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Giving birth in rural Minnesota? Be prepared for a long drive – Minnesota Reformer

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Giving birth in rural Minnesota? Be prepared for a long drive – Minnesota Reformer


Essentia Health Services recently announced that it plans to end labor and delivery services at its hospital in Fosston, a town of 1,400 people in northwest Minnesota. 

The closure of the delivery ward means that mothers in Fosston and surrounding towns will now have to travel 45 minutes west to Crookston or east to Bemidji to find an obstetric unit that delivers babies. 

It’s the latest in a longstanding trend of rural hospitals shuttering their obstetrics departments in the face of staffing and other challenges. Twenty years ago, more than 110 hospitals in the state offered birth services, according to the Minnesota Department of Health. Today that number stands at 76, with the closures hitting especially hard in communities in the rural northern reaches of the state.

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In Grand Marais, on the North Shore, women face a two-hour drive to get to the nearest birthing center in Duluth. Mothers in Ely (pop. 3,200) need to drive an hour to get to Virginia after the local hospital ended delivery services in 2014. Virginia is also the nearest delivery hospital for residents of International Falls, a city on the Canadian border with a population of more than 5,000 people. It’s one hour and 45 minutes away by car.

Minnesotans living on reservations and tribal lands are especially likely to face difficulties in finding a nearby birthing hospital, as the map above shows. Infant mortality rates for Indigenous Minnesotans are more than double what they are for white babies, according to state data, and the maternal mortality rate is nearly 8 times higher.

Chartis, a private health care consulting firm, recently found that Minnesota had the nation’s highest number of rural obstetrics closures from 2011 through 2021, although this is partly because it has more rural hospitals than other states. A March of Dimes report found that 14% of Minnesota moms have to drive a half hour or more to reach a birthing hospital, compared to 10% nationwide.

When rural delivery wards close, “our research has shown increased risks of emergency room births as well as preterm births, especially in the more remote rural communities which are not adjacent to urban areas,” said Katy Kozhimannil, a University of Minnesota health policy professor. “We have also found that rural communities that lose obstetrics are less likely to offer other evidence-based services and supports for families, like childbirth education or lactation support.”

Rural hospitals in Minnesota have often cited staffing challenges as a driver of maternity ward closures. It can be expensive to keep staff and supplies on hand for procedures that happen infrequently. 

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“For obstetric services the fixed costs of staffing, equipment, and facilities are difficult to cover with volume based revenues when facilities and clinicians have few pregnant patients,” Kozhimanill explained in an opinion published in BMJ last year. “This leads to workforce shortages and unit closures in more remote, less populated areas.”

Essentia Health in Fosston, for instance, only delivered 38 babies in the 12-month period ending in June of 2022, according to state data. The hospitals in the communities of Olivia and Granite Falls saw fewer than 20 deliveries in their most recently reported years. Both have since ceased offering those services.

Kozhimanill also noted that nearly half of American births are financed by Medicaid, which “reimburses at substantially lower rates than private insurers, so facilities and clinicians caring for lower income patients in remote rural areas face exceptional challenges in generating revenue for obstetric services.”

The closure of an obstetrics unit can become part of a self-perpetuating cycle of rural decline. Young families in need of maternal and infant care may decide to move elsewhere, shrinking the local economy and making it harder for the community to fund services for those who remain. 

The March of Dimes recommends expanding Medicaid eligibility and coverage as a way to reverse these trends, but Kozhimanill says policymakers should think bigger and consider ambitious investments in community public health.

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“Policy solutions need to focus squarely on the structural injustices and systemic failures that have created and reproduced the statistics that alarm us,” she wrote last year. “As the closest place to give birth becomes further and further away for many people, these facts should no longer be surprising.”



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‘No Kings’ Minnesota rally starred whistles, butterflies, Springsteen

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‘No Kings’ Minnesota rally starred whistles, butterflies, Springsteen


Being the center of attention isn’t a Minnesota specialty.

But Minnesotans clearly embraced having the nation’s attention at the “No Kings” rally on Saturday as thousands of them stood unified in opposition to President Donald Trump. 

Those in attendance appeared so unified that, when asked to take a moment of silence, it really was quiet. Crowd size was difficult to estimate but ranged from 100,000-200,000, depending on the source.

They came bearing images that have become icons of the resistance to Immigration and Customs Enforcement (ICE), like whistles used to call for help and monarch butterflies that embody the right to migrate across borders. 

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In many ways, the spring rally acted as a communal catharsis following Operation Metro Surge – and a stark reminder for the discontented crowd that the federal government’s immigration enforcement agenda hasn’t changed. 

Here are some of the images we captured and the people we spoke to. 

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Amy Speare and Emmanuel Speare, along with their three children, pose for a portrait before marching from St. Paul College Saturday. “This is me putting my foot down,” said Mr. Speare.

Mrs. Speare shared a story about their 5-year-old daughter who asked if her mother was alive “when the brown skin people weren’t able to go to the grocery store.”

“We talked about how that was a horrible thing, and how people marched and changed the rules, and changed the laws, and made it so that doesn’t happen,” Mrs. Speare said. “And then she asked, ‘Will they change the laws back?’”

That’s why she said the family protested that day: “to make sure that they don’t change the laws back.”

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Ellen Schmidt/MinnPost/CatchLight Local/Report for America

As with the city of Minneapolis, it was impossible to miss the faces Renee Good and Alex Pretti during Saturday’s march. Federal agents fatally shot both Good and Pretti while they observed immigration enforcement actions in January.

Organizers chose Minnesota for their flagship march nationally largely because of the state’s response to immigration enforcement. Over 3,000 “No Kings” protests took place across the country on Saturday.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Mark Sackett and his dog, Penny, pose for a portrait while sitting outside the Minnesota State Capitol. “I’m just so proud of Minnesota,” he said, saying typically, the state would “never want to be on the national stage for something like this.”

Ellen Schmidt/MinnPost/CatchLight Local/Report for America
Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Despite its relatively recent release after the killings of Good and Pretti, many in the crowd on Saturday appeared to already know the words to “Streets of Minneapolis” when Bruce Springsteen preformed it.

Springsteen warmly greeted Gov. Tim Walz and his wife, Gwen, as he got on stage.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Madeline, of St. Paul, wears a dinosaur costume while protesting during the “No Kings” march on Saturday. The 10-year-old joined her mother and aunt with tens of thousands of protesters.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Others on the long and high-profile list of attendees included Joan Baez, Jane Fonda and Maggie Rogers. U.S. Sen. Bernie Sanders and Rep. Alexandria Ocasio-Cortez also appeared, along with Attorney General Keith Ellison and St. Paul Mayor Kaohly Her.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Cousins Craig Pierce, left, and Kari Pearson stand for a portrait at the protest. “We just really share the same values, and beliefs and worldview that it’s really important to show up,” Pearson said, adding that their presence wasn’t optional. Chase said the two joined in solidarity with everyone else representing Minnesota at the gathering. “This is the responsibility of citizens,” he said.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

A child, holding a “No Kings” sign and an American flag, joins protesters to watch the action while elevated in a tree. People perched on steps, children on parents’ shoulders and stood on highway overpasses to get a glimpse of the program happening on the steps of the Capitol.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Ryan, left, his daughter Olivia, center, and wife Karen, who declined to give their last names, pose for a portrait while protesting. “We just wanted to stand up for democracy,” Ryan said. “I feel that a lot of our rights are being taken away from us.”

Ellen Schmidt/MinnPost/CatchLight Local/Report for America
Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Marchers were seen wearing frog costumes, as has become customary at protests denouncing the Trump administration’s actions. Full-body narwhal, bananas and more were spotted in the crowd. Many children joined their families.

Ellen Schmidt/MinnPost/CatchLight Local/Report for America

Stephanie Rathsack, 34, of Faribault, waved to passing cars while holding the Minnesota state flag. Rathsack, who said she traveled to the Twin Cities to join the fight against fascism, has been joining protests since early 2025. “I’m just really proud of our state, and we’ve been through so so much, and I could not be prouder of all the people that are here and all the people that just make up our beautiful place where we live,” she said. “We are still here, we are still strong and we are going to keep fighting no matter what they throw at us.”

Ellen Schmidt/MinnPost/CatchLight Local/Report for America



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No. 6 Minnesota-Duluth 3, No. 10 Penn State 1: Goalied

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No. 6 Minnesota-Duluth 3, No. 10 Penn State 1: Goalied


After a heroic goaltending performance lifted Penn State to the Frozen Four last year, the Nittany Lions were on the receiving end of a strong goaltending night in Friday’s 3-1 NCAA Tournament loss to Minnesota-Duluth. Adam Gajan made 29 saves, many of them high-danger, to lift the Bulldogs past Penn State. Shea Van Olm scored Penn State’s only goal of the night in the first period. Josh Fleming made 36 saves in defeat for the Nittany Lions.

First Period

Penn State’s attack was relentless in the first period. Midway through the period, Casey Aman made a perfect cross-ice pass to Shea Van Olm. The freshman laced a beautiful shot past Adam Gajan to put Penn State on top 1-0:



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Walz doubts Vance, anti-fraud task force interested in helping Minnesota fight fraud

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Walz doubts Vance, anti-fraud task force interested in helping Minnesota fight fraud


Vice President JD Vance chaired the first meeting of an anti-fraud task force aimed at cracking down on fraud in government programs nationwide. Some of the fraud, he says, dates back 30 to 40 years.

However, in his opening remarks, he highlighted fraud in the Minnesota state government in recent years.

“Now what we’ve seen is Somali fraudsters at an industrial scale taking advantage of that program to the tune of millions and millions of dollars,” he said, talking specifically about fraud in autism programs.

House Fraud Committee takes aim at autism programs

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In an interview recorded for “At Issue with Tom Hauser” on Friday afternoon, Minnesota Governor Tim Walz says he’d welcome help in fighting fraud but doubts how interested the Trump administration is in helping the state.

“All fraud is too much,” Walz said. “One dollar is too much. I don’t really believe the vice president is interested in helping with this. If he was, he’d get us more U.S. attorneys. If he was, he’d have more FBI agents out here focused on this rather than harassing people in the streets. But what I would tell Minnesotans on this is they know it’s unacceptable. We’re on the path to having the most secure programs in the country. I take full responsibility for making sure that’s fixed.”

Walz acknowledges the involvement of some in the Somali community in several fraud cases in Minnesota, but says the fight against fraud shouldn’t be based on race or ethnicity.

Walz says ‘organized crime’ to blame for extensive fraud in Minnesota

“Going on there and talking about the Somali community, there are plenty of white men committing fraud too, and I don’t hear him talking about that. What I would tell you as a Minnesotan, I don’t care what your ethnicity is, your religion, the color of your skin, if you’re committing fraud, you’re going to prison. That’s my job to make sure it happens.”

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You can see the entire interview with Gov. Walz on Sunday morning at 10 a.m. on “At Issue.”

You’ll hear his response to a wide range of issues, ranging from his budget proposal to license tab fees to whether he plans to get involved in helping other Democrats in the midterm elections.



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