#PowerOfRuralCats
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janprobst.bsky.social
The slices and dices reducing the actual $$, w/ restrictions on funding to actually pay for health care, make Sam the rural health advoCATe deeply concerned. Crumbs will not protect rural folks from Medicaid cutbacks.

#PowerOfRuralCats
November 10, 2025 at 7:53 PM
janprobst.bsky.social
Shared by Sam the rural he’s advoCATe, who knows that rural folks generally have poorer access to oral healthcare.

#PowerOfRuralCats

edwinleap.substack.com/p/dental-car...
Dental Care is Healthcare
And dental pain is miserable
edwinleap.substack.com
November 2, 2025 at 5:50 PM
janprobst.bsky.social
Grimly shared by Sam the rural health advoCATe. Note the (likely white editorialist) comments from the 1960’s founding of the clinic. Some folks just plain don’t care if other folks die. Even in rural.
#PowerOfRuralCats

www.nytimes.com/2025/10/22/h...?
‘Medicaid Cut Me Off’: A Rural Health Center Faces New Pressures
www.nytimes.com
October 22, 2025 at 12:20 PM
janprobst.bsky.social
Sam the rural health advoCATe notes that treating health care as a utility/public good, supported by taxes as roads are, could totally change the landscape for rural health outcomes.
#PowerOfRuralCats
shimanti.bsky.social Hopeful in AZ @shimanti.bsky.social · 21d
No, we don't want "free" healthcare.

We want universal healthcare paid for by our taxes that covers everyone and leaves no one bankrupted and sick.

This isn’t difficult to comprehend.
October 20, 2025 at 11:07 PM
janprobst.bsky.social
Sam the rural health advoCATe adds: treating rural areas as “punishment” is not going to help rural recruitment.
Also: putting folks who haven’t used their clinical skills in years on the front line is not good practice.
#PowerOfRuralCats
alicemiranda.bsky.social Alice Miranda Ollstein @alicemiranda.bsky.social · Oct 8
NEW: RFK transferred 70 public health officers to work for four months at far-flung Indian Health Service sites. Though the help is desperately needed, the deployment threatens to disrupt vital disease tracking and harm reduction work. www.politico.com/news/2025/10... w/ @mayakaufman.bsky.social
‘Straining everything in our system’: Indian Health Service transfers leave leadership vacuum
The four-month deployments are unusually long and target a chronic issue rather than an isolated emergency.
www.politico.com
October 8, 2025 at 1:45 PM
janprobst.bsky.social
Enthusiastically shared by Sam the rural health advoCATe. Rural is full of innovation, if people actually look.
#PowerOfRuralCats
aallyahpatrice.bsky.social Aallyah Wright @aallyahpatrice.bsky.social · Sep 29
From opening grocery stores to launching online delivery services, I traveled to rural Mississippi to highlight the work of two Black women who are reimagining how their communities eat and thrive.

This is part of the RNN's "Sowing Resilience" series.

capitalbnews.org/black-women-...
The Black Women Driving a Food Revolution in Rural Mississippi
From grocery stores to food distribution services, Black women are leading efforts to feed their communities.
capitalbnews.org
September 30, 2025 at 12:27 AM
janprobst.bsky.social
Endorsed by Sam the rural health advoCATe. Rural America is many places and many kinds of people. The @brookings.edu report linked below contains a good review of the racial/ethnic makeup of rural.
#PowerOfRuralCats
www.brookings.edu/articles/map...
A map of the US. Counties with large minoritized populations are shown Black populations are largely in the South, Latino in the West, AI/AN in Alaska and the upper Midwest, and Asian in Hawaii.
September 14, 2025 at 6:03 PM
janprobst.bsky.social
Shared by Sam the rural health advoCATe. #PowerOfRuralCats
dailyyonder.com/commentary-e...
Commentary: Eliminating DEI Hurts Everyone, Rural People Too
The new Administration is using DEI as a tool for scapegoating and pushing through otherwise blatantly discriminatory policies.
dailyyonder.com
February 3, 2025 at 2:35 PM
janprobst.bsky.social
Endorsed by Sam the rural health advoCATe. We need all voices.
#PowerOfRuralCats
February 27, 2025 at 11:09 PM
janprobst.bsky.social
Study authors do not emphasize rural, muses Sam the rural health advoCATe. Reported adherence to recommended cancer screening was lower among rural respondents for 3 of the 4 tests studied (Table 2). Hmmm, maybe absence of services matters. #PowerOfRuralCats
jamanetwork.com/journals/jam...
Social Risks and Nonadherence to Recommended Cancer Screening Among US Adults
This cross-sectional study investigates the associations between individual-level social risks and nonadherence to guideline-recommended screening for colorectal, lung, breast, and cervical cancers in...
jamanetwork.com
January 25, 2025 at 2:08 PM
janprobst.bsky.social
For all those health economists who believe that only $$ tweaks behavior: Use of norms > financial incentives, meows Sam the rural health advoCATe. #PowerOfRuralCats
jamanetwork.com/journals/jam...
Persistence of Social Norms Feedback on Postsurgery Opioid Prescribing Behavior
This secondary analysis of a randomized clinical trial evaluates the persistence of prescribing guideline-recommended postoperative opioids 1 year after intervention cessation.
jamanetwork.com
February 8, 2025 at 2:18 PM
janprobst.bsky.social
Endorsed by Sam the rural health advoCATe. Native Hawaiian and Pacific Islander persons represent indigenous populations, separate from other Asian categories, that need specific examination, particularly in rural places. #PowerOfRuralCats

jamanetwork.com/journals/jam...
Native Hawaiian and Pacific Islander Data in Overdose Research
To the Editor Zhu1 identified significant US racial and ethnic fentanyl and polysubstance overdose death disparities. They astutely identified that American Indian or Alaska Native and Black populatio...
jamanetwork.com
February 24, 2025 at 1:55 PM
janprobst.bsky.social
Grimly shared by Sam the rural health advoCATe. Loss of Medicaid, as this article notes, hurts whole communities, not just Medicaid covered folks. Grim is an understatement for “totally devastating.”
#PowerOfRuralCats
March 8, 2025 at 10:23 PM
janprobst.bsky.social
More good stuff shared by Sam the rural health advoCATe! Rural transportation programs are key to education, health care, and a lot more.
#PowerOfRuralCats
www.youtube.com/watch?v=2SJP...
PDRTA and FDTC Partnership Helps Pee Dee Students
YouTube video by Florence-Darlington Technical College
www.youtube.com
February 11, 2025 at 1:38 PM
janprobst.bsky.social
Sam the rural health advoCATe is saddened but not surprised.
#PowerOfRuralCats
dailyyonder.com/study-rural-...
Study: Rural Homelessness Is Underestimated and Exacerbated by Opioid Epidemic | The Daily Yonder
Opioid abuse and rural homelessness create a spiral for some rural residents, a new study has found. For the study, researchers with the Rural Opioid
dailyyonder.com
February 12, 2025 at 1:57 PM
janprobst.bsky.social
Sam the rural health advoCATe strongly endorses ECHO programs. Rural practitioners could use this AAP ECHO to build skills for treating rural kittens.
#PowerOfRuralCats
app.smartsheet.com/b/form/0e0e8...
Substance Use Treatment ECHO Registration Form Thank you for your interest in the American Academy of Pediatrics (AAP) Substance Use Treatment ECHO! The AAP Substance Use Treatment ECHO will serve as a forum for primary care providers and others who care for pediatric patients to increase their knowledge, skills, and self-efficacy in addressing substance use concerns in adolescents and supporting their families. This ECHO will run from March to June.
March 6, 2025 at 2:10 PM
janprobst.bsky.social
Uninformed. BRFSS captures chronic disease but not mentioned.
#PowerOfRuralCats

hhttps://jamanetwork.com/journals/jama/fullarticle/2833196?guestAccessKey=c6d2c0a2-0044-4a2c-b829-33c329f3e433&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jama&utm_content=etoc-tfl_&utm_term=061725
June 18, 2025 at 3:08 PM
janprobst.bsky.social
It’s been a rough day. Here is a picture of Sam the rural health advoCATe’s cousin, Buddy. See you at the NRHA Health Access Meeting!
#PowerOfRuralCats
May 19, 2025 at 1:28 AM
janprobst.bsky.social
Sadly shared by Sam the rural health advoCATe. Medicaid cuts are not even slightly balanced by funds directed toward rural.
#PowerOfRuralCats
protectourcare.org Protect Our Care @protectourcare.org · Sep 16
🚨 21 hospitals have closed in Missouri in the last decade—most in rural communities. Families now drive hours for lifesaving care, if they can afford it at all. Trump's Medicaid cuts will only make this crisis worse.
‘And that’s all gone’: Rural health centers in Missouri close, end continuous local care • Missouri Independent
Audrain Community Hospital closed in Mexico, Missouri, leaving the rural area with few health care options
missouriindependent.com
September 16, 2025 at 12:16 PM
janprobst.bsky.social
Shared by Sam the rural health advoCATe, who wonders why MA plans are allowed to avoid the protective financial guidelines associated with critical access hospital status. "Efficiency" is a lesser goal than equity, Sam hisses. #PowerOfRuralCats

www.beckershospitalreview.com/finance/texa...
Texas hospital furloughs 25% of workforce
Discover how Mid Coast Medical Center-Central in Llano, Texas is implementing cost-saving measures, including employee furloughs, to maintain operations.
www.beckershospitalreview.com
December 24, 2024 at 2:03 PM
janprobst.bsky.social
Since this resource hasn't yet migrated over here: information of interest to rural practitioners. #PowerOfRuralCats

www.ruralhealthresearch.org/alerts/643?u...
Webinar Recording Available: Access to Maternity Care in Rural U.S. Communities
Research Alert from the Rural Health Research Gateway for: Webinar Recording Available: Access to Maternity Care in Rural U.S. Communities
www.ruralhealthresearch.org
December 4, 2024 at 6:50 PM
janprobst.bsky.social
Shared by Sam the rural health advoCATe to help elevate rural voices.
#PowerOfRuralCats
May 30, 2025 at 4:55 PM
janprobst.bsky.social
Sam the rural health advoCATe is purrleased to share the latest issue of the Journal of Public Health Management & Practice, which focuses on *rural* issues. Kudos for tackling this subject!
#PowerOfRuralCats
info.lww.com/index.php/em...
Browse the latest Table of Contents from Journal of Public Health Management and Practice
info.lww.com
July 22, 2025 at 3:01 PM
janprobst.bsky.social
An excellent analysis grimly
shared by Sam the rural health advoCATe. We do not have a good track record for re-opening lost rural hospitals, Sam hisses. This damage could endure.
#PowerOfRuralCats
socio-steve.bsky.social Stephen Nuñez @socio-steve.bsky.social · Jul 28
"We estimate that each newly uninsured person leads to nearly $900 in uncompensated care costs....On average...hospitals absorb approximately two-thirds of these costs through lost profits."

So what does that mean for you who are not a Medicaid ABAWD? 1/3

www.nber.org/digest/oct15...
Hospitals as Insurers of Last Resort
www.nber.org
July 28, 2025 at 7:25 PM
janprobst.bsky.social
Rural Access Meeting starting!
@ruralhealth.bsky.social
#PowerOfRuralCats
May 19, 2025 at 5:08 PM