Over the past few months, a group called Concerned Citizens of Iron River, a mostly anonymous group on Facebook, have started calling for books to be removed from my local library, the Evelyn Goldberg Briggs Memorial Library in Iron River, Wisconsin (population 1,100). Most of these books being challenged are about LGBTQ+, and specifically trans, […]
Advocates press Wisconsin regulators to reconsider natural gas plant need
When Jenny Van Sickle was elected to the Superior, Wisconsin, City Council in 2017, she joked that the first two calls she got were from her mother and representatives of the Nemadji Trail Energy Center, a proposed 625-megawatt combined-cycle gas-fired power plant planned for a site on the Nemadji River adjacent to her neighborhood, East End.
A social worker by training, she sought office to fight for things like mental health resources and accessible childcare. The nuances of a massive power plant proposal were beyond her expertise, and like other civic leaders, she was open to promises that it would provide jobs, a bridge to clean energy and grid reliability.
Heavy industry was nothing new in the port town; an Enbridge Energy oil terminal is also located in the neighborhood. In 2019, the council unanimously passed a resolution supporting the project.
But the more Van Sickle learned, the more she had doubts about the plant. She began asking more questions and felt like she was getting “misinformation and disinformation” from its developers — Dairyland Power Cooperative and Minnesota Power.
She was especially concerned to learn that the proposal included the possibility of burning heavily polluting diesel if natural gas wasn’t available.
“When you finally build up the courage to talk about it, it’s like a dam breaking,” she recounted, and other residents also began to share their fears.
Changing landscape
Now, Van Sickle devotes much of her life to opposing the $700 million power plant, which received crucial approval from the state Public Service Commission in January 2020 and is scheduled to go online by 2027 — if it receives permits still needed from agencies including the Wisconsin Department of Natural Resources and U.S. Army Corps of Engineers. Construction could reportedly start next year.
Meanwhile, the Sierra Club and Clean Wisconsin are demanding the Public Service Commission reconsider and reopen the process around the crucial certificate of public convenience and necessity that was issued in January 2020.
That’s because two major factors have changed since the commission granted the certificate.
Wisconsin utilities have launched plans to install 480 MW of battery storage by 2025. That’s enough storage to work in tandem with renewables to provide reliable power, advocates argue.
And the Inflation Reduction Act offers direct-pay incentives for renewables, replacing tax credits and making renewable development much more financially viable for nonprofit entities, including rural electric cooperatives like Dairyland, that don’t pay taxes.
Clean Wisconsin and Sierra Club filed a lawsuit challenging the Public Service Commission’s certificate. A district court backed the commission, and they are now awaiting an appellate court decision.
Clean Wisconsin staff attorney Brett Korte noted that the Public Service Commission has the authority to reopen a case when it chooses.
One of the three public service commissioners, Rebecca Valcq, argued against granting the certificate. Her dissent cited environmental impacts including erosion and the effect on wetlands, and she questioned the availability of water — to be drawn from an aquifer — to cool the plant. She also stated the plant was not needed for a reliable electric supply.
Advocates are hopeful the commission would decide differently if the case is reopened.
“It’s just a shame it got approved when it did, before a lot of other opportunities were there,” Korte said. “Ultimately it’s still an opportunity for Dairyland to make a different decision. They haven’t started construction; they could still make the right call here. There are all kinds of advocates and partners who would love to talk to them about other opportunities.”
Federal funding
Dairyland describes the Nemadji Trail Energy Center, or NTEC, as key to its investment in renewables, to provide power when they aren’t available.
Dairyland spokesperson Katie Thomson said Dairyland has submitted a letter of intent to apply for funding for 1,700 megawatts of wind and solar from the New ERA (Empowering Rural America) program created by the Inflation Reduction Act, which makes $9.7 billion available for rural electric cooperatives to transition to clean energy, administered by the USDA.
Dairyland spokesperson Deb Mirasola said that the Nemadji plant would not be included in that application, but “as we have noted all along NTEC is critical to supporting the new renewable additions. The Nemadji Trail Energy Center is key to the clean energy transition, as a reliable, low-emissions natural gas power plant which will ramp up and down quickly to support renewable energy.”
Thomson said Dairyland will likely apply for funding for the Nemadji plant through the USDA’s Rural Utilities Service program.
Korte said seeking federal funding for natural gas is “ironic and sad especially now with the new federal funding for renewables. We don’t think it’s a good investment at all. They would be better off investing in renewable energy including battery storage if they feel like they need that kind of peaking capacity.”
Indigenous and community issues
Van Sickle was the first person of color and Indigenous person elected to the Superior City Council. She is an Alaskan Native of Tlingit and Athabaskan descent. Meanwhile Superior sits amid ceded Indigenous lands on the edge of Lake Superior, which Ojibwe refer to as Gitchi-Gami.
The gas plant would pose a threat to the natural ecology that tribal members hold sacred, including the St. Louis estuary, critics say. Advocates are demanding a more stringent environmental impact study than the developers have already submitted, as part of the process to secure federal funding. Almost 10,000 letters have been sent to the USDA asking the federal agency to deny loans for the gas plant in order to protect Gitchi-Gami.
Additionally, the plant would be very near a cemetery where almost 200 Ojibwe ancestors were buried, after they were disinterred from a traditional burial ground in 1918 for U.S. Steel to build ore docks, which were never actually constructed.
The Nemadji application to the Public Service Commission acknowledges that it is within half a mile of three residential neighborhoods. Van Sickle described it as an environmental justice issue, with residents put at risk from the pollution and any accidents. Many residents still remember having to evacuate during a nearby refinery fire in 2018, and a benzene spill in 1992, at other local industrial facilities.
“I know what it’s like for my neighbors to live amongst these giants,” she said.
Van Sickle, who is known as an ally of labor unions, said the 350 jobs promised at the plant do not compensate for all the risks and concerns.
“In the last few years we have worked so hard to invest in East End,” she said, including by raising money to revamp Carl Gullo Park named for a local World War II veteran and educator. “If a local official is not going to protect their most sacred spaces, who will? Sometimes progress is saying no.”
Bigger picture
Along with the gas plant, the proposal calls for a new 345-kilovolt transmission line, relocation of an existing gas pipeline, and construction of a new gas pipeline to tap an existing gas supply network.
Van Sickle and other opponents argue that not only is the gas plant problematic in its own right, but it will also drive more investment in gas infrastructure and fracking, which has already had devastating environmental consequences for the larger Great Lakes region.
Dairyland says the plant could be retrofitted to run on up to 30% hydrogen, which is being promoted as an industrial energy source by the Department of Energy including with the establishment of hydrogen hubs nationwide.
The plant would be a merchant generator selling power on the open market in the MISO regional transmission organization territory.
“The Midcontinent Independent System Operator (MISO) has affirmed the need for NTEC to support additional renewable energy resources, while ensuring reliability is not compromised,” Mirasola said. “Dairyland is dedicated to providing sustainable, reliable and affordable power for our member cooperatives. NTEC will be a critical capacity resource to ensure reliable power for our members at a time when resource adequacy in the MISO region is declining significantly.”
Dairyland is made up of 24 member electric co-ops in southern Minnesota, western Wisconsin, northern Iowa, and northern Illinois, and also serves 17 municipal utilities. Rural cooperatives in theory provide their members more say in decisions than an investor-owned utility, but critics say that cooperative members that oppose more fossil fuel generation have not been heard.
Dairyland’s current power mix is about 52% natural gas and 48% coal, according to an analysis by the Sierra Club, which also found Dairyland could save members $55 million by retiring two coal plants and replacing them with renewables, without adding any new gas-fired generation.
“There’s a lot of hesitancy around clean energy because of misinformation from fossil fuel industry and lobbyists,” said Cassie Steiner, Wisconsin Sierra Club senior campaign coordinator. “Definitely we see some cooperative members bringing up those pieces of misinformation or viewing clean energy as a very politicized dichotomy, rather than something that is accessible, affordable, reliable. The frustrations we’re hearing are the member cooperatives maybe aren’t listening to clean energy advocates who are their members.”
One of those frustrated cooperative members is Dena Eakles, a writer and activist who runs organic Echo Valley Farm and a sustainability nonprofit in western Wisconsin. She is a member of Vernon Electric Cooperative, part of Dairyland, and she is upset that Vernon board members have not opposed the Nemadji Trail plan.
“To me, any kind of fossil fuel energy is not clean energy,” she said. “People just see the end result, my lights go on, my stove runs — everything’s hunky dory. We need more people to understand and put pressure on their own board. We just need to help each other understand the peril of this time.”
Millions of rural Americans rely on private wells. Few regularly test their water.
Tony Leys FORT DODGE, Iowa — Allison Roderick has a warning and a pledge for rural residents of her county: The water from their wells could be contaminated, but the government can help make it safe. Roderick is the environmental health officer for Webster County in north-central Iowa, where a few thousand rural residents live […]
Four officers fired, forced out from law enforcement back on the job in NW Wisconsin
The state DOJ tracks police who leave employment with law enforcement agencies under negative circumstances. The Badger Project found these officers analyzing that database.
Clockwise from top left, Hurley Police Officer Noah Bunt, UW-Superior Police Officer Damen Rankin, Bayfield County Sheriff’s Deputy Brittany Letica and Price County Sheriff’s Deputy Jay Thums.
Wandering officers, problem police who get fired or forced out from one department, then go work at another, are a problem across the country.
To help prevent these officers from bouncing between agencies, the Wisconsin Department of Justice maintains a database where law enforcement agencies can flag officers they fired or forced out. Police and sheriff’s departments can check the database when considering hiring a new officer.
Also, the Wisconsin State Legislature passed a law in 2021 that requires law enforcement agencies to maintain a work history file for each employee and creates a procedure for law enforcement agencies, jails, and juvenile detention facilities to receive and review an officer candidate’s file from previous employers.
Previously, some law enforcement agencies had agreed to seal a fired officer’s personnel file in exchange for leaving quietly, so potential law enforcement employers couldn’t see why the officer had left their last job.
Nearly 300 officers currently employed in the state were fired or forced out from previous jobs in law enforcement, according to data from the state DOJ that The Badger Project obtained through a records request.
The state of Wisconsin currently has about 15,000 certified active law enforcement officers, including jail officers, according to the state DOJ, so fired or forced-out officers make up nearly 2 percent of the total.
Some of those flagged officers were simply novices who didn’t perform at an acceptable level during their initial probationary period, when the bar to fire them is very low, experts say. Sometimes the bosses simply don’t like a new hire and want them gone. Or the officer couldn’t handle the high pressure of working in a busy urban area, and do better in slower-paced positions and agencies, says Steve Wagner, a longtime police officer in Racine who is now an administrator for the state DOJ.
But others lost their jobs for more negative reasons.
The Badger Project looked at the state DOJ’s database and found four officers working in northwestern Wisconsin who had been fired or forced out from another law enforcement agency. A fifth officer was forced out from a police department in the area and moved one county over to continue work in law enforcement.
All the officers were given the chance to comment for this story. Those who provided them were included.
Noah Bunt
Shawano Police Department – May 2006 to November 2018
Resigned prior to completion of internal investigation
Now employed by Hurley Police Department
Bunt was accused of having a sexual relationship with another officer’s wife, and of communicating with her in a “sexual nature” while on duty with the Shawano Police Department, according to text messages collected from their phones.
Bunt was placed on administrative leave and resigned before the investigation concluded.
The Hurley Police Department hired Bunt on Nov. 30, 2018, 11 days after his last official day at the Shawano Police Department.
Hurley Police Chief Chris Colassaco and Bunt did not respond to messages seeking comment.
Brittany Letica
Superior Police Department – January 2021 until April 2022
Resigned in lieu of termination
Now employed by Bayfield County Sheriff’s Department
Letica “was released from probation” from the Superior Police Department because she was not meeting the standards of our department, said Assistant Police Chief John Kiel.
In an email to The Badger Project, Letica said she was “set up to fail from the beginning without any help from the department.”
“I was not treated fairly at this department and I realized, is this what I really want anyway?” she continued.
The Bayfield County Sheriff’s Office hired Letica in October 2022 as a full-time sheriff’s deputy.
Bayfield County Sheriff Tony Williams noted that Letica was hired before he became sheriff, but said she has “been doing great for us.”
The administration was aware of her exit from the Superior Police Department, and an “extensive background check” is conducted by the department’s investigator lieutenant before anyone is hired, Williams said.
“Deputy Letica is performing outstanding,” Williams said. “Deputy Letica is very professional and is fair with people, levelheaded and quick to respond to calls.”
Damen Rankin
Superior Police Department – April 2018 to January 2019
Resigned in lieu of termination
Now employed by UW-Superior Police Department
Rankin briefly worked for the Superior Police Department but “was released from probation because he was not meeting the standards of our department,” said Assistant Police Chief John Kiel.
The UW-Superior Police Department hired him to their five-officer staff in November 2020.
Jordan Milan, a spokesperson for UW-Superior, said she was not able to discuss “information gathered through the interview process,” but noted all applicants go through the same process of application review, interviews and reference checks.
“We conduct extensive background checks on all police officers, including physical and psychological assessments,” Milan said.
“Officer Rankin has met job performance expectations during his employment at UW-Superior,” she added.
Jay Thums
Wisconsin Department of Natural Resources – May 2016 to February 2022
Terminated for Cause
Currently employed by the Price County Sheriff’s Office
Thums started working for both the Wisconsin DNR and the Price County Sheriff’s Office in 2016. In February 2022, he was terminated from his limited-term position as a conservation officer with the DNR due to “failure to follow supervisory directive related to the use and parking of the department squad (vehicle) that you are assigned to use during your shift,” according to a letter he received from his supervisor that The Badger Project obtained through a records request.
Thums told The Badger Project in an email that the DNR supervisor had allowed several full-time officers to take their squad vehicles home, an exception to the department’s rules. He also said supervisors told him they terminated him because he continued to take his squad home after a warning, but Thums said he never received a warning.
Thums remains employed as a deputy with the Price County Sheriff’s Office.
About Thums, Sheriff Brian Schmidt said “his performance is good. He’s doing what we ask and doing his job. What’s expected of him.”
Grant Schuenemann
Park Falls Police Department in Price County – December 2017 to March 2020
Resigned in lieu of termination
Currently employed full-time by the Three Lakes Police Department in Oneida County and part-time by the WisDOTourism State Fair Park Police
Schuenemann, who is now working outside Price County, did not complete his probationary period with the Park Falls Police Department. In records obtained from the department in a records request, Schuenemann was reprimanded for not completing some reports, not completing reports in a timely manner, submitting reports with misspellings and other errors, missing a scheduled training session, and misusing department property.
Regarding the property issues, he lost control of a patrol vehicle and it slid off the road, taking him out of service until it could be towed back onto the road, according to the records, which note he may have been violating the law by driving too fast for conditions.. He also closed an automatic garage door on a vehicle, damaging the door.
The Three Lakes Police Department hired him in November of 2022.
“The Three Lakes Police Department is pleased that Officer Schuenemann has chosen to join the Three Lakes Police Department and look forward to his opportunity to join the Three Lakes community,” Police Chief Scott Lea said in an email to The Badger Project.
“Applicants that choose to apply to our agency are evaluated and vetted through the hiring process and determining the reasons for an officer leaving an agency are evaluated as part of the process,” the chief added.
In response to a question about Schuenemann’s job performance, Lea said his department “does not comment on employees.”
This story was funded in part by the Wirtanen Fund at the Duluth Superior Area Community Foundation.
The Badger Project is a nonpartisan, citizen-supported journalism nonprofit in Wisconsin.
Despite Marathon County’s poor record on child care, resolution proposes weakening oversight of in-home providers
Damakant Jayshi Over objections from licensed child care providers, a Marathon County committee on Thursday passed a resolution that aims to cut child care support and also weaken oversight of small in-home child care providers by reducing regulations. The resolution, approved by the Extension, Education, and Economic Development Committee, not only seeks to prohibit using […]
Pandemic brings telehealth boom to rural Wisconsin, but barriers linger
Reading Time: 7minutes
Wisconsin Watch is a nonprofit, nonpartisan newsroom. Subscribe to our newsletters for original stories and our Friday news roundup.
Story highlights
Telehealth is increasingly connecting Wisconsinites living in remote areas to health resources.
Helping fuel that growth was the federal government’s COVID-19 Public Health Emergency declaration, which eased regulatory barriers that previously blocked telehealth access.
The federal government ended its emergency declaration in May, leaving questions about how long some telehealth flexibilities will last.
Gaps in broadband access continue to limit services in many rural communities.
This story is part of our series Unhealthy Wisconsin, which examines areas where Wisconsin falls short in well-being.
Marshfield Medical Center family nurse practitioner Brianna Czaikowski says telehealth appointments are a game-changer for some patients. But in serving a mostly rural community, Czaikowski often fights spotty connections and miscommunication when providing virtual care.
“They feel a lot that I’m talking over them, which sometimes I probably am because (of) the delay,” said Czaikowski, a doctor of nursing practice and pediatric urology specialist who sees patients as far away as Michigan’s Upper Peninsula. “You’re not getting that full connection.”
Fresh off a COVID-19 pandemic boom, telehealth is increasingly connecting Wisconsinites living in remote areas to a web of health resources. Telehealth claims in 2020 swelled to a 6.3% share of total claims in Wisconsin — an increase of more than 2,400% from the previous year, according to a report from the Wisconsin Health Information Organization. Some northern counties reported high gains compared with the rest of the state.
Helping fuel that growth is the federal government’s COVID-19 Public Health Emergency declaration, which eased regulatory barriers that previously blocked telehealth access. That included relaxing rules for certain prescriptions and changing regulations pertaining to appointments and reimbursement for those on Medicare or Medicaid.
But lingering gaps in broadband access continue to limit services in many rural communities, where telehealth use lags behind better-connected urban communities.
A screenshot from the Public Service Commission of Wisconsin’s online broadband mapping tool. Lingering gaps in broadband access continue to limit services in many rural communities, where telehealth use lags behind better-connected urban communities.
Meanwhile, the federal government ended its emergency declaration in May, leaving questions about how long some telehealth flexibilities will last. Legislation made some changes permanent, but others are set to expire by the end of 2024 or before.
Without action, some of the state’s most vulnerable patients could lose telehealth options they gained during the pandemic.
Pandemic actions expanded telehealth services
After the COVID-19 pandemic struck in March 2020, the Biden administration announced initial telehealth flexibilities that Congress further expanded temporarily — igniting a 63-fold increase in Medicare patients seeking telehealth services that year, according to a federal Department of Health and Human Services report.
Pandemic-era changes, for instance, allowed all eligible Medicare providers to deliver telehealth services that patients could access in their home and outside of previously designated rural areas. The changes waived geographic restrictions on telehealth services and increased options to receive them.
The changes cleared a “huge hurdle” that previously blocked telehealth growth, said Mary DeVany, associate director for the Great Plains Telehealth Resource and Assistance Center.
The pandemic ushered in significant growth for telehealth services for behavioral and mental health. And it has also increased options for certain types of primary care, DeVany said. Remote patient monitoring software, for instance, allows doctors to keep tabs on weight, blood pressure and other vital signs for patients with chronic health conditions, meaning patients with chronic conditions need less frequent hospital or clinic visits.
Telehealth has its limitations. “We can’t see certain things that we could see in the office,” Czaikowski said. That could include immediately spotting signs of child abuse or diagnosing ailments that might not be on a patient’s radar.
But expanded telehealth options have proved “really beneficial” for Czaikowski’s patients in many ways. Although most of her patients still use in-person visits, she said, telehealth visits allow families to check in more often or get simple diagnoses without having to pull their kids out of school and drive long distances for a short in-person visit.
“I see people from Michigan,” Czaikowski said. “They have to drive six hours just to see me. And then to have a 10-minute visit and tell them that their kid is just constipated? Or that they wet the bed — okay, here’s your medicine. That’s a lot for the families to have to give up.”
Health care by phone and Zoom
But not all telehealth options are equal — or accessible to all.
Czaikowski conducts telehealth appointments over video or phone. She prefers video appointments when possible, allowing her to see patients and keep their attention. But she said the majority of telehealth patients she treats rely only on phone calls. That’s in line with national trends among rural patients.
“People will call you from work or when they’re driving and not really give you their full attention,” Czaikowski said. “You have to be really talented in what questions you ask as a provider.”
Brianna Czaikowski, a Marshfield Medical Center family nurse practitioner, is photographed at her computer on July 26, 2023, in Marshfield, Wis. (Drake White-Bergey / Wisconsin Watch)
While phone visits work well for those with less tech literacy or working parents with multiple kids at home, they reduce opportunities for children to communicate health information that parents might not think or want to mention, Czaikowski said.
“The kids tell the truth. When we’re on the (phone) visit, you don’t really hear the kids, it’s more the parent.”
Rural broadband access lags
Poor internet service ranks among the top reasons Czaikowski’s patients choose phone appointments over video, which generally should work at download speeds of 25 megabits per second and upload speeds of 3 Mbps — the federal standard for broadband access.
Nearly 22% of rural Wisconsinites lack adequate broadband services — a rate far above the rest of the state, according to a 2021 Federal Communications Commission report. And data from the U.S. Census Bureau’s American Community Survey show 38% of low-income households in Wisconsin lack an internet subscription.
State leaders are working on solutions.
In 2020 Democratic Gov. Tony Evers established the Governor’s Task Force on Broadband Access, which assists rural communities, many with older populations that want high-quality internet but don’t know where to start.
“They didn’t mind not having broadband, maybe they didn’t see the importance of it,” task force chair Chris Meyer said. “But as their communities age, telehealth suddenly becomes a reason.”
A video showing Democratic Gov. Tony Evers speaking about broadband access plays during a Public Service Commission of Wisconsin Internet for All listening tour on May 23, 2023, at the Madison College Truax Campus in Madison, Wis. Evers created the Governor’s Task Force on Broadband Access in 2020 to help address the state’s internet needs. (Drake White-Bergey / Wisconsin Watch)
Telecommunications companies find it more lucrative to provide broadband to densely populated urban areas. For-profit businesses happily make the initial, and often heavy, infrastructure investment because they expect to have a large customer base.
But sparsely populated areas are less enticing for private companies. The cost of burying miles of fiber optic cables — one of the fastest and most reliable ways to deliver the internet — can be prohibitive. While a mile of internet service could serve hundreds of homes in a metropolitan area, it would cover only a few homes in northern Wisconsin, Meyer said.
Wisconsin has directed at least $340 million to broadband expansion and connected about 390,000 people to the internet since Evers launched the task force, Meyer said. The state had previously spent about $20 million.
Despite the task force’s increase in spending, Meyer said many people, especially those in northern Wisconsin, have yet to gain high-speed service.
Without broadband access, telehealth is “not a cure-all,” said Kirk Moore, Covering Wisconsin’s navigator who connects northern Wisconsinites to health insurance.
“Just to be able to take on the task of telehealth is a barrier.”
Meanwhile, low-income rural Wisconsinites may not make full use of the internet even after fiber optic cables arrive in their communities.
Rural households tend to earn less than urban households in Wisconsin, federal data show. And while a growing share of rural Wisconsinites own a computer, Moore said, “they have a computer but they don’t have the broadband access to be able to hook up to a physician or a behavioral health person through a video.”
Some telehealth flexibilities are temporary
The federal government made some telehealth flexibilities permanent before the emergency declaration ended, particularly for those related to behavioral and mental health. Federally Qualified Health Centers and Rural Health Clinics, for instance, may continue providing such services to Medicare patients without previous geographic restrictions — including over audio-only platforms.
The government has extended similar flexibilities for issues unrelated to behavioral and mental health through only Dec. 31, 2024.
The Drug Enforcement Administration and the Substance Abuse and Mental Health Services Administration additionally extended flexibilities for remote prescriptions of controlled medications, such as treatments for opioid use disorder, through Nov. 11, 2023. The deadline will extend an additional year for new practitioner-patient telemedicine relationships.
Financial incentives affected
The pandemic also affected how hospitals were reimbursed — and financially incentivized — to offer telehealth services.
Under the federal emergency declaration, Medicare and Medicaid in Wisconsin and most other states began reimbursing hospitals for telehealth visits at the same rate as in-person visits.
“That means if you are seen … for something that you would have had covered in person, you are seen for that through telehealth,” DeVany said.
The Wisconsin Department of Health Services in March announced it would permanently reimburse hospitals for most video and audio telehealth services offered to the more than 1 million Wisconsinites on Medicaid — as long as the quality of virtual appointments matched in-person services.
The long-term future of reimbursements for telehealth services through Medicare remains less certain. Without further action, the equal treatment of telehealth and in-person services for billing will expire at the end of 2024.
At that point, Medicare could pay a lower rate for telehealth appointments — excluding the costs of items associated with in-person visits. That would require health care providers to absorb additional costs — or even eliminate services they can’t afford, DeVany said, adding that a similar result could happen with the private insurance market, which often follows Medicare’s lead.
The Marshfield Medical Center is photographed on July 26, 2023, in Marshfield, Wis. The Wisconsin Department of Health Services says it will permanently reimburse hospitals for most video and audio telehealth services offered to Medicaid patients — as long as the quality of virtual appointments matched in-person services. (Drake White-Bergey / Wisconsin Watch)
“Once again, the patient would have to come and figure out how to come in,” DeVany said. “It’s a dual-edged sword, in that the patient gets the short end of that deal.”
A bipartisan group of dozens of lawmakers in Congress are pushing to make a range of pandemic-era telehealth flexibilities permanent.
“While telehealth use has skyrocketed these last few years, our laws have not kept up,” U.S. Sen. Brian Schatz, D-Hawaii, said in a June statement. “Telehealth is helping people in every part of the country get the care they need, and it’s here to stay.”
Czaikowski hopes Medicare continues covering telehealth appointments for specialists, which she said are in short supply across Wisconsin. She is among just six nurse practitioners statewide certified in urology, she said.
“They can’t just go to the doctor an hour away. They are traveling six hours,” Czaikowski said about some of her rural patients in Upper Michigan. “I really hope Medicare doesn’t ever take that away because it’s really going to hurt us.”
The nonprofit Wisconsin Watch (www.WisconsinWatch.org) collaborates with WPR, PBS Wisconsin, other news media and the University of Wisconsin-Madison School of Journalism and Mass Communication. All works created, published, posted or disseminated by Wisconsin Watch do not necessarily reflect the views or opinions of UW-Madison or any of its affiliates.
Wisconsin’s Black infants have some of the country’s highest mortality rates. These solutions could help.
Reading Time: 6minutes
Wisconsin Watch is a nonprofit, nonpartisan newsroom. Subscribe to our newsletters for original stories and our Friday news roundup.
Story highlights
Black infants in Wisconsin are three times more likely to die than white infants. The state has one of the highest mortality rates for Black infants in the country.
Stress felt from poverty, lack of health care and racism can impede a baby’s growth during a pregnancy, research suggests. Addressing such societal factors may improve pregnancy outcomes.
Boosting access to information during a pregnancy and support from doulas could also help.
This story is part of our series Unhealthy Wisconsin, which examines areas where Wisconsin falls short in well-being.
When her daughter was born weighing just 1 ½ pounds, Dr. Jasmine Zapata experienced firsthand the danger she now spends her professional life battling: Wisconsin’s stubbornly high rate of preterm birth and mortality, especially among Black babies.
Zapata works at the University of Wisconsin School of Medicine and Public Health as a pediatrician and public health researcher. For the last two years, she also has served as the state epidemiologist for maternal and child health and chronic diseases at the Wisconsin Department of Health Services (DHS).
Her second child, born prematurely at just 25 weeks of gestation, faced several life-threatening illnesses in the neonatal intensive care unit. As Zapata knows better than most, complications caused by prematurity are the leading cause of Black infant mortality in Wisconsin.
“She was almost a statistic,” Zapata said. “I was a statistic with my birth outcome … the one about college-educated Black women having higher rates of preterm birth compared to white women who don’t finish college.”
Her daughter is now 13 years old and “thriving,” but the experience still fuels her passion for combating inequities in maternal and child health.
Wisconsin has one of the highest mortality rates for Black infants in the United States. The two main causes of death within the first year of life for Black infants are low birthweight and sudden unexpected infant death, according to a 2023 DHS report.
(Courtesy of the Wisconsin Department of Health Services)
The report calls for more parental education around safe sleeping habits (babies alone on a surface on their backs, free from soft objects and loose bedding), prioritizing breastfeeding when possible and better access to prenatal and postpartum care.
Research, including at the University of Wisconsin, has highlighted societal factors — including stress caused by poverty and racism — as major causes of negative outcomes for Black babies. Wisconsin is home to outsized Black-white disparities across society, including in education, wealth, health, housing and the justice system.
Mortality rate remains high
In 1990, Black infants in Wisconsin were 2.7 times more likely to die within a year of birth than white infants in the first year of life, according to DHS. Three decades later, Black infants in the state are three times more likely to die than white infants.
“This isn’t new news,” said Theresa Duello, a reproductive cell and molecular biologist who researches misconceptions of race, a social construct, in genetic studies.
(Courtesy of the Wisconsin Department of Health Services)
The overall rate at which infants die during the first year of life in Wisconsin in 1990 was 8.4 deaths per 1,000 live births. By 2021, that number dropped to 5.3 deaths per 1,000 live births, similar to the national rate.
Negative birthing outcomes for Black infants have not improved as quickly as those for white babies.
Among white infants, the rate dropped from 7.2 to 4.4 deaths per 1,000 births between 1990 and the 2019-2021 period — a 39% decrease. Among Black infants, the rate dropped from 19.7 to 13.2 deaths per 1,000 live births over the same period, a 33% drop and still triple the rate for white infants.
“I think we should reexamine how we take responsibility for this,” Duello said.
Preterm birth is top cause of infant deaths
Preterm birth, those occurring before 37 weeks of pregnancy, is the leading cause of newborn mortality.
Wisconsin’s rate of neonatal deaths due to preterm birth was 21% above the national average in 2018. That year, 15.6% of Black births were premature, compared to 9% of white births.
Pregnancy outcomes can differ widely among people of different races and other demographics. Black infants in Wisconsin, for instance, are three times more likely to die than white infants. (Courtesy of the Wisconsin Department of Health Services)
Low birth weight — infants less than 5 pounds, 8 ounces — and prematurity are both associated with infant mortality, Duello noted.
Low birth weight is often associated with intrauterine growth retardation (IUGR), when the fetus is smaller than expected for the number of weeks of pregnancy. Researchers hypothesize that an increase in the hormone cortisol during pregnancy may harm blood flow to the placenta, compromising access to nutrients and impairing fetal growth.
When low birth weight babies are born in consecutive generations, some may incorrectly assume the issue is genetic, Duello said. But if pregnant women in the same family face great stress over the generations, such as poverty, lack of health care and racism, they will more likely have high cortisol levels — and likely deliver a small baby. Addressing such stressors could improve pregnancy outcomes, research shows.
Stress blamed for racial disparities
Mothers of color disproportionately live in areas with fewer resources and thus may face greater stresses that increase the odds of negative birth outcomes, DHS says in a 2018 report.
“The Black-white difference in infant death is considered an inequity because its causes are systemic, avoidable and unfair,” the report says.
While poverty affects stress levels, a California-based study suggests racism can play an even bigger role in infant mortality disparities than wealth. In California, the wealthiest Black parents lost more babies on average — 437 per 100,000 births — than the poorest white parents: 350 per 100,000 births.
“We know what to do. We lack sufficient intent,” Duello said. “And that doesn’t mean there aren’t good people working really hard.”
Thirty community organizations — eight of which are based in Milwaukee County — have received grants to reduce infant and maternal mortality rates in Wisconsin.
But ARPA funds are not permanent.
In his 2023-2025 budget, Wisconsin Gov. Tony Evers proposed $5.7 million over two years in grants for community organizations working to lower maternal and infant mortality. The funding would have also supported fetal and infant mortality review teams and grief and bereavement efforts.
Evers’ proposal would have helped community-based grants stretch beyond the time frame of ARPA and built on the work started with the ARPA-funded community grants, according to Elizabeth Goodsitt, a DHS spokesperson.
But the Wisconsin Legislature’s Republican-controlled Joint Committee on Finance removed the provisions along with hundreds of others before Evers ultimately signed the budget in July. The final budget allocated $222,700 per year for “reducing fetal and infant mortality and morbidity” — the same level DHS has received for more than a decade.
Doulas seen as a solution for improving pregnancy outcomes
A 2014 study found better birth outcomes for Black and white mothers who participated in Healthy Start, a community-based federal program involving home visits, health information and access to medical and community services.
Another approach is the use of doulas: support people during pregnancy, labor and birth. Hanan Jabril, a community doula and sexual and reproductive health and rights educator in Madison, said a doula’s role is to support and empower the patient to facilitate a safe pregnancy and birth.
“We don’t speak on behalf of the patient, but we can help facilitate conversations between the patient and the provider,” Jabril said.
One goal is to reduce “obstetric violence,” which refers to harm inflicted during or in relation to pregnancy, labor and the postpartum period, sometimes by providers who hold implicit biases against people of color.
One example Jabril observed: a patient who was denied pain medication in the hours after a cesarean section after a provider suspected “drug-seeking behavior” — contrary to what some of the patient’s nurses thought. Although the patient advocated for herself, the experience showed the potential harm of implicit bias and the need for doulas, Jabril said.
Hanan Jabril, a community doula and sexual and reproductive health and rights educator in Madison, says a doula’s role is to support and empower the patient to facilitate a safe pregnancy and birth. “We don’t speak on behalf of the patient, but we can help facilitate conversations between the patient and the provider.” (Drake White-Bergey / Wisconsin Watch)
The presence of doulas can improve birth outcomes. Doulas have been shown to decrease cesarean sections — surgical procedures with higher risks than nonsurgical births — by anywhere from 28% to 56%, according to DONA International, the largest doula-certifying organization.
The price of doulas ranges widely depending on the type — for instance their availability before or after a birth. Although most insurance companies do not cover a doula’s full cost, Jabril considers them “always worth it.”
Patients in need of financial help have options. The city of Milwaukee, for instance, since 2019 has matched residents with free doulas through its Birth Outcomes Made Better program.
Wisconsin DHS recently disbursed almost $1 million to four community organizations that train doulas or provide doula services. Two of those organizations — both based in Milwaukee — received more than $700,000 for doula workforce development. They include the WeRISE Community Doula Program, which provides free services.
Zapata admits her work to improve birth outcomes often is “daunting” and “discouraging,” but it’s also important.
“And it’s important for us to remember that behind all of the statistics and numbers these are real lives and real families that are forever impacted,” she said.
The nonprofit Wisconsin Watch (www.WisconsinWatch.org) collaborates with WPR, PBS Wisconsin, other news media and the University of Wisconsin-Madison School of Journalism and Mass Communication. All works created, published, posted or disseminated by Wisconsin Watch do not necessarily reflect the views or opinions of UW-Madison or any of its affiliates.
Juan Peña, 29, has worked in the fields since childhood, often exposing his body to extreme heat like the wave hitting the Midwest this week.
The heat can cause such deep pain in his whole body that he just wants to lie down, he said, as his body tells him he can’t take another day on the job. On those days, his only motivation to get out of bed is to earn dollars to send to his 10-month-old baby in Mexico.
Farmworkers, such as Peña and the crew he leads in Iowa, are unprotected against heat-related illnesses. They are 35 times more likely to die from heat exposure than workers in other sectors, according to the National Institutes of Health, and the absence of a federal heat regulation that guarantees their safety and life – when scientists have warned that global warming will continue – increases that risk.
Over a six-year period, 121 workers lost their lives due to exposure to severe environmental heat. One-fifth of these fatalities were individuals employed in the agricultural sector, according to an Investigate Midwest analysis of Occupational Safety and Health Administration (OSHA) data.
One such case involved a Nebraska farmworker who suffered heat stroke alone and died on a farm in the early summer of 2018. A search party found his body the next day.
In early July 2020, a worker detasseling corn in Indiana experienced dizziness after working for about five hours. His coworkers provided him shade and fluids before they resumed work. The farmworker was found lying on the floor of the company bus about 10 minutes later. He was pronounced dead at the hospital due to cardiac arrest.
“As a physician, I believe that these deaths are almost completely preventable,” said Bill Kinsey, a physician and professor at the University of Wisconsin-Madison. “Until we determine as a society the importance of a human right for people to work in healthy situations, we are going to see continued illness and death in this population.”
Juan Peña (left) with other farmworkers take a quick break in a field in southeastern Iowa. While this summer has not been especially hot in Iowa, the crew leader (standing) said, he’s noticed over the years summers have gotten hotter.Photo taken on Wednesday, July 20, 2023. photo by Sky Chadde, Investigate Midwest
Peña harvests fields in Texas and Iowa. This summer, he’s overseen five Mexican seasonal workers picking vegetables and fruits in Louisa County, Iowa. With its high humidity and heat, Iowa’s climate causes the boys, as he affectionately refers to them, to end their day completely wet, as if they had taken “a shower with their clothes on,” he said. They work up to 60 or 70 hours a week to meet their contractual obligations.
“I’m lucky because my bosses are considerate (when it’s hot),” he said in Spanish, recalling that he managed to endure temperatures as high as 105 degrees in Texas. “I’ve had bosses who, if they see you resting for a few minutes under a tree to recover yourself, think you’re wasting your time and send you home without pay.”
Some of his friends have been less fortunate, and a few minutes of rest have been cause for dismissal, he said.
When extreme heat is combined with high humidity, the health risks multiply. Summertime humid heat has increased three times more than air temperatures across the U.S. since 1950. On average it has increased between 6 and 7 percent throughout much of the Mississippi River basin. Credit: Climate Central
The fatalities scratch the surface of what is a more extensive issue, according to health experts, academics and advocacy groups, who say the data on heat illnesses and death is inadequate.
“There is a massive undercount,” said Elizabeth Strater, director of strategic campaigns for United Farm Workers.
She said it is common for the death of a person who died after a heat stroke to be classified as caused by a heart attack on an autopsy.
Strater said it’s difficult to quantify issues that face farmworkers because those that are undocumented tend to shy away from authorities and, in general, the population moves around a lot and lives in secluded areas. “Everything to do with farmworkers is particularly difficult because we don’t know,” she said.
An estimated 2.4 million people work on farms and ranches nationwide, according to the U.S. Department of Agriculture’s census of agriculture. This population, mostly Latino, is roughly equal to the population of Chicago. More than one-third are undocumented.
A possible federal standard
Although employers are generally responsible for ensuring a safe working environment that protects their employees’ well-being and lives, no federal regulation stipulates a specific temperature threshold that mandates protective measures.
Nearly four in 10 farmworkers are unwilling to file a complaint against their employer for noncompliance in the workplace, mostly out of fear of retaliation or losing their job, according to survey data of California farmworkers conducted by researchers at the University of California Merced Community and Labor Center.
Only four states have adopted outdoor workplace heat-stress standards, and none of them are in the Midwest. California was the first to implement such standards, followed by Oregon, Washington, and Colorado.
This leaves the protection of agricultural workers from heat stress at the discretion of their employers in most states.
OSHA has been working on a heat-stress rule since 2021 that will require employers to provide adequate water and rest breaks for outdoor workers, as well as medical services and training to treat the signs and symptoms of heat-related illnesses. However, according to a U.S. Government Accountability Office report, this process can take from 15 months to 19 years.
OSHA officials would not comment on the pending federal heat standard.
A farmworker walks past boxes of donated supplies from the Migrant Farmworkers Assistance Fund at an apple orchard just outside of Waverly, Missouri. The organization gives out donated school supplies, food, eyedrops, insulated bags for cold water, baseball caps and thin long sleeve shirts for the heat. Credit: Zach Perez/KCUR 89.3
Last year, the Asuncion Valdivia Heat Stress Injury, Illness, and Death Prevention Act, which would force OSHA to issue a heat standard much faster than the normal process, failed to get the votes on the floor.
The bill was named in honor of Asuncion Valdivia, who died in 2004 after picking grapes for 10 hours nonstop in 105-degree heat. Valdivia collapsed unconscious and, instead of calling an ambulance, his employer told his son to take his father home. On the way home, he died of heat stroke at 53.
“There is definitely a political decision to be made by members of Congress, in both the House and the Senate, because they have the power to pass legislation to tell OSHA to issue a standard more quickly,” said Mayra Reiter, project director of occupational safety and health at the advocacy group Farmworker Justice.
Reiter added that the legislation would also help shield that standard from future legal challenges in court.
In response, President Joe Biden announced new measures to protect workers — including a hazard alert notifying employers and employees of ways to stay safe from extreme heat — as well as steps to improve weather forecasting and make drinking water more accessible.
But farmworker advocacy groups are calling on the administration to speed up OSHA’s issuance of a rule protecting workers. They are also pushing for the 2023 farm bill to include farmworker heat protections.
“Farmer organizations and many other worker advocacy groups are hoping that there’ll be a federal regulation,” Reiter said, “because, going state by state, we have seen that there isn’t that urgency to develop these rules.”
Long way to a new rule
Creating a new rule to protect workers from heat must overcome several hurdles, from bureaucratic procedures to lobbying industries, including the agricultural industry.
“OSHA is uniquely slow,” said Jordan Barab, who served as OSHA’s deputy assistant secretary of labor during the Obama administration.
He said the 1970 act that created OSHA imposes many requirements on the rulemaking process. The agency has to determine the current problem and whether the new standard will reduce risk. OSHA must also ensure that the new standard is economically, technically and technologically feasible in all industries.
Workers sign up to get help setting up healthcare appointments from the Migrant Farmworkers Assistance Fund at an apple orchard just outside of Waverly, Missouri. The organization gives out donated school supplies, food, eyedrops, insulated bags for cold water, baseball caps and thin long sleeve shirts for the heat. Credit: Zach Perez/KCUR 89.3
The road to regulations to protect workers from the heat also has to overcome industry lobbying, including big agricultural and construction groups. One group that has expressed hesitancy to new federal rules is the American Farm Bureau Federation, which has spent on average about $2.3 million on lobbying over the past two years, according to OpenSecrets.
“Considering the variances in agricultural work and climate, (the Farm Bureau) questions whether the department can develop additional heat illness regulations without imposing new, onerous burdens on farmers and ranchers that will lead to economic losses,” Sam Kieffer, vice president of public policy at American Farm Bureau Federation, said in a statement.
Vulnerable populations
To make a living, Jaime Salinas fills 32 sacks of apples each day in Missouri. His daily quota is one ton, or about 3,200 apples. His wife used to walk 11 miles a day to harvest fruits and vegetables when she worked in the field.
He said when he gets too hot, he sits in the shade to drink water but feels pressured to keep working due to the method of payment, which depends on the amount harvested.
Strater, with Farmworker Justice, believes that the way farmworkers are paid is one of the main obstacles that must be overcome to ensure their safety because it often incentivizes volume, forcing them to expose themselves to continued work without regard to the signs of heat-related illness.
Kinsey, the University of Wisconsin professor and the director of a mobile clinic, said the demographic has a higher incidence of diabetes, hypertension, and chronic kidney disease.
“Climate stress,” he said, “has introduced an additional layer of complexity to these existing challenges.”
Nicolas Romero Dominguez works at an apple orchard near Waverly, Missouri. He says the heat on days like this make him feel weak while he’s climbing the ladder. Credit: Zach Perez/KCUR 89.3
Seasonal visa workers are especially vulnerable because they depend completely on whoever hires them: from the house they live in to the food they eat.
“You’re going to endure as much as you can with the hopes of continuing to provide for your family,” Strater said. “The thing is the endpoint for that is death.”
In Tama County, Iowa, David Hinegardner owns a small farm called Hinegardner’s Orchard, where he grows apples, strawberries, corn and soybeans. He sells his crop to supermarkets, farmers’ markets, schools, and colleges.
The farmworkers are immigrants from Latin America who reside in the surrounding area, and some of them have been working on his farm for decades. One of the measures he takes during the summer to avoid risks to his workers is to change the work schedules to avoid the hottest part of the day.
“I think they do a much better job when they’re treated with respect and taken good care of,” he said.
Moms for Liberty is growing in Wisconsin as critics call them extremists
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Moms for Liberty chapters have spread to 11 counties in Wisconsin and members say their ranks have grown since the Southern Poverty Law Center labeled them an anti-government extremist group.
Much of the growth comes from previous local organizations that formed to oppose COVID-19 school closures and mask requirements re-organizing as part of the well-funded national group.
Members plan to be active in upcoming school board and state superintendent elections, to remove books they find objectionable from school libraries and to support anti-LGBTQ legislation. Eight of the 27 school board candidates the group endorsed won elections in April, mostly in Ozaukee County.
At July’s Wood County chapter meeting of Moms for Liberty — a growing, national conservative organization that has drawn scrutiny for its extreme rhetoric on hot-button issues — the discussion turned to a topic that had been decided 30 years ago: whether the local high school should have a valedictorian.
The Marshfield School District discontinued the practice in 1993 on a 4-3 vote partly due to concerns that it put too much pressure on students. Since 2010 the district has recognized the top 5% of graduating seniors, but has stopped publicly ranking students by GPA.
For some parents, it was a reminder that school policies didn’t reflect their values.
“The pushback on it is that whole ‘Well, we don’t want to exclude someone,’ ” said Mary Schueller, the Wood County Moms for Liberty chair who graduated from Marshfield High School in 1995. “Well, not everybody gets a participation ribbon for valedictorian and salutatorian. They worked really hard for that.”
“That’s the sort of stuff we’re fighting,” she added.
Moms for Liberty has attracted condemnation for their promotion of anti-LGBTQ+ rhetoric, opposition to race-focused history lessons and calls to ban books they deem inappropriate for children.
But in Wisconsin and elsewhere their ranks are growing, bolstered by the concerns of parents like Schueller who got a look under the hood of their local schools during COVID and now want a more direct role in their children’s education. That includes removing books from school libraries members deem offensive or inappropriate for children.
The group in June was categorized as an anti-government extremist group in the Southern Poverty Law Center’s 2022 Year in Hate & Extremism report, which stated that the group’s “primary goals are to fuel right-wing hysteria and to make the world a less comfortable or safe place for certain students — primarily those who are Black, LGBTQ or who come from LGBTQ families.”
At the Wood County chapter meeting, Marie Rogerson, national executive director of program development, said the group experienced a large membership spike shortly after the SPLC report.
Since it started in January 2021 Moms for Liberty says it has expanded to 285 chapters in 46 states with over 125,000 members. In Wisconsin, chapters in Kenosha, Marathon, Milwaukee, Ozaukee, Polk, Rock, St. Croix, Vilas, Washington, Winnebago and Wood County have popped up over the past two years.
It’s hard to pinpoint how many members are active in Wisconsin — the Wood County and Ozaukee County chapters estimated that there are 400 and 6,000 members in their groups, respectively. A national spokesperson said they do not have updated state membership numbers.
The national group has remained unapologetic in the face of criticism. At the group’s second summit in Philadelphia co-founder Tiffany Justice defended an Indiana chapter that quoted Adolf Hitler in its newsletter and later apologized.
“One of our moms in a newsletter quotes Hitler. I stand with that mom,” she said to applause.
“If @Moms4Liberty is a ‘hate group,’ add me to the list,” GOP presidential candidate and former United Nations Ambassador Nikki Haley tweeted a few days later.
The group planned to visit Milwaukee ahead of the first Republican presidential debate on Aug. 23. Moms for Liberty is hosting a discussion titled “Giving Parents a Voice” with U.S. Sen. Ron Johnson. They initially planned to host a candidate town hall event but pivoted after they said the venue, the Italian Community Center, canceled the event.
Membership is spreading from Southeast Wisconsin throughout the state
Moms for Liberty first made headlines in Wisconsin two years ago amid mask mandates and social distancing measures, when members in Kenosha shut down a school board meeting holding signs that said “We do not Co-Parent with the Government.”
“Is this losing steam? Is this going to stop? No, it’s only going to gain momentum as we move forward,” Nedweski told the Milwaukee Journal Sentinel in December 2021 following the failed recall, adding that one of her goals is “to have a Moms for Liberty T-shirt in every school board meeting across the country.”
Scarlett Johnson, chair of Ozaukee Moms for Liberty, left, is seen with vice chair Amber Schroeder in Mequon, Wis., on Aug. 13, 2023. Johnson has five children, two who graduated from the public Homestead High School, one who currently attends Homestead High School, one who attends Kettle Moraine High School and one who attends Trinity Lutheran School. (Drake White-Bergey / Wisconsin Watch)
In Ozaukee County, a recall effort led by Scarlett Johnson and Amber Schroeder against four Mequon-Thiensville School Board members in November 2021 raised nearly $50,000, with Republican donor Richard Uihlein donating to the campaign and Former Lt. Gov. Rebecca Kleefisch helping organize outreach.
The effort didn’t unseat any incumbents but the group morphed into Moms for Liberty when Johnson and Schroeder formed an Ozaukee chapter in July 2022. Johnson serves as the Republican Party of Ozaukee County’s second vice chair and Schroeder is a member at large.
Johnson this past spring lost a bid for the Mequon-Thiensville School Board, receiving 21% of the vote.
Sitting at a bench behind the Frank L. Weyenberg Library in Mequon, where Johnson and Schroeder spent summer 2021 collecting recall signatures, they reflected on the chapter’s growth.
“A lot of families do go to church around here and a lot of families do have very freedom-loving, patriotic, constitution-loving values, and if you’re going to come and start taking those away from people, you’re going to tick off a lot of people,” Schroeder said.
Schroeder and Johnson were both previously stay-at-home moms, and Schroeder pulled her younger kids out of public school during the pandemic. Most Moms for Liberty members “weren’t paying attention 10 years ago or five years ago,” Schroeder said. “COVID-19 really helped open everybody’s eyes because our students started struggling.”
Wisconsin strategy mirrors national movement
Moms for Liberty was founded in Florida by former school board members Justice and Tina Descovich, as well as Bridget Ziegler, a current Sarasota County school board member. The group started as a way to fight against COVID-19 safety protocols in schools and gained wider attention with their appearance on the Rush Limbaugh Show in January 2021.
Similarly in Wisconsin, a surge of conservative groups that initially organized amid pandemic mask mandates and distancing restrictions formed the basis for Moms for Liberty. The Kenosha chapter of Moms for Liberty was one of 73 groups that signed onto an August 2021 Wisconsin United For Freedomopen letter against mandatory COVID-19 vaccines. Members across those groups, as well as members of MTSD Parents for Moving School Forward in Mequon and Concerned Citizens of Marshfield, have funneled into Moms for Liberty, according to Johnson, Schroeder and Scheuller.
Johnson added that conservative media, such as Wisconsin Right Now, the Vicki McKenna Show on 1310 WIBA and 1130 WISN and the Meg Ellefson Show on the WSAU Wisconsin Morning News, helped give the group a platform to grow.
In Marshfield, the valedictorian issue was first brought to Tara Tremelling, a Moms for Liberty-endorsed board member who graduated in 2003, by Dillon Scheuer, a Northwestern University freshman who graduated in May from Marshfield High School.
“He was feeling like he had nowhere to really take the topic,” Tremelling said.
In an interview, Scheuer pointed to Moms for Liberty’s national Constitution challenge and to the Marshfield group’s partnering with The 917 Society to provide pocketbook constitutions for students as an example of what he believes is positive work. Constitution day on Sept. 17 has been a public school observance day in Wisconsin since 1987.
“If someone thinks Moms for Liberty, what they jump to right away is ‘Oh, book burnings, and they hate the LGBTQ community,’ ” Scheuer said. “I think that’s something that gets a lot of press attention because it gets people fired up. … It’s less sexy to say ‘Hey, these people want school board accountability and these people want everyone to understand the Constitution.’ ”
Marshfield High School in Wood County, Wis., discontinued the practice of recognizing a valedictorian in 1993. Members of the Wood County Moms for Liberty group want to reinstate the recognition. (Drake White-Bergey / Wisconsin Watch)
Community members have voiced their concerns about the chapter’s growing presence in Marshfield. At their June school board meeting, one parent speaking about Moms for Liberty said she was worried that community members didn’t know the group’s background and cited the SPLC report.
“I want us all to be aware of the possible motivation that could be behind some of the things right here in Marshfield schools,” said Nicole Johnson, who is a member of LGBTQ+ advocacy group PFLAG Marshfield. “Just because they may say they are doing these things because of parents’ rights, and they find buzzwords that can make the public think things are happening in the schools that are not does not mean they’re speaking for all parents.”
“Just because you are loud and angry doesn’t make you correct,” she added.
Looking ahead to elections and shaping public policy
In 2022 more than half of the 500 candidates the group endorsed in school board elections were elected to seats across the country, according to the Associated Press. This past April cycle in Wisconsin, eight of the 27 candidates it endorsed were elected, seven of whom were to Ozaukee County school boards.
At the group’s second summit held June 29 through July 2, the fight against “woke” rhetoric took center stage and served as a platform for 2024 GOP hopefuls to champion their values. Speakers included Haley, former President Donald Trump, Florida Gov. Ron DeSantis, former Arkansas Gov. Asa Hutchinson and entrepreneur Vivek Ramaswamy.
“I think parents are going to help decide this next election more than ever. And I think that’s why at the Moms for Liberty summit in Philadelphia, we had every single (Republican) candidate speak,” Johnson said. “They know that they need to come talk to the mama bears.”
The summit provided training on how to win school board elections and included sessions on topics like “Comprehensive Sex Education: Sex Ed or Sexualization” and “Protecting Kids from Gender Ideology,” according to SPLC.
During the conference, Justice told the AP that Moms for Liberty will use its political action committee to endorse candidates for state education boards, state superintendents and local school board races across the country.
The group in Wisconsin is in the candidate recruitment process for the spring 2024 school board elections and spring 2025 Wisconsin State Superintendent of Public Instruction election. They have worked with the conservative Leadership Institute on candidate and recruitment training, Johnson said.
Asked what solutions Moms for Liberty supports for closing Wisconsin’s huge racial disparities in education outcomes, Johnson, who is Hispanic and grew up in a poor area of Milwaukee, said the state needs less diversity coordinators and more reading and math specialists.
“Since we’ve started to focus on equity and not excellence, we have seen that gap grow because we’re not giving kids what they need,” Johnson said. “We are focused too much on virtue signaling and not actually doing the virtuous thing, which is educating children.”
Amber Schroeder, vice chair of Ozaukee Moms for Liberty, is seen in Mequon, Wis., on Aug. 13, 2023. Schroeder’s oldest child attends the public Homestead High School while her younger two children attend the private Trinity Lutheran School. (Drake White-Bergey / Wisconsin Watch)
Johnson and Schroeder said one of Moms for Liberty’s primary goals in Wisconsin is shaping public policy. They recently formed a Moms for Liberty state legislative committee, which Johnson chairs, that will help them prepare to support legislation this fall.
They plan to testify in support of legislation that would prohibit puberty blockers for minors and ban transgender athletes from participating in athletic teams designated for females and require schools to designate teams as falling into male, female, or co-ed categories. Democratic Gov. Tony Evers has vowed to veto it.
Johnson, Schroeder and Nedweski were among those who testified in support of a Republican-supported Parent Bill of Rights that Evers vetoed last year. Provisions requiring students to have parental authorization to use different names and pronouns in school have since been added to school board district policies in Kettle Moraine, Arrowhead, Waukesha, Germantown and Muskego-Norway.
On July 12, the Waukesha School District fired first grade teacher Melissa Tempel in the months after she publicly criticized the district’s request that she remove from a school concert the song “Rainbowland,” The song celebrates diversity and encourages everyone to “dig down deep inside (and) brush the judgment and fear aside.” The district said it “could be perceived as controversial.”
John Norcross is a parent and community organizer in the Arrowhead School District who has worked to track the connections between school board policies and political organizations since the pandemic. He expressed concern that Moms for Liberty’s growth will harm vulnerable groups in the state. (Courtesy of John Norcross)
That morning, Johnson and Schroeder lined up outside of the district’s offices to oppose a silent protest of the firing organized by the Alliance for Education Waukesha.
“There are only two genders,” read a sign that Johnson posted a photo of on Twitter alongside a selfie of her and Schroeder with the caption: “supporting the Waukesha School District as they work to keep ideology and politics out of first-grade classrooms.”
John Norcross, a parent and community organizer in the Arrowhead School District, was there to support Tempel. He has tracked connections between school board policies and political organizations since the pandemic and said Moms for Liberty has more national strategy and resources behind it than most organizations.
“There’s no equivalent from a party perspective,” Norcross said.“Democrats aren’t doing it, whether because they don’t want to or can’t. … But what’s countering it is what I call a communitarian response.”
The nonprofit freedom of expression organization PEN America’s Index of School Book Bans found 1,477 instances of individual books banned in fall of 2022 and connected Moms for Liberty to 58% of all advocacy-led book bans around the country. Despite their growing efforts, a 2022 poll found that nearly three-quarters of parents oppose book banning. Critics have raised concerns that banning books that explore gender and sexuality sends a harmful message to kids struggling with their identity.
Moms for Liberty members say they are “curating” books in school libraries, not banning them. But groups like the American Civil Liberties Union, the American Library Association and PEN describe the removal of those books as a ban.
So far in Wisconsin removing books from schools hasn’t been at the forefront of Moms for Liberty’s goals, but chapters are looking to remove books they deem inappropriate for schools in the future.
In Marshfield, Schueller in May 2022 sent a request to remove four books — “Lucky,” “Push,” “Sold” and “Tricks” — from Marshfield High School’s library but did not respond to the school’s response that outlined the process for moving forward with the complaint. She said she plans to wait until more group members can actively review the district’s books.
Half a dozen scholarly historian groups criticized the Museum of the American Revolution in Philadelphia for renting space to the group ahead of the national summit. The American Historical Association wrote in a letter that Moms for Liberty “has vigorously advocated censorship and harassment of history teachers, banning history books from libraries and classrooms, and legislation that renders it impossible for historians to teach with professional integrity without risking job loss and other penalties.”
Johnson, who attended the national summit, said protesters there told her that she deserved to be raped and murdered and that they wanted to kill her children. She called it the “most vile, horrific thing” she had ever witnessed.
“Basically, if you’re not on the left, you’re a hate group,” Johnson said of the criticism the group receives. “You’re akin to a very extreme, something horrific like the KKK, just because you’re a Republican. And that’s wrong. And that is demoralizing, and it’s also dehumanizing. And that’s where we have to be careful. We should not dehumanize people that we don’t agree with.”
‘Proxies for a national culture war’
Liberal groups, including Stop Moms for Liberty, Defense of Democracy and Red Wine & Blue, have formed to counter Moms for Liberty, mobilizing suburban, Democratic voters at the school board level and starting campaigns related to racial equity and stopping book bans.
Elisabeth Lambert, founder and principal of the Wisconsin Education Law and Policy Hub, has represented students in discrimination cases against school districts across the state. She cautioned that the politicization of school boards is creating a hostile environment for marginalized students. (Lily Shea / Courtesy of Elisabeth Lambert)
Critics say the politicization of school boards is creating a hostile environment for marginalized students. Elisabeth Lambert, founder and principal of the Wisconsin Education Law and Policy Hub, has represented students in discrimination cases against school districts across the state, including in Chippewa Falls, Cedarburg and Burlington. She said her clients often receive “astounding harassment” that reduces what they’re experiencing to a “culture war narrative,” with those who speak out labeled as “anti-American” or a “corrupting influence.”
“They’re sort of viewing these local peoples as proxies for a national culture war and so it’s really not about problem-solving at all,” Lambert said. “It’s just about feeling like part of whatever team you happen to identify with, and using these other folks in your community and the fact that you share a public school system as an opportunity to perform your allegiance to that national agenda.”
Melissa Deckman, a political scientist who studies gender, religion and the role of women in conservative politics, said that Moms for Liberty’s growth is a response to the country’s growing diversity in terms of race, ethnicity and gender, specifically citing that one in five Gen Z adults identify as LGBT.
“Those sorts of things are challenging to the worldview of conservative Christian women who don’t like these changes in society,” Deckman said, noting how they’ve utilized the unique historical position of the pandemic to their advantage. “It really has allowed them to organize and pretty effectively tap into a lot of parents who were unhappy about COVID and those restrictions, but now, of course, it has spread to concerns about critical race theory or transgender policies or LGBT policies.”
Melissa Deckman is the CEO of Public Religion Research Institute and studies gender, religion and the role of women in conservative politics. She said that “battles about defining culture and history” are “nothing new in American politics when it comes to public schools.” (Courtesy of Melissa Deckman)
Ahead of the 2024 election cycle, Norcross said he’s concerned about the group gaining more funding and getting more active throughout Wisconsin and is worried their anti-LGBTQ rhetoric will negatively impact vulnerable groups. With the suburban Milwaukee counties growing increasingly Democratic, he sees conservatives “driven by a fear that their local area is changing.”
“They’re losing Republican suburbs because of the demographic changes,” Norcross said. “They don’t want to lose that and they’ve seen this as a play to get it.”
Looking ahead, Johnson said the group is focused on growing its membership in northern Wisconsin and believes there will be a burst of membership over the next year.
“With all of the national attention that’s going to be on Wisconsin because we are having the Republican convention here, by the summer, I would think that we’re going to see huge growth in Moms for Liberty,” Johnson said.
The nonprofit Wisconsin Watch (www.WisconsinWatch.org) collaborates with WPR, PBS Wisconsin, other news media and the University of Wisconsin-Madison School of Journalism and Mass Communication. All works created, published, posted or disseminated by Wisconsin Watch do not necessarily reflect the views or opinions of UW-Madison or any of its affiliates.
Can’t find child care for your infant in Wisconsin? You’re not alone. Industry experts break down why it’s so difficult.
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This story was produced as part of the NEW (Northeast Wisconsin) News Lab, a consortium of six news outlets covering northeastern Wisconsin.
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Parents have a lot to worry about when preparing for a baby: their health, hospital bills, whether or not the delivery goes smoothly — the list goes on and on. But another concern is becoming more prominent.
“(Child care) has literally been the biggest stress of my entire pregnancy — not knowing exactly where our baby is going to go, if they’re going to be safe, and just knowing the waitlists are so long and the astronomical prices,” said Menasha’s Hannah Wainio, who’s expecting her first child in late July.
Hannah and her husband, Grant, started their child care search as soon as they learned she was pregnant at five weeks. When Hannah spoke to USA TODAY NETWORK-Wisconsin in June, the family still had not found care.
Their story isn’t unique. In Outagamie County, there are over 1,200 children younger than 2 on regulated child care waitlists, according to data recently compiled by Child Care Resource & Referral Fox Valley. In Winnebago County, there are nearly 550.
In Family and Child Care Resources of Northeast Wisconsin’s service area, infant waitlists can span one to two years, said executive director Paula Breese. CCR&R Fox Valley’s executive director, Candy Hall, said wait times can be over five years.
Because of this, it’s increasingly common for parents to get on wait lists even before they conceive. Six months before Ripon’s Ashley Giese found out she was expecting her fourth child, she told her child care provider she was trying to get pregnant. In New Glarus, Abby Funseth timed the conception of her second child around a child care opening.
“People plan all of the things they need and the logistics of waking up at night (to feed their infant), those are things you expect as a new parent. But you don’t always expect an 18-month waiting list for daycare,” Giese said.
Why is care for infants, specifically, so difficult to find?
The financial model most child care programs in Wisconsin operate within is flawed, said Kelly Matthews, co-director of Wisconsin Early Childhood Association’s shared services network.
Aside from funds from Child Care Counts, the state’s monthly stabilization payment program, which is set to expire in early 2024, the price parents pay for care is often the only revenue centers see, Matthews said. This has to cover myriad costs, including utilities, rent or mortgage, insurance, personnel costs and more.
Nicole Leitermann, of Impressions Family Child Care, holds baby Luke Stefl as the other children watch on June 8, 2022, in Kimberly, Wis. (Wm. Glasheen / USA TODAY NETWORK-Wisconsin)
Providers often charge parents less than the actual cost of care — all costs of running the child care facility, from bills to livable wages and benefits for the educators — in an attempt to keep prices manageable. And that’s with child care workers being notoriously underpaid compared to those with similar credentials in other fields.
Child care businesses are left to survive on thin profit margins — typically 1% to 2%, while most businesses’ profit margins span 10% to 20%, according to research compiled by the Greater Fox Valley Child Care Alliance.
Licensed child care programs in Wisconsin are also subject to regulations aimed at ensuring infants get age-appropriate care, Matthews said.
In a licensed family child care setting — a child care business based in the provider’s home — the number of children younger than age 2 present often limits the total number of children it can serve full time, which also limits its revenue.
In group centers, staff-to-child ratios allow for more children per staff member as children get older. For example, one staff member can either supervise four children younger than 2, or six children ages 2 to 2½.
“Without (funding) based on the true cost of care, it is a better financial decision for child care programs to take children 2 and older than it is for them to take infants, which (leaves) both programs and families struggling,” Matthews said. “The issue is the (lack) of revenue coming in, not the ratios.”
Caring for infants is often more labor-intensive than caring for older children, as infants typically require more one-on-one interaction, according to First 5 Fox Valley Director Barb Tengesdal. It’s also harder on providers’ bodies, with all of the bending and lifting, according to Corrine Hendrickson, a licensed family child care provider in New Glarus.
As a result, there’s often high turnover among infant teachers.
What happens when families can’t find care?
Even searching for care well before their infant is due doesn’t always guarantee families a spot — let alone one they can afford. According to Child Care Aware of America, the average cost of center-based infant care in Wisconsin in 2022 was $13,572, and the average price of infant care for in a family child care was $10,400. Both surpass the cost of a year of in-state tuition at University of Wisconsin-Madison.
As soon as she knew her pregnancy was viable, Allyssa Thomas, a Milwaukee-area teacher, began contacting centers, many of which required nonrefundable waitlist fees. Based on the responses, she doesn’t expect a slot will open by the time her maternity leave ends.
While Thomas is confident she can piece together care for a few months if needed, she said if it takes too long, she might need to leave her job.
“I’d imagine that either myself or my husband would need to choose not to work, at least for a year while our child is still an infant, which would be hard,” Thomas said. “Child care is expensive, but paying for child care with two incomes is (more feasible) than going down to one income.”
Parents may also turn to their own parents when they cannot find an opening. Carolyn Nelson’s mother drives five hours each week between her home in Beloit and Nelson’s home in Appleton to care for Nelson’s 6-month-old daughter, Emma.
Carolyn Nelson, right, is pictured with her mother, Gloria Mathews, and her then 5-month-old daughter, Emma. Carolyn and her husband rely on Mathews to drive 2.5 hours to take care of Emma while they work. (Wm. Glasheen / USA TODAY NETWORK-Wisconsin)
This allows Nelson to continue working as a Help Me Grow navigator with ThedaCare, helping connect families with early childhood resources and information — for now. Nelson worries about what will happen if a spot doesn’t open before winter, when ice and snow may prevent her mother from traveling.
“If there’s still no child care, where do I put Emma every day?” Nelson asked. “Can I work through her nap times and have her home with me? To be quite honest, that sounds like I will be burnt out in two months. Would I be able to (leave work temporarily) and return once I get child care? Would that even be an option?”
On one hand, Nelson said she can’t help but wish she looked sooner, starting months before Emma was born. At the same time, she knows doing so could’ve had unforeseen drawbacks.
“I would have been pretty crushed to get a phone call saying that there’s a spot opening on a waitlist if I was no longer pregnant (due to medical complications),” Nelson said.
When parents can’t find an infant opening at a high-quality child care, they may be forced to leave the workforce, turn to lower-quality options or patch care together from a variety of sources.
Tammy Dannhoff, a licensed family child care provider in Oshkosh, said consistency is key for a young child’s development, and the early months and years are the prime time for children to develop secure relationships with caregivers.
This led Dannhoff to bend the rules a few summers ago to add a second child younger than 2 to her program. Under licensing regulations, she was supposed to care for only one child younger than 2 if she wanted eight slots, the maximum number a licensed family provider can have.
“When I was talking with his mom, I found out he was going to be going to three or four different places every week in the summer because she had to piece together care for him,” Dannhoff said. “At the time, he was 22 months, and I thought, ‘It’s going to be more detrimental for him to go to three or four different places for child care, so I’m going to take the risk and just take him.’”
Dannhoff was able to get an exception so she remained in compliance. Department of Children and Families Communications Director Gina Paige said there’s a flow chart of sorts that helps determine when exceptions should be granted, but some family child care providers said they feel these exceptions are granted inconsistently.
What can be done?
The solution to the care shortage for children up to age 2 doesn’t lie in doing away with regulations or increasing staff-to-child ratios.
“That, I believe, would be the fastest way to close down more of the under-2 rooms,” said Brooke Skidmore, co-owner and director of The Growing Tree, a child care center in New Glarus. “You will not find teachers that want to have five babies under their care, and it still will not make it profitable.”
Matthews thinks the solution to the infant care crisis lies in funding child care businesses based on the true cost of care.
Gloria Mathews cares for her then 5-month-old granddaughter, Emma, on June 20 in Appleton. Due to a lack of childcare, Carolyn Nelson and her husband rely on her mom to drive 2.5 hours from Beloit to take care of Emma when she needs to work. (Wm. Glasheen / USA TODAY NETWORK-Wisconsin)
“If we had true cost of care for payment amounts … it would still get the bills paid and not be a loss for the program,” Matthews said.
Increasing tuition rates often comes with the risk of making child care unattainable for families. Matthews said finding a path forward will require collaboration between communities, employers, families and the government.
Angel Berry, the executive director of the nonprofit A Million Dreamz child care in Sheboygan, said solutions lie in creative funding models. For example, she said, child care businesses could make infant care sustainable by operating under a nonprofit model and seeking funding support from the community.
However, in the meantime, some say slight alterations to state licensing requirements could help.
After Dannhoff investigated ways to change family child care requirements for a college capstone project in 2021, she said she supports employing a “weighted” system that distinguishes between young infants and children 18 months and older. The younger children would have a higher “weight” than the older children, essentially making a spot at a family child care available for another child once an infant turns 18-months-old instead of 2 years.
Hendrickson, who also supports this change, explained that by 18 months, children are typically more mobile and better able to verbalize their needs. The Wisconsin Family Child Care Association has long discussed the exact weights each particular age group would be assigned. As of now, however, WFCCA has not brought any formal proposals to DCF.
While Hendrickson said this change could help get families off waitlists and into consistent care more quickly, she said it alone cannot rectify Wisconsin’s infant care shortage.
“It’s definitely not a solution, per se, for the crisis because it’s not going to even come close to fixing the problem, but it would be one potential way to alleviate some of the pressure,” Hendrickson said.
Employers have a role to play, too. Providing and extending paid family leave gives parents essential time to bond with their infant as well as more time to search for child care, Tengesdal said. For industries in which flexible scheduling is possible, allowing parents to work from home, bring their child to work when needed, and reduced hours after birth helps both parents and babies adjust, she said.
Many of the potential solutions advocates say could bolster Wisconsin’s child care sector in general would, by extension, help solve the infant care crisis, Hendrickson said. These range from significant state and federal investments to shifting the way society views child care.
“If there is no infant care, the likelihood of a mother returning to work is significantly reduced,” Hendrickson said. “This impacts her family’s financial wellbeing, her career trajectory, her mental health and the growth and development of her child.”