Kirk Siegler | New Hampshire Public Radio

Kirk Siegler

Kirk Siegler reports for NPR, based out of NPR West in California.

Siegler grew up near Missoula, MT, and received a B.A. in journalism from the University of Colorado.  He’s an avid skier and traveler in his spare time.

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These last few days have been chaotic at the Nimiipuu Health Clinic on the Nez Perce Reservation in Idaho.

The director, Dr. R. Kim Hartwig, is trying to manage testing and treating patients for COVID- 19 and other diseases, while also racing to get a plan in place to distribute a vaccine.

"It's not something that we have a timeline [for], it's like, I got a call and was told, 'You're gonna get a vaccine in two weeks, get a plan together,' " she says.

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President-elect Joe Biden will be taking over a country that is even more sharply divided on urban-rural lines. One of the biggest reasons why the divide got bigger in 2020 may be the coronavirus pandemic.

For conservatives such as Judy Burges, a longtime state legislator from rural Arizona, President Trump did as well as he could have managing the response to COVID-19. As she waited in line to vote this fall, Burges said the economic fallout has been worse in small towns dependent on small businesses.

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Health officials in rural America are struggling under the weight of the coronavirus pandemic. In the Upper Midwest and Rocky Mountain states, they warn that hospitals are at or nearing capacity. NPR's Kirk Siegler reports.

Arizona, the Sun Belt state that produced Barry Goldwater and was a bedrock for a generation of Republicans and conservative-leaning snowbirds, appears to be voting Democratic in the presidential election for only the second time since 1948.

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The past seven months have been a big strain on families like Mandi Boren's.

The Borens are cattle ranchers on a remote slice of land near Idaho's Owyhee Mountains. They have four kids — ranging from a first grader to a sophomore in high school. When the lockdown first hit, Boren first thought it might be a good thing. Home schooling temporarily could be more efficient, plus there'd be more family time and help with the chores.

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Linda Oslin and her husband lost everything when the Camp Fire raced into their neighborhood in Paradise, Calif., in the fall of 2018.

She's in her 70s — he in his 80s — and they decided they didn't have it in them to try to rebuild. That could take years. So they found a place for sale out of the woods and farther down the mountain near Oroville, Calif., where they've started to rebuild their lives.

Except for one thing.

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When firefighter Ahri Cornelius got the call that his Missoula, Mont., crew was deploying to central California, he had some reservations.

They'd be traveling from a rural state with a relatively low infection rate to California, a coronavirus hot spot. Cornelius also has a 3-year-old toddler back home with a preexisting lung condition.

"Coming down here and knowing that you're going to be around this many people in such a busy setting definitely stirred up quite a bit of anxiety for all of us," Cornelius said.

In front of City Hall, a crew shovels through debris, clearing a path to the front door. Bricks and broken glass from office buildings litter downtown. Gas station awnings have been flipped on their sides.

The best news in Lake Charles, La., in recent days: an announcement that 95% of the streets here are just now navigable, nearly a week after Hurricane Laura tore through the region.

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People fighting wildfires in California face an extra safety concern; they have to work, eat and sleep in camps with other people in the middle of a pandemic. NPR's Kirk Siegler reports on the effort to keep them healthy.

In Orange, Texas, just across the Sabine River from Louisiana, a line of cars hundreds deep snakes along a highway shoulder and into a parking lot. A local supermarket has set up an aid distribution center in the hot sun and humidity. Families are packed in their cars, waiting to get the basics: ice, water, a hot meal.

Hurricane Laura is the first major test of whether the Gulf Coast is prepared to handle two disasters at once. Coronavirus case numbers in Southwest Louisiana were already spiking at an alarming rate. Then a Category 4 hurricane came ashore.

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Updated at 4:10 p.m. ET

Anti government activist Ammon Bundy has been arrested for a second time in two days at the Idaho State Capitol. State police gave Bundy a no trespass notice after he entered the state Senate chamber Wednesday morning, less than 24 hours after he was hauled out of the building Tuesday and charged with trespassing and resisting and obstructing officers.

Todd Troyer retired as an ironworker in Milwaukee and moved to rural Wisconsin 15 years ago. The Vietnam veteran has diabetes and heart conditions and gets his prescriptions and insulin through the mail.

When his supply runs low, Troyer, 69, phones in an order to the pharmacy at the nearest VA hospital, in Madison more than an hour's drive away. He depends on the mail especially now during the pandemic, as cases in his region are continuing to rise.

"That's the thing I'm worried about: Is it going to make it here or isn't it? I don't know," Troyer says.

At the Bruneau-Grandview School District in rural southern Idaho, a couple of dozen teachers are crowded into the small library.

They're doing a refresher training for online teaching. In person-classes are scheduled to begin Monday, but with coronavirus cases continuing to rise in Idaho and other states, it's an open question for how long.

Amid pressure from Democrats and some Republicans, the Trump administration is planning to withdraw its controversial nominee to head the federal Bureau of Land Management.

The sprawling public lands agency, which manages roughly a tenth of the landmass of the United States, has not had a permanent, Senate-confirmed director for the entire Trump era.

A federal appeals court in San Francisco has denied the Justice Department's motion for a retrial in the case against Nevada rancher Cliven Bundy, who led an armed standoff against federal agents over cattle grazing near his ranch in 2014.

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More than three months into the pandemic, it can still be tough to get a coronavirus test, especially if you live in some of the country's more remote tribal communities.

Montana is finally trying to change that with "mass surveillance" testing events.

Until recently on the state's Flathead Reservation, you could only get a test if you were showing COVID-19 symptoms. So Eric Van Maanen was grateful to hear of a free day-long testing event in the parking lot of Salish and Kootenai College.

The top prosecutor in Omaha, Neb., will request a grand jury to take a second look at the shooting of James Scurlock, a 22-year-old African-American man who was killed by a white bar owner Saturday night as George Floyd protests in the city turned violent.

Douglas County District Attorney Don Kleine had released the shooting suspect Jake Gardner from custody on Monday, ruling that he acted in self defense.

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