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When the Doctor is Out
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September 5, 2016

Why disappearing rural hospitals spell trouble for the Central Valley. In this special feature, High Country News looks at the troubled rural Western healthcare system. Plus, when to say yes to invasive plants, Alaska’s overtaxed firefighters and New Mexico’s oldest climate correspondent.

Feature

What hospital closures mean for rural California
What hospital closures mean for rural California
The very economic decline that contributed to their closure is likely to be worsened by their disappearance.
Telemedicine shrinks the West’s vast health desert
Telemedicine shrinks the West’s vast health desert
In New Mexico, an experiment in treating stroke victims at a distance.
The West’s widening health care gaps
The West’s widening health care gaps
Changing demographics, including an aging rural population, put more pressure on health care systems.
Rural hospitals pool their resources to survive
Rural hospitals pool their resources to survive
A group of ten New Mexico hospitals is making a go of it in tough times.
A cure for the ‘catch-all’ emergency room
A cure for the ‘catch-all’ emergency room
In Colorado, a new movement aims to provide an alternative for people experiencing mental health crises. But does it work?

Current

Alaska’s emergency wildfire crews are burning out
Alaska’s emergency wildfire crews are burning out
The state is grappling with more fires and fewer fighters where they need them.
The Fish and Wildlife Service’s endangered species triage
The Fish and Wildlife Service’s endangered species triage
Buried in petitions to list new species, the Fish and Wildlife Service proposes a system for prioritizing who gets help first.
Time to make peace with invasive species?
Time to make peace with invasive species?
A conversation with climate science director Stephen Jackson about why and where we should tolerate non-native invaders.
Latest: Feds warn states against letting mining companies self-bond
Latest: Feds warn states against letting mining companies self-bond
Three major coal companies have filed for bankruptcy this year.
Latest: NASA determines methane hotspot is from natural gas production

Uncommon Westerners

Meet the West’s oldest climate correspondent
Meet the West’s oldest climate correspondent
Anna Mae Wright has spent seven decades recording the weather.

Essays

The slaughter of innocents
The slaughter of innocents
After prairie dogs invade a corner of her lot, a writer weighs the cost of eliminating them.

Writers on the Range

An electric-power giant is poised to fail
An electric-power giant is poised to fail
A radical change could be coming to the way electric co-ops across the country do business.

Heard Around the West

Bunny times at the state fair, dumpster-diving bears and parasitic springs
Bunny times at the state fair, dumpster-diving bears and parasitic springs
Mishaps and mayhem from around the region.

Dear Friends

Letters

High Country News Classifieds
  • SOUTHWEST REGIONAL DIRECTOR
    The National Parks Conservation Association, the nations leading national park advocacy organization, seeks a Regional Director to lead and manage staff for the Southwest Regional...
  • DIRECTOR OF EXTERNAL AFFAIRS
    This newly created position with The Nature Conservancy's Colorado River Program will play a key role in the development and implementation of strategies to achieve...
  • PROGRAM OFFICER, INDIGENOUS COMMUNITIES, NOVO FOUNDATION
    The Foundation NoVo Foundation acts from the original meaning of philanthropy: the love of humanity. The Foundation is dedicated to catalyzing a global social transformation...
  • ARMY OF THE DOG
    A new generation of monkey wrenchers hits the Front Range?
  • ANNIE CLARK TANNER FELLOWSHIP IN ENVIRONMENTAL HUMANITIES
    The Tanner Humanities Center and the Environmental Humanities Program of the University of Utah seek an environmental writer to offer classes in Utahs Environmental Humanities...
  • ALASKA STATE DIRECTOR
    The Wilderness Society works to protect Wildlands and inspire Americans to care for our public lands. We seek to hire a strategic, experienced leader who...
  • EXECUTIVE DIRECTOR
    The Idaho Conservation League (ICL) seeks an individual to lead this 45-year-old organization as executive director, to carry on ICLs work as Idahos leading voice...
  • IDAHO RIVERFRONT:
    2+ acres, 400+ feet on Snake River, 2800 sf residence, NWF-certified wildlife habitat, excellent hunting, fishing, birdwatching, stargazing, sunsets & panoramic views. In the heart...
  • WILDEARTH GUARDIANS IS EXPANDING - THREE JOB OPENINGS
    Guardians is expanding and looking for a few great people to join us in protecting and restoring the wildlife, wild places, wild rivers, and health...
  • SUNNYSIDE MARKET SEEKS NEW PROPRIETOR
    Organic grocery/cafe at Glacier Bay needs a vibrant leader. Love good food, community, and Alaska? Join us!
  • NO INDIVIDUAL HEROES: OURAY MOUNTAIN RESCUE TEAM
    Ouray County, Colorado, a popular tourist destination, has dramatic mountains and amazing winter ice climbing. Challenging terrain and high altitude can push visitors to their...
  • CALIFORNIA PROGRAM ASSOCIATE - TAHOE AREA
    National conservation organization seeks a regular, full-time California Program Associate-Tahoe Area. Position works closely with California-based program staff and National Forest Foundation staff to provide...
  • CALIFORNIA PROGRAM COORDINATOR - TAHOE AREA
    National conservation organization seeks a regular, full-time California Program Coordinator-Tahoe Area. Position works closely with California-based program staff and National Forest Foundation staff to provide...
  • CALIFORNIA PROGRAM MANAGER - TAHOE AREA
    National conservation organization seeks a regular, full-time California Program Manager-Tahoe Area. Position works closely with California-based program staff and National Forest Foundation staff to provide...
  • CALIFORNIA PROGRAM ASSOCIATE, SOUTHERN CA
    National conservation organization seeks a regular, full-time California Program Associate-Southern CA. Position works closely with California-based program staff and National Forest Foundation staff to provide...
  • THE BOOK OF BARLEY -
    Collector's Item! The story of barley, the field crop. 50 years of non-fiction research. www.barleybook.com
  • TEMPORARY ASSISTANT EDITOR
    Are you a climber and a writer who is passionate about mountain literature? Do you love searching through old alpine journals for stories of esoteric...
  • OWN YOUR OWN CANYON - 1400 SF STRAW-BALE ECO-HOME ON 80 ACRES - 3 HOURS FROM L.A.
    1400 sf of habitable space in a custom-designed eco-home created and completed by a published L.A. architect in 1997-99. Nestled within its own 80-acre mountain...
  • RIVER TRIP LEADER & EDUCATOR
    Colorado Canyons Association (CCA) is a growing nonprofit organization fostering community stewardship of our National Conservation Lands with a focus on Dominguez-Escalante, Gunnison Gorge and...
  • RIVER GUIDE AND EDUCATOR
    Colorado Canyons Association (CCA) is a growing nonprofit organization fostering community stewardship of our National Conservation Lands with a focus on Dominguez-Escalante, Gunnison Gorge and...