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OPINION EXCHANGE | Minnesota must stop failing Black mothers and birthers

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OPINION EXCHANGE  |  Minnesota must stop failing Black mothers and birthers


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.

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Throughout the country, Minnesota is seen as a leader in health care with a rich history of innovation and off-the-charts rankings. Some of the leading clinics, technology manufacturers and insurance providers all call Minnesota home, and for good reason. But at the same time, the very health care systems in our state that promise care and comfort for families during one of the most significant health events in their lives — childbirth — fall short of meeting the needs of all birthers.

Despite increased attention on equity and DEI initiatives, there remains a stark disparity in maternal mortality rates between Black and white people. According to the Kaiser Family Foundation, Black women have a pregnancy-related mortality rate that is about three times higher than that of white women. In addition, a recent Minnesota Department of Health report indicated that, while the state’s overall maternal mortality rate is much lower than the national average, there are also disparities. Black Minnesotans represent 13% of the birthing population, but made up 27% of pregnancy-associated deaths between 2017 and 2019. What is more unnerving is that this tragic reality cannot be attributed to biological differences but rather to the structural racism that pervades our society.

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Factors such as lack of access to quality health care and culturally concordant care, racial bias and discrimination within health care settings, socioeconomic disparities, and environmental stressors all contribute to the elevated risk of maternal death among Black mothers and birthers.

According to a new poll commissioned by Blue Cross and Blue Shield of Minnesota, more than half of Black Minnesota mothers and birthing people feel that discrimination based on their race/ethnicity negatively impacts their health.

Respondents identified discrimination as a key impediment to health equity, with 59% indicating it adversely affects birther health. The survey exposes a challenging environment for Black women and birthing people, who must place significant trust in health care systems, yet have low confidence that their health care needs (particularly postpartum) are met.

The survey results also pointed to some potential solutions. About 52% of respondents said increasing the representation of Black health care professionals would have a strong impact in improving Black birther health.

Rooting our strategy and mission in advancing racial and health equity, Blue Cross is committed to working collectively to eliminate barriers to health and to proactively address large-scale systemic issues that drive racial and health inequities.

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One key area of focus needs to include expanding access to quality and culturally informed health care for Black mothers and birthers, including prenatal and postpartum care, reproductive health services, and mental health support. Part of this work includes implementing anti-bias training for health care providers, helping to create a more diverse and inclusive health care workforce, and establishing protocols to ensure equitable treatment for all patients. It also includes educating new Black mothers and birthers throughout their journey so they have the necessary tools to advocate for themselves, which many of them inevitably end up having to do.

Another strategy is to make changes in policy. In August 2022, several members from various Black and Indigenous community organizations formed the Birth Justice Collaborative (BJC) as a way to inform and develop strategies that improve maternal health for American Indian and African American communities. Initiatives developed at the BJC have directly resulted in the Minnesota Department of Health vastly changing the way Blue Cross covers doula and midwife care for people on Medicaid, expanding coverage from eight to 17 visits. In the Black community, doulas have been the standard for the way important health knowledge gets passed down between generations. This knowledge and care are also known to play an invaluable role in healing, and to greatly improve maternal outcomes for Black women.

Community-based interventions are also crucial in this work. Communities have the answers, and it is incumbent on dominant systems and organizations to support and amplify the solutions that communities have identified and built. This includes supporting efforts focused on improving access to care, education, affordable housing, nutritious food and economic opportunities.

The Blue Cross and Blue Shield of Minnesota Foundation supports several organizations that focus on improving Black maternal health, including the African American Babies Coalition, which advocates for policies and programs that improve maternal and infant health outcomes within Black communities, addressing the root causes of maternal health inequities to ensure that Black birthers and babies receive the support they need to thrive. Another organization we support is the Roots Birth Center, which provides comprehensive maternity services and offers holistic care that respects the cultural traditions and preferences of clients to empower and reduce maternal health inequities.

By working together, Blue Cross and other health-driven organizations can set the standard where all birthers, regardless of race or socioeconomic status, can experience healthy pregnancies and childbirth. However, to be truly successful, we must expand the advocacy for Black mothers and birthers, and see greater efforts from many sectors, including policymakers, health care providers, community organizations, advocates and more. Ensuring safer, more personalized and more equitable maternity care for all birthers, babies and families should be paramount in a state so highly regarded for being one of the healthiest in the nation.

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Bukata Hayes is the vice president of racial and health equity and chief equity officer for Blue Cross and Blue Shield of Minnesota.



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Dennis Peterson

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Dennis Peterson


With family by his side, Dennis “Bud” Peterson went to be with the Lord on the morning of June 1, 2026.

He was born at Drake, North Dakota on April 2, 1932 in the home of his parents Nick and Helen Peterson. The family moved to Duluth at the beginning of World War II.

After graduation from Duluth Central High School Bud served in the US Army in Korea during the Korean War, and received an Honorable Discharge with the rank of Sergeant. He used his GI Bill benefits to attend UMD receiving an Associate Degree, and also earned his Commercial Instrument Pilot rating.

Bud was a longtime employee of St. Louis County retiring as Supervisor of Roads and Bridges. In retirement he served as Boiler Engineer and a do it all repairman for Duluth Gospel Tabernacle. He generously devoted his time and talents as a consummate do it yourself repairman to all of his family.

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Dennis is preceded in death by his parents, Nick & Helen Peterson; brother, Robert Peterson; sister, June (Don) Kruger; and infant brother and sister, James and Delores Peterson.

He is survived by his sister, Carol (Eli) Miletich; and numerous nieces and nephews all of whom he loved dearly.

At Bud’s request, his family will be holding a private funeral service. Arrangements by Dougherty Funeral Home 218-727-3555. 





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Medical services in limbo for thousands of providers amid Minnesota fraud crisis

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Medical services in limbo for thousands of providers amid Minnesota fraud crisis


The Minnesota Department of Human Services is reexamining over 5,000 Medicaid service providers across the state in an effort to combat fraud. 

The federal government said it would pull $2 billion in annual Medicaid funding from Minnesota in January if the state didn’t make changes.

The Minnesota Department of Human Services set out to revalidate thousands of providers in programs deemed high risk for fraud by asking providers to submit verification paperwork and making unannounced site visits. The deadline passed on Sunday. 

The latest data, published on May 27, shows 1,009 providers approved, 1,151 disenrolled and over 3,000 providers with pending applications. 

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Paige Berland and Camille Heyman run Minnesota Behavioral Specialists, providing autism care to children through two locations in the metro area. The women say that after submitting their paperwork, they received letters from DHS with determinations for both locations: the Bloomington center was terminated and the Eagan office was approved. 

“It doesn’t make sense, everything is the same minus the location,” Berland said. “So why was one approved and one wasn’t approved?”

The termination letter said the Bloomington center was denied because they failed to disclose a managing employee during a site visit. Berland disputes that and said she already submitted an appeal.

“We were told to keep running, keep continuing as we are while we go through this process,” she said. “It just means that we don’t have the money coming in.” 

Josh Berg with Accessible Space says they’re also in limbo. Berg said they offer integrated community supports, which means caretakers provide in-unit assistance for people with spinal cord injuries and disabilities. 

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“Most of the folks that we support are wheelchair-bound,” Berg said. “Helping with meals, helping with medications, helping them just live their lives.”

Berg said that of the seven locations where people are housed, the Department of Human Services terminated five and approved two. He believes the timeline to conduct this revalidation process was too aggressive. He said Accessible Space has also submitted an appeal.

“We’re not able to bill for services, we’re not able to start new services for anybody or change any of the supports that they receive,” he said. 

Both Berg and Berland say they agree fraud needs to be dealt with, but they hope Minnesotans who truly need services aren’t left without the services they need. 

“Not just the clients rely on services, but the families do too, so we can’t stop services; that’s not an option on our plate,” Berland said. “We want to continue to provide these services; they are medically necessary.” 

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The Minnesota Department of Human Services said a disenrollment letter could be sent for a few reasons, including failure to submit revalidation application after two notification attempts, failure to provide all requested documents within the required timeframe and failure to meet the criteria required during an on-site visit.

A spokesperson for the Department of Human Services said it’s currently in the process of compiling data from the thousands of applications, but didn’t say when the department would share those final numbers. 



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Minnesota GOP disavows Chauvin moment of silence at convention

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Minnesota GOP disavows Chauvin moment of silence at convention


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The Minnesota Republican Party is distancing itself from a moment of silence held for Derek Chauvin during its state convention, saying the gesture was not part of leadership planning, not included in the official program, and should not be interpreted as a party position.

GOP officials said in a Monday, June 1 Facebook post that the recognition of the former Minneapolis police officer, who was convicted in the killing of George Floyd in 2020, emerged from a spontaneous delegate motion on the convention floor and was not initiated or endorsed by leadership.

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The controversy quickly escalated after state leaders, civil rights attorneys and Democratic lawmakers condemned the action, describing it as deeply harmful to Floyd’s family and inconsistent with accountability under the law.

The moment of silence took place during the party’s annual gathering in Duluth on May 30 and comes just days after the sixth anniversary of Floyd’s murder in Minneapolis, an event that reshaped national debates over policing and racial justice.

Republican Party of Minnesota says gesture was not leadership action

In a statement, the Republican Party of Minnesota said the recognition of Derek Chauvin originated as a delegate request during floor proceedings at the convention in Duluth and was handled under standard rules of order.

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Party officials emphasized that convention leadership, including chair Danny Nadeau, did not propose the motion. The statement said leadership’s role was procedural only, and that presiding over the motion did not reflect agreement with or endorsement of its subject matter.

Officials reiterated that the convention agenda itself did not include any planned recognition of Chauvin and said the episode should not be interpreted as a leadership-driven decision or policy stance.

Minnesota attorney general calls action ‘profound cruelty’

Minnesota Attorney General Keith Ellison, who led the prosecution of Chauvin, sharply criticized the gesture, calling it an “act of profound cruelty” toward the Floyd family.

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Ellison said the timing, so close to the anniversary of Floyd’s death, compounded the harm.

He said honoring Chauvin “dishonors the memory of George Floyd and wounds his loved ones all over again,” and called it “disturbing” to recognize someone convicted of violating his oath as a police officer.

Ellison also said the action was “disrespectful” to law enforcement officers who serve honorably, and reaffirmed that courts had already upheld Chauvin’s conviction through multiple appeals.

Broader backlash and political fallout

Democratic state Rep. Jamie Long called the moment of silence “disgusting,” arguing that Republicans chose to honor a convicted murderer rather than victims of violence or service members.

The gesture also drew criticism from civil rights attorneys Ben Crump and Antonio Romanucci, who represented George Floyd’s family in its civil case after his death. The attorneys called the moment of silence immoral and demanded a retraction and apology, saying it disrespected both the Floyd family and the broader public record of Chauvin’s conviction.

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Floyd was killed on May 25, 2020, when Chauvin, a white former Minneapolis police officer, knelt on his neck for more than nine minutes. Chauvin was later convicted of second-degree murder, third-degree murder and second-degree manslaughter, and sentenced to 22½ years in state prison.

The killing sparked global protests and became a defining moment in the Black Lives Matter movement and debates over policing in the United States.

Chauvin’s conviction has been upheld through multiple appeals, including a denial by the U.S. Supreme Court in 2023, and he is serving his sentence in federal custody.

Party officials say despite the controversy, their focus remains on candidate endorsements and upcoming elections, not the floor action that triggered the backlash.

Reporter Anthony Thompson can be reached at ajthompson@usatodayco.com, or on X @athompsonUSAT.

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