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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
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    Western Resource Advocates (WRA) seeks a creative and driven graphic design professional to design high quality print and digital collateral. The Graphic Designer will bring...
  • STEWARDSHIP SPECIALIST
    San Isabel Land Protection Trust seeks experienced person to manage its 133 conservation easements in south-central Colorado.
  • CAMPAIGN REPRESENTATIV
    Sierra Club's Beyond Dirty Fuels Campaign is hiring an experienced campaigner to lead our work challenging the oil and fracked gas industry on the Gulf...
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    Oregon Agricultural Trust (OAT) seeks passionate relationship builder experienced in coordinating agricultural conservation easement transactions.
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    Vacation rental located in calm protected waters 8 miles from Sitka, AK via boat with opportunities to fish and view wildlife. Skiff rental also available.
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    Mountain Studies Inst (MSI) is hiring 4+ positions: Finance Director; Coms/Engagmnt Mngr; Dev/Engagmnt Dir; Americorps vol
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    Mountain Studies Inst (MSI) is hiring 4+ positions: Finance Director; Dev/Engagement Dir; Coms/Engagement Mngr; & Americorps volunteer
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    Lead the nation's premier volunteer-based trail crew programs on the spectacular Pacific Crest National Scenic Trail. This is a great career-building opportunity for rising professionals....
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    Is this your dream job? Are you looking to join a nationally recognized organizing network, live in a spectacular part of the West, and work...
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    Provide stewardship and protection for the Great Burn wildlands along the Montana-Idaho stateline. This position is based in Missoula, MT, where a river runs through...
  • DEVELOMENT DIRECTOR
    Great Old Broads for Wilderness is seeking a qualified Development Director to manage the fundraising success of our growing organization, including the team-driven implementation of...
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    Central Oregon LandWatch is seeking an Executive Director to advance our mission and oversee the development of the organization. Job Description: The Executive Director oversees...
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    Fine Art Gicle Printing. Photo papers, fine art papers, canvas. Widths up to 44". Art printing by an artist.
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    San Juan Citizens Alliance is seeking a full-time San Juan Energy Campaign Organizer located in Farmington, New Mexico. The San Juan Energy Campaign Organizer focuses...
  • WILDLIFE PROGRAM MANAGER
    San Juan Citizens Alliance (SJCA) is looking for a passionate, experienced, and motivated Wildlife Program Manager to lead campaigns to protect and enhance wildlife and...
  • GRANT WRITER
    "This thriving citizens organization exemplifies the ideal of public involvement in public processes."- Billings Gazette Help protect Montana's water quality, family farms and ranches, &...
  • COMMUNITY ORGANIZER AND MEMBERSHIP COORDINATOR
    Western Colorado Alliance is hiring for 4 positions, 2 Full Time Community Organizers, 1 Part Time Community Organizer and a Part Time Membership Coordinator. For...
  • BUSINESS OPERATIONS DIRECTOR
    Thorne Nature Experience is looking for a Business Operations Director who will work in partnership with the Executive Director and Thorne's Directors and Managers to...
  • WILDERNESS CONSERVATION CORPS - OREGON
    The Siskiyou Mountain Club is hiring interns for the 2020 Field Season. Interns utilize non-mechanized tools to complete trail restoration and maintenance while gaining job...