The human cost of the Minnesota fraud scandal

In Focus delivers deeper coverage of the political, cultural, and ideological issues shaping America. Published daily by senior writers and experts, these in-depth pieces go beyond the headlines to give readers the full picture. You can find our full list of In Focus pieces here.

Minnesota has emerged as the center of one of the largest public benefits fraud scandals in modern American history, a distinction that has drawn intense scrutiny from Congress and federal investigators while raising unsettling questions about what happens to the most vulnerable when oversight fails. As billions of taxpayer dollars were siphoned out of programs meant to provide food, medical care, housing assistance, and support for people with disabilities, state officials ignored repeated warnings, whistleblowers were sidelined, and the people these programs were supposed to serve were often left without care altogether.

Every dollar lost to abuse is a dollar not spent on real people whose health, safety, and stability depend on those services. When the government fails to stop fraud early, the result is not just waste but neglect, abandonment, and, in some cases, preventable tragedy.

That reality has become increasingly difficult to ignore as Washington turns its attention to Minnesota, not as a success story of progressive governance but as a cautionary tale. Treasury Secretary Scott Bessent recently argued that Minnesota’s experience should serve as a national warning rather than a localized embarrassment, noting that fraud within public benefits systems is never merely a fiscal problem.

“This money could have potentially been diverted to terrorist organizations, such as al Shabab,” Bessent said. “Treasury has a long history of following the money to financially suffocate bad actors, like the mafia and Mexican drug cartels. Now we are doing the same to shut down Somali fraud rings.”

What makes Minnesota’s scandal particularly striking is the contrast between how the state was presented nationally and what was happening behind the scenes. During the Biden administration, Minnesota was frequently highlighted as a model for expansive social spending. In 2023, first lady Jill Biden traveled to the state to promote billions of dollars in new federal child care funding, praising Minnesota’s investments in families and early education. The visit was meant to showcase how historic spending could transform care for children and working parents. Yet at the same time, investigators now say, Minnesota’s social services apparatus was hemorrhaging money through fraud schemes that deprived vulnerable families of the very care being celebrated from the podium.

Congressional investigators estimate that since at least 2018, fraud may have consumed billions of dollars across more than a dozen Minnesota-administered programs, including Medicaid, housing stabilization, autism services, addiction recovery, and home- and community-based care. In some programs, fraudulent claims may have represented a majority of total spending. The Feeding Our Future scandal, in which roughly $250 million in federal child nutrition funds were stolen through fabricated meal counts and sham distribution sites, initially appeared to be an aberration driven by pandemic-era chaos. It is now widely understood to have been an early indicator of a much deeper collapse in oversight.

The scope of the fraud is staggering, but the human consequences are far more disturbing. Local investigative reporting has documented repeated instances in which Medicaid providers billed Minnesota for services that were never delivered, sometimes to people they had never even met. In one particularly harrowing case, a vulnerable adult enrolled in a Medicaid-funded home-care program was found dead at home, unattended, despite records showing the state had paid for hours of daily supervision. On paper, comprehensive care had been provided. In reality, no one showed up.

These were not isolated clerical errors or good-faith misunderstandings. They were the predictable outcomes of a system that paid claims without verifying performance and treated paperwork compliance as a substitute for actual care. Providers billed for round-the-clock supervision while failing to appear. Autism therapy centers claimed services that never occurred. Housing programs collected funds for “stabilization” while clients remained homeless. The money flowed, even as the services existed only in spreadsheets.

Perhaps most troubling is how many opportunities existed to intervene before the damage became so extensive. Congressional testimony and internal communications show that Minnesota officials were repeatedly warned by state auditors, federal inspectors, and front-line employees about implausible billing patterns, unusually high reimbursement rates, and the absence of basic safeguards. Yet enforcement actions were delayed, investigations stalled, and concerns were often minimized. Several whistleblowers have told lawmakers they faced retaliation or professional consequences for pushing too hard, creating an environment in which silence was safer than accountability.

Sen. Chuck Grassley (R-IA) has since demanded answers about how whistleblowers were treated, emphasizing that fraud flourishes when those who raise alarms are marginalized rather than protected. When employees learn that reporting misconduct results in career damage rather than corrective action, the system effectively trains itself to ignore abuse. 

The consequences of Minnesota’s failure extend beyond state lines. Rampant fraud undermines public confidence in social services programs and entire communities nationwide, making it harder to sustain political support for legitimate assistance. It also has international ramifications. The federal government recently announced it would permanently end food aid to Somalia after discovering that an entire warehouse of U.S.-funded humanitarian supplies had disappeared. When oversight collapses, and fraud becomes systemic, donors pull back, programs shrink, and innocent people pay the price.

Recognizing the severity of the problem, the Trump administration has begun deploying new financial oversight tools to stop fraudulent payments before they are made, rather than chasing criminals after the money has vanished. Federal authorities are increasingly using Minnesota as a test case for more aggressive anti-fraud enforcement, relying on Treasury-level data analytics to flag suspicious transactions in real time. The shift reflects a growing consensus in Washington that post-payment audits are inadequate when dealing with organized fraud networks capable of moving funds quickly through shell nonprofit organizations and overseas accounts.

The political fallout inside Minnesota has been significant. Gov. Tim Walz’s (D-MN) decision not to seek a third term came amid mounting scrutiny over his administration’s handling of fraud allegations, a move widely interpreted as an acknowledgment of the political damage the scandal has inflicted. Republicans argue the episode exposes a culture of permissiveness and ideological blind spots, while Democrats counter that emergency pandemic programs created vulnerabilities nationwide and that reforms are now underway. What neither side seriously disputes is that the system failed for years while warnings went unheeded.

Fraud occurred on an enormous scale because oversight was weak, enforcement was delayed, and accountability was optional at best. Too many officials declined to dig deeper or ask obvious questions, not out of ignorance but out of fear of being accused of racism for scrutinizing providers who should have been scrutinized. That paralysis was catastrophic. Ignoring misconduct in the name of sensitivity does not protect vulnerable populations — it enables exploitation, drains resources, and ultimately harms the very communities policymakers claim to defend.

Generosity without accountability invites exploitation, and exploitation inevitably harms the people these programs are meant to serve. Expanding funding while neglecting enforcement creates a dangerous illusion of compassion, one that looks impressive during political visits and press conferences, but collapses when examined up close.

FROM ‘GENOCIDE JOSH’ TO ISRAELI SPY: WHY SHAPIRO WAS LEFT OFF THE TICKET

Taxpayer dollars allocated to Medicaid, childcare, food assistance, and housing support represent real commitments to real people, not abstract line items. When those dollars are stolen or misused, the cost is measured not only in billions lost but in care denied, services never delivered, and lives quietly endangered. Minnesota’s experience stands as a warning to policymakers across the country: When oversight collapses and whistleblowers are silenced, fraud does not merely drain public coffers. It steals from the vulnerable and leaves them to pay the highest price.

For those who claim the mantle of progressive governance, the refusal to curb fraud is not a neutral failure — it is a betrayal of the very principles invoked to justify expansive social spending in the first place. Protecting the poor requires more than funding programs — it requires the courage to ensure those programs actually serve the people they are meant to help.

Related Content