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Managed Care Plans' Neglect of Health Care for Medicaid Patients

A Big Problem in the Cost and Quality of Health Care
Nationally and Here in Minnesota


Medicaid has grown to represent 30% of the typical state budget and is crowding out education, transportation and other needs.

Two thirds of states have outsourced their Medicaid programs to managed care plans rather than have Medicare directly pay doctors and hospitals.

The private plan providers then often refuse to provide the data that would determine whether our tax dollars are being well-used because they regard the data as proprietary information.

Following is an article that gives an example from California. It is an example that applies to patients nationally and has also been experienced by patients in some states who have Medicare Advantage Plans where an insurance company is paid a fixed amount by Medicare for the patient, and then the insurance company is responsible for covering all of the patient's costs

"As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?"

By Chad Terhune, Photos by Heidi de Marco October 18, 2018


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In June 2012, Think Again MN launched a history series that examines politics and policy-making in Minnesota during the last century from the immediate post World War II years up through the 1990s. That era witnessed fierce legislative battles at the State Capitol but it was also a time of shared values that cut across partisan lines. 

Read about it here

MN's Leading Election System

MN's Leading Election System

With Secretary of State Steve Simon


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Listen to Secretary of State Steve Simon's excellent presentation on MN's outstanding election system emulated by many other states at the Think Again Brooklyns forum January 19, 2016.  Secretary Simon includes ways in which it can be improved, and he explains why it is important to vote.  He concludes with a quote from a tee shirt:  "Failure to vote is not an act of rebellion.  It is an act of surrender."

Get details on how to vote at

Oregon's Automatic Voter Registration

How Oregon Became the Easiest Place to Vote in the US

By Lornet Turnbull
YES! Magazine
October 8, 2016

In January, Oregon became the first state in the country to begin automatically registering eligible citizens to vote when they obtain or renew their driver's licenses or state IDs, completely shifting the burden of voter registration from the individual to the government. 

Read the Article

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