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With Minneapolis medical center’s survival threatened, staff and leaders call for state action

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With Minneapolis medical center’s survival threatened, staff and leaders call for state action


As a dire financial outlook has pushed Minneapolis’ Hennepin County Medical Center (HCMC) to the brink of closure, health care workers and union leaders are calling for legislative action, which could be introduced at the state Capitol as soon as Tuesday.

HCMC, part of the larger Hennepin Healthcare provider system, is Minnesota’s busiest Level 1 adult and pediatric trauma center. It is also a safety-net hospital, meaning it accepts patients regardless of their insurance status or ability to pay, and has been a training site for more than half of Minnesota’s practicing physicians. In 2025, the hospital saw nearly 115,000 patients, including more than 94,000 emergency department visits.

“HCMC is not just a Minneapolis hospital. It’s Minnesota’s safety net. It is Minnesota’s last line of care,” said Jeremy Olson-Ehlert, a registered nurse at HCMC and second vice president of the Minnesota Nurses Association (MNA), at an April 1 press conference at the Capitol.

The hospital is also in financial straits, facing up to $50 million in operating losses in 2026 and staring down $1.7 billion in losses over the next 10 years, according to projections shared in March with the Hennepin County Board’s budget committee. Right now, the hospital can’t even make its $33 million biweekly payroll and must rely on the county to cover the overdraft, Hennepin County Commissioner Jeffrey Lunde told MinnPost. Lunde chairs the Hennepin Health Board.

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The hospital’s financial hardships can be attributed to multiple factors over many years, including the shutdown of Minnesota-based health insurer UCare, which owes HCMC $115 million, and the running cost to treat uninsured or publicly insured patients, who make up the hospital’s majority.

Massive changes to Medicaid eligibility under the One Big Beautiful Bill Act, set to go into effect in 2027, are expected to exacerbate HCMC’s challenges. About 140,000 Minnesotans are at risk of losing their health coverage in the coming decade, according to an analysis by the Minnesota Department of Human Services.

Lunde said that without action from lawmakers by the May 18 end to the legislative session, HCMC would begin closing in June.

No other place to go

The impact would be catastrophic and felt throughout the state, several speakers said at the April 1 press conference.

“Patients will wait significantly longer in emergency departments, and hospitals across Minnesota will lose a partner that they rely on,” Olson-Ehlert said. “There is no backup plan, there is no extra capacity, and there is no other place for these patients to go.”

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Lunde echoed those concerns, saying HCMC’s closure would overwhelm places like Regions Hospital in St. Paul and North Memorial in Robbinsdale, the only other Level 1 trauma centers in the Twin Cities. He also warned that wait times for the ER could skyrocket from one to two hours to up to 10.

Some cost-saving measures are already underway. In February, HCMC cut its beds by 100, to 390 total. In January, the hospital stopped accepting most non-emergency transfers from outside of Hennepin County, putting a strain on rural hospitals.

“We’re not only a safety net hospital for patients, we’re also a safety net hospital for other hospitals,” Lunde said.

The current solution being eyed is to repurpose the county’s 0.15% sales tax used to pay off bonds for the Minnesota Twins stadium into a 1% tax that would generate about $340 million annually for HCMC.

Lunde said he expects a bill in support of the tax to be introduced Tuesday in the House when the Legislature reconvenes after the Easter/Passover break. It will be introduced by a member of the DFL Party, he said, with a Republican co-signer.

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“We’ve met with the speaker, the senate minority leader, the senate majority leader, leadership in the House, because we’ve been very focused on we need a bipartisan bill, and we need bipartisan support,” Lunde said.

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This story was originally published by MinnPost and distributed through a partnership with The Associated Press.



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Minneapolis, MN

Hmong in Minnesota: 50 Years of Resilience

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Hmong in Minnesota: 50 Years of Resilience


This documentary dives into the journey of Hmong refugees in America 50 years after the fall of Vietnam. Interviews and historical footage illustrate the success of Hmong families as well as the cultural challenges they faced as they resettled in Minnesota.



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Minneapolis, MN

Minneapolis Big Honking Truck Parade returns to Nicollet Mall on June 18

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Minneapolis Big Honking Truck Parade returns to Nicollet Mall on June 18


Families can get up close to massive trucks and city vehicles as the Big Honking Truck Parade rolls back through Minneapolis on Thursday.

Big trucks take over Nicollet Mall

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What we know:

The “Minneapolis Moves: The Big Honking Truck Parade” is set to line downtown with municipal, public safety, construction and big-wheel trucks in an effort to bring families together and highlight the people and equipment that keep the city running.

The event begins at 5 p.m. with a local vendor market featuring crafts and food. A parade then starts at 5:30 p.m., traveling down Nicollet Mall from East Grant Street to South Sixth Street.

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Mayor Frey during the 2025 Big Honking Truck Parade. Credit: City of Minneapolis (Supplied)

Dig deeper:

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The parade is said to feature City of Minneapolis cars, police and fire trucks, construction vehicles, semitrailers and more from local businesses and operators.

Two Minnesota Special Olympics athletes, Dequan Williams of Minneapolis and Niko Lichtscheidl of St. Francis will serve as grand marshals of the parade, ahead of the 2026 Special Olympics USA Games which officially kick off in Minnesota on Saturday. 

After the parade, all vehicles will be parked along the Mall until 8 p.m. for a “touch-a-truck” experience, giving families a chance to explore the trucks up close.

According to officials, the parade route will:

  • Begin at East Grant Street
  • Travel down Nicollet Mall
  • End at South Sixth Street

Hoping to expand upon its first year in 2025, the parade is said to feature City of Minneapolis cars, police and fire trucks, construction vehicles, semitrailers and more from local businesses and operators.

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What they’re saying:

“The Big Honkin’ Truck Parade is one of those uniquely Minneapolis events that brings families together while showcasing the people and equipment that serve our city every day,” Minneapolis Mayor Jacob Frey said in a press release. “It’s fun, it’s educational, and it’s a great reminder of all the work happening behind the scenes to keep Minneapolis running.”

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The Source: Information provided by a City of Minneapolis press release.

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ICE’s Unseen Toll in Minneapolis: Suicide Helpline Calls More Than Doubled During Surge

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ICE’s Unseen Toll in Minneapolis: Suicide Helpline Calls More Than Doubled During Surge


More than six months after federal agents descended on Minnesota, the toll of the immigration crackdown on the Twin Cities continues to mount.

The latest revelations about the far-reaching and deeply felt impacts of the campaign known as Operation Metro Surge come in a Human Rights Watch report published Thursday.

Based on more than 130 interviews, video analysis, and government arrest data, the report documents a dizzying array of abuses over the multi-month siege of Minneapolis and St. Paul — from lethal violence to free speech violations, unlawful detentions, and more.

While many of the abuses are well-known — including the killings of Minnesota residents Renee Good and Alex Pretti by federal agents — others occurred in the shadows of the infamous campaign.

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Among the most troubling accounts are those provided by healthcare and mental health professionals.

According to the report, the National Alliance on Mental Illness in Minnesota saw a 120 percent increase in calls and a “significant increase” in the number of people struggling with suicidal thoughts or actions during Metro Surge. One medical provider knew of at least three teenagers who attempted to take their own life after their parents were detained in the crackdown, with one of the adolescents doing so on a “frequent” basis.

“One goal of the report is to bring light back to the full scope of the harm, and not only the harm that we saw in terms of violence in the streets, in terms of abusive detentions,” Reagan Williams, the author of the new report, told The Intercept, “but also the effects that that had for aspects of daily life for everybody here — the impact it had on people’s ability to leave their homes, to go to doctor, to go to school, to go to work.”

Human Rights Watch found the combination of violence and racial profiling that defined the crackdown caused many Minnesotans to forgo medical care.

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The day after Good was killed, nearly a third of one healthcare provider’s patients — mostly Somali or Spanish-speaking immigrants — did not show up for pre-scheduled appointments. Another provider said the number of in-person visits at their office dropped by as much as 50 percent.

When Williams arrived in the Twin Cities, her focus was the kind of violent interactions documented in viral videos proliferating from Minnesota. She soon learned those weren’t the only issues community members were desperate to discuss.

“People that we talked with expressed emotions of exhaustion, fear, frustration, immense stress,” she said. “They expressed particular concerns for children, medical providers in particular, the impact of missing school, of knowing violence is happening in their communities — for immigrant children and children of color, the fear of having a parent taken, of themselves being taken.”

“Children are particularly vulnerable to long-term impacts of this kind of acute violence and stress,” Williams added. “Those are impacts that will continue on.”

“Near-Total Impunity”

Described by Trump administration officials as the largest immigration enforcement operation in history, the crackdown in the Twin Cities began in December and stretched into February. Thousands of officials from Immigration and Customs Enforcement and the U.S. Border Patrol conducted roving arrest operations throughout the area.

More than 4,000 immigrants were arrested during Metro Surge. At roughly 100 arrests per day, it was the highest per capita arrest rate in the country; 64 percent of immigrants arrested in the campaign had no criminal record.

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“In Minnesota, US citizens and immigrants alike were racially profiled in the ordinary course of their day — approached by federal agents while driving, while at work, or while shoveling snow,” the report said. “Minnesota residents of Somali and Latin American descent were notably targeted, despite the fact that the overwhelming majority of these communities are US citizens or have green cards.”

A hotline run by the National Lawyers Guild recorded 524 cases of the U.S. citizens detained during the surge, though the figure is believed to be a significant undercount. A survey by the U.S. Immigration Policy Center at the University of California, San Diego earlier this year found that nearly a third of Minneapolis residents experienced an interaction with federal agents; of those interactions, nearly half occurred “at or near a school, healthcare facility, childcare facility, courthouse, or place of worship.”

The new report follows a fresh tally from Minneapolis officials, announced last week, estimating that Metro Surge cost the city nearly $700 million. A nonprofit serving tenants in Minnesota described the economic fallout as a “crisis,” the Human Rights Watch report said, with an 85 percent increase in people seeking rent payment assistance.

“If I told you every time ICE was near a school, you’d stop reading my messages.”

In one Minnesota school district, attendance dropped by nearly a third during the government operation. At least 14 incidents of immigration enforcement reported at or near campuses, including the arrest of a preschool teacher, a special education staff member, and a parent at a school bus stop.

“If I told you every time ICE was near a school,” the district’s superintendent told Human Rights Watch, “you’d stop reading my messages.”

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Considering the sweeping impacts of the crackdown, Human Rights Watch is calling for an overhaul of the Department of Homeland Security, which oversees ICE and Border Patrol; congressional investigations into the actions of officials involved in the operation; legislation to prohibit immigration arrests at sensitive locations such as schools and hospitals; and a host of other reforms.

To date, the report said, “The many abuses committed by federal agencies during Operation Metro Surge have so far been met with near-total impunity.”



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