Health care

Iowa has been awarded a $209 million federal grant to expand and improve health care across the state — the first installment of what officials say could total $1 billion over the next five years. The funding is part of the federal Rural Health Transformation Program and is aimed at strengthening access to care, equipment and workforce development in rural communities. Leaders from Iowa’s critical access hospitals talk about what this funding could mean on the ground and why they say it falls far short of what rural providers are bracing for. We also discuss workforce shortages, the challenge of recruiting specialists like OB-GYNs, and the “hub and spoke” model Gov. Kim Reynolds has promoted to reshape rural health care delivery. Later, host Charity Nebbe announces Talk of Iowa’s 2026 Book Club selections with IPR talk show producer, Caitlin Troutman.

Some Iowa physicians are concerned that the federal government is reducing the number of broadly recommended vaccines for children, from 17 vaccines to 11.

Policy experts say House Republicans’ health care plan — introduced by Iowa's 1st District Rep. Mariannette Miller-Meeks — makes "systemic changes," but it’s not clear how long it could take to bring costs down. The bill passed by the House on Wednesday includes provisions for cost-sharing payments, Association Health Plans and transparency in drug pricing.

Two Iowa National Guard soldiers were killed in Syria, the first American casualties there since the fall of Bashar al-Assad’s regime. Political scientists Karen Kedrowski and Wayne Moyer break down what it means. Plus, Iowa politics including U.S. Rep. Mariannette Miller-Meeks’ role in the House GOP health care debate and a new Republican challenger in Iowa’s 1st Congressional District. We also touch on campaign shakeups in the 4th District and other key political developments.

UnityPoint nurses in Des Moines voted this week on whether to unionize. But the final result is delayed due to contested ballots.

Having prediabetes means your body is struggling to manage blood sugar. Without changes, it can develop into full-blown diabetes and put you at risk for other chronic conditions. Host Ben Kieffer is joined by Dr. Cara Drew, a family medicine physician in Sioux City, and Corey Dion Lewis, a health coach based in Des Moines. They discuss the populations most at risk, how to get tested and how to prevent full-blown diabetes.

Analysts discuss the top political headlines of the week, including immigration crackdowns and election security.

Health policy analyst Emma Wager explains how the health care tax credits that are set to expire later this month work. Iowa Insurance Commissioner Doug Ommen shares what Iowans should know during this ACA open enrollment season and Iowa Farmers Union President Aaron Lehman shares the impact these tax credits have on farmers. Later in the hour, sports columnist and reporter Mike Hlas reflects on his career at The Gazette, after he was informed that he would not be retained on staff effective this month,

Historian and bestselling author Colin Woodard argues America's divide isn’t red vs. blue at all — it’s a clash of distinct cultural nations.

The six leading corn-producing states have a cancer rate for young adults that is about 5% higher than the rest of the nation. We speak with two women who were diagnosed with cancer in their 30s about how the disease and treatment has effected their lives.