The Rural Impact

In this episode, "A Conversation About What Undermines Local Government and Public Service," Michelle welcomes Brooks Williams to discuss how anger and rage are impacting local governments. Brooks is a city manager whose two decades span public and private leadership. He is known for turning strategy into results, such as stronger finances, healthier cultures, and clear metrics that track real performance. He serves the QT...

In this episode, "HRSA's Dwindling Rural Health Commitments," we kick off with a conversation between Michelle and Alexa McKinley Abel, Director of Government Affairs at the National Rural Health Association. They delve into recent developments from the House Appropriations Committee related to the FY2026 Labor-HHS appropriations bill, which proposes significant investments and increases in rural health funding. The two al...

In this episode, Education, Workforce & Tariffs: Rough Roads for Rural Ahead, the episode begins with Alexa McKinley Abel, Director of Government Affairs at the National Rural Health Association, who provides a rundown of the Senate Appropriations Committee's markup of the 2026 Labor Health and Human Services, Education, and Related Agencies Bill. Alexa detailed what the markup means for rural health; many of the progr...

In this Rural Impact Extra Episode: A Conversation about Rural Prosperity and its Connection to Policies, Past, Present & Future, Michelle leads the episode with a discussion with two esteemed experts in the field. Tony Pipa, a Senior Fellow in the Center for Sustainable Development at the Brookings Institution, and Brent Orrell, a Senior Fellow at the American Enterprise Institute(AEI), bring their wealth of knowledge...

In this extra episode of the Rural Impact Michelle welcomes Cynthia Wallace, Executive Director of the non-profit, New Rural Project, which she co-founded in April 2021 to discuss the impacts of H.R.1, as well as the how Cynthia and The New Rural Project are amplifying the voices of rural young people and marginalized residents in North Carolina so that they are heard and seen, and they get electorally and civically engage...

Michelle kicks off this episode with Edwin Park, Research Professor at the Georgetown University Center for Children and Families, within the McCourt School of Public Policy. His work primarily focuses on Medicaid, the Children’s Health Insurance Program, and the Affordable Care Act. Previously, he worked for 17 years at the Center on Budget and Policy Priorities, most recently as Vice President for Health Policy. He was a...

In this extra episode of Rural Impact, Michelle Rathman begins the episode with Anthony Flaccavento. Anthony is a farmer and rural development consultant from Abingdon, Virginia, in the heart of the Appalachian Coalfields. The Founder of Appalachian Sustainable Development, he has focused most of his work over the past four decades on building healthier food systems and more diverse, locally rooted economies in Appalachia ...

Guests:

• President of the Association of State Democratic Committees Jane Kleeb
• DNC People's Cabinet Member and Co-chair of Dirt Road Dems Chris Jones
• DNC People's Cabinet Member and rural policy expert Will Westmoreland
• DNC Midwestern Regional Chair and Chair of the Missouri Democratic Party Russ Carnahan

In this Rural Impact special, "Candid Conversations" episode, host Michelle Rathman delves into the real-wor...

In this special “What’s Your Impact?” episode of Rural Impact, Michelle Rathman starts by speaking with Mindy Cook, National Senior Director for Rural Healthcare Quality Outcomes Research and Analytics at the American Heart Association National Center. The American Heart Association has been a partner of The Rural Impact, and this episode focuses on the impact of the American Heart Association’s Rural Health Care Outcomes ...

In this extra episode, once again focusing on fast-moving developments related to health policy, Michelle welcomes back Joan Alker, Executive Director of the Center for Children and Families (CCF) and Research Professor at the Georgetown McCourt School of Public Policy, to discuss "Medicaid and Its Impact on Maternal and Infant Health."

Joan is a nationally recognized expert on the Children's Health Insurance Program (CHIP...

In part one of this extra episode, Disconnected: A Conversation about Health Care, Broadband, Access and Economics, Michelle is joined by award-winning journalists Caresse Jackman and Sarah Jane Tribble.

Sarah Jane Tribble is the lead reporter on the rural health desk of KFF Health News. She created the organization’s first narrative podcast, “Where It Hurts,” about the closure of a rural Kansas hospital.  An Emmy winner, ...

In this extra episode of The Rural Impact, James M. Decker joins Michelle Rathman to discuss issues impacting rural areas, including revitalization, agriculture, community engagement, economy, and education. James is serving his fourth term as Mayor of his hometown of Stamford, Texas, where he also practices law in his office in the downtown square.

In his Westof98 blog and podcast, which is found on substack.com, James wr...

In this extra episode of The Rural Impact, Michelle Rathman is joined by Julie Rovner, KFF Health News Chief Washington Correspondent. Julie hosts the KFF Health News weekly health policy news podcast, "What the Health?" Previously, she spent 16 years as a health policy correspondent for NPR, where she helped lead the network's coverage of the passage and implementation of the Affordable Care Act. Julie is the author of th...

In this extra episode of The Rural Impact, Michelle Rathman interviews Ben Spoer, PhD, about the Congressional District Health Dashboard, a crucial tool designed to provide health data at the congressional district level.

Dr. Spoer is the Program Director for City Health Dashboard and the Congressional District Health Dashboard at the NYU Grossman School of Medicine, where he works to make public health data accessible and...

Just after returning to the studio after two back-to-back episodes where Michelle spent time at the National Rural Health Association (NRHA) Policy Institute and the National Association of Community Health Centers' Policy and Issues Conference in D.C., Michelle continues the conversation with NRHA's Government Affairs and Policy Director, Alexa McKinley Abel for an update about the impact of the Continuing Resolution on r...

A Programming Note: This episode was recorded in February of 2025. As it drops on March 13, 2025, it's important to note that topics and issues raised about Medicaid funding, Congressional Appropriations, a potential Government shutdown, regulatory matters, and funding for key rural health programs have likely changed. In the second of our two-part health policy "Rural Impact on the Road" episode, we continue delving into ...

Guests:

• Joan Alker, Executive Director and Co-Founder of the Center for Children and Families, Georgetown University McCourt School of Public Policy
• Gina Capra, Chief Education Officer, National Association of Community Health Centers
• Wade Erickson, CEO, Horizon Health
• Julie K. Wood, MD, MPH, FAAFP, Senior Vice President, Science and Clinic Strategy, American Academy of Family Physicians
• Roger Wells, PA-C, Lexington ...

In this extra episode, Michelle sat down with Dr. Seth D. Kaplan, a leading expert on fragile states, societies, and communities, and the author of Fragile Neighborhoods: Repairing American Society, One Zip Code at a Time. He is a Professorial Lecturer in the Paul H. Nitze School of Advanced International Studies (SAIS) at Johns Hopkins University, Senior Adviser for the Institute for Integr...

In the third episode of the new series, 2025 & The Impact of Policy Shifts, Michelle sat down with Dreama Gentry, President and CEO of Partners for Rural Impact, a national intermediary that mobilizes rural leaders, strengthens the capacity of rural organizations, and activates policymakers and philanthropic partners to ensure the 14 million children and youth living in rural America are on a path to upward mobility. P...