Mississippi Today
Mississippi again ranks first in nation for stillbirths, new data shows
Mississippi continues to rank first in the nation in fetal deaths, according to 2021 data released by the Centers for Disease Control and Prevention last week.
The report examined deaths of fetuses in utero that occurred after 20 weeks’ gestation, also known as stillbirths, in the United States. Mississippi led the nation with a rate of 10 deaths per 1,000 live births, almost twice the national rate of 5.73.
Mississippi has also long led the nation in infant mortality, or the death of babies up to one year of age.
State Health Officer Dr. Daniel Edney said “the time for study and evaluation has passed,” and it is time for action.
“We’ve been working for the past year to implement the Healthy Moms, Healthy Babies program for high-risk moms and babies on Medicaid,” Edney continued. “We’ve also just been given the endorsement of the state Board of Health to develop the best OB system of care that we possibly can, following the models of national organizations and the other 10 states that have mandatory maternal levels of care for hospitals.”
Healthy Moms, Healthy Babies is a partnership between the state’s Health Department and the state Division of Medicaid that places registered nurse case managers in the homes of mothers undergoing high-risk pregnancies and who have recently given birth.
Similar to the Mississippi State Department of Health’s trauma, ST-Elevation Myocardial Infarction, and stroke systems of care, the OB system will facilitate transferring high-risk pregnant women and their babies to the right level of care at the right time. The system of care is not yet in place — the state Board of Health just authorized staff to start working on it at its board meeting earlier this month.
Nationally, more than 21,000 stillbirths occurred in 2021, or about six for every 1,000 live births.
For Black women nationally, the fetal mortality rate declined by 4% from 10.34 (2020) to 9.89 (2021). However, Black women still had the highest fetal mortality rate compared to other racial and ethnic groups in the U.S – nearly double the national rate of 5.74 per 1,000 live births.
According to the report, most fetal deaths were associated with an “unspecified cause.” Other common causes were complications of the placenta, cord and membranes; maternal conditions unrelated to pregnancy; maternal complications of pregnancy and congenital malformations.
The fetal mortality rate for women who smoked during pregnancy was almost twice that of nonsmokers – 9.62 compared to 5.08, respectively.
“The latest data from the National Center for Health Statistics confirms what we currently know, stillbirth prevention needs to remain a priority. While the stillbirth rate from 2020 to 2021 essentially remained unchanged, any fetal deaths that could have been prevented are unacceptable,” Dr. Christopher Zahn, interim CEO and chief of clinical practice and health equity and quality for the American College of Obstetricians and Gynecologists, told Mississippi Today.
Samantha Banerjee, executive director of PUSH for Empowered Pregnancy and a mom whose daughter Alana was born still in 2013, said the “numbers are shameful” but “not shocking to those of us in the stillbirth community.”
“We have fallen far behind our international peers when it comes to ending preventable stillbirth, and averting these tragedies has never been made a priority in the U.S. It is beyond time for change, and we hope that the recent CDC report serves as a wake-up call to our medical and public health leaders,” Banerjee told Mississippi Today.
PUSH for Empowered Pregnancy, a national nonprofit dedicated to reducing the rate of stillbirth in the U.S., empowers pregnant women and their providers to recognize warning signs of stillbirth. PUSH also closely coordinates with Black maternal health and maternal mortality communities on patient-centered solutions addressing stillbirth.
Ana Lepe Vick, co-director of communications at PUSH and the mother of Owen, who was stillborn in 2015, told Mississippi Today that it is critical that the organization raise awareness about stillbirth and share known preventive methods.
“Unacceptably, the rate of stillbirth remains stagnant because there has been no national sense of urgency or investment in addressing the failures of our healthcare system which allows even healthy, ‘low risk’ pregnancies to end is this catastrophic outcome,” Vick said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
On this day in 1997
Dec. 22, 1997
The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers.
In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.”
He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.”
The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.
The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.
Some who oppose Medicaid expansion say the digital tracker is flawed.
During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.
“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”
White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.
Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.
White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.
Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.
People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.
During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.
White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.
They are correct.
But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.
As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.
Some have speculated that Medicaid expansion also could be on Musk’s chopping block.
That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.
Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?
If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.
The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.
In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1911
Dec. 21, 1911
Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia.
When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs.
He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame.
The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays.
Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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