Kirk Siegler | KGOU
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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.

Lila Kills In Sight lost her 81-year-old mother to COVID-19 on Nov. 23.

"I really don't know who to be mad at," she said. "Who do I take my frustration to, how do I deal with it?"

Kills In Sight, an enrolled member of the Rosebud Sioux Tribe, is the first to say she's not dealing with it well. She had been keeping her mom sheltered mostly in her home in the remote community of Spring Creek as the pandemic raged in South Dakota. But in September she broke her hip. Then in November she fell.

Not many American towns the size of Pinedale, population roughly 2,000, can boast that they have a $22 million aquatic center, with a beautiful lap pool, water slides, yoga rooms and a three-story climbing wall.

Then again, most rural towns this size probably haven't had the steady pipeline of tax revenue from natural gas pumped off nearby federal land to pay for it. The opening of the center, more than a decade ago, convinced its now director Amber Anderson to move back home after college in 2018 as a young professional.

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In Washington state, federal aid is finally coming to a struggling farming community that was nearly decimated by a wildfire last Labor Day.

After 15 years working in western oil patches, Antonio Magana finally struck out on his own, starting a small oil and gas well servicing company.

Then the pandemic hit.

Demand tanked and production ground nearly to a halt here in Wyoming's Jonah Field. Magana and his skeleton staff are down to working just three days a week.

"Right now, not much going on, you know, we've been working little hours," Magana says. "A lot of people lost their jobs a month ago, a lot of people."

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As the violent mob broke into the U.S. Capitol last Wednesday, and livestreams showed pro-Trump insurrectionists defacing property and posing in the House Speaker's chair, here in the West, feelings of shock quickly faded to familiarity.

"There are years of warning signs," said Eric Ward of the Western States Center, which tracks extremism in Oregon and the West.

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In the small town of Oak Creek, Colo., — a three-hour drive from Denver, assuming the roads are clear — Gene Bracegirdle, a firefighter and EMT in training, is getting his first dose of the Moderna COVID-19 vaccine.

"The fact that it is here is kind of mind-blowing, like, they care enough to reach out to the rural communities," Bracegirdle says.

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It can feel like a parallel universe when you go from a city where kids are cooped up inside at home doing school virtually on their tablets to an isolated small town such as Bruneau, Idaho.

One afternoon this week, the bell had just rung and kids were emptying out of the small elementary school and into the snowy parking lot, almost as if it's 2019 and there is no pandemic.

No one appears to be wearing a mask, which is just fine with parents such as Cassandra Folkman.

"I don't make them wear 'em anywhere we go," Folkman says. "I don't wear one and they don't."

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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LULU GARCIA-NAVARRO, HOST:

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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STEVE INSKEEP, HOST:

It used to be conventional wisdom that if you win Phoenix and surrounding Maricopa County, you probably win Arizona.

But this is 2020 and all bets are off. President Trump and his campaign advisors apparently see a path to victory in Arizona without picking up the state's most populous county.

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