The value of community

Small backwater towns are not all Frank Capra and social capital. They can be all MAGA and fuck wearing masks, instead.

Ten years ago, Dr. Kristina Darnauer and her husband, Jeff, moved to tiny Sterling, Kan., to raise their kids steeped in small-town values.

“The values of hard work, the value of community, taking care of your neighbor, that’s what small towns shout from the rooftops, this is what we’re good at. We are salt of the earth people who care about each other,” Darnauer says. “And here I am saying, then wear a mask because that protects your precious neighbor.”

But Darnauer’s medical advice and moral admonition were met with contempt from some of her friends, neighbors and patients. People who had routinely buttonholed her for quick medical advice at church and kids’ ballgames were suddenly treating her as the enemy and regarding her professional opinion as suspect and offensive.

Because somehow medical science and reliance on evidence and listening to expert advice became a matter of politics instead of a matter of the right tools for the job. It makes about as much sense as deciding that calling a plumber when a pipe breaks is something liberals do, while conservatives prefer to let it fix itself.

That wedge is splitting off health care workers from communities that desperately need them.

More than a quarter of all the public health administrators in Kansas quit, retired or got fired this year, according to Vicki Collie-Akers, an associate professor of population health at the University of Kansas. Some of them got death threats. Some had to hire armed guards.

“These are leaders in their community,” Collie-Akers says. “And they are leaving broken.” Collie-Akers notes these professionals also leaving at a terrible time. The pandemic is still raging. Vaccines still need to get from cities to small towns and into people’s arms; public health officers are as important as ever.

Also it’s going to be hard to replace the people who are leaving, because the situation remains what it is.

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