At the Open Door Health Center, a charity clinic in Mankato, the staff is turning away 100 patients a month.
At the Dorothy Day Center in St. Paul, the number of people sleeping on cots and mats shot up 40 percent last year.
At metro area food shelves, visits jumped by 21 percent last year, to 1.2 million, prompting the Greater Twin Cities United Way to raise an emergency cash infusion of $1 million. Statewide in 2008, Minnesotans made a record 2.26 million visits to food shelves, up nearly 15 percent, the advocacy group Hunger Solutions Minnesota said Monday.
Across Minnesota, more and more people are slipping through the public safety net, a web of programs that has grown thin with budget-cutting over the past six years and may face further cuts in this year's state budget crisis.
As a result, more and more are landing in the state's private safety net -- including food shelves, emergency shelters, community clinics and hospital emergency rooms -- and this network, too, is starting to fray.
State data tell the story. The number of Minnesotans receiving food support (formerly food stamps) and on medical assistance is climbing steadily. But the number of families collecting cash assistance has dropped by 20 percent in the past five years, even though the number living in poverty has risen by 20 percent.
The number of people getting subsidized medical coverage through MinnesotaCare has fallen by 25 percent, even though the number of uninsured Minnesotans is rising. The share of jobless workers who receive unemployment benefits is dropping, even as the job market suffers its worst recession since 1982.
"The formal safety net of government programs is getting pretty tattered," said Arnie Anderson, who directs the network of 28 Community Action Agencies that links Minnesotans in trouble with services to help. "When that happens, people squirt through the cracks and end up in crisis. We're seeing far more intact families -- people who are angry, scared and don't know how to work the system."