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MN Legislature: Healthcare Needs Permanent Solutions, Not More Band-Aids

By Aleta Borrud
May 10, 2021

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The Land Stewardship Project believes that in order for our communities to thrive, everyone, regardless of background or zip code, must have access to the healthcare they need. Yet lack of healthcare access and high costs continue to be major financial stresses for all Minnesotans — particularly for rural residents. More people in rural areas lack employer-based insurance or are uninsured than in urban areas. And even with insurance, about half of people are on high deductible insurance plans with such extreme up-front costs to accessing care that people are forgoing or delaying the care they need.

In Minnesota, most legislative efforts in recent years have focused on keeping premium costs down to make purchasing health insurance more affordable. But this has been offset by significant shifting of the cost of care to people in the form of co-pays and co-insurance, in addition to up-front deductibles. Few people, especially after the economic drain of the pandemic, have the resources to pay thousands of dollars out-of-pocket if faced with an emergency hospitalization. As a result, many rural hospitals are operating at a loss, with threat of permanent closure. In addition, other essential components of healthcare in rural Minnesota face shortfalls, such as lack of in-home care workers, nursing home beds, obstetric and mental health services, and volunteer staffing for ambulances.

Our fractured payment system for healthcare fails to guarantee equitable access for all Minnesotans. The billing complexity frustrates medical providers and wastes precious healthcare dollars. Medical providers spend hours obtaining authorization for necessary care for patients, while up to a third of the costs of hospitalization are spent on billing and coding. We must demand better for all our communities if they are to be places where people want to invest their lives.

When access to care is limited by availability, either due to distance or restrictive provider networks, people can’t “shop for care.” It’s time to discard the worn-out call for marketplace solutions as a means of controlling costs. When companies can profit from healthcare, controlling costs means reducing care, such as by closing rural clinics or standing between doctors and the care they want to prescribe for patients. We need to use our collective power, as Minnesota residents, to demand investment in healthcare. We need a publicly funded and publicly administered system of care that takes profit out of the equation and guarantees access to care wherever people live. This is a critical part of the reinvestment needed to rebuild the strength of our rural communities.

We are far from creating the healthcare system we need, but during the 2021 session of the Minnesota Legislature, important efforts were made to lay the groundwork for key changes. The House passed these steps during the regular session:

• Require our state government to report on alternate methods of delivering care and reimbursing medical providers in Minnesota’s public medical insurance programs. This could provide information on possible cost efficiencies of public administration of public health insurance programs.

• Require our state government to develop and report a proposal for a public health insurance option program by December 15, 2021.

• Establish a Prescription Drug Affordability Board to control the runaway costs of pharmaceuticals.

• Establish public hearings to review impact on communities before healthcare entities close facilities or reduce services.

In contrast, the Minnesota Senate continues to support “reinsurance,” a program that uses taxpayer dollars to insure insurance companies against losses, while people still go into debt paying for healthcare. LSP argued against using healthcare dollars in this way, as this program does nothing to control significant out-of-pocket costs for people needing to buy insurance on their own in the marketplace. But most importantly, we opposed this because it continues an insurance system that is not making care more affordable and accessible, especially for rural communities, farmers, and our Main Street businesses.

The fundamental change we need in the healthcare system in Minnesota will not happen this year, despite our shared concern. We need to come together in our communities and ask legislators to deliver meaningful solutions instead of replacing Band-Aids.

Join LSP’s Healthcare Hotlist to keep updated on ways you can participate in creating a truly healthy healthcare system in Minnesota.

Aleta Borrud, a retired physician from Rochester, Minn., recently worked as an LSP healthcare organizer.

Category: Blog
Tags: affordable healthcare for all • healthcare • healthcare reform • rural healthcare

Upcoming Events

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June 2025

Wednesday June 25

2:00 pm – 5:00 pm
LSP-PFI Grazing Field Day at Hoosier Ridge Ranch
Wednesday June 25
2:00 pm – 5:00 pm
LSP-PFI Grazing Field Day at Hoosier Ridge Ranch
Hoosier Ridge Ranch, 15998 Wabasha County Rd 26, Altura, MN 55910, USA

Over the last 50 years, livestock have left many farms. Eric Heins is doing the reverse: bringing cattle – and their poop, pee and hooves – back to his land. Come see how Eric is using his Normande-shorthorn crosses in a variety of grazing situations. During this Land Stewardship Project-Practical Farmers of Iowa field day, you can view permanent pasture, where Eric (like everyone) is battling the cool-season grass takeover. You’ll also learn how Eric is using his cattle in cover crop mixes, prairie and woodlands.

Since purchasing the farm in 2020, Eric has converted the cropland to pasture. He also custom-farms a diverse rotation of crops, covers and small grains on neighboring farms, including an established prairie on Iowa Department of Natural Resources land. A possible bonus: Eric is hoping to have virtual fence collars by the time of the field day, but no guarantees!

A meal featuring Hoosier Ridge Ranch burgers will follow the field day.

See & Discuss

  • Cash-flowing the conversion to pasture on owned versus rented cropland
  • Stockpiling pasture for winter grazing
  • Mechanical buckthorn clearing for silvopasture
  • Grazing agreements on DNR prairie and neighboring cropland
  • A sudangrass mix after a canning pea crop
  • An extended rotation with oats, barley and Kernza

For details and to register, click here.

Friday June 27

9:00 am – 3:00 pm
Agrivoltaics Field Day
Friday June 27
9:00 am – 3:00 pm
Agrivoltaics Field Day
West Central Research and Outreach Center, 46352 MN-329, Morris, MN 56267, USA

Join University of Minnesota Extension for presentations and solar site tours at the West Central Research and Outreach Center. You’ll gain a comprehensive understanding of the benefits, considerations and opportunities of farming using solar energy. Session topics include cattle and sheep solar grazing, solar site forages, grain crops under solar panels, and solar developer perspectives. Register here. Can’t attend the field day? Check out the July 22 agrivoltaics webinar on growing forages and grains.

Saturday June 28

4:00 pm – 8:00 pm
LSP's Boots & Roots: A Celebration of Land & People
Saturday June 28
4:00 pm – 8:00 pm
LSP's Boots & Roots: A Celebration of Land & People
Dream Acres, Co Hwy 8, Spring Valley, MN 55975, USA

Join Land Stewardship Project members and supporters to kick-start the Driftless summer with an evening of good food, good music, and good times. We’ll have activities for all ages that will get you out in nature, exploring the connection between our region’s farms and your community’s food, land, and water. Bring a side or dessert to share for dinner, and the Dream Acres wood-fired oven will provide locally-sourced pizzas and flat breads. Dinner will be followed by live music and contra dancing by the Crater City String Band.  

To reserve a spot, click here.

Camping sites are available at nearby Masonic Park and Forestville Mystery Cave and Lake Louise State Parks. Camping at Masonic is rustic,first-come-first-serve, free, and does not require a reservation. Fillmore County, who manages the park, only asks that you call the dispatchers at507-765-3874 when you arrive with your vehicle information and phone number in case of emergency. State Park reservations cost $25 a night and can be made online.

July 2025

Wednesday July 9

8:00 am – 10:00 am
Risk to Resilience Climate Cohort
Wednesday July 9
8:00 am – 10:00 am
Risk to Resilience Climate Cohort
Online

Farming has always required adaptability, and today’s changing weather patterns are creating new challenges and opportunities. The Land Stewardship Project, in collaboration with University of Minnesota Extension, has created a resilience-focused program that gives commodity and small grain growers the opportunity to join a cohort with other like-minded farmers and learn how to prepare their operations for the future. At this Risk to Resilience cohort, you will learn:

  • How changing weather patterns in the Upper Midwest are likely to affect your farm. 
  • How you can prepare a plan that protects your farm from a changing climate.
  • How to improve your planning skills and meet with experts for opportunities to grow climate resilience  on your farm.
  • How to build community with fellow farmers interested in creating operations that are sustainable and resilient in the long term.

Program Details:

  •  Online format — join from your home or farm.
  •  Four sessions, 10-15 hours total investment — built for busy schedules, beginning July 2025. We’ll pause workshops for small grains harvest and resume in August 2025.
  • A $250 stipend will be provided to participants who attend the sessions and provide feedback on experience and content.

Dates of the Risk to Resilience Sessions:

  • Wednesday, July 9, 8 a.m.-10 a.m.
  • Wednesday, July 16, 8 a.m.-10 a.m.
  • Harvest Break
  • Wednesday, August 20, 8 a.m.-10 a.m.
  • Wednesday, August 27, 8 a.m.-10 a.m. 

To register, click here. 

12:00 pm – 2:00 pm
LSP Lewiston Office Summer Potluck Lunch
Wednesday July 9
12:00 pm – 2:00 pm
LSP Lewiston Office Summer Potluck Lunch
Land Stewardship Project, 180 E Main St, Lewiston, MN 55952, USA

Spring planting is behind us and midsummer is upon us! Take a quick break from all the action by celebrating summer with the Land Stewardship Project by joining us for lunch at our Lewiston office.

Our Summer Potluck will be held on Wednesday, July 9, from noon to 2 p.m., at our office in downtown Lewiston, Minn. (180 E. Main Street). This will be an opportunity to build community, hear from other farmers, socialize, and enjoy a great meal together. We also invite everyone to take a self-guided tour of the newly renovated spaces in our office that we have been working on over the winter. As a member-driven organization, this is your space too.

LSP will be providing the main dish (meat and vegetarian options) and we invite you to bring a dish to pass. This event is open to all, so please bring a friend or two as well. Let’s celebrate the joy of summer through good food and good company!

RSVP’s are encouraged, but not required. Hope to see you there — you can RSVP by e-mailing LSP’s Alex Romano direct.

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