This podcast of an original IowaWatch Connection radio report lets those in the Midwest U.S. trying to attract the necessary resources to meet mental health care demand in flood-stricken regions tell you about the problem. It includes one health care center that is trying to address the health care worker shortage head-on with a full-time recruiter.
Psychologist Lauren Welter says she faces an ethical issue with no easy answer on a regular basis: Should she take on more clients and provide less care to those she already sees, or turn away potential clients who have no alternatives?
FLOODED SENSES: MEETING MENTAL HEALTH CARE DEMAND IN DISASTER-STICKEN IOWA. Iowa does not have enough psychiatrists, psychologists, therapists or other mental health care providers to handle an increasing need to care for farmers dealing with relentless flooding this year, several mental health experts IowaWatch interviewed warned.
A stigma exists in agricultural communities when it comes to seeking mental healthcare. Moreover, Kyle Godwin, who recently researched patterns in farmer suicide for his University of Iowa School of Public Health master’s thesis, said his research data might suggest that doing anything to improve farmer mental health care will be difficult unless something is done to end this stigma. Paradoxically, Godwin’s research showed that in regions of Iowa that had a higher saturation of mental healthcare professionals, there were more farmer suicides, not less. “Of course, naturally, you want to think that the places with mental health centers are going to have lower suicide rates, and studies have found that with the general population, that a higher proportion of healthcare providers and mental healthcare providers have generally related to lower suicide rates,” Godwin, who grew up on an Iowa farm, said in an IowaWatch interview. “But then I think we have to remember that for when we’re talking about farmers… just in rural areas, in general, I should say, you know, stigma may play a more prominent role.”
Many mental healthcare providers IowaWatch spoke with pointed to stigma as a major roadblock when trying to treat farmers.
While one in eight Americans are considered to be “food insecure,” an estimated 40 percent of the nation’s supply of fruits, vegetables, dairy and meat goes to waste, discarded by farmers, retailers, restaurant owners and households. Three federal agencies have agreed to work together to cut that food waste in half by 2030. But a recent government oversight report found that the agencies – the Environmental Protection Agency, the Department of Agriculture and the Food and Drug Administration – have made little headway, despite some initial actions. The EPA and USDA announced the national goal in 2015, with the FDA joining the effort last year. That was when the three agencies signed a formal, two-year agreement to develop a strategic plan to “increase collaboration and coordination.”
Yet according to the non-partisan Government Accountability Office, the roles of the agencies remain undefined, and their 2030 goal faces widespread challenges.
ByChristopher Walljasper/Midwest Center for Investigative Reporting |
A Brazilian-owned meat processing company undercut its competition by more than $1 per pound to win nearly $78 million in pork contracts through a federal program launched to help American farmers offset the impact from an ongoing trade war. As a result, JBS USA has won more than 26 percent of the $300 million the USDA has allocated to pork so far – more than any other company, according to an analysis of bid awards by the Midwest Center for Investigative Reporting. The USDA’s Trade Mitigation Program was announced last August, and included direct payments to farmers, as well as $1.2 billion in food purchases from farmers and ranchers whose crops normally benefit from international markets. The plan called for $558 million worth of pork purchases. The program is intended to help U.S. farmers and ranchers hurt by the ongoing trade disputes with China, Mexico, Canada and other trading partners.
ByJohnathan Hettinger/Midwest Center for Investigative Reporting |
Foreign investors acquired at least 1.6 million acres of agricultural land in the United States in 2016, the largest increase in more than a decade, a Midwest Center for Investigative Reporting of the latest available federal data shows.
ByChristopher Walljasper and Ramiro Ferrando/Midwest Center for Investigative Reporting |
Farmers have been using the weed killer glyphosate – a key ingredient of the product Roundup – at soaring levels even as glyphosate has become increasingly less effective and as health concerns and lawsuits mount.
ByPam Dempsey/Midwest Center for Investigative Reporting |
Glyphosate is the most used pesticide on U.S. agricultural crops, with the nation using an estimated 287 million pounds in 2016, according to an analysis by the Midwest Center for Investigative Reporting. And sales continue to grow, with market researchers predicting the glyphosate market to grow to $8.5 billion to $10 billion annually by 2021 up from $5 billion now. READ ALSO: Controversial Pesticide Use Increases Dramatically Across The Midwest
Of 400 pesticides used on agriculture crops across the U.S, glyphosate is used at least three times more than all others, according to an analysis of data estimates from the U.S. Geological Survey. The second-most used weed killer in the U.S. is atrazine – with 75.4 million pounds used on U.S. agriculture crops in 2016. In 2016, the Midwest used 65 percent of the nation’s total agriculture glyphosate use on crops.
On a summer morning near Dayton, Ohio, a temporary worker began his first day with a commercial roofing company around 6:30 a.m.
Mark Rainey, 60, was assigned to a crew to rip off and dispose of an old bank-building roof. Within hours, as the heat index reached 85 degrees, his co-workers noticed the new guy was “walking clumsily,” then became ill and collapsed, according to documents from the U.S. Occupational Health and Safety Administration. Rushed to the hospital on Aug. 1, 2012, Rainey was diagnosed with heat stroke and a core body temperature of 105.4 degrees; he died three weeks later. For the next 6 ½ years, the circumstances surrounding Rainey’s death became a vigorously fought battle between his employer and OSHA, highlighting the lack of a clear standard on heat protection for outdoor workers.