Mississippi Today
OB-GYN leaves Merit Health Central, cites ‘risky’ conditions


Dr. Samuel Brown left Merit Health Central in May after nearly two decades delivering babies there, and he said one of the reasons was he no longer felt safe performing C-sections at a hospital with no surgery department.
The south Jackson hospital, which is one of nine Merit Health hospitals in the state, began cutting services last year. One of those was general surgery – another, the hospital’s neonatal intensive care unit.
“I mean, if you do a surgery and get into somebody’s bowel and you don’t have a surgeon on staff, what are you supposed to do?” Brown, who now lives in Florida, told Mississippi Today. “That’s just common sense … It was risky to operate there.”
Guidelines from the American College of Obstetricians and Gynecologists say facilities designated as a Level 2 and higher according to its levels of maternal care model should have a general surgeon available at all times for obstetric patients. The same is not required for Level 1 facilities.
At Merit Health Central, no general surgeons are present at the hospital because the surgery department was cut last year. However, it’s unclear whether the hospital is meeting ACOG’s guidelines – participating in this designation is not required, so it’s unknown what level Merit Health Central would qualify as.
The hospital is a level 4 trauma facility, which are generally small, rural hospitals with the commitment to resuscitate and transfer trauma patients to higher-level facilities.

Melanie McMillan, the marketing manager for Merit Health, said financial hardships have led the health system to take steps to “reduce duplication” across its five Jackson-area hospitals. This has resulted in “the consolidation of some services – including surgeries – with already existing services at other Merit Health hospitals in the Jackson area.”
The hospital in October ended its operative services, including orthopedics, neurology, urology and general surgery. It closed its burn center – the only such accredited program in the state – in September, and moved its cardiovascular services, neonatal intensive care unit and endoscopy to its facilities in the suburbs.
McMillan said Merit Health Central currently offers labor and delivery services and a well baby nursery. Three obstetricians deliver babies at the hospital.
A 2019 study in the American Journal of Obstetrics and Gynecology MFM showed among 648,584 cesarean delivery hospitalizations nationwide, surgical errors occurred in almost 2%. The most common were anesthetic errors, errors involving blood vessels and errors involving the bladder.
Brown was disappointed by the decisions being made about the hospital by leadership and the Nashville-based company that owns Merit Health, Community Health Systems.
When the hospital closed the NICU, he was outspoken about the negative impact it would have on high-risk mothers and babies.
“This community is the community that needs doctors … because of obesity and preterm labor, diabetes, hypertension, all that stuff affects pregnancy,” Brown said at the time. “And those are the patients that are going to need high-risk doctors or the NICU. And the fact is, that the NICU is gone. It’s just not a good thing for this community.”
Brown also said an executive with CHS told him the company was not going to put any money into that hospital and would move its profitable operations elsewhere.
McMillan did not respond to Mississippi Today’s questions about the alleged statement.
Merit Health Central, formerly Hinds General Hospital, has long been a health care and employment hub in south and west Jackson — majority-Black neighborhoods that have a higher concentration of people living in poverty than the rest of the city.
According to U.S. Census data, the neighborhood the hospital is located in is 87% Black and 9% white. The median income for families is $29,500.
Merit Health Central incurred just shy of $16 million in net uninsured costs, or the cost of services for which the patient had no insurance coverage, in fiscal year 2022. That is the largest amount of uncompensated care of any Merit Health hospital in the state that year.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1977, Alex Haley awarded Pulitzer for ‘Roots’

April 19, 1977

Alex Haley was awarded a special Pulitzer Prize for “Roots,” which was also adapted for television.
Network executives worried that the depiction of the brutality of the slave experience might scare away viewers. Instead, 130 million Americans watched the epic miniseries, which meant that 85% of U.S. households watched the program.
The miniseries received 36 Emmy nominations and won nine. In 2016, the History Channel, Lifetime and A&E remade the miniseries, which won critical acclaim and received eight Emmy nominations.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Mississippi Today
Speaker White wants Christmas tree projects bill included in special legislative session

House Speaker Jason White sent a terse letter to Lt. Gov. Delbert Hosemann on Thursday, saying House leaders are frustrated with Senate leaders refusing to discuss a “Christmas tree” bill spending millions on special projects across the state.
The letter signals the two Republican leaders remain far apart on setting an overall $7 billion state budget. Bickering between the GOP leaders led to a stalemate and lawmakers ending their regular 2025 session without setting a budget. Gov. Tate Reeves plans to call them back into special session before the new budget year starts July 1 to avoid a shutdown, but wants them to have a budget mostly worked out before he does so.
White’s letter to Hosemann, which contains words in all capital letters that are underlined and italicized, said that the House wants to spend cash reserves on projects for state agencies, local communities, universities, colleges, and the Mississippi Department of Transportation.
“We believe the Senate position to NOT fund any local infrastructure projects is unreasonable,” White wrote.
The speaker in his letter noted that he and Hosemann had a meeting with the governor on Tuesday. Reeves, according to the letter, advised the two legislative leaders that if they couldn’t reach an agreement on how to disburse the surplus money, referred to as capital expense money, they should not spend any of it on infrastructure.
A spokesperson for Hosemann said the lieutenant governor has not yet reviewed the letter, and he was out of the office on Thursday working with a state agency.
“He is attending Good Friday services today, and will address any correspondence after the celebration of Easter,” the spokesperson said.
Hosemann has recently said the Legislature should set an austere budget in light of federal spending cuts coming from the Trump administration, and because state lawmakers this year passed a measure to eliminate the state income tax, the source of nearly a third of the state’s operating revenue.
Lawmakers spend capital expense money for multiple purposes, but the bulk of it — typically $200 million to $400 million a year — goes toward local projects, known as the Christmas Tree bill. Lawmakers jockey for a share of the spending for their home districts, in a process that has been called a political spoils system — areas with the most powerful lawmakers often get the largest share, not areas with the most needs. Legislative leaders often use the projects bill as either a carrot or stick to garner votes from rank and file legislators on other issues.
A Mississippi Today investigation last year revealed House Ways and Means Chairman Trey Lamar, a Republican from Sentobia, has steered tens of millions of dollars in Christmas tree spending to his district, including money to rebuild a road that runs by his north Mississippi home, renovate a nearby private country club golf course and to rebuild a tiny cul-de-sac that runs by a home he has in Jackson.
There is little oversight on how these funds are spent, and there is no requirement that lawmakers disburse the money in an equal manner or based on communities’ needs.
In the past, lawmakers borrowed money for Christmas tree bills. But state coffers have been full in recent years largely from federal pandemic aid spending, so the state has been spending its excess cash. White in his letter said the state has “ample funds” for a special projects bill.
“We, in the House, would like to sit down and have an agreement with our Senate counterparts on state agency Capital Expenditure spending AND local projects spending,” White wrote. “It is extremely important to our agencies and local governments. The ball is in your court, and the House awaits your response.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Mississippi Today
Advocate: Election is the chance for Jackson to finally launch in the spirit of Blue Origin

Editor’s note: This essay is part of Mississippi Today Ideas, a platform for thoughtful Mississippians to share fact-based ideas about our state’s past, present and future. You can read more about the section here.
As the world recently watched the successful return of Blue Origin’s historic all-women crew from space, Jackson stands grounded. The city is still grappling with problems that no rocket can solve.
But the spirit of that mission — unity, courage and collective effort — can be applied right here in our capital city. Instead of launching away, it is time to launch together toward a more just, functioning and thriving Jackson.
The upcoming mayoral runoff election on April 22 provides such an opportunity, not just for a new administration, but for a new mindset. This isn’t about endorsements. It’s about engagement.
It’s a moment for the people of Jackson and Hinds County to take a long, honest look at ourselves and ask if we have shown up for our city and worked with elected officials, instead of remaining at odds with them.
It is time to vote again — this time with deeper understanding and shared responsibility. Jackson is in crisis — and crisis won’t wait.
According to the U.S. Census projections, Jackson is the fastest-shrinking city in the United States, losing nearly 4,000 residents in a single year. That kind of loss isn’t just about numbers. It’s about hope, resources, and people’s decision to give up rather than dig in.
Add to that the long-standing issues: a crippled water system, public safety concerns, economic decline and a sense of division that often pits neighbor against neighbor, party against party and race against race.
Mayor Chokwe Antar Lumumba has led through these storms, facing criticism for his handling of the water crisis, staffing issues and infrastructure delays. But did officials from the city, the county and the state truly collaborate with him or did they stand at a distance, waiting to assign blame?
On the flip side, his runoff opponent, state Sen. John Horhn, who has served for more than three decades, is now seeking to lead the very city he has represented from the Capitol. Voters should examine his legislative record and ask whether he used his influence to help stabilize the administration or only to position himself for this moment.
Blaming politicians is easy. Building cities is hard. And yet that is exactly what’s needed. Jackson’s future will not be secured by a mayor alone. It will take so many of Jackson’s residents — voters, business owners, faith leaders, students, retirees, parents and young people — to move this city forward. That’s the liftoff we need.
It is time to imagine Jackson as a capital city where clean, safe drinking water flows to every home — not just after lawsuits or emergencies, but through proactive maintenance and funding from city, state and federal partnerships. The involvement of the U.S. Environmental Protection Agency in the effort to improve the water system gives the city leverage.
Public safety must be a guarantee and includes prevention, not just response, with funding for community-based violence interruption programs, trauma services, youth job programs and reentry support. Other cities have done this and it’s working.
Education and workforce development are real priorities, preparing young people not just for diplomas but for meaningful careers. That means investing in public schools and in partnerships with HBCUs, trade programs and businesses rooted right here.
Additionally, city services — from trash collection to pothole repair — must be reliable, transparent and equitable, regardless of zip code or income. Seamless governance is possible when everyone is at the table.
Yes, democracy works because people show up. Not just to vote once, but to attend city council meetings, serve on boards, hold leaders accountable and help shape decisions about where resources go.
This election isn’t just about who gets the title of mayor. It’s about whether Jackson gets another chance at becoming the capital city Mississippi deserves — a place that leads by example and doesn’t lag behind.
The successful Blue Origin mission didn’t happen by chance. It took coordinated effort, diverse expertise and belief in what was possible. The same is true for this city.
We are not launching into space. But we can launch a new era marked by cooperation over conflict, and by sustained civic action over short-term outrage.
On April 22, go vote. Vote not just for a person, but for a path forward because Jackson deserves liftoff. It starts with us.
Pauline Rogers is a longtime advocate for criminal justice reform and the founder of the RECH Foundation, an organization dedicated to supporting formerly incarcerated individuals as they reintegrate into society. She is a Transformative Justice Fellow through The OpEd Project Public Voices Fellowship.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
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