Tag: rural hospitals

Thursday’s Theme Music — Illusions

Ashland, southern Oregon — Thursday, June 4, 2026.

Out one window, it’s a gorgeous day: sunny, clear blue sky. Out toward the west, dark clouds are moving in. They look like they have different intentions. It’s 55 now but we expect 80.

Mom’s house is up for sale and it’s had a lot of early interest. I’m not surprised, once it went live. Comparing it to other homes in the $150k range in that area reveals that most are as old or older, and the same size. Mom’s house was built in 1940; others in that range/area were built anywhere from 1930 to 1960. But they’re usually two bedrooms, one bath whereas Mom’s place offers four bedrooms and three baths. I easily visualize it as ideal for a small multigenerational setup. I hope this early interest isn’t an illusion.

While I’ve been focused mostly on Trump’s war on Iran (96 days and counting), he’s been busy with other wars. He’s been actively warring against cultural and political norms. All presidents have done so but none on the scale that Trump has done. We have the visual evidence of the Epstein ballroom and the war for funding for it (after Trump claimed it would cost taxpayers nothing); the atrocious rose garden; and the horrible disfiguration of the Lincoln Memorial.

Trump is turning the White House lawn into a stadium for fights and appending his name on famous places like the Kennedy Center. He’s doing all these things outside of the law but the law is fighting back via judges and courts and their rulings.

Under Trump, his advocates are trying to break the law and have currency with his likeness on it.

Through MAHA and Kennedy, Trump has been warring against good health. Through the EPA, Trump has warred against clean air and water. Through Hegseth, he’s warred against having a good defense and diversity. Through the Departments of Education and Justice, Trump has warred against good education, research, and law and order.

Through his pardons, he’s warred against justice.

Through ICE and his immigration policies, Trump has warred against our very nature as a melting pot, a place that welcome the poor and tired.

Through cuts in the social safety net and programs such as SNAP and Headstart, Trump has warred against people in poverty.

Via cuts to NASA, NOAA, and NIHM, Trump has warred against research, science, and technology.

Through it all, Trump has warred against intelligence, decency, unity, and compassion via his texts.

MAGA stays loyal to him. He buys their loyalty because he’s cultured a distrust of the media, calling it ‘the enemy’. Then he screams:

  • Look at how they treat me!
  • They stole the 2020 election!
  • Look how great I am and what wonderful things I’ve done!
  • I’m doing it all for you and our great nation!

Yet, the evidence shows otherwise.

Trump is selling a grand illusion. But the details reveal the truth.

Not surprisingly, Les Neurons are playing “The Grand Illusion” in my morning mental music stream.

Lyrics:

But don’t be fooled by the radio
The TV or the magazines
They show you photographs of how your life should be
But they’re just someone else’s fantasy

So if you think your life is complete confusion
Because you never win the game
Just remember that it’s a Grand illusion
‘Cause deep inside we’re all the same
We’re all the same…

So if you think your life is complete confusion
Because your neighbors got it made
Just remember that it’s a Grand illusion
And deep inside we’re all the same

The Styx song came out in 1977. Dennis DeYoung wrote the song and said it’s all about how ‘they’ set you up to think and see one thing to hide the truth:

“It’s that feeling that success is set up in such a way that if you succeed you’re a failure, and if you don’t succeed you’re a failure.”

That’s the Trump methodology all the way.

I hope your day is not a grand illusion, but has real progress toward happiness and satisfaction.

Cheers

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The Trends

Interesting trends are taking over the United States.

Manufacturing and production plants are shutting down or gone. It varies by region and industry.

The United States had about 25,000 malls in the 1980s. We’re down to about 1200. Many rural malls have shut down. Stores like Aldi and Dollar General or Dollar Store have replaced them. Some are being successfully repurposed by turning stores into churches. Some areas turn to casinos to counter the loss of malls and manufacturing.

Rural movie theaters are closing, as are rural hospitals, which is creating healthcare deserts.

These are anchor industries. As plants, malls, movie theaters, and hospitals close, jobs are lost, along with local revenue streams. Income drops; spending drops. Local restaurants and service industries suffer. That ripples into the local area’s ability to maintain public buildings, schools, and infrastructure. As these effects are felt, more people move away. People lack incentives to move there. The population shrinks.

With fewer students, rural public schools close. Small community colleges and universities feel it as enrollment drops. Falling enrollments force them to cut programs and raise tuition to fill the gaps, but factors have changed, and the loop of falling tuition and less classes grow.

Railroads, which used to be a rural lifeline, have cut way back in the United States. Small-town passenger train service is mostly gone.

Meanwhile, Data and AI Centers are being built fast. They’re being built in rural areas where there used to be mining or manufacturing. While they’ll provide temporary economic stabilization and add some revenue from construction, these places don’t typically employ many people. Automation takes care of many service needs. Such centers also don’t produce products that can be taken to a store and sold.

I was thinking about all of this because those kinds of economic and service declines in rural areas were a meaningful part of the political environment that helped Donald Trump gain support. He frames his attacks on ‘narco-terrorists’ as a war on crime and drugs. The war in Iran is part of his America First agenda. They build on the same themes of strength, distrust of elites, and national priority that resonated politically in earlier elections.

All those rural trends have been causing a youth drain. Educated young citizens are moving out of rural areas. Those left behind tend to be older and less educated and are more likely to be Trump supporters. For me, then, what Trump is now doing will do little to ameliorate the polarization affecting United States politics.

Long-term rural revitalization isn’t just about economics or infrastructure. It’s deeply tied to political will, governance, and coalition-building. Without bipartisan or broadly supported political action, even the best economic initiatives struggle to take hold.

Trump’s style, though, is exactly the opposite; he goes it alone instead of building coalitions, demonizing political opponents. At the end of the term, we’re likely to see many of the same problems affecting rural areas that we now see. The polarization will remain, but there will be less voters in the rural areas to support people like Trump.

They may have won some short-term victories by putting Trump in office, but the problems remain.

A war in Iran does nothing to help.

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Thirstdaz Theme Music

We’re in a weather triangle, a tangle of seasonal changes. Summer is drifting away, taking its warmth and going elsewhere. Today’s high is 75 F, an eleven-degree scramble from our current posture. Thunderstorms threaten again. Looking back, we had few days over 100 F, a relief from previous years when clusters of such days savaged us. Much more rain is visited upon us than usual, allaying drought worries. For the record, this is Thirstda, September 11, 2025.

So, here we sit, looking back at 9/11 while pondering the assassination of Charles Kirk. I’m in a triangulation of despair about the U.S.’s polarization and violence, lamenting, another gun killing, and dismayed reflection on Kirk’s rhetoric, spewed often, about killing others. Some will say that his death by gun seems karmic; he’s reaping what he ordered for others. We’ll see the question, is this a tipping point for the U.S., often played out. We won’t know until we’re further down the road. What we do know is that Kirk, as we often see from the right in the U.S. in this age, cherry-picked Bible verses to foment resentment, hate, and violence. What we also expect is some spillage from the conspiracy machine, trying to use Kirk’s death as a wedge between us, trying to make a bad situation worse. Unfortunately, that’s how some people now think.

There’s one clear bennie for Trump from this, in that Kirk’s death will be a distraction and take some pressure off Trump about his relationship with Epstein and lessen the drumbeat to release the files.

Meanwhile, from down south in northern California, emerged a story about vanishing rural hospitals. SF Gate reports, “The closure of Glenn Medical Center, located north of Sacramento in remote Glenn County, is expected to happen as soon as next month. It’s one of at least 28 anticipated hospital closures in rural California, which is confronting financial hardship under the Trump administration’s punitive health care policies that include cracking down on access to coverage for patients who are in the country without permission.” The county housing Glenn Medical Center went for Trump 2:1. FAFO.

The problem with writing this off as FAFO and moving on is that thinking people know the reciprocal and collateral effects of rural hospitals shutting down. Beyond the simple impact that those citizens will now need to travel further for healthcare, their healthcare will decline. It’s inevitable. To travel further, they’ll need to take more time off from work. Most will resist doing that, resist making those trips. That’s often how the human mind works. They’ll hold off for whatever rationalizations they fed themselves and then it will be too late for some. Unemployment will climb as these hospitals and medical centers close. The lack of such facilities will make these communities less attractive for living and business opportunities. What company will want to move a factory there, when basics like medical treatment is limited? The ironic center of all this is that they’re Trump voters and brought it on themselves by supporting Trump and his agenda. There’s no joy in seeing and knowing that. Just weariness.

Today’s song is by the Rolling Stones. This is a 1968 beat. “Sympathy for the Devil” focuses on human violence through Satan’s viewpoint. “Pleased to meet you. Hope you guess my name. But what’s puzzlin’ you is the nature of my game.”

I watched with glee while your kings and queens
Fought for ten decades for the gods they made
I shouted out, “Who killed the Kennedys?”
When, after all, it was you and me
Let me please introduce myself
I’m a man of wealth and taste
And I laid traps for troubadours
Who get killed before they reach Bombay

h/t to Genius.com

So now we shout out, who killed Charles Kirk? When after all, it’s you and me, and our polarized, paralyzed government. Pleased to meet you.

On to a ‘new day’. Coffee has blessed my taste buds. May grace and peace find us all. Cheers

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