Thursday, November 19, 2020

Rural Health Day, Students to Service loan repayment, and more

HRSA eNews November 19, 2020

A Newsletter from the Health Resources & Services Administration (HRSA)

November 19, 2020

A Message from the HRSA Administrator

HRSA Administrator Thomas Engels

Today is National Rural Health Day, and I want to take the opportunity to highlight some of the great efforts underway to improve rural health across America. From my time as Deputy Secretary of the Wisconsin Department of Health, I know firsthand the importance of addressing issues that affect our rural communities and families.

The Federal Office of Rural Health Policy is our primary office for supporting rural health grant programs. Since 2011, it has served 750,000 people per year with over 200 grantees.

HRSA has invested $297 million to fight the opioid crisis across 1,420 rural counties since 2018, including a $115 million investment in fiscal year 2020.

For the last 30 years, HRSA has been a leader in the field of telehealth. As the impact of the COVID-19 pandemic has become clear, HRSA has drawn upon our expertise and redoubled our efforts to provide care through telehealth technology. HRSA awarded $15 million to 159 organizations across five of our health workforce programs to increase telehealth capabilities.

On this National Rural Health Day, and with Thanksgiving around the corner, I am thankful for our grantees - and more broadly everyone with whom HRSA partners to improve public health in America, including in our rural communities - for the tremendous work you are doing amid a pandemic unprecedented in our lifetimes.

Have a wonderful Thanksgiving. Stay safe and be well.

Tom Engels


Join the November "HAB You Heard" Webinar Today

photo of a person on a conference call on their laptop

Please join us TODAY for the November "HAB You Heard" Webinar, a monthly update from the HRSA HIV/AIDS Bureau (HAB). The webinar will be held today, November 19, from 3:30 - 4:30 p.m. ET. As with all HAB You Heard Webinars, this event is open to all Ryan White HIV/AIDS Program recipients, subrecipients, stakeholders and federal employees.

Join the webinar.


Deadline Extended for Students to Service Loan Repayment Program

photo of four medical professionals

The National Health Service Corps' Students to Service Loan Repayment Program application cycle is extended through December 3 at 7:30 p.m. ET. The program awards up to $120,000 in loan repayment to medical, dental and nursing students in the final year of health professional school. Interested clinicians should check their eligibility and apply.


Maternal Child Health Bureau (MCHB) Seeks Input for Strategic Plan

photo of a family with a health care worker

MCHB seeks public comments as we develop a new strategic plan. The plan will guide MCHB's efforts to advance the health and well-being of America's mothers, children and families. We seek your ideas, experience, and feedback in framing the strategic plan so that MCHB responds effectively to the future needs of maternal and child health populations.

Please review our request for information and email your comments to MCHStrategy.hrsa@hrsa.gov by Friday, December 18 at 11:59 p.m. ET.


Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders

photo of several health care workers

The National Academies of Sciences, Engineering, and Medicine (NAM) recently published, "Key Policy Challenges and Opportunities to Improve Care for People with Mental Health and Substance Use Disorders: Proceedings of a Workshop." This HRSA-supported report is a product of NAM's Forum on Mental Health and Substance Use Disorders and describes the presentations and discussions held in October 2019 during the inaugural workshop.

Read the report.  


Rural Health Care Surge Readiness

photo of two health care workers

Rural communities face unique health care challenges in the fight against the COVID-19 pandemic. The Federal Healthcare Resilience Working Group has developed a collection of essential resources, tools, and trainings that can help health care workers and organizations – including EMS or 9-1-1, inpatient or hospital care, ambulatory care, and long-term care – prepare for and respond to COVID-19. New and updated resources are added regularly like the PPE Preservation Planning Guide and Telemedicine Hack training.

Access the one-stop shop for rural health care.


Join HRSA's Virtual World AIDS Day 2020 Commemoration Event on December 1

World AIDS Day Logo

Mark your calendar for "HRSA's World AIDS Day 2020 Virtual Commemorative Event" on December 1 from 11:00 a.m. - Noon ET. World AIDS Day provides HRSA the opportunity to bring attention to the HIV epidemic; encourage HIV testing, care, treatment and prevention; show support to those living with HIV and remember those who have died from HIV/AIDS.

The 2020 theme is "Ending the HIV Epidemic: Resilience and Impact."  

The event will highlight HRSA's role in the Ending the HIV Epidemic initiative, recognize the Ryan White HIV/AIDS Program's (RWHAP) 30th anniversary, and celebrate personal stories from people with HIV showing resilience and the impact of the program on their lives. This virtual event is open to all HRSA recipients, national, state, local stakeholders and federal employees.

Participate in the World AIDS Day 2020 Event.


Join HRSA's World AIDS Day Twitter Thread

red ribbon

In honor of World AIDS Day, HRSA invites all recipients, stakeholder organizations and federal partners to participate in our Twitter thread campaign. The thread will begin on Tuesday, December 1, and will continue through December 9, when HRSA will host its Ryan White HIV/AIDS Program 2019 annual client-level data rollout webinar. #HRSAHonorsWAD is intended to promote awareness about HIV care and treatment and HRSA's Ryan White HIV/AIDS Program.

Please consider jumping on HRSA's Twitter thread and posting your own content that focuses on your program's goals/accomplishments. Your content does not need to relate directly to the tweet content that day. We also encourage you to like/retweet the posts. Join @HRSAgov on Twitter.


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Axios Cities: Where Americans are opening their wallets — Gondola momentum — "Freedom from Want"

1 big thing: Your air gondola may be waiting | Thursday, November 19, 2020
 
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Presented By The Kresge Foundation
 
Axios Cities
By Jennifer A. Kingson ·Nov 19, 2020

Welcome back to Axios Cities! Today's newsletter is 1,504 words, a 5½-minute read.

  • Exciting news: Axios is going local. We're launching four new newsletters focused on the news that matters in your own hometowns, curated by a local reporter. Sign up here

Situational awareness: New Orleans has canceled Mardi Gras parades because of COVID-19, and the New Year's Eve ball drop in Times Square will be "virtually enhanced" but crowd-free.

 
 
1 big thing: Your air gondola may be waiting
Rendering of Aerial Rapid Transit Technology from the Los Angeles department of transportation

Rendering of an air gondola system proposed for Dodger Stadium in Los Angeles, per the Los Angeles County Metropolitan Transportation Authority.

 

Air gondolas — ski-lift-type conveyances that have become common sights in South American cities like Medellín, Mexico City and La Paz — could one day dot the U.S. urban landscape, some transportation planners say.

Why it matters: These appealing and eco-friendly cable cars — serving commuters and tourists alike — move people quietly and expeditiously and seem tailor-made for the COVID-19 era, since they fit a small number of riders per car.

Driving the news: In the Tampa Bay area, transit officials are about to study the possibility of building an air gondola system for Clearwater Beach — where parking is tight and traffic can be nightmarish — and St. Petersburg.

  • The concept "is still in its early stages, but planners say it would use a two-mile cable car line to connect downtown Clearwater to the beach, with the potential to expand across the Tampa Bay region into cities including St. Petersburg," per Smart Cities Dive.
  • There's also an air tram proposal for Dodger Stadium in LA, and the Oakland A's are floating the idea as they prepare to open a new ballpark.
  • Existing U.S. systems include the Portland Aerial Tram in Oregon, the Roosevelt Island Tram in New York City and the Skyliner at Disney World.

The big picture: Aerial trams took off like wildfire in South America after Medellín, Colombia, built its system in 2004, and enthusiasm is rising in the U.S., says Steven Dale, principal of SCJ Alliance, an engineering and design consultancy that specializes in cable car systems.

  • "The momentum is already here — that's not even a question," Dale tells Axios. "North America, three to four years ago, was not much of a market for us, but the amount of attention that's being paid to the technology right now is enormous."
  • Various schemes have been proposed — like hyperloop or magnetic levitation (maglev) — but so far those types haven't been commercially built.
  • "One of the advantages of the gondolas is that they exist," says Dale. "Cities and governments are very, very apprehensive about new technologies — they don't want to commit to something new and crazy and wild."

But, but, but: Aerial tram proposals have been tossed around for years, with dozens of cities flirting with the idea. They have to be fast, convenient and economical enough to get people to ditch their cars.

Where it stands: Come January, the Tampa Bay Area Regional Transit Authority (TBARTA) will seek bidders for a year-long study, Brian Pessaro of TBARTA tells Axios.

  • "There has to be some sort of geographic obstacle that the gondola is helping you to get over," he says. In Clearwater Beach — on a barrier island — that's "a body of water and a crowded causeway."
  • An alternative proposal that would rely on maglev technology is being pushed by a group called BeachTran Clearwater.
  • Sky transport would be "a combination of entertainment and transportation," Whit Blanton, executive director of Forward Pinellas, a land-use planning authority in Pinellas County, tells Axios. "It has that real 'aha!' value, a 'wow' factor."
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2. Biden Day 1 challenges: Cities getting desperate
Illustration of a city skyline surrounded by lines and shapes.  

Illustration: Aïda Amer/Axios

 

Dire budget problems in cities from coast to coast mean that furloughs and layoffs of essential workers could ring in the new year. So President-elect Biden will face instant, high-stakes calls for relief. 

Why it matters: Suffering municipalities say there's no way they can tackle COVID-19 and all their other problems without direct and immediate aid.

The big picture: "If we don't see this relief package, it's going to be hard for us to keep the lights on" and continue responding to 911 calls, says Joe Buscaino, president of the National League of Cities and president pro tempore of the Los Angeles City Council.

  • City leaders — mostly Democrats, but not all — are ecstatic because they see the Biden administration as a friendly one that will keep their concerns front and center.
  • Many are elated by Biden's choice of Julie Chávez Rodriguez, a Biden deputy campaign manager who previously advised Kamala Harris' presidential campaign, as director of the White House Office of Intergovernmental Affairs.
  • Biden's first elected office, in 1970, was on the New Castle County Council in Delaware. "He gets us, he understands us," Buscaino said. "The Trump administration really did not have a direct commitment to local elected officials."

Where it stands: Both the U.S. Conference of Mayors and the National League of Cities have put out priority lists for the incoming administration, which include perennial wanna-haves like building infrastructure and affordable housing, workforce training, and reducing gun violence.

  • But the urgency of addressing COVID-19 surmounts and supplements these lists.
  • "We don't have any other choice but to do it at once," says Ras Baraka, the mayor of Newark, New Jersey.

There's a lot of ground to be made up, municipal officials say. "We've lacked a domestic policy in this country for the last four years," Pittsburgh Mayor William Peduto tells Axios.

Go deeper

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3. A newcomer to the "granny flat" boom
Illustration of 4 pairs of shoes on a welcome mat.

Illustration: Eniola Odetunde/Axios

 

As the pandemic causes many to rethink their housing choices, accessory dwelling units (ADUs) — or granny flats — are seen as viable options for multigenerational housing or singles who want to get out of apartment buildings, Axios' Kia Kokalitcheva writes.

Driving the news: Cottage, a San Francisco-based startup that sells ADUs to homeowners in the Bay Area, has raised $3.5 million in seed funding led by Susa Ventures and Base10.

The big picture: In U.S. cities, about 75% of the land is zoned for single-family housing only, and proposals for multifamily housing often run up against NIMBY-ist opposition.

  • A set of new ADU rules went into effect in California in January, making it easier for homeowners to add these extra units.
  • Most significantly, homeowners can now add a second ADU to their property, and municipalities are barred from limiting ADUs to less than 800 square feet and 16 feet tall.
  • Cottage, founded a year ago by Alex Czarnecki, is the latest startup to join the ADU boom. In October, Abodu announced $3.5 million in seed funding.

How it works: Cottage's pitch is that it offers custom units and charges less than many alternatives, including some prefab options.

  • Cottage says that because it can cut big deals with designers and contractors, it can get lower costs for its customers, to whom it charges a fee for managing the process.
  • After checking out a property and discussing what the client wants, Cottage budgets about one to one-and-half months for the design, about two to three for permitting, and another three to four for construction, says Czarnecki.
  • The units run about $100,000 for an entry-level garage conversion and $150,000 for a one-bedroom detached backyard unit.

Read the full story.

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A message from The Kresge Foundation

Kresge Foundation commits $30M to support racial justice
 
 

The investment spans nearly 60 racial justice organizations that are working in urban communities and at the national level.

The goal: Ensure racial justice activists have the resources to make the lasting changes needed to confront the barriers of systemic racism and inequality.

 
 
4. Where Americans are opening their wallets
Reproduced from Mastercard; Chart: Axios Visuals

Cities like Atlanta, Houston and Orlando helped buoy merchants' coffers in October, according to a snapshot from Mastercard, which looked at retail sales in the 20 largest U.S. metropolitan areas during the first 10 months of the year.

Why it matters: So far it looks like cities that stayed open the most during the pandemic notched bigger gains, according to Mastercard, which tracked all types of transactions (not just credit and debit cards).

By the numbers: Retail sales rose a paltry 0.3% in October, down from 1.6% in September, according to the Commerce Department, which looked at month-over-month sales (Oct. 2020 vs. Oct. 2019) compared with the 10-month-cumulative data examined by Mastercard.

  • Mastercard's assessment was rosier: It found a 6% rise in retail sales (excluding gas and auto) for the months through October — perhaps in part because merchants began holiday promotions early.
  • Spending was down in two of the 20 metropolitan areas Mastercard examined— Chicago and San Francisco.

Cities that spent the most on...

  • Furniture and furnishings: Phoenix, Sacramento, Orlando and Austin.
  • Grocery: Atlanta, San Diego, Sacramento, Boston and Seattle.
  • Apparel: Orlando, Houston, West Palm Beach and Tampa.

Sob, sniff: Among respondents to an accompanying Harris Poll survey conducted for Mastercard, "most (73%) would give up their gifts altogether to spend face-to-face time with friends and family this holiday season."

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5. Worthy of your time
Outdoor dining in bubble-like tents in New York City amid COVID-19 restrictions

People dine in bubble tents at the Cafe Du Soleil restaurant on the Upper West Side in September. Photo: Noam Galai/Getty Images

 

Meet New York City's First Professional Streetery Builders (Curbed)

  • The construction of those outdoor dining enclosures that are keeping some restaurants alive amid COVID-19 has gone from a makeshift business to a mainstream one.

Apartment Investors Mull Opportunities in Distressed Malls (National Real Estate Investor)

Why Biden didn't do better in big cities (Politico)

  • "There was a backlash, I think nationwide, among people who were afraid of the riots and afraid of what they saw and afraid of this 'defund the police' stuff, which, although we tried to debunk, we didn't debunk enough," Pennsylvania Democratic Gov. Ed Rendell told Politico.
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6. "Freedom from Want"
Norman Rockwell's painting

Norman Rockwell's 1942 painting "Freedom from Want" is also called "The Thanksgiving Picture." Photo: Library of Congress/Corbis/VCG via Getty Images

 

If you visit the Norman Rockwell Museum in Stockbridge, Massachusetts, one of the most poignant exhibitions is the "Four Freedoms," inspired by F.D.R.'s 1941 State of the Union address prior to U.S. participation in World War II.

  • The Saturday Evening Post ran Rockwell's paintings — "Freedom of Speech," "Freedom of Worship," "Freedom from Want" and "Freedom from Fear" — in 1943, when the headlines were dominated by European bombing raids and military campaigns.

Flashback: Each painting was paired with an essay, and "Freedom from Want" — with its voluptuous turkey and well-fed diners — ran with a piece about hard work and endurance by Carlos Bulosan, a Filipino immigrant who harvested grapes and asparagus in California before his successful career as a writer.

  • "We do not take democracy for granted," Bulosan wrote. "We feel it grow in our working together — many millions of us working toward a common purpose."
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A message from The Kresge Foundation

Kresge Foundation commits $30M to support racial justice
 
 

The investment spans nearly 60 racial justice organizations that are working in urban communities and at the national level.

The goal: Ensure racial justice activists have the resources to make the lasting changes needed to confront the barriers of systemic racism and inequality.

 

Happy Thanksgiving! Axios Cities will be off next Thursday, but back in your inbox on Dec. 3. Don't forget to write: jennifer@axios.com.

 

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