How Minnesota Lost a Billion Dollars — And Why Your Premiums Keep Rising
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How Minnesota Lost a Billion Dollars — And Why Your Premiums Keep Rising
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Minnesota just lost a billion dollars to the largest Medicaid fraud in American history. Fake kids. Fake meals. Fake providers. Real money. Gone. But the fraud is just the symptom.
For 40 years, Minnesota has enforced a hospital construction moratorium that makes competition illegal. You can’t build a hospital. You can’t add a bed. Not without a law passed by the state legislature. A perfect monopoly shield for the state’s largest nonprofit health systems — and a perfect environment for fraud to thrive.
In this episode, Dutch breaks down how the fraud happened, why the oversight failed, how whistleblowers were ignored, and why Minnesota’s monopoly structure keeps premiums high for families, employers, Medicaid, and Medicare.
This isn’t a partisan story. It’s an incentive story.
When competition is illegal, fraud becomes easy — and prices explode.
If you want healthcare that’s affordable and accessible, start by understanding how Minnesota became the national case study in what not to do.
Full breakdown and receipts on Substack.
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