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POLITICS

WATCH: Iowa’s rural hospital crisis deepens (PT 1) – Cornhole Champions #30

Federal Medicaid cuts threaten Iowa's already struggling rural hospitals. Nearly half operate at a loss, and proposed $4 billion in funding reductions for Iowa could force more closures in communities that can't afford to lose their healthcare lifelines.

On this episode of Cornhole Champions, Zachary Oren Smith, Amie Rivers and Avery Staker dig into why rural health providers are taking these so seriously.

Toss some bags about a "research victory” leaving US research in the hole... why a successful vocation program is getting the axe... and why egging's decline may be our country's greatest recession indicator.

Cornhole Champions is a weekly podcast powered by Iowa Starting Line with music by Avery Mossman and show art by Desirée Tapia. We are a proud member of the Iowa Writers Collaborative.

*LISTEN AND SUBSCRIBE TO CORNHOLE CHAMPIONS:*
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... and everywhere you listen to podcasts

*FOLLOW ZACHARY OREN SMITH ON SOCIAL MEDIA:*
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*SHOW RUNDOWN:*
00:00 - Cold Open - Egging Houses and Economic Anxiety - Discussion about childhood pranks becoming too expensive in current economy
04:00 - Show Introduction - Zachary Oren Smith with Amy Rivers and Avery Staker
05:00 - Rural Hospital Crisis - Federal Medicaid cuts threatening small-town hospitals, focusing on "Big Beautiful Bill" reconciliation package
06:00 - Medicaid Cut Details - Work requirements, cost-sharing increases, and federal matching rate reductions for expansion states like Iowa
07:30 - Washington County Hospital CEO Letter - Warning about rural hospital survival crisis and community impact
08:30 - Cost Shifting vs Cost Savings - How Medicaid cuts shift expenses to emergency rooms and social services
09:30 - Personal Impact Story - Tony and Lori Luckin family facing loss of Medicaid waiver for ventilator-dependent care in Sergeant Bluff
12:30 - Iowa's Waiver System Problems - Lack of appeal process compared to neighboring states like Nebraska and Missouri
13:30 - Hospital Funding Mechanics - How hospital taxes create federal match funds that get redistributed back
14:30 - Medicaid Recipients Are Rural - Why these cuts disproportionately harm rural communities and hospitals

POLITICS - Iowa Starting Line

WATCH: JD Vance and the East Palestine research money paradox (PT 2) – Cornhole Champions #30

The Trump administration announces a $10 million fund for an East Palestine health study while simultaneously cutting billions from scientific research. The contradiction reveals how selective science funding serves political purposes rather than public health priorities.

On this episode of Cornhole Champions, Zachary Oren Smith, Amie Rivers, and Avery Staker dig into the one-off funding opportunity and the context that surrounds it.

Toss some bags about the “Big Beautiful Bill’s” big, ugly impacts… why a successful vocation program is getting the axe... and why egging's decline may be our country's greatest recession indicator.

Cornhole Champions is a weekly podcast powered by Iowa Starting Line with music by Avery Mossman and show art by Desirée Tapia. We are a proud member of the Iowa Writers Collaborative.

*LISTEN AND SUBSCRIBE TO CORNHOLE CHAMPIONS:*
- YouTube - https://youtube.com/playlist?list=PL2LsUFhizO07jdk5Wav4mOT7tArltF8z5&si=FryZd7N7tG5tJ5Ju
- Substack - https://cornholechampions.substack.com/
- Apple Podcasts - https://podcasts.apple.com/us/podcast/cornhole-champions-podcast/id1779497714
- Spotify - https://open.spotify.com/show/5rzNpiA4IwgLmxbyrhETY6?si=6c4a527fa9ad4f64
- PocketCasts - https://pca.st/74atty1j
... and everywhere you listen to podcasts

*FOLLOW ZACHARY OREN SMITH ON SOCIAL MEDIA:*
- Twitter - https://x.com/zacharyos
- Instagram - https://www.instagram.com/zacharyosmith
- Bluesky - https://bsky.app/profile/zacharyos.bsky.social
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*FOLLOW IOWA STARTING LINE ON SOCIAL MEDIA:*
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- YouTube - https://www.youtube.com/@UCXN791Qw5opBRLyvTWYl43w

*SHOW RUNDOWN:*
00:00 - East Palestine Health Study - Trump administration announces $10 million study 2.5 years after toxic train derailment
00:30 - East Palestine Disaster Details - February 3rd, 2023 Norfolk Southern derailment with hazardous chemicals
01:00 - Health Impact Comparison - Residents experiencing symptoms similar to 9/11 first responders
01:30 - Research Funding Contradiction - $10 million specific study while cutting NIH by 37% and canceling $750 million in grants
03:30 - Scale of NIH Cuts - 1,400 research grants worth $750 million terminated versus single $10 million study
05:30 - Political Theater vs Genuine Health Priority - Trump administration's selective approach to public health funding

POLITICS - Iowa Starting Line

WATCH: Ottumwa, Iowa braces for Trump’s Job Corps cuts (PT 3) – Cornhole Champions #30

The Trump administration paused funding for Job Corps centers nationwide, including Iowa's top-rated Ottumwa facility. The cuts eliminate 125 jobs in one of Iowa's poorest counties while stranding vulnerable young people mid-program.

On this episode of Cornhole Champions, Zachary Oren Smith, Amy Rivers, and Avery Staker dig into how a major shift on high ripples out into a small town.

Toss some bags about the “Big Beautiful Bill’s” big, ugly impacts… a "research victory” leaving US research in the hole... and why egging's decline may be our country's greatest recession indicator.

Cornhole Champions is a weekly podcast powered by Iowa Starting Line with music by Avery Mossman and show art by Desirée Tapia. We are a proud member of the Iowa Writers Collaborative.

*LISTEN AND SUBSCRIBE TO CORNHOLE CHAMPIONS:*
- YouTube - https://youtube.com/playlist?list=PL2LsUFhizO07jdk5Wav4mOT7tArltF8z5&si=FryZd7N7tG5tJ5Ju
- Substack - https://cornholechampions.substack.com/
- Apple Podcasts - https://podcasts.apple.com/us/podcast/cornhole-champions-podcast/id1779497714
- Spotify - https://open.spotify.com/show/5rzNpiA4IwgLmxbyrhETY6?si=6c4a527fa9ad4f64
- PocketCasts - https://pca.st/74atty1j
... and everywhere you listen to podcasts

*FOLLOW ZACHARY OREN SMITH ON SOCIAL MEDIA:*
- Twitter - https://x.com/zacharyos
- Instagram - https://www.instagram.com/zacharyosmith
- Bluesky - https://bsky.app/profile/zacharyos.bsky.social
- Threads - https://www.threads.com/@zachosmith
- LinkedIn - https://www.linkedin.com/in/zacharyos/

*FOLLOW IOWA STARTING LINE ON SOCIAL MEDIA:*
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- Instagram - https://www.instagram.com/iowastartingline
- YouTube - https://www.youtube.com/@UCXN791Qw5opBRLyvTWYl43w

*SHOW RUNDOWN:*
00:00 - Job Corps Shutdown - Trump administration eliminates Iowa's flagship Ottumwa facility serving vulnerable youth

01:00 - Ottumwa's Outstanding Performance - 125 jobs, 240 students, 94% job placement rate in one of Iowa's poorest counties
02:30 - Economic Impact Analysis - 125 jobs lost, students becoming homeless, community economic contribution
04:00 - Personal Military Family Experience - Army brat perspective on social safety net benefits
05:30 - Ajai Long's Transformation Story - From couch-hopping and depression to stability through Job Corps
07:30 - Generational Investment Concept - Current spending prevents future costs and breaks poverty cycles
10:30 - Federal Land Questions - What happens to donated campus property after closure
11:30 - Close
13:11 - Post-Credits Banter

POLITICS - Iowa Starting Line
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