Minnesota
OPINION EXCHANGE | Health care in Minnesota: Ensure competition in the insurance market
Opinion editor’s note: Star Tribune Opinion publishes a mix of national and local commentaries online and in print each day. To contribute, click here.
•••
Like you, I’m continuously shocked by skyrocketing prices, whether in the checkout line at the grocery store or at my kitchen table, paying monthly household bills. So, it didn’t surprise me to recently read that since enactment of the so-called Affordable Care Act, health care spending per Minnesotan has surged nearly 27% between 2013 and 2021. I know this from personal experience: Before enactment of the ACA, my once affordable monthly health care premium has doubled in less than 10 years.
And while much of the attention has focused on how much consumers spend each month to keep our families fully insured and healthy, not much attention has been paid to a very disturbing trend happening throughout greater Minnesota. Many of our rural hospitals are suffering. They are encountering a grim financial crisis and, as a result, many are forced to reduce much-needed services to those they serve or close their doors entirely.
Since 2005, six hospitals in greater Minnesota have closed their doors. Many others, such as the Fosston hospital in rural Polk County, recently announced that they must curtail some services provided at that 25-bed critical access hospital. That hospital has been operating for over a century in northwest Minnesota. And most recently, the New Prague hospital announced that it will no longer be providing labor and delivery services. Expectant mothers will need to travel one hour away to Mankato to find a hospital providing services that were until recently in their own backyards.
If no policy changes are enacted, the situation throughout greater Minnesota could get much, much worse: 42% of our rural hospitals have experienced losses in providing patient services, which undermines the hospital’s bottom line. This increases the likelihood of curtailing what services these hospitals will provide in the future or shutting their doors permanently.
The closure of a rural hospital can have a devastating negative impact on the communities it serves. Researchers at the University of Washington found that populations served by rural hospitals experienced mortality rate increases of 5.9% after closures, likely due in part to increased travel times for appointments or during health emergencies, or from patients forgoing medical appointments and/or health care providers leaving these communities.
Why is this crisis happening in our rural areas? A likely reason is that we have a broken health insurance market in Minnesota. Three insurers control 94% of the group market in the state. As a result, these insurance companies are profiting while many Minnesotans struggle with high insurance premiums, sky-high deductibles or worse — they have decided to forgo health insurance entirely. And while consumers struggle, their local hospitals are forced to contend with government and private insurance reimbursements that increasingly fail to cover even the minimum costs of patient treatment.
And despite paying more for health insurance, many consumers are getting less. A Kaiser Family Foundation study found that “nearly 17 percent of in-network claims were denied in 2021.” One major insurer was even found to be consistently underpaying reimbursements and inappropriately denying coverages, leaving hospitals to struggle with their own costs of care to patients. Considering the fact that many of our state’s rural residents are aging and live across a vast area without nearby local hospitals, we have a genuine health care crisis in the making.
Minnesota’s health care ecosystem is clearly out of balance. Progressives on the left are seizing this opportunity to push for a European-style single-payer health care system. This radical solution will only make matters worse for those in greater Minnesota who already have to drive great distances to access care: Single-payer systems famously exacerbate access to treatment, and often provide second-rate treatment, making the solution to Minnesota’s existing problem even worse.
And yet policymakers are focused on price-fixing in health care rather than problem-fixing.
Across the state, more and more of us struggle with the costs of care, have less insurance coverage than a decade ago, and hospitals can’t afford to keep the lights on and doors open due to low government and private insurance reimbursement rates.
Policymakers would be wise to focus on the biggest looming crisis facing Minnesotans: We need swift and meaningful action that will encourage competition in the insurance market that will ensure proper funding for hospitals and provide genuine health insurance choices throughout the state. Without these basic reforms, our broken insurance market will likely get sicker and more and more Minnesotans will be forced to make the worst choice: forgoing health care altogether.
Annette Meeks is CEO of the Freedom Foundation of Minnesota.
Minnesota
Karl-Anthony Towns drops 40, but Wolves spoil Minnesota return
MINNEAPOLIS — Anthony Edwards scored 38 points to help the Minnesota Timberwolves beat former teammate Karl-Anthony Towns for the first time and hold off the New York Knicks 115-104 on Tuesday night.
Julius Randle had 17 of his 25 points in the fourth quarter and Rudy Gobert contributed 11 points, 16 rebounds and his reliably fierce rim protection for the Wolves (20-10), who have won 10 of 12.
Towns scored a season-high 40 points before fouling out in the final minute for the Knicks (20-9) in the absence of fellow All-Star Jalen Brunson, who rested his previously injured ankle.
Knicks coach Mike Brown pointed to Towns’ foul trouble as a factor in Tuesday’s loss.
“Oh, you know, KAT — obviously he can score. He had 40 tonight,” Brown said. “I said it before, he’s a walking double-double. He just has to continue to try not to pick up cheap fouls. He had a couple of cheap fouls where he led with his hand or hooked the guy, and now we have to sit him for X amount of minutes when he needs to be on the floor.”
Tyler Kolekstarted for Brunson and had 20 points, 11 rebounds and eight assists.
Brunson, who had 47 points in a win overMiamion Sunday, joinedOG Anunoby(ankle),Miles McBride(ankle) andLandry Shamet(shoulder) on the shelf to leave the backcourt thin — and make Towns the go-to scorer in his homecoming game against his original team.
Towns had 32 points and 20 rebounds in his first game back at Target Center a year ago, when the Knicks won 133-107. He didn’t play in the rematch in New York the next month, a 116-99 win for the Wolves. Earlier this season, Towns had 15 points toward a 137-114 victory over Minnesota at Madison Square Garden.
These matchups are emotional for Randle and Donte DiVincenzo, too, whom the Wolves acquired in the stunning trade before last season that sent their cornerstone East. Randle came alive down the stretch, flexing to the crowd after a couple of tough shots to help the Wolves recover from a 16-point lead they squandered earlier and build their advantage back to 17 late in the fourth quarter.
The Associated Press contributed to this report.br/]
Copyright © 2025 ESPN Internet Ventures. All rights reserved.
Minnesota
Minnesota Vikings QB J.J. McCarthy will miss Christmas game vs. Lions with fractured hand
Minnesota Vikings quarterback J.J. McCarthy has a hairline fracture in his hand and will not play on Christmas Day against the Detroit Lions, head coach Kevin O’Connell said Tuesday.
McCarthy suffered the injury in the first half of the team’s 16-13 win over the New York Giants. Undrafted rookie Max Brosmer played the second half and will start against Detroit, O’Connell said.
O’Connell described it as a “very, very small” fracture that will not require surgery, and said McCarthy may be available for the season finale against the Green Bay Packers.
This is the third injury of the season for McCarthy, who missed five games with an ankle injury and another with a concussion. He also spent his entire rookie season on injured reserve.
Brosmer’s lone start this season, Week 13 against the Seattle Seahawks, was disastrous. He completed 19 of 30 passes for 126 yards, no touchdowns and four interceptions in a 26-0 shutout loss.
The Vikings beat the Lions 27-24 at Ford Field earlier this season. Kickoff at U.S. Bank Stadium is set for 3:30 p.m. on Thursday.
Minnesota
98 Minnesota mayors sign letter to Gov. Walz on state spending concerns
Almost 100 Minnesota mayors, including over half a dozen in the Northland, have signed a letter to Minnesota Governor Tim Walz and members of the legislature, raising concerns about the rising costs and financial pressures cities are facing due to state mandates.
The group of 98 mayors published the letter publicly on Monday, December 22nd, highlighting rising property taxes, declining state budget projections and the recent fraud investigations as reasons for “deep concern—and growing frustration” about the state’s fiscal direction.
“As mayors, we see firsthand how these decisions ripple outward. Fraud, unchecked spending, and inconsistent fiscal management in St. Paul have trickled down to our cities—reducing our capacity to plan responsibly, maintain infrastructure, hire and retain employees, and sustain core services without overburdening local taxpayers,” the letter says, in part.
Rising property taxes are preliminarily set to increase by nearly $950 million across the state next year — a 6.9% increase from 2025. The local leaders say those increases are necessary because of state policies and unfunded mandates, which include requirements for schools, health and human services systems, and public safety policies.
“Every unfunded mandate or cost shift forces us into difficult choices: raise taxes, cut services, delay infrastructure, or stretch thin city staff even further,” the letter states.
The mayors also cited a recent report from the Minnesota Chamber of Commerce, which showed the state slipping in national rankings over the past six years, something the chamber said should be a “wake-up call” to state leaders.
According to those statistics, Minnesota’s GDP has grown by just 1% per year since 2019, compared to the national average of 1.8%; the labor force has increased just 0.2% annually, ranking 40th nationally; and nearly 48,000 more Minnesotans left the state than moved here between 2020 and 2024.
In their letter, the mayors called on state lawmakers to “course-correct” and focus on policies that encourage growth and local stability.
The League of Minnesota Cities lists 856 cities in the state, so the 98 mayors would account for roughly 11.5% of cities. The map below shows the locations of each city in the Northland whose mayor signed the letter.
A spokesperson for Governor Walz sent our Hubbard sister station KSTP the following statement:
“The Governor’s focus on lowering property taxes is exactly why he has provided more funding than any administration in history directly to local governments.
“The surplus went directly back into the bottom line of local governments: $300 million for their police and fire departments, the largest infrastructure budgets in state history, funding to remove lead lines, the largest-ever increase in flexible local government aid, and property tax relief directly to taxpayers.
“The governor will continue to focus on ways to lower costs, but local governments also have a responsibility to manage their budgets and state aid responsibly.”
-
Iowa1 week agoAddy Brown motivated to step up in Audi Crooks’ absence vs. UNI
-
Maine1 week agoElementary-aged student killed in school bus crash in southern Maine
-
Maryland1 week agoFrigid temperatures to start the week in Maryland
-
New Mexico1 week agoFamily clarifies why they believe missing New Mexico man is dead
-
South Dakota1 week agoNature: Snow in South Dakota
-
Detroit, MI1 week ago‘Love being a pedo’: Metro Detroit doctor, attorney, therapist accused in web of child porn chats
-
Health1 week ago‘Aggressive’ new flu variant sweeps globe as doctors warn of severe symptoms
-
Maine1 week agoFamily in Maine host food pantry for deer | Hand Off