Local effort to expand nutrition access pays dividends for patients


Sitting inside her cozily decorated house in St. Paul’s North End, 69-year-old Kamee Yang began to list some of her favorite foods, like milk, leafy greens and squash.

While seemingly simple, Yang, speaking Hmong, told MinnPost through a translator that these foods get her to “a place where I feel comfortable with myself.” 

Compared to a few years ago, comfort is a big leap. At a routine doctor’s appointment, Yang, who manages health conditions like diabetes and high blood pressure, screened positive for food insecurity. It triggered her eligibility for Fair Table, providing free boxes of fresh food, prepared meals, food vouchers and ready-to-use food bags to patients in need.

The initiative, designed by Fairview Health Services, is part of the organization’s expanding efforts to center healthy food access in overall patient care, said Terese Hill, the manager of Fairview’s “Food is Medicine” approach.

“How are we as a healthcare system shifting the understanding of medicine and health care and the care that we offer, and making and embedding healthy food access as a component of the care you receive at your doctor’s office?” Hill said.

Putting down roots in North End

Decades ago, Yang immigrated from Laos to Thailand before settling in the United States in 1980. Over the years, she has faced many challenges to accessing healthy foods, including a limited income and transportation and language barriers. 

Kamee Yang Credit: Maddie Robinson

She is one of the many Minnesotans who has faced hunger. Today, nearly 600,000 people in the state – about 1 in 10 –  are considered food insecure, according to the nonprofit Feeding America. Since opting into Fair Table programs, Yang said she eats and feels healthier.

In 2025, more than 31,000 Fairview patients screened positive for food insecurity at routine checkups. More than 6,700 of them were able to participate in Fair Table, whose programs receive funding from Fairview as well as outside sources like the state’s Department of Human Services.

This summer, Fairview is aiming to expand food accessibility by way of a community garden outside of its Rice Street clinic through a partnership with Urban Roots, a St. Paul nonprofit that works with young people to address the causes of food insecurity.

Hayley Ball, the executive director of Urban Roots, told MinnPost that Fairview approached the organization over a year ago hoping to create more opportunities for area residents to access healthy food. Urban Roots already operates five community gardens primarily serving St. Paul’s North End and East Side, so Ball said the partnership came naturally.

On top of the garden providing more healthy food options to patients at the clinic and residents in the area, Ball hopes the new garden will create a new, third space for community members.

“I think that when we are bringing together people to grow their own food and connect within nature, we’re providing opportunity for safe spaces for community as well, and just encouraging general positive community building,” she said.

‘Food that’s coming back to their roots’

Mang Vang, who works for Fairview as a food resource navigator, explained that once a patient receives a referral to Fair Table, she helps connect them to programs and community resources to meet their needs.

Yang, for example, receives her summer vegetables through Fairview’s Veggie Rx program and has prepared meals delivered to her through a partnership with Open Arms, a Minnesota nonprofit that delivers dietitian-tailored meals to critically-ill individuals. She also participates in the MarketRx program, which provides $80-a-month food vouchers for eligible patients.

Vang added that Fair Table also works to provide culturally-relevant foods, like traditional Hmong meals in Yang’s case. When talking with food-insecure patients, Vang said they often note the importance of accessing foods they would normally eat.

“They’re getting food that’s coming back to their roots and they’re able to feed themselves on it, thrive and just start to feel and heal better,” Vang said.

So far, the results have been encouraging. Patients in Fair Table’s prepared meals program have reported an 80% increase in eating a more balanced diet. Those in the food voucher program have experienced a 14% decrease in emergency department visits and an 11% decrease in inpatient stays, according to figures provided to MinnPost. Yang has noticed more specific improvements, like better managing her blood sugar levels.

“If I was still back in my homeland and I was going through food insecurity such as this, I feel that maybe I would have just been dead out of starvation,” Yang said. “But because I’m here and I find that these resources are able to help me with my ongoing symptoms and my health problems, it has revived me quite a bit.” 



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Another day, another politically motivated attack in the United States.

This morning’s shooting at a Dallas ICE detention facility – where a sniper killed two detainees and wounded another before taking his own life prompted me to revisit a question that’s been troubling me: Is political violence actually increasing in America, or does it just feel that way?

To explore this, I’ve conducted what I’ll call a methodological experiment.

Rather than relying on traditional datasets, I’ve used ChatGPT and Claude to construct a synthetic index of political violence in the US since 1945. Let me be absolutely clear: this isn’t conventional data. It’s data generated through language models, with all the limitations that implies.

The Methodology (and Its Limitations)

Here’s what I did: I asked both ChatGPT and Claude to generate lists of politically motivated violent incidents since 1945, then had them score each incident’s severity on a scale where 50 represents a “normal” level.

The models assessed both casualties and symbolic significance, and I used them to cross-check each other’s work. I then quality-checked the output myself and categorised perpetrators by political affiliation where this was clearly established.

This approach is, admittedly, unorthodox. Language models are trained on existing texts and may reflect biases in their training data. They might overweight highly publicised events or recent incidents that featured prominently in their training corpus.

The “data” we’re looking at is essentially a structured synthesis of what these models have absorbed about American political violence.

Yet there’s something intriguing here. These models have processed vast amounts of information about political violence – news reports, academic studies, government documents. Their output might capture patterns that traditional datasets miss, though it might also amplify certain narratives or blind spots.

What the Synthetic Data Reveal

With those caveats firmly in mind, the patterns that emerge from this exercise are concerning. The model-generated index shows a clear upward trend in political violence over the past decade.

Looking at the breakdown by perpetrator ideology (where clearly established), the data suggest that right-wing extremist groups have been responsible for the majority of incidents in recent years, though we cannot draw conclusions about today’s attack whilst investigations are ongoing.

The synthetic data align with some empirical observations. Princeton’s Bridging Divides Initiative recorded over 600 incidents of threats and harassment against local officials in 2024 – a 74% increase from 2022. The University of Maryland found that in the first half of 2025, 35% of violent events targeted U.S. government personnel or facilities – more than twice the rate in 2024.

The Charlie Kirk Assassination and Recent Patterns

The September assassination of conservative activist Charlie Kirk marked a particularly dark moment.

The incident followed numerous recent acts of political violence, including the murder of Minnesota Democratic state Rep. Melissa Hortman and her husband, and two assassination attempts on President Trump in 2024.

What the synthetic data reveal is not just increased frequency but a shift in patterns. While overall levels of physical political violence remained low in 2024 compared to years prior, acts of vigilante violence grew as a proportion of all reported incidents.

We’re seeing less organised group violence and more lone-wolf attacks – a pattern that’s harder to predict and prevent.

The Epistemological Challenge

When we use language models to generate “data” about social phenomena, what exactly are we measuring? We’re essentially extracting structured information from the collective corpus of human writing about these events. It’s aggregating distributed information, but through an AI intermediary rather than traditional data collection methods.

This raises fascinating questions.

The models suggest that right-wing extremist violence has been responsible for a fairly large majority of U.S. domestic terrorism deaths since 2001. But how much of this reflects actual patterns versus the way these events are covered and discussed in the sources the models were trained on?

The synthetic data are, in a sense, a mirror of our collective discourse about political violence. They reflect not just what happened, but how we’ve talked about what happened. That’s both a limitation and, potentially, a feature – understanding the narrative landscape around political violence might be as important as counting incidents.

An Experimental Tool

I’ve built an interactive app (using the AI coding tool Lovable) based on this language model-generated violence index.

Users can explore the synthetic data, examine patterns across different time periods and perpetrator groups, and understand the methodology behind it. Think of it as an experiment in using AI to structure historical information rather than a definitive dataset.

The value isn’t in treating this as gospel truth, but in what it reveals about how these events are recorded, remembered, and synthesised in our collective digital memory.

When language models trained on our civilisation’s text output show rising political violence, it tells us something – even if that something is as much about narrative as about underlying reality.

This morning’s tragedy in Dallas reminds us that behind every data point – whether traditionally collected or AI-generated – there are real victims and real consequences. Understanding the patterns, however imperfectly, is the first step toward addressing them.

Try the tool here.





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