Lindsay James, a Presbyterian chaplain and four-term Iowa state representative, is the Democratic nominee for Iowa's 2nd Congressional District, running after the big, beautiful bill put about 27,000 Iowans at risk of losing health care. Joe Mitchell called James and Trone Garriott pastors in name only at the Family Leadership Summit, and an EMS worker says a $600 ambulance call is lucky to get about $130 in Medicare and Medicaid reimbursement. Coverage has also noted that Mitchell is 29 and dresses like Donald Trump. Rural health care remains the campaign's central claim, with the reimbursement gap now part of the argument.