In desperate need of a win, the Vikings got a major boost on Sunday morning when veteran safety Harrison Smith and star left tackle Christian Darrisaw were activated for a noon kickoff against the Cincinnati Bengals at U.S. Bank Stadium.

It will be the first time Smith and Darrisaw have played for the Vikings this season.

It’s been a slow build to this point, as Smith has been dealing with a personal health issue, and Darrisaw has been working through the final stages of his recovery from a torn anterior cruciate and medial collateral ligaments in his left knee.

In addition, edge rusher Andrew Van Ginkel was active and set to make his return after clearing concussion protocol.

The inactives for the Vikings include quarterback J.J. McCarthy, center Ryan Kelly, left tackle Justin Skule, receiver Tim Jones, tight end Nick Vannett, defensive tackle Elijah Williams, and quarterback Desmond Ridder, who was available on an emergency basis.

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Edward Lotterman

The American economy is in a “very dynamic state right now” — a phrase we used in Vietnam for situations where no one knew what the hell was going on — and many people are rightfully uneasy.

Interlocking issues engender many questions. Most are about how one might see sundry crises developing and how the government might respond, if at all, to such challenges.

Some concern the general economy.

Will stock, cryptocurrency or house prices fall? How much? How precipitously? Can the government — Trump administration or Federal Reserve — respond? Should they?

With high mortgage servicing costs on farmland after a historic land price boom, together with high input costs, sick exports, falling crop prices, does the farm sector face another wave of bankruptcies and foreclosures akin to the farm crisis of the 1980s?

More seriously, are we headed toward an economy-wide recession? Inflation? Both? How serious might these be? What can the Fed or the Treasury or other executive branch agencies do? How will markets respond?

Ratcheting up from all that, what is the likelihood that asset market declines in an uncertainty-plagued economy, with new institutions like crypto, might prompt established financial institution failures — as Bear Stearns and Lehman Brothers did in 2008 — that then lead to a 1929-level financial collapse?

Unfortunately, none of these concerns are baseless. In fact, odds that some of these crises will occur are frighteningly high. Moreover, the track record of predicting market downturns or financial collapses is pretty dismal. There are myriad cases of respected pundits lauding high stock prices just before the bottom drops out, or of respected economists continuing to deny the signs of a recession months after the point-of-no-return has passed, identified by rearview-mirror research as the starting point of a downturn, or Fed officials miscalculating long-term inflation as “transitory.”

That said, let’s look at some of the warning signs.

Stock market indexes are at historic highs after a long run. History and common sense tells us that they are likely to decline. The Fed just cut short-term interest rates — a move Wall Street had already priced in — but mortgage, business and farm loans are coming off years of being below long-term averages. These low rates were supported by large expansion of the money supply that, so far, has not caused accelerating inflation for consumers or producers.

But inflation-adjusted interest rates will return to the mean. The money supply probably will have to return to its historic balance with the value of output. I think odds are that the prices of corporate stocks, crypto, houses and farmland all will decline to some degree. Don’t ask how much.

What can government do about this? What should it? Realistically, not much. Reducing the enormous level of uncertainty that President Donald Trump continues to generate daily would be good for the economy as a whole and for those, like farmers and businesses, first-time home buyers and those nearing retirement, who need some trusted foundation on which to make long-term decisions. But can the leopard change his spots or even want to? I doubt it.

Yes, the Fed might be able to step in judiciously to prevent retreats from turning into routs. But the Fed has intervened so often in recent decades, after 9/11, during the 2007-09 mortgage crisis and during COVID, that its credibility and capabilities may be worn down. All a central bank can do is vary the money supply and during the last 20 years the Fed has fired most of its ammunition. The wolf is finally coming on federal budget deficits, China may be facing adjustments similar to Japan 40 years ago and Europe is mired in slow growth.

Unfortunately, an un-random sampling of financial pundits in print or online shows remarkable numbers who expect the Fed to step in to prevent asset prices falling, even if there is no systemic risk.

The same is true for farmers. Commodity traders and producer associations, input suppliers and grain traders all talk of another bailout as a done deal, to offset the impact of Trump’s tariffs on a bumper crop of supply. Assumptions are that it will happen soon along the lines of Trump’s in 2018-20, done at the decree of the president and without any congressional action drawing on an anachronistic replenishable agricultural slush fund dating to the 1930s.

The problem is that this will be a bandage on a suppurating wound. Farmers shot themselves with a hollow-pointed bullet by bidding up land prices beyond sustainable levels in response to two successive commodity price booms, the most recent one prompted by the war in Ukraine. That boom is ebbing just as the administration’s spastic trade offensives are hammering U.S. ag export prospects over the foreseeable future.

Economy-wide recession? There are “leading indicators” of recessions like an inverted “yield curve” that shows interest rates relative to loan durations. When interest rates on short-term loans “invert,” or rise above the traditionally higher longer-term ones, it means markets expect rates will fall, making short-term gains more profitable than long-term risk. This shows expectations of a downturn. But that is only one indicator and not a flawless one. Sophisticated econometric forecasting models are bad at calling inflection points, when a lasting upward trend bends into a lasting downward one or vice versa.

Gut instincts and history might tell us that stock, crypto and housing prices cannot retreat without collateral damage to the economy. Ditto for the deepest and widest trade war in 90 years. But when a recession might start, how deep or long it might be, and who it will most affect are unknown.

What about a financial sector crisis like the one that slowly unfolded over 2008 with aftershocks that went on for years? These are harder to predict than simple recessions. Both 1929 and 2008 involved financial innovations outrunning inadequate regulation. Are we seeing that now with crypto? In 1893, 1907, 1929 and now, there is an extreme concentration of wealth with few limits to the influence of that wealth on government.

Even Trump has lauded that we are entering a new Gilded Age (justifying his tariffs), but glancing over the fact that the previous Gilded Age was one of stagnant incomes and prospects for a great many while a relatively few basked in opulence. Yes, the comparisons abound, but maybe not to many working-class Trump voters’ likings. It is telling that a key economic indicator, “Personal Consumption Expenditures,” is now skewed by the fact that the richest 10% of all households account for 50% of all such personal consumption spending. Economists no longer can look at changes in this metric for clues on the overall economy because variations might be driven by the spending of a few hundred AI or hedge fund moguls.

So can the Fed save us from systemic collapse even if it cannot ward off garden variety drops in output, employment and incomes? One can only hope so.

If uneasy, history may provide equal insights with economics. Sample the following:

• Anyone concerned about the economy can benefit by reading John Kenneth Galbraith’s slim volume, “The Great Crash, 1929”. Galbraith is both insightful and droll.

• From there go to Charles Kindelberger’s classic “Manias, Panics, and Crashes.” The author is an expert on trade issues and on the Great Depression and is almost as good a writer as Galbraith.

• If you do want to dip into economics as well as history, sample Hyman Minsky’s “Stabilizing an Unstable Economy.” Minsky is insightful but not droll. But if you have a lot of money in cryptocurrencies, learning about the “Minsky moment” — bubbles suddenly implode — may be useful, or frightful.

• Finally, to understand the Trump administration, look for old Superman comics written by Otto Binder. Here, he introduces the evil doppelganger Bizarro and Bizarro World, in which everything is askew from where it should be. That is about as good a description of official Washington now as one can find.

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St. Paul economist and writer Edward Lotterman can be reached at stpaul@edlotterman.com.

By Arielle Zionts, KFF Health News

BOWMAN, N.D. — Retta Jacobi stepped onto a metal platform that lifted her to an entrance on the side of a custom-designed semitrailer. Once inside, she lay down on a platform that technicians slid into an MRI machine. Jacobi hoped the scan would help pinpoint the source of the pain in her shoulders.

The mobile MRI unit visits Southwest Healthcare Services, the hospital in Bowman, North Dakota, each Wednesday. Without it, the community’s 1,400 residents would have to drive 40 minutes to get to an MRI machine, an expensive piece of medical equipment the hospital couldn’t afford on its own.

Southwest Healthcare Services and 21 other independent, rural North Dakota hospitals are part of the Rough Rider Network, which used its members’ combined patient rolls to negotiate better prices for the mobile imaging truck.

Independent rural hospitals are increasingly joining what are called clinically integrated networks, collaborative groups that allow them to avoid selling out to larger health systems while sharing resources to save money and improve patient care. Many are motivated by the chance to combine their patient rolls for value-based care contracts, a growing reimbursement model in which insurers pay providers based on the quality of care they provide and the health outcomes of their patients.

Supporters of the networks are exploring whether funding from the $50 billion Rural Health Transformation Program — part of President Donald Trump’s recent tax and spending bill — can be used to help start or expand such organizations.

For independent, rural hospitals, the networks are an alternative to shutting down or reducing services, or to giving up local autonomy and joining a large hospital system.

“Anything that can help our rural hospitals and add services is awesome,” said Jacobi, who provides speech therapy to children in the local school district.

Since 2010, 153 rural hospitals in the U.S. have shuttered completely or stopped offering inpatient services, according to the Sheps Center for Health Services Research at the University of North Carolina. A far larger number, 441, merged with or were acquired by hospital systems between 2011 and 2021. That’s according to a report commissioned by the Coalition to Strengthen America’s Healthcare, an advocacy group comprising hospitals and health associations.

The Rough Rider Network provides negotiating leverage to its members, which serve about two-thirds of rural North Dakotans, said Dennis Goebel, CEO of the Bowman hospital.

Health care vendors “probably wouldn’t be talking to us if we’re by ourselves,” he said. “They’re not looking for the little, tiny crumbs. They want a big contract, and they’ll give you better pricing.”

Some rural networks share specialists who aren’t needed full time at any one hospital, according to the Commonwealth Fund, a nonprofit focused on improving the health care system. Some networks also invest in broadband, housing, and other community development projects that can help people stay healthy and access care.

Hospitals can pool staffers for a network-wide employee health insurance plan, said Nathan White, CEO of Cibolo Health, a company that helps launch and manage networks in rural areas. He said they can also enter shared contracts for telehealth, prescription drug programs, and other services.

White said he started Cibolo Health after a leader from an independent, rural North Dakota hospital asked him about collaborating with similar facilities. The Rough Rider Network launched in late 2023 with assistance from the company and $3.5 million from the North Dakota Legislature.

Since then, Cibolo Health has helped start networks in Minnesota, Nebraska, Montana, and Ohio. Once a sixth one opens in September, Cibolo-affiliated networks will represent more than 120 hospitals, with service areas covering 4.7 million people, White said.

The networks, which are nonprofits owned by the hospitals, pay an annual fee to Cibolo Health, a for-profit company, for management services. White said leaders from 10 other states are considering joining this model.

Similar networks have been around for more than 30 years but became more popular after the passage of the 2010 Affordable Care Act, according to a report by the Rand Corp., a research nonprofit.

Rural health care providers are increasingly interested in forming such networks, said Marnell Bradfield, executive director of the Community Care Alliance, a network of hospitals and independent primary care offices that launched in 2015 in rural western Colorado. About once a month, she said, she gets a call from health care leaders exploring similar networks and asking about her experience.

The Rand Corp. wrote in its 2020 paper that it didn’t find any academic studies that examined whether these networks do what its supporters claim — save money and improve patient care.

“In theory, quality should improve with the alignment of health care organizations, but there is no evidence,” the report said. The paper also said such networks could end up increasing prices, something that can occur with traditional mergers and acquisitions.

Bradfield and White said they have the evidence, at least for their organizations.

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Community Care Alliance members have reduced their insurance costs while improving patient outcomes, such as reducing their need for inpatient and emergency care, Bradfield said.

White said data from a pilot program between Caret Health, a care coordination company, and SMP Health-St. Kateri, one of Rough Rider’s hospitals, showed the program helped a significant number of patients catch up with preventive care.

Gabby Wilkie, finance director at the St. Kateri hospital, in Rolla near the Canadian border, said Caret Health staff called and texted patients who were behind on annual physicals, cancer screenings, vaccinations, and other visits. She said staffers explained to patients why this preventive care is important for their health before setting up a three-way call with St. Kateri staff to schedule an appointment. White said it took an average of 11 outreach attempts before patients came in for any visits.

“To be honest, we didn’t have the resources to reach out,” Wilkie said.

She said St. Kateri would have spent an estimated $300,000 to do that kind of outreach for 1,000 patients. Meanwhile, she said, the hospital estimates it will earn more than $100,000 when that many patients come in for their preventive care. Cibolo Health and the Rough Rider Network both contribute to the cost of the Caret Health service, which is now rolling out to other network hospitals.

Goebel said joining a network to remain independent is also beneficial for the economy of rural areas, where hospitals are often major employers. He said health systems sometimes cut services and staff at rural hospitals they acquire.

Jacobi is taking medication and doing physical therapy after a doctor examined her MRI results. If that doesn’t work, she may need to make a five-hour round trip to Bismarck to get an ultrasound-guided steroid shot. Jacobi was thankful she could get a diagnosis and treatment advice without having to travel far for the MRI.

“Anytime we can maintain more local control, it’s a good thing for our small towns,” she said.

©2025 KFF Health News. Distributed by Tribune Content Agency, LLC.

By CALEIGH WELLS and BRITTANY PETERSON

LITTLETON, Colo. (AP) — When Lena Astilli first bought her home outside of Denver, she had no interest in matching the wall-to-wall green lawns that dominated her block. She wanted native plants — the kind she remembered and loved as a child in New Mexico, that require far less water and have far more to offer insects and birds that are in decline.

“A monoculture of Kentucky bluegrass is not helping anybody,” Astilli said. After checking several nurseries before finding one that had what she wanted, she has slowly been reintroducing those native plants to her yard.

Though Astilli was replacing grass just last month, it remains ubiquitous in American yards. It’s a tradition that began more than two centuries ago with the landed gentry copying the landscaping of Europe’s wealthy, and grass now dominates as the familiar planting outside everything from single-family homes to apartment complexes to office parks and retail malls.

“In the absence of simple directions and guidance about what to do with their landscape, they default to lawn because it’s easy,” said Mark Richardson, executive director of the Ecological Landscape Alliance, a nonprofit that promotes sustainable landscaping.

Yet that grass is problematic in deserts and any place with limited water, such as the American West, where it won’t do well without irrigation. As climate change makes the world hotter and triggers more extreme weather, including drought, thirsty expanses of groomed emerald are taxing freshwater supplies that are already under stress.

Enter xeriscaping — landscaping aimed at vastly reducing the need for irrigation, including by using native or drought-tolerant plants. (A utility here, Denver Water, says it coined the term in 1981 by combining “landscape” with the Greek word “xeros,” which means dry, to encourage reduced water use.)

Reasons to think about ripping up that lawn

Homeowner Lena Astilli cuts holes in a weed barrier atop her dead grass where native seedlings will be planted Thursday, Aug. 28, 2025, in Littleton, Colo. (AP Photo/Brittany Peterson)

The average U.S. family uses 320 gallons of water every day, according to the Environmental Protection Agency. Nearly a third of that is devoted to outdoor water use. It’s even more for people with thirsty plants in dry places.

“Potable water is going to become harder and harder to come by,” said Richardson. “Lawn reduction is a fantastic way to limit the use of water in the landscape.”

His group isn’t keen on grass even in areas like the Northeast or Midwest, where drought and water use aren’t as problematic as in the West. Less lawn means fewer pesticides and fertilizers washing into rivers. More native plants mean more rest stops and nesting grounds for pollinators like birds, butterflies and bees, which have faced serious population declines in recent decades.

“We can bring nature back into our urban and suburban areas,” said Haven Kiers, associate professor of landscape architecture at University of California-Davis. “Improving biodiversity, creating habitat is going to be a huge thing for the environment.”

It’s also better for the people using the yard, Kiers said.

“So many studies show that spending time in nature and gardening, all of this is really good for you,” Kiers said. “When they’re doing that, they’re not talking about mowing the lawn.”

Taking the first steps

A person plants a native seedling in a crevice garden Thursday, Aug. 28, 2025, in Littleton, Colo. (AP Photo/Brittany Peterson)

Kiers says the only thing more intimidating than an expanse of lawn is an expanse of unplanted dirt. Her top recommendation: take it slowly. It also mitigates the cost, because she said paying someone to do it all at once can cost tens of thousands of dollars.

If you’ve got beds along the outside of the house, expand them. If you’ve got a path leading to the front door, put shrubs or flowers on either side of it. If you don’t have shade, plant a tree, and if you’ve got a tree already, create a bed around it. All of these steps reduce the lawn space.

There are also financial incentives and rebates in several states to make the transformation more affordable. Sometimes they’re offered by a city, county, state, water agency or local conservation organizations, so searching for the programs available with the municipalities and companies near you is a good place to start.

Looking for landscaping ideas? “If you want to see good examples of horticultural at its finest, visit a public garden,” Richardson said. Kiers recommended finding a master gardener or a community garden volunteer, because they’ll often provide expertise free of charge.

What’s in Lena’s yard?

Greg Gorskiy plants a crevice garden Thursday, Aug. 28, 2025, in Littleton, Colo. (AP Photo/Brittany Peterson)

Astilli, the Littleton homeowner, remade her backyard with native plants a few years ago — goldenrod, sunflowers, rudbeckia, purple poppy mallow, Rocky Mountain bee plant and more. Some green lawn remains for her dog and child to romp.

Late this summer, she was getting her hands dirty converting the front yard to xeriscaping. With the help of Restorative Landscape Design and its owner, Eryn Murphy, Astilli was replacing grass with plants like bee balm, evening primrose, scarlet gilia, prairie dropseed and tall thimbleweed.

In a break from the work, Murphy reeled off a few of the different possible looks for low-water landscaping: a gravel garden with perennials, lush prairie, a crevice or rock garden with tiny plants growing in the stone features, a cactus garden.

“Really the sky is the limit in terms of your creativity and your aesthetic,” she said. “It’s just about using plants that are supposed to be here.”

Murphy said an ever-drier West due to climate change will require people to “do something” as lawns become less and less viable.

“Water is going to keep getting more expensive, your lawn is going to stop looking good. You’re going to have to open your eyes and say, what could I do that’s different and better?”

The Associated Press’ climate and environmental coverage receives financial support from multiple private foundations. AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.