A longstanding dispute between the University of St. Thomas and residents opposed to the university’s continued use of its Goodrich Avenue loading drive has been settled largely in the university’s favor.

The St. Paul City Council voted 5-1 Wednesday to support the university’s appeal of a Dec. 13 Planning Commission decision, which found that the university was in violation of a 2004 conditional use permit that requires the loading drive to be removed if the adjoining Binz Refectory is remodeled.

The university made $1.3 million in improvements to the building’s basement and ground level in 2022 and 2023, but kept the driveway in place, triggering opposition from Summit Avenue homeowners.

University officials have said the loading drive offers an important path into the south campus for emergency vehicles, but residents tired of seeing the headlights of delivery trucks in their front windows said it has become a drop-off location for university suppliers. They worry that traffic and drop-offs will increase as game-day visitors use the drive to access the future Lee and Penny Anderson Arena, a Division 1 basketball and hockey arena under construction nearby.

Interim Ward 4 Council Member Matt Privratsky made the motion on Wednesday to grant the university’s appeal of the December Planning Commission decision, with a handful of conditions.

Among the conditions, the loading drive may only be used for material deliveries to, and pick-ups from, the Binz Refectory building and the Brady Education Center, as well as by maintenance and emergency vehicles. The driveway may not be used for student, employee or visitor vehicle traffic, and it may not be connected to parking spaces accessed by those users, except during arena construction, for a period not to exceed two years.

Council President Rebecca Noecker cast the sole dissenting vote, noting the 2004 conditional use permit resulted from a legal settlement to a lawsuit involving the university’s planned campus expansion around Summit, Cleveland, Grand and Cretin avenues.

“I did not find any errors in the Planning Commission’s discussion of this item, which was quite lengthy,” Noecker told the council. “It seemed that the only question was why that condition was put in place in the first place, and therefore whether it was still necessary. Given that we don’t have insight into that question, because much of this discussion happened as part of a settlement conference, and we don’t have the record, we should uphold the condition in its plainest form.”

The 5-1 vote was in favor of the university’s appeal, with Council Vice President HwaJeong Kim absent.

Shruthi Baskaran-Makanju

Easter falls on Sunday, April 20, but dinner may look a little different this year. Instead of elaborate tables with glazed ham, roasted lamb, carefully prepared sides and desserts that take hours to prepare, families today opt for simpler, more relaxed meals that emphasize convenience, connection and less stress. Welcome to a new era of Easter dining, where less really is more.

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Convenience wins

A survey conducted by Talker Research on behalf of Kiddie Academy found that parents effectively have 17-18-hour days when accounting for employment, household chores and child-related tasks. As the average family juggles more demands than ever, the idea of cooking all day has started to feel overwhelming rather than joyful.

So, instead of sweating over multiple dishes, families seek shortcuts. Meal kits, pre-made dishes or even simple DIY meals are popular ways to ease the pressure. Retailers and meal kit companies now prominently feature Easter-friendly selections that promise to minimize kitchen time and maximize enjoyment.

Brunch is booming. DIY brunch bars – featuring easy-to-prepare foods like overnight French toast casseroles, customizable waffles and egg dishes – are more popular. And it’s not hard to see why: these casual, build-your-own meals offer something for everyone without trapping one person in the kitchen.

Another convenience that reshapes Easter meals is the rise of prepared gourmet grocery items. Stores now offer fully-cooked holiday dishes, artisanal baked goods and even restaurant-quality entrees to-go. Families find these options appealing because they provide a taste of luxury without the labor, allowing hosts to spend more time engaging with guests rather than juggling multiple cooking tasks.

Changing family dynamics

Another reason elaborate Easter dinners lose steam is the shift in family dynamics. Extended families often live far apart, meaning fewer big gatherings. As families get smaller, the practicality of cooking huge meals decreases, giving way to simpler, smaller-scale celebrations.

This shift towards smaller, more manageable meals means traditional heavy dishes like ham or lamb roasts – once staples – are replaced by lighter, more adaptable fare. Spring brings fresh vegetables like asparagus, peas, radishes and artichokes. Many families choose veggie-forward dishes such as roasted asparagus salads, simple pasta e piselli or artichoke dips, celebrating the season without complexity.

Bella Bucchiotti, new mom and food writer at xoxoBella, says, “Fancy Easter dinners are taking a backseat to what actually works for modern families – like a ham in the slow cooker and a store-bought dessert. With everyone’s schedules all over the place and families often living miles apart, convenience and flexibility have become the new tradition in my family.”

Additionally, there’s an increasing emphasis on dishes that accommodate diverse dietary needs. With more family members adopting vegetarian, vegan or gluten-free lifestyles, flexible menus that cater to these preferences without additional complexity are more attractive. Recipes like grain bowls, lentil salads or roasted vegetable medleys are now staples, easily adapted to satisfy various dietary restrictions.

Less stress, more connection

Perhaps most importantly, people have begun prioritizing connection over perfection. In a time when stress and burnout are common concerns, families actively look to reduce pressures associated with holidays. The pandemic accelerated this trend, as gatherings shrank and traditions relaxed. The result is a new approach to holiday eating – one that focuses less on what’s on the table and more on who’s around it.

As people redefine what makes a holiday meal special, classic dishes like deviled eggs, simple salads and freshly baked bread are seeing a revival. These foods are quick to prepare, widely beloved and easily shared – perfect for fostering conversation and connection.

“Growing up, our Easter dinner meant 25 people or more, with my grandmother cooking for days and all the traditional foods served in fancy china. Now it’s just my immediate family and parents, and we’ve simplified to just a few favorites. Even the ham goes into the Instant Pot – it’s quicker, easier and still delicious. The huge family feast is history, and we’re good with it,” says Michelle Price of Honest and Truly.

Potluck-style gatherings, charcuterie boards and grazing tables are especially popular because they allow guests to choose exactly what they want and encourage casual mingling. There’s a growing popularity of grazing Easter lunches, which feature cheese boards, dips, cured meats and finger foods. These let guests snack leisurely rather than sit down to a formal meal.

The popularity of interactive dining experiences is also growing. Families enjoy activities such as assembling pizzas together or creating their own taco bars. These shared culinary experiences foster laughter, bonding and storytelling, turning meals into memorable moments rather than just a means to an end.

The future of Easter dining

Looking ahead, these trends will likely continue to evolve. As families value quality time over kitchen time, retailers and restaurants alike will innovate with simpler, more convenient offerings tailored to busy lifestyles. Expect to see even more creativity with meal kits, prepared foods and smaller-scale dishes tailored specifically for holiday gatherings.

The decline of fancy Easter dinners doesn’t mean losing tradition – just redefining it. Families discover new ways to make holidays special without the stress, and create memories that center on connection rather than cooking prowess.

This Easter, maybe skip the roast lamb and try a casual brunch or grazing table instead. You might find it not only easier but also even more memorable – and isn’t that the true point of a holiday meal?

Shruthi Baskaran-Makanju is a food and travel writer and a global food systems expert based in Seattle. She has lived in or traveled extensively to over 60 countries, and shares stories and recipes inspired by those travels on Urban Farmie.

By Sarah Jane Tribble, KFF Health News, Holly K. Hacker, Caresse Jackman, InvestigateTV, KFF Health News

EUTAW, Ala. — Leroy Walker arrived at the county hospital short of breath. Walker, 65 and with chronic high blood pressure, was brought in by one of rural Greene County’s two working ambulances.

Nurses checked his heart activity with a portable electrocardiogram machine, took X-rays, and tucked him into Room 122 with an IV pump pushing magnesium into his arm.

“I feel better,” Walker said. Then: Beep. Beep. Beep.

The Greene County Health System, with only three doctors, has no intensive care unit or surgical services. The 20-bed hospital averages a few patients each night, many of them, like Walker, with chronic illnesses.

Greene County residents are some of the sickest in the nation, ranking near the top for rates of stroke, obesity, and high blood pressure, according to data from the federal Centers for Disease Control and Prevention.

Patients entering the hospital waiting area encounter floor tiles that are chipped and stained from years of use. A circular reception desk is abandoned, littered with flyers and advertisements.

But a less visible, more critical inequity is working against high-quality care for Walker and other patients: The hospital’s internet connection is a fraction of what experts say is sufficient. High-speed broadband is the new backbone of America’s health care system, which depends on electronic health records, high-tech wireless equipment, and telehealth access.

Greene is one of more than 200 counties with some of the nation’s worst access to not only reliable internet, but also primary care providers and behavioral health specialists, according to a KFF Health News analysis. Despite repeated federal promises to support telehealth, these places remain disconnected.

During his first term, President Donald Trump signed an executive order promising to improve “the financial economics of rural healthcare” and touted “access to high-quality care” through telehealth. In 2021, President Joe Biden committed billions to broadband expansion.

KFF Health News found that counties without fast, reliable internet and with shortages of health care providers are mostly rural. Nearly 60% of them have no hospital, and hospitals closed in nine of the counties in the past two decades, according to data collected by the Cecil G. Sheps Center for Health Services Research at the University of North Carolina-Chapel Hill.

Residents in these “dead zone” counties tend to live sicker and die younger than people in the rest of the United States, according to KFF Health News’ analysis. They are places where systemic poverty and historical underinvestment are commonplace, including the remote West, Appalachia, and the rural South.

“It will always be rural areas with low population density and high poverty that are going to get attended to last,” said Stephen Katsinas, director of the Education Policy Center at the University of Alabama. “It’s vital that the money we do spend be well deployed with a thoughtful plan.”

Now, after years of federal and state planning, Biden’s $42 billion Broadband Equity Access and Deployment, or BEAD, program, which was approved with bipartisan support in 2021, is being held up, just as states — such as Delaware — were prepared to begin construction. Trump’s new Department of Commerce secretary, Howard Lutnick, has demanded “a rigorous review” of the program and called for the elimination of regulations.

Trump’s nominee to lead the federal agency overseeing the broadband program, Arielle Roth, repeatedly said during her nomination hearing in late March that she would work to get all Americans broadband “expeditiously.” But when pressed by senators, Roth declined to provide a timeline for the broadband program or confirm that states would receive promised money.

Instead, Roth said, “I look forward to reviewing those allocations and ensuring the program is compliant with the law.”

Sen. Maria Cantwell, D-Wash., the Senate commerce committee’s ranking minority member, said she wished Roth had been more committed to delivering money the program promised.

The political wrangling in Washington is unfolding hundreds of miles from Greene County, where only about half of homes have high-speed internet and 36% of the population lives below the poverty line, according to the U.S. Census Bureau.

Walker has lived his life in Alabama’s Black Belt and once worked as a truck driver. He said his high blood pressure emerged when he was younger, but he didn’t take the medicine doctors prescribed. About 11 years ago, his kidneys failed. He now needs dialysis three times a week, he said.

While lying in the hospital bed, Walker talked about his dialysis session the day before, on his birthday. As he talked, the white sheet covering his arm slipped and revealed where the skin around his dialysis port had swollen to the size of a small grapefruit.

Room 122, where Walker rested, is sparse with a single hospital bed, a chair, and a TV mounted on the wall. He was connected to the IV pump, but no other tubes or wires were attached to him. The IV machine’s beeping echoed through the hallway outside. Staffers say they must listen for the high-pitched chirps because the internet connection at the hospital is too slow to support a modern monitoring system that would display alerts on computers at the nurses’ station.

Aaron Brooks, the hospital’s technology consultant, said financial challenges keep Greene County from buying monitoring equipment. The hospital reported a $2 million loss on patient care in its most recent federal filing. Even if Greene could afford a system, it does not have the thousands of dollars to install a high-speed fiber-optic internet connection necessary to operate it, he said.

Lacking central monitoring, registered nurse Teresa Kendrick carries a portable pulse oximeter device, she said — like ones sold at drugstores that surged in popularity during the covid-19 pandemic.

Doing her job means a “continuous spot-check,” Kendrick said. Another longtime nurse described her job as “a lot of watching and checking.”

Beep. Beep.

The beeping in Room 122 persisted for more than two minutes as Walker talked. He wasn’t in pain — he was just worried about the beeping.

About 50 paces down the hall — past the pharmacy, an office, and another patient room — registered nurse Jittaun Williams sat at her station behind plexiglass. She was nearly 20 minutes past the end of her 12-hour shift and handing off to the three night-shift nurses.

They discussed plans for patients’ care, reviewing electronic records and flipping through paper charts. The nurses said the hospital’s internal and external computer systems are slow. They handwrite notes on paper charts in a patient’s room and duplicate records electronically. “Our system isn’t strong enough. There are many days you kind of sit here and wait,” Williams said.

Broadband dead zones like Greene County persist despite decades of efforts by federal lawmakers that have created a patchwork of more than 133 funding programs across 15 agencies, according to a 2023 federal report.

Alabama’s leaders, like others around the U.S., are actively spending federal funds from the Biden-era American Rescue Plan Act, according to public records. And Greene County Hospital is on the list of places waiting for ARPA construction, according to agreements provided by the Alabama Department of Economic and Community Affairs.

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“It is taking too long, but I am patient,” said Alabama state Sen. Bobby Singleton, a Democrat who represents the district that includes Greene County Hospital and two others he said lack fast-enough connectivity. Speed bumps such as a need to meet federal requirements and a “big fight” to get internet service providers to come into his rural district slowed the release of funds, Singleton said.

Alabama received its first portion of ARPA funds in June 2021, which Singleton said included money for building fiber-optic cables to anchor institutions like the hospital. Alabama’s awards require the projects to be completed by February 2026 — nearly five years after money initially flowed to the state.

Singleton said he now sees fiber lines being built in his district every day and knows the hospital is “on the map” to be connected. “This doesn’t just happen overnight,” he said.

Alabama Fiber Network, a consortium of electric cooperatives, won a total of $45.7 million in ARPA funding specifically for construction to anchor institutions in Greene and surrounding counties. James Hoffman, vice president of external affairs for AFN, said the company is ahead of schedule. It plans to offer the hospital a monthly service plan that uses fiber-optic lines by year’s end, he said.

Greene County Health System chief executive Marcia Pugh confirmed that she had talked with multiple companies but said she wasn’t sure the work would be complete in the time frame the companies predicted.

“You know, you want to believe,” Pugh said.

Beep. Beep.

Nurse Williams had finished the night-shift handoff when she heard beeps from Walker’s room.

She rushed toward the sound, accidentally ducking into Room 121 before realizing her mistake.

Once in Walker’s room, Williams pressed buttons on the IV pump. The magnesium flowing in the tube had stopped.

“You had a little bit more left in the bag, so I just turned it back on,” Williams told Walker. She smiled gently and asked if he was warm enough. Then she hand-checked his heart rate and adjusted his sheets. At the bottom of the bed, Walker’s feet hung off the mattress and Williams gently moved them and made sure they were covered.

Walker beamed. At this hospital, he said, “they care.”

As rural hospitals like Greene’s wait for fast-enough internet, nurses like Williams are “heroes every single day,” said Aaron Miri, an executive vice president and the chief digital and information officer for Baptist Health in Jacksonville, Florida.

Miri, who served under both Democratic and Republican administrations on Department of Health and Human Services technology advisory committees, said hospitals need at least a gigabit of speed — which is 1,000 megabits per second — to support electronic health records, video consultations, the transfer of scans and images, and continuous remote monitoring of patients’ heartbeats and other vital signs.

But Greene’s is less than 10% of that level, recorded on the nurses’ station computer as nearly 90 megabits per second for upload and download speeds.

It’s a “heartbreaking” situation, Miri said, “but that’s the reality of rural America.”

Michael Gordon is one of Greene County Hospital’s three doctors. (Andi Rice/KFF Health News/TNS)

The Beeping Stopped

Michael Gordon, one of the hospital’s three doctors, arrived the next morning for his 24-hour shift. He paused in Room 122. Walker had been released overnight.

Not being able to monitor a cardiovascular patient’s heart rhythm, well, “that’s a problem,” Gordon said. “You want to know, ‘Did something really change or is that just a crazy IV machine just beeping loud and proud and nobody can hear it?’”

Despite the lack of modern technology tools, staffers do what they can to take care of patients, Pugh said. “We show the community that we care,” she said.

Pugh, who started her career as a registered nurse, arrived at the hospital in 2017. It was “a mess,” she said. The hospital was dinged four years in a row, starting in 2016, with reduced Medicare payments for readmitting patients. Pugh said that at times the hospital had not made payroll. Staff morale was low.

In 2021, federal inspectors notified Pugh of an “immediate jeopardy” violation — grounds for regulators to shut off federal payments — because of an Emergency Medical Treatment and Labor Act complaint. Among seven deficiencies inspectors cited, the hospital failed to provide a medical screening exam or stabilizing treatment and did not arrange appropriate transfer for a 23-year-old woman who arrived at the hospital in labor, according to federal reports.

Inspectors also said the hospital failed to ensure a doctor was on duty and failed to create and maintain medical records. An ambulance took the woman to another hospital, where the baby was “pronounced dead upon arrival,” according to the report.

Federal inspectors required the hospital to take corrective actions and a follow-up inspection in July 2021 found the hospital to be in compliance.

In 2023, federal inspectors again cited the hospital’s failure to maintain records and noted it had the “potential to negatively affect patients.”

Inspectors that year found that medical records for four discharged patients had been lost. The “physical record” included consent forms, physician orders, and treatment plans and was found in another department, where it had been left for two months.

Pugh declined to comment on the immediate jeopardy case. She confirmed that a lack of internet connectivity and use of paper charts played a role in federal findings, though she emphasized the charts were discharge papers rather than for patients being treated.

She said she understands why federal regulators require electronic health records but “our hospitals just aren’t the same.” Larger facilities that can “get the latest and greatest” compared with “our facilities that just don’t have the manpower or the financials to purchase it,” she said, “it’s two different things.”

Walker, like many rural Americans, relies on Medicaid, a joint state and federal insurance program for people with low incomes and disabilities. Rural hospitals in states such as Alabama that have not expanded Medicaid coverage to a wider pool of residents fare worse financially, research shows.

During Walker’s stay, because the hospital can’t afford to modernize its systems, nurses dealt with what Pugh later called an “astronomical” number of paper forms.

Later, at Home

Walker sat on the couch in the modest brick home he shares with his sister and nephew. In a pinch, Greene County Hospital, he said, is good “for us around here. You see what I’m saying?”

Still, Walker said, he often bypasses the county hospital and drives up the road to Tuscaloosa or Birmingham, where they have kidney specialists.

“We need better,” Walker said, speaking for the 7,600 county residents. He wondered aloud what might happen if he didn’t make it to the city for specialty care.

Sometimes, Walker said, he feels “thrown away.”

“People done forgotten about me, it feels like,” he said. “They don’t want to fool with no mess like me.”

Maybe Greene County’s health care and internet will get better, Walker said, adding, “I hope so, for our sake out in a rural area.”

©2025 KFF Health News. Distributed by Tribune Content Agency, LLC.