“Over the last five years, syphilis transmission has increased explosively all over the US. The spread of this infection, which starts as a rash but can progress to severe disease in adults, is particularly alarming because syphilis infections during pregnancy can lead to death or disability in newborns.
Although syphilis trends are bad on a national scale, South Dakota’s numbers are particularly concerning. Since 2020, cases in the state have increased tenfold. Furthermore, infections are not evenly spread across the population: American Indians make up more than two-thirds of the state’s cases.”
“South Dakota voters made history last November by simultaneously approving ballot initiatives aimed at legalizing recreational and medical use of marijuana. The success of the broader initiative, Amendment A, was especially striking because it prevailed by an eight-point margin in a state that is mostly Republican and largely conservative. But thanks to a legal challenge backed by Republican Gov. Kristi Noem, Amendment A was almost immediately tied up in litigation, and last Wednesday the South Dakota Supreme Court definitively overturned it, ruling that the measure violated the “single subject” rule for constitutional amendments.”
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“State legislators proved more willing to set aside their personal views on marijuana in deference to the policy preferred by voters. “In my mind, [legalization is] inevitable because we’ve already seen the support from the public,” Senate Majority Leader Gary Cammack said after Klinger’s decision. “I didn’t vote for recreational marijuana, but my constituents did,” added Greg Jamison, another Republican senator. “Rarely do we get a chance to enact a law and not for sure know what our constituents think of that. Here we know.”
In response to such comments from members of her own party, Noem threatened to veto any legalization bill the legislature might decide to pass. Noem later suggested she might be open to decriminalizing low-level marijuana possession. Possessing two ounces or less is currently a misdemeanor punishable by up to a year in jail and a maximum $2,000 fine.”
“North and South Dakota have taken a laissez-faire approach to dealing with Covid-19 — never instituting stay-at-home orders or mask mandates as other states, including some of their neighbors, did.
South Dakota in particular took a very hands-off approach, with no restrictions even on large gatherings. The strongest action Republican Gov. Kristi Noem took was to push businesses to follow safety guidelines from the Centers for Disease Control and Prevention. Otherwise, Noem has boasted about her state’s loose strategy: She argued in an ad that businesses struggling with restrictions in other states should “come grow [their] company” in South Dakota.
“Here in South Dakota, we trust our people,” Noem said. “We respect their rights. We won’t shut them down.”
Noem still defends her approach, arguing in a recent op-ed that she’ll continue to resist stricter measures. “I’m going to continue to trust South Dakotans to make wise and well-informed decisions for themselves and their families,” she wrote.
North Dakota has done a little more. While avoiding statewide restrictions and lockdowns, Republican Gov. Doug Burgum in October called for reduced business capacity in some counties as cases spiked in his state. But these are mere recommendations — it’s hard to know if any businesses are following them — and, even then, he stopped short of recommending closures.
North Dakota also has one of the most expansive testing regimes in the US — consistently reporting one of the highest rates of coronavirus testing in the country. This may partially explain its high case count, although its positivity rate indicates that it still doesn’t have enough testing. And that testing-and-tracing system can only do so much once the virus is completely out of control, which growing hospitalizations and death rates are evidence of.
“Our contact tracers are overwhelmed with a backlog of cases,” Carson said. “We have further heard from many of our contact tracers that they are meeting increasing resistance from people to give up their contacts or abide by quarantine rules. People have become fatigued with the restrictions.”
Similar to South Dakota’s governor, North Dakota’s Burgum has pushed a message of personal responsibility. “It’s not a job for government,” he said. “This is a job for everybody.””