a ‘public option.’ Call it ‘Medicare/Medicaid for all.’ Just don’t call it ‘reform’ without it.

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