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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

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August 2025

Friday August 22

8:30 am – 4:00 pm
Adaptive Grazing & Fencing Workshop
Friday August 22
8:30 am – 4:00 pm
Adaptive Grazing & Fencing Workshop
Olmsted County, Minn.

Farmers, ranchers, and landowners interested in improving their grazing systems and fencing strategies are invited to attend the Adaptive Grazing & Fencing two-day workshop scheduled for August 21–22, in Olmsted County. 

This workshop is being hosted by Olmsted County Soil and Water Conservation District, Minnesota Grazing Lands Conservation Association, and the University of Minnesota Extension in Olmsted County, and is open to all those interested.

Led by grazing specialist Kent Solberg, this practical, hands-on workshop will explore strategies to enhance forage productivity, soil health, and profitability through adaptive grazing. 

Day 1 will be held at Alan Bedtka’s Farm and will focus on the big picture of grazing, its effects on soil health, riparian zones, weed management, and grazing economics.

Day 2 will take place at John Meyer’s Farm and will delve into cost-effective fencing, water systems, and real-world adaptive grazing practices that can be tailored to changing conditions.

Cost: $75/person (includes lunch both days)
Scholarships: 10 scholarships available for those needing financial assistance (inquire early). 

More Information: For more information and to register, see the Minnesota Grazing Lands Conservation Association website. You can also contact: 507-328-7070 or e-mail PWService@olmstedcounty.gov.

Sunday August 24

1:00 pm – 3:00 pm
Livestock Consolidation Town Hall With AG Ellison in Central MN
Sunday August 24
1:00 pm – 3:00 pm
Livestock Consolidation Town Hall With AG Ellison in Central MN
Central Minnesota

LSP will be hosting a town hall meeting Sunday, Aug. 24, in Paynesville, Minn., on consolidation in livestock agriculture. Minnesota Attorney General Keith Ellison will be on-hand to hear from producers about their experiences with monopoly power. This meeting is for small to mid-sized livestock producers and others who want to push back against consolidation in agriculture.

This town hall will be held at Lake Koronis Regional Park, 51612 Co. Hwy. 20, Paynesville, MN (large picnic shelter; look for the LSP signs).

To reserve a spot, click here. For more information, contact LSP organizer Matthew Sheets via e-mail or at 612-767-9709.

Tuesday August 26

9:30 am – 3:00 pm
UW Organic Agriculture Research Field Day
Tuesday August 26
9:30 am – 3:00 pm
UW Organic Agriculture Research Field Day
Arlington, WI 53911, USA


This University of Wisconsin Organic Grain Resource and Information Network field day will feature tours and talks about the latest in organic systems research. Attendees will learn about reduced-tillage corn and soybeans, no-till dry beans, advances in food-grade grains, emerging crops, biocontrol agents to manage white mold in soybeans, and on-farm soil health research. 

For more information and to register, click here. 

Wednesday August 27

10:00 am – 4:30 pm
Field Day: Farmer-Distiller Grain Connection
Wednesday August 27
10:00 am – 4:30 pm
Field Day: Farmer-Distiller Grain Connection
Paxton, IL 60957, USA

Join OGRAIN, Artisan Grain Collaborative, The Land Connection, and IDEA Farm Network for this unique field day tailored for farmers and distillers alike to learn in the field and at the distillery. Dallas and Will Glazik will lead attendees through Cow Creek Organic Farm’s organic fields and discuss proper food-grade grain handling. The day will end with a distillery tour, grain quality talk, farmer-distiller social event, and optional tasting at Silver Tree Spirits.

For details and to register, click here. 

September 2025

Monday September 1

All Day
Final Deadline for LSP's Farm Beginnings Course
Monday September 1
Final Deadline for LSP's Farm Beginnings Course

Beginning and prospective farmers are invited to apply to the Land Stewardship Project’s Farm Beginnings course, a year-long training program that focuses on the goal setting, marketing, and financial skills needed to establish a successful farm business. The Farm Beginnings course creates a space for folks to name their vision, acquire the tools and skills needed to make it happen, and become part of a community of support to help them succeed.  

The course will run from November 2025 through March 2026, with some additional educational opportunities to take place later in 2026. 

The deadline for applications is Sept. 1. Early bird applications submitted by Aug. 1 will receive a $100 discount if you are accepted into the class. Partial scholarships are available.

More details are at http://www.farmbeginnings.org or Annelie Livingston-Anderson at annelie@landstewardshipproject.org.

You can apply to the course here.

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