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AMR response times spur cities to reconsider ambulance service contracts

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Some major Mississippi that have used the same private ambulance contractor for decades are reconsidering that relationship in light of questions about response times and potentially deadly consequences.

Leaders in Biloxi, Gulfport and Jackson have discussed American Medical Response’s ambulance response and the contracts with that service during recent city council meetings. They have said that forming city-specific ambulance districts is a step toward pursuing city-specific ambulance contracts, rather than being part of countywide contracts.

It’s a step Jackson resident Donna Echols sees as encouraging. On April 27, she waited 90 minutes for an AMR ambulance to come to her home to her ex-husband, Jim Mabus, who was found to have suffered a of strokes and died less than a week later. 

“It magnifies the problem that we experienced in that 90-minute wake,” she said. “It tells me people are dealing with the same issues and problems and they want to get something done.”

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Councilwoman Angelique Lee, who had read Mississippi Today’s story about Mabus, invited Echols to speak at a June 22 Jackson City Council meeting.

Lee read the company’s explanation in the story for the 90-minute wait – staffing – and said long response times like the one Mabus are unacceptable and inexcusable.

AMR spokesperson Nicole Michel told Mississippi Today that the central Mississippi service area was at a level zero on April 27, with eight ambulances and two sprint medics were already responding to other calls, and during the nine o’clock hour, AMR received six service requests, including one for a heart attack.

“If AMR cannot handle the call, if they don’t have the manpower, then they need to be replaced,” Lee said during the meeting. “And I just want to know how many people are going to need to die before we do something about it?”

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Mayor Chokwe Antar Lumumba said steps are being taken to reconsider the city’s ambulance service. Jackson has already formed its own ambulance district and the city is preparing to put out a request for proposals for ambulance services.

Lumumba said these efforts would give city control of a contract, and it can make sure to incorporate a mutual aid clause, which Echols believes may have helped Mabus get medical attention sooner.

The night she called 911, Echols tried to get Pafford Ambulance, which is contracted with Madison and Rankin counties, to come to her home, but she was told that company needed permission from AMR to cross into Hinds County where AMR operates. 

Ryan Wilson, operations manager for AMR Central Mississippi, said the company has been the county’s contractor since 1991. Analysis of any ambulance issues and plans must be in line with the Hinds County Board of Supervisors.

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Hinds County did not respond to a request for comment.

Wilson also cautioned Jackson about taking independent steps that could have potential consequences that impact other cities, towns and unincorporated of the county. 

“It is AMR’s hope that all governmental entities will come together to address ambulance-related issues, jointly,” he said in a statement. “Such a collaborative effort would inspire a countywide examination of the current state of EMS, as well as add understanding to the causes of current challenges, leading to an informed discussion of options to a path forward.”

Wilson also said blaming AMR for its staff shortage is misguided due to a nationwide shortage of EMTs and paramedics, and bringing in another provider won’t necessarily address staffing.

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In Jackson, family and friends are preparing to hold a celebration of service for Mabus Saturday to reflect on the life he lived and the person he was. Days later, on July 18, is Mabus’ birthday. 

Jim Mabus, left, is pictured with his family at Christmas family left to right, daughter-in-law Mary Katherine Mabus, son Jake Mabus, and Denver Mabus with Donna Echols’ dogs Credit: Courtesy of Donna Echols

Echols wants the celebration to be a happy occasion, but she knows her sons are grieving and she still feels angry about what happened. While it is difficult to retell, she sees sharing the story of what happened as a way to turn a tragic experience into a way to help others.

Similar discussion about ambulance service, city-specific EMS districts and potential contracts are also happening on the Gulf Coast.

At a June 20 meeting, the Gulfport City Council discussed a resolution to establish an EMS district, but members voted to table it.

Mayor Billy Hewes said the city plans to put out a request for proposals for ambulance services, which could result in Gulfport choosing AMR again, but it would mean city leaders can negotiate.

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“Sometimes we have to take moves like this to ensure we have a voice in something that is very important to our constituents, and quite frankly, the citizens of Gulfport deserve better ambulance services than they are getting,” he said during the meeting.

Neighboring Biloxi approved a resolution to set up a city-specific EMS district at its June 13 meeting as part of its consent agenda.

Fire Chief Nicholaus Geiser said a city-specific RFP and contract are the next steps.

He said the city has seen some delayed ambulance responses from AMR, especially between 2020 and 2022, when there would be a large number of calls all at once and not enough staff to handle them, but that is happening less now.

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There have been times when a life-threatening call in a different area of the county has been prioritized, which led to an hour wait or longer, Geiser said.

He sees AMR has taken steps to work to improve its response times in the county, such as having a dedicated ambulance in Biloxi, which was determined after analyzing data and the city’s busy times. There are also supervisors going out who can relieve fire department crews.

Dwayne Tullos, regional director for AMR’s parent company Global Medical Response, said AMR has served the Gulf Coast for nearly 50 years and believes there is no other provider that can deliver higher standards of care and innovation.

“If the cities decide to contract for their own ambulance services, we look forward to the opportunity to work with city leaders on a customized proposal for each that includes new innovative solutions that only AMR can provide to the citizens of Biloxi and Gulfport,” he said in a statement.

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Even if the cities continue to stay within the Harrison County EMS district, AMR is open to working with them to find solutions that ensure the best ambulance service for residents and visitors, Tullos said.

Firefighters, including in Biloxi, Gulfport and Jackson, are often required to train as EMTs and some have gone further and become paramedics. However, that training doesn’t give them the ability to transport people to the hospital.

Geiser, the Biloxi fire chief, said 80% of the department’s calls are for medical service. He said building codes have helped prevent many large-scales fires from happening, so crews are called to fires less often.

He read the Mississippi Today story about Echols’ experience waiting for an ambulance and said what happened to Mabus was unfortunate.

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“It’s plain and simple: It’s life and ,” he said. “That’s what we’re to prevent here.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

National Press Club awards Mississippi Today with its highest press freedom award

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mississippitoday.org – Mississippi Today – 2024-09-25 08:01:00

Editor’s note: This press release was drafted and released by the National Press Club and is republished with permission.


WASHINGTON, D.C. — The National Press Club is honoring Mississippi Today — a nonprofit, non-partisan newsroom based in , Mississippi — with its highest honor for press freedom, the John Aubuchon Press Freedom Award

Mississippi Today is currently involved in a legal case to protect privileged documents used in producing a Pulitzer Prize-winning investigation and named in an ensuing defamation case brought by the ‘s former governor. The case has wide-ranging implications for press freedom in the United States, including journalist-source protections

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“In a country that holds freedom of the press as one of its core rights, it is shocking that any court — let alone the highest one in a state — would require reporters to hand over their sources simply because the governor was upset to be caught red-handed misusing federal welfare funds,” said Emily Wilkins, president of the National Press Club. “Mississippi Today’s reporting shined light on a critical issue impacting thousands of Americans, and we hope this award both honors their work and draws attention and for their case.” 

Mississippi Today is an authoritative voice on politics and policy in the state of Mississippi and produces essential coverage on education, public , justice, environment, equity, and more. 

The outlet won a 2022 Pulitzer Prize for its investigation into a $77 million welfare scandal that revealed how the state’s former governor, Phil Bryant, used his office to benefit his friends and family. 

Bryant then sued Mississippi Today and its Mary Margaret White in July 2023, that the defamed him. Editor-in-chief Adam Ganucheau and reporter Anna Wolfe were added as defendants in May 2024, according to an editor’s note on the outlet’s website.

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On June 6, 2024, Mississippi Today appealed a county judge’s order to turn over privileged documents in relation to the defamation lawsuit. The has not yet ruled on the newsroom’s appeal.

“Ours may be a Mississippi case, but the ramifications absolutely could impact every American journalist who has long been granted constitutional protections to dutifully hold powerful to account,” Ganucheau said. “But this fight is not just about protecting journalists and our sources. We’re also fighting to ensure every single American citizen never loses a fuller understanding of how leaders truly operate when their doors are closed and they think no one is watching. As we continue to stand up for press freedom everywhere, it’s truly humbling to be recognized by the National Press Club in this way.”

A team of attorneys is representing Mississippi Today in its case: Henry Laird at Wise Carter; and Ted Boutrous Jr., Lee Crain, Sasha Duddin, and Peter Jacobs at Gibson Dunn. The Reporters Committee for Freedom of the Press is also providing legal support.

The John Aubuchon Press Freedom Award is named for a former National Press Club president who fervently advocated for press freedom. By selecting Mississippi Today as the domestic honoree, the Club and the Institute are committing to monitor and support this precedent-setting case for the First Amendment protection of reporters’ privilege. 

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The National Press Club will confer the 2024 Aubuchon awards, along with the Neil and Susan Sheehan Award for Investigative Journalism during its annual Fourth Estate Award Gala honoring Axios’ Jim VandeHei and Mike Allen on Nov. 21 in Washington, D.C.   

The gala dinner is a fundraiser for the Club’s nonprofit affiliate, the National Press Club Journalism Institute, which produces to equip journalists with skills and standards to inform the public in ways that inspire civic engagement. Tickets and more information for the event can be found here.

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 1961

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mississippitoday.org – Jerry Mitchell – 2024-09-25 07:00:00

Sept. 25, 1961

Herbert Lee and his wife, Prince Melson Lee, are pictured in this . A Mississippi historical marker now honors Lee. Credit: Used by permission. Zinn Education

Herbert Lee became the first local person killed because of his fight for rights with the Student Nonviolent Coordinating Committee. 

Before SNCC’s work began, only one Black Mississippian had been registered to vote in Amite County. Lee stood up to change that, working with SNCC leader Bob Moses to register Black voters. 

Days later, the dairy farmer and father of nine pulled up to a cotton gin with a truckload of cotton, and his neighbor and childhood friend, E. H. Hurst, a member of the white Citizens’ Council and a representative in the Mississippi , approached Lee with a gun in his hand. 

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“I won’t to you unless you put that gun down,” Lee was quoted as saying before Hurst charged forward and shot him. 

Hurst’s father-in- happened to be Billy Ray Caston, a cousin of the local sheriff who had attacked Moses days earlier with the blunt end of a knife after Moses had taken two more Black Americans to the courthouse to register to vote. 

Hurst fatally shot Lee, that he was acting in self-defense after Lee brandished a tire iron. Hurst’s story sounded more than a little improbable — he claimed he hit Lee in the head with a .38-caliber pistol and that the gun accidentally discharged, killing Lee. 

Although there were Black witnesses to the shooting, the sheriff intimidated them into supporting Hurst’s story, and the local coroner’s jury refused to indict him. 

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At Lee’s funeral, his wife came up to Moses and said, “You killed my husband!” Moses had no reply and said later, “It is one thing to get beaten, quite another to be responsible, even indirectly, for a .” 

Lee’s death was honored by Bertha Gober in the song, “We’ll Never Turn Back,” which became the SNCC anthem in Mississippi. He is among the 40 martyrs listed on the National Memorial.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

‘System of privilege’: How well-connected students get Mississippi State’s best dorms

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mississippitoday.org – Molly Minta – 2024-09-25 04:00:00

Mississippi State University’s housing department has a confidential practice of helping certain well-connected secure spots in its newest and most expensive dorms, while the premium price tag pushes many less privileged students into the campus’s older, cheaper halls.

It starts when donors, public officials, legacy alumni or other friends of the institution make a request for what the university calls “housing assignment assistance.” 

Then, the Department of Housing and Residence Life works to place these students in the dorms they desire.

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The practice is not an official university policy, and it’s not advertised on Mississippi State’s website. But inside the housing department, it is institutionalized. Many full-time staff refer to the process by the phrase “five star,” a reference to the euphemistic code — 5* — the department used to assign well-connected students in its housing database, documents show.

In recent years, the department changed the process to make it more internal. 5* has remained a virtual secret on campus — until now. 

That’s partly because the department’s leadership has worked to keep the process under wraps, even going so far as to explicitly tell staff not to share information about 5* outside of the department, according to emails Mississippi Today obtained through a public request.

“Family business reminder – We/you don’t to others,” Dei Allard, the department’s executive director, wrote in an email four years ago to high-up staff in the department. “Basically, only a handful of those within our organization should be privileged to have this information… i.e. keep your mouth shut.” 

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In response, one staff member noted that processes like this likely exist at universities across the country, while another raised concerns that 5* results in students receiving preferential treatment, such as a better room assignment or a new room if they aren’t satisfied with their initial draw, because of who they know. 

“The name itself is an issue in my opinion,” wrote Jessica Brown, the department’s assignments coordinator at the time. “I think this has created a very unfair system and a system of privilege. I think that it in a way causes other students to be unknowingly discriminated against such as based on their economic social status.”

The university did not grant an interview to Mississippi Today about the 5* practice. Allard declined to provide more information beyond the university’s official response.

Through written statements, a spokesperson denied the process results in better treatment of well-connected students, referring to 5* as a form of assistance the department works to provide to all types of students.

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“There is a long-standing broad administrative practice of providing assignment assistance to those students who request it when that’s possible by price point and housing availability to do so,” Sid Salter, the university’s vice president for strategic communications, wrote in response to Mississippi Today’s questions and findings. 

Nevertheless, Salter did not deny the housing department uses the term 5* to refer to the practice and the students who benefit from it. He acknowledged the housing department sets aside about 120 beds for 5* students each year and confirmed which dorms they typically request — Magnolia, Moseley, Oak, Dogwood and Deavenport halls. And, Salter was able to estimate that the department has helped roughly 100 5* students each year, who are mostly white and wealthier. 

“Not exclusively correct, but generally so,” Salter wrote. “We certainly have received housing assignment requests from non-white students.”

Dogwood Hall, part of Mississippi State University’s housing facilities, is seen on campus in Starkville, Miss., on Friday, Sept. 6, 2024. Credit: Eric Shelton/Mississippi Today

The university does not know when the 5* designation started, Salter wrote, only that it predates the beginning of Mark Keenum’s presidency in 2009 and began as a response to requests “from legacy (multi-generational) alumni, university donors, university partners, institutional friends, public officials and others who asked for help.” 

Though emails obtained by Mississippi Today do not reflect that staff who were familiar with the process thought 5* students received the label based on academics, Salter wrote the practice has also been used to recruit “academic stars” who tie their enrollment to housing preferences such as location, cost, amenities and affinity groups. 

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“Why would any university not be responsive to such requests if possible?” Salter wrote. 

A different housing assignment process exists for student athletes or those with certain scholarships like the Luckyday Scholars Program for students who are community leaders.

At one point, the process of helping 5* students in their preferred dorm appeared to include a system for labeling these students in the university’s housing database. The department had what appears to be instructions for how to assign the status to the housing application profiles “for each 5 star and roommate of a 5 star,” according to an unlabeled document obtained by Mississippi Today. 

That document is no longer used, and the department does not know when it was created. Salter wrote that housing no longer uses the 5* label in its database and does not keep a separate list of 5* students.

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An untitled and undated document obtained by Mississippi Today through a public records request appears to be instructions for how to add the 5* designation to a student’s housing application.

Mississippi State believes the practice is widespread at similar universities across the state and country, Salter wrote, adding the university “is curious why we are being singled out among Mississippi institutions when significant housing issues are in the headlines at other state schools.” 

Unfairness exists in the dorms at universities across the country, experts say. That could look like a wealthy parent who knows how to pull strings for their students or a dorm that is priced too high for lower-income students. 

“It’s not just a Mississippi thing,” said Elizabeth Armstrong, a University of Michigan sociology professor whose 2015 book, “Paying for the Party”, examined the different experiences students have in college, including in the dorms, based on their socioeconomic class. 

Still, Armstrong said she had never heard of a process as blatant as Mississippi State’s, which she described as tipping the scale in favor of privileged students who are already more likely to be able to in the priciest dorms because their families can afford to foot the bill. 

“The sense they are to keep it a secret suggests they know this is something they shouldn’t be doing,” she said. 

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Emails show housing department staff believed the 5* practice meant preferential treatment

No issues with the 5* process have been raised to the administration, Salter wrote. 

But emails obtained by Mississippi Today show housing department staff who were involved in the process had concerns or at least knew the practice troubled their employees.

In June 2020, Allard, who had been the executive director since 2017, asked her staff to describe the 5* process in the same email where she cautioned them against sharing information about it outside the department.

The request came at a salient time: Colleges across the country were issuing statements in of diversity, equity and inclusion amid the George Floyd protests. Days earlier, thousands had gathered in Jackson in one of the state’s largest protests against racial inequities since the movement.

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The responses, which are reprinted here without correction, show what staff on the ground understood the 5* status to mean: Better room assignments and help for VIP students with room changes and other housing issues. 

“I’m not quite sure what the true definition is but from my understand it is students that we adjust based on the wants or needs of the President’s Office,” wrote Brown, who is no longer with the university. 

But the 5* students themselves were starting to push the practice beyond its original intent to things like room changes, Brown continued.

“I think they know that they have this privilege,” she wrote, “and this is why the process is starting to go further than just a better room assignment.” 

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Brown noted it was not up to staff to change the practice. 

“Honestly I am not sure how this issue can be fixed,” Brown wrote. “I think that this issue has to be fixed starting from a higher executive level (outside of housing), but I am not sure if they are willing to do that.” 

Danté Hill, the then-associate director of occupancy management and residential education, had a different perspective.  

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“I’m sure all campuses have some type of VIP resident,” wrote Hill, who is now the department’s facilities and maintenance director. “It is just the nature to the political structure that is in place. I have not verified this with many campuses however.” 

Hill wrote that he did not feel that 5*s received special treatment, but his staff felt their decisions were overturned in instances involving those students. With access to the university’s housing database, they could see which students had the 5* status. 

“They do not see these students as a representative population,” he wrote. “They see these overall as privileged students not usually of color. I think this group is more honed in on inclusion and SJ (social justice) and wants to see fair treatment across the board and they see this process as the ability to allow a student whose family has some kind of connection to move in front of students who may have done everything the right way.” 

Hill thought it would help if the department stopped using the label. 

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“I believe we may need to remove the classification and make this process more internal and not label these students as anything in particular,” he wrote. “I don’t know how we do this other than keeping emails on file when we place someone.” 

University will continue 5* practice

Mississippi State’s new construction dorms are already more likely to house wealthier and well-connected students in part because they can cost nearly $4,000 more than the campus’ traditional dorms, the seven residence halls built before 2005.

The 5* practice contributes to the inequity, Armstrong said. 

“It’s kind of like putting an extra thumb on the scale when the thumb is already way on the scale,” she said. 

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It also means the traditional dorms are more likely to house lower-income students. Mollie Brothers, a resident advisor during the 2020-21 school year, observed this when she oversaw Critz Hall, one of the university’s traditional- dorms that was built in the 1950s and renovated in 2001. 

Critz Hall, a residential dormitory, stands on the Mississippi State University campus in Starkville, Miss., on Friday, Sept. 6, 2024. Credit: Eric Shelton/Mississippi Today

More than half of the women on her floor were Black, she recalled, while her friends who worked in the new construction dorms oversaw floors that were almost entirely white. 

“In the other dorms that weren’t as nice, it was definitely more diverse,” Brothers said.

Salter said the university does not have metrics to support this claim. 

The university knows it has a shortage of new construction housing and is working to provide more options with the construction of Azalea Hall, a new dorm the university plans to open ahead of fall 2025 that will feature single rooms and restaurants, according to a press release

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But if history is an indication, when freshman start applying for a room in Azalea Hall, it follows that 5*s would have an advantage, which the university did not deny.

“In this particular facility, Lucky Day Scholars will have primary preference, but we believe Azalea will be an extremely popular housing option,” Salter wrote. 

After Allard’s email, the university made changes to its 5* practice — it stopped notifying RAs which students on their floor were receiving housing assistance, therefore reducing the number of people who know about the status. Around the same time, the university also stopped applying the 5* status to student profiles in its housing database, Salter wrote.

But Mississippi State said it would continue the practice. 

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Salter provided a statement from Regina Hyatt, the vice president for student affairs, who said the department’s housing policies are compliant with best practices and state and federal law. 

“MSU works hard to assist all students who ask for help in the process, including students at every point on the socioeconomic continuum,” Hyatt said. “We will continue that practice as it (has) historically been part of our university’s traditions.”

Do you have insights into Mississippi State’s 5* process? Help us report.

Our investigation uncovered Mississippi State’s institutionalized practice of helping well-connected students land spots in the university’s newest and best dorms. But there’s more to : When did the 5* practice start, who started it, and why? Once 5* students are in the dorms, what kind of additional support does the Department of Housing and Residence Life provide? How are less-connected students affected by the 5* practice?

Help us continue our reporting by filling out the form below. We are gathering this information for the purpose of reporting, and we appreciate any information you can share. We protect our sources and will contact you if we wish to publish any part of your story. 

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This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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