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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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July 2025

Saturday July 12

10:00 am – 2:00 pm
Fishing, Farming & Food: Rush Creek's Fish Kill Anniversary & Why it Matters
Saturday July 12
10:00 am – 2:00 pm
Fishing, Farming & Food: Rush Creek's Fish Kill Anniversary & Why it Matters
Farmers Community Park, 23274 Arches Road Lewiston, MN 55952

During the Fishing, Farming & Food: Rush Creek’s Fish Kill Anniversary & Why it Matters event, the Land Stewardship Project will mark the three-year anniversary of a major fish kill in southeastern Minnesota that spawned citizen action and led to new public policy around how such events are reported. Join Land Stewardship Project and our partners at Farmers Park, Saturday July 12, from 10 a.m. to 2 p.m. in Lewiston, Minnesota. Register here.

What to expect?

  • Fly fishing demonstration led by Minnesota Trout Unlimted and LSP member, Lee Stoe. Please bring your own fishing gear.

  • Minnesota Trout Unlimited & Izaak Walton League staff and members will be leading macroinvertebrate sampling of Garvin Brook and discussing what they tell us about the health of the stream.

  • Discussion on how regenerative farming systems can support healthy soil and clean water.

  • Opportunity to take action! Help prevent future fish kills by sharing how you think the Minnesot Feedlot Rule, which is open for comment through July 22, should be stronger. Postcards will be available to fill out and send with your comments.

  • Farmers Park is a great spot for birding. Please bring your binoculars!

  • You are welcome to bring your own snacks or picnic lunch; food will not be provided at this event.

LSP is partnering with several community groups for this event, including:

Minnesota Trout Unlimited, Minnesota Center for Environmental Advocacy, Izaak Walton League, Food & Water Watch, and Savanna Institute

Register HERE. For more information, contact LSP’s Kate Rowe at krowe@landstewardshipproject.org.

Tuesday July 15

5:00 pm – 8:00 pm
Organic Fruit & Vegetable Field Day
Tuesday July 15
5:00 pm – 8:00 pm
Organic Fruit & Vegetable Field Day
1805 Dudley Ave, Falcon Heights, MN 55113, USA

Join U of M researchers and Extension for updates on organic fruit and vegetable research and tour the Student Organic Farm and the Minnesota Agricultural Experiment Station in Saint Paul. Topics include: organic insect management, integrating livestock into vegetable farms, new crops for Minnesota, irrigation strategies, and more. Free to the public.
 
For details and to register, click here.

Wednesday July 16

9:30 am – 2:30 pm
Russell Hedrick Soil Health Event: Cottonwood County
Wednesday July 16
9:30 am – 2:30 pm
Russell Hedrick Soil Health Event: Cottonwood County
27092 Co Rd 8, Comfrey, MN 56019, USA

Details here.

Thursday July 17

9:30 am – 2:30 pm
Russell Hedrick Soil Health Event: Pipestone County
Thursday July 17
9:30 am – 2:30 pm
Russell Hedrick Soil Health Event: Pipestone County
518 30th Ave, Jasper, MN 56182

Details are here.

Friday July 18

9:30 am – 2:30 pm
Russell Hedrick Soil Health Event: Lac qui Parle County
Friday July 18
9:30 am – 2:30 pm
Russell Hedrick Soil Health Event: Lac qui Parle County
1174 295th Ave, Dawson, MN 56232

Details are here.

View Full Calendar

Recent Posts

  • Get Your Farm Photographed & Receive Free Images! July 10, 2025
  • ‘Fishing, Farming & Food: Rush Creek’s Fish Kill Anniversary & Why it Matters’ Event July 12 Near Lewiston July 8, 2025
  • Contributing to the Cause July 8, 2025
  • Contact the MPCA by July 22 About Revising its Feedlot Rules July 2, 2025
  • Tell Your Representatives: We Want a Farm Bill for All, Not a Tax Break for the Wealthiest July 2, 2025

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