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The Real Cost: How Policy Failures Are Crushing Heartland Families

  • Jan 31
  • 3 min read

A comprehensive new report from Progress Iowa documents what politicians won't say: the affordability crisis devastating working families isn't an accident—it's the result of deliberate policy choices. "An Affordability Crisis in the Heartland" reveals how rising costs across groceries, healthcare, and energy are forcing Iowa families to make impossible choices, from unplugging Christmas lights to leaving the state entirely.


The common thread connecting these stories isn't geography—it's Washington's failure to prioritize working families over tax cuts for the wealthy and corporate interests.


In Fairfield, Dawn Ridgeway Bechtel opened her December electricity bill expecting the usual $165 charge. Instead, she found $467. Her response was immediate and heartbreaking: she walked through her house unplugging everything she could find. "That is the end of the outside Christmas lights at our house," she told researchers. Meanwhile, across Iowa, electricity costs are projected to surge nearly 20% this winter, with natural gas bills climbing 16%.


The healthcare crisis hits just as hard. Cedar Rapids senior Terry Davis watched her monthly costs explode from $500 to over $3,000 in a single renewal period. "It's taking all of my husband and I's income," she said. Down in Ogden, Sarah Bohlke faced an even starker reality when her health insurance premium jumped from $328 to $1,600 a month. "It's so frustrating," Sarah said, "when it could easily be solved."


For Iowa's farming families, the crisis compounds from every direction. Northeast Iowa farmers John and Meghan Palmer saw their health insurance premiums surge 90% to nearly $375 per month. Meghan, already working the farm full-time, is now forced to consider taking a second job just to afford basic coverage. At the same time, tariffs have devastated agricultural markets and their farmland has lost $286 per acre in value since 2023.


Small businesses are casualties too. In Indianola, McCoy True Value—a hardware store that had served the community for 140 years—closed its doors permanently. "I was sad because it's a hometown place," resident Linda Sorg said. "We're going to miss it." The closure eliminated eight jobs in a state now ranked dead last in the nation for economic growth.


Perhaps most alarming is the collapse of rural healthcare infrastructure. Residents of Ottumwa must now drive over an hour for basic medical care after their local clinic shut down. The Des Moines Area Religious Council, operating 14 food pantries, broke a 50-year record when 2,500 families sought food assistance in a single month. Air Force veteran Autumn Williams, searching for work opportunities in Iowa, summed up the growing desperation: "It's been very discouraging." She's now considering leaving the state entirely.


What connects Dawn's unplugged Christmas lights to Terry's drained retirement savings, Meghan's second job search, and McCoy True Value's shuttered doors? According to the Progress Iowa report, it's a pattern of policy decisions that prioritize wealthy corporations and the top 1% while working families foot the bill. The report details how Iowa's Congressional delegation repeatedly voted for legislation that cuts food assistance, eliminates energy programs, and allows healthcare subsidies to expire—all while expanding permanent tax breaks for the richest Americans and foreign investors.


The data is damning: Iowa ranks 48th for personal income growth, has lost 5,400 manufacturing jobs in the past year, and economists warn the state is "on the precipice" of recession. But behind every statistic is a family like the Palmers, working harder than ever and still falling behind. A senior like Terry, watching a lifetime of savings evaporate. A veteran like Autumn, forced to abandon her home state to find opportunity.


These aren't isolated hardships—they're the predictable results of choosing tax cuts over people, corporate interests over Main Street, and political posturing over practical solutions.


Cost Coalition leads the bipartisan opposition to Washington policies that are raising costs on working Americans. 

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