Mississippi Today
Brandon Presley again vows to expand Medicaid as Gov. Tate Reeves reiterates opposition
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LAUREL — Days after Republican Gov. Tate Reeves doubled down on his stance against Medicaid expansion, Democratic gubernatorial candidate Brandon Presley promised Jones County voters he’d pass the policy on his first day in office.
The state’s health care crisis has remained one of the major issues of the governor’s race. As hospitals struggle financially and hundreds of thousands in the state don’t have health care coverage, the top gubernatorial candidates are debating the merits of Medicaid expansion, a federal-state program that would provide health care coverage to an estimated 300,000 poor, working Mississippians and help hospitals cover costs.
Presley, who appeared at a legislative forum in Laurel on Wednesday hosted by Rep. Omeria Scott, placed the blame for the state’s health care problems squarely on the governor’s shoulders and repeatedly vowed to expand Medicaid.
“Now there’s one reason Tate Reeves is not for expanding Medicaid,” Presley said. “It’s because a Democratic president passed the Affordable Care Act, and what a silly, small way to be. Let me tell you about me: If Donald Trump had passed the Affordable Care Act and 230,000 people in this state would benefit, I’d be for it in five seconds because it’s not about the politics. It’s about the people.”
Mississippi is one of just 10 states that have not expanded Medicaid, an option under former President Barack Obama’s 2010 Affordable Care Act. Experts say the state could receive about $1 billion a year for expansion, and it would go a long way to stemming Mississippi’s health care crisis. One report puts nearly a half of rural hospitals at risk of closing — many of them are losing millions caring for people who are uninsured.
Reeves reiterated his opposition to Medicaid expansion at a press conference last week announcing a hospital funding plan, repeatedly disparagingly calling it “welfare” and suggesting the health care crisis would be aided if more people joined the workforce in Mississippi.
But supporters of Medicaid expansion say it’s for people who are already working but don’t have jobs that provide them with private health insurance.
READ MORE: Experts say Gov. Tate Reeves’ plan will help hospitals, but not uninsured Mississippians
Just last week — less than two months before the election — Reeves announced a complex scheme to draw down more federal money for hospitals in lieu of expanding Medicaid. While his plan, which hasn’t been approved by the federal government yet, would put more money in some hospitals’ pockets, it won’t insure more Mississippians.
That means under Reeves’ plan, uninsured people in Mississippi will largely have to continue to rely on emergency rooms for their medical care and forgo preventative care.
At the forum on Wednesday, Presley reminded attendees of Reeves’ plan and who it benefits.
“Remember that Tate Reeves has shown us who he is. Don’t forget it,” he said. “With your help on Nov. 7, we’re gonna tell Tate Reeves his party’s over.
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Presley also drew contrasts between his background and Reeves’ at the Wednesday event.
“I understand what it’s like to come home and have your lights and your water cut off,” he said. “Tate Reeves doesn’t understand families like ours exist. He was born with a silver spoon in his mouth. I have been where working people in Mississippi are. It’s one of the reasons that I support and will take action on day one to expand Medicaid.”
The proclamation garnered shouts and applause from the hundred constituents before him, including Samella Walker.
Walker, a lifelong resident of Laurel, is a three-time cancer survivor who knows intimately the importance of health insurance. She’s been attending Scott’s forum since its inception decades ago. This year, however, she said the energy was different.
“Something has got to be done,” Walker said, shaking her head. “The party is over, and it’s time for a change.”
READ MORE: Gov. Reeves announces 11th hour plan for hospital crisis. Opponents pan it as ‘too little, too Tate’
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1961
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Feb. 6, 1961
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The civil rights “jail-in” movement began when eight Black students and a civil rights organizer who became known as the “Friendship Nine” in Rock Hill, South Carolina, were arrested for requesting service at a “whites-only” lunch counter.
They served jail time rather than pay fines, challenging the legitimacy of the laws.
Martin Luther King Jr. wrote to the nine and others who joined them in jail, including Charles Sherrod and Diane Nash: “You have inspired all of us by such demonstrative courage and faith. It is good to know that there still remains a creative minority who would rather lose in a cause that will ultimately win than to win in a cause that will ultimately lose.”
The “Jail, No Bail” strategy became the model for the Freedom Riders months later.
In 2015, Circuit Court Judge John C. Hayes III threw out the convictions of the Friendship Nine, who had been convicted of trespassing and protesting at the McCrory store in Rock Hill. Hayes, the nephew of the original judge who sentenced the Friendship Nine to jail, told them, “We cannot rewrite history, but we can right history.”
The nine were represented by Ernest A. Finney Jr., who defended their case 54 years earlier and went on to become the first Black chief justice of the South Carolina Supreme Court since Reconstruction.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Black women in the Delta with cervical cancer more likely to die because of health system failures
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Systemic failures have led Black women in the Mississippi Delta to have disproportionately high death rates from cervical cancer, a new report concludes.
The Southern Rural Black Women’s Initiative for Economic & Social Justice and Human Rights Watch collaborated on the report. It is the result of publicly available information, and interviews with 49 experts and 159 Black women from Bolivar, Washington and Humphreys counties.
Oleta Fitzgerald, the initiative’s co-founder and regional administrator, explained the significance of the issue. “It is a cancer that is preventable and highly treatable if people have access to the right kind of medical professionals and screenings and the HPV vaccination,” she said. “It is also a cancer that is rampant and particularly and indiscriminately in Black women in the rural areas where we work, and there is something we can do about it.”
The American Cancer Society predicts about 4,320 women will die from cervical cancer in 2025. Black women are 75% more likely to die from cervical cancer than white women.
The report found that issues such as lack of access to health care, poverty, racism and lack of education are the main culprits.
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Mississippi is one of the poorest states in the nation with some of the worst health indicators, and has one of the highest rates of uninsured people. According to KFF, 9.5% of Americans between zero and 64 years old were uninsured in 2023. In Mississippi, it’s 12.6%.
The Mississippi Cancer Registry found that between 2017 and 2021, the cervical cancer death rate for Black women in the Delta was 1.4 times higher than white women’s.
The report found that the lack of Medicaid expansion led to people not having health care coverage, a situation exacerbated by a shortage of OB-GYNs and more rural hospital closures. Eight of the 18 Delta counties are maternity care deserts.
Without health insurance or Medicaid, many women can’t afford regular check-ups, cancer screenings and follow-ups necessary to catch cervical cancer early. They may also not have transportation, public or private, to get to the doctor’s office.
Dr. Thomas Dobbs, the former state health officer, explained that the lack of OB/GYNs is part of a national trend. “There’s been a transition in the medical environment where physicians coming out to practice don’t locate to rural areas as much,” said Dobbs, now dean of the school of population health at the University of Mississippi Medical Center.
The Association of American Medical Colleges Research and Action Institute found that states with strict abortion bans, like Mississippi, get fewer applicants for residency programs.
Racial discrimination in the health care system has caused Black women to distrust medical providers. Leland resident and substitute teacher Stacy Wiggins recalled how many people she knew avoided going to the doctor because of how poorly they were treated. She didn’t understand what they meant until she had her own battles with cancer.
“When I got down sick, that’s when I saw that the health care in my area is not equipped to handle a lot of situations,” she said.
Wiggins survived both thyroid and ovarian cancer. Before being diagnosed with cancer, she had health insurance through her job at Family Dollar. She did not qualify for Medicaid or the low premiums under the Affordable Care Act.
Before her cancer diagnosis, her doctor advised her to seek treatment outside of the county. She took the physician’s advice, and was treated for both cancers in Jackson. She believes if she hadn’t, she would not be alive today.
Wiggins, whose cancer is in remission, gets assistance from Medicaid’s Elderly and Disabled Medicaid Waiver program, which covers transportation and an aide.
There is also a dearth of education on reproductive and sexual health. One of the strongest tools against cervical cancer is the HPV vaccine. Some HPV infections can lead to certain cancers. It’s recommended that children ages 9 to 14 get two doses over 6 to 12 months, and three doses over six months at ages 15 to 26. People can receive the vaccine up to age 45.
Mississippians have some of the lowest HPV vaccination rates in the country. In 2023, about 38% of Mississippi teens received all doses of the HPV vaccine.
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Greenville family nurse practitioner Dr. Patricia Barber said that a lack of awareness is a serious problem. “I really think a lot of it is a lack of information because every time I talk to my patients about the HPV vaccine, they’re very receptive,” she said.
The Delta’s demographics also play a role. Census data from 2023 shows that in the three counties studied, Black residents make up 64 to over 73% of the population, and women make up over 53%. The counties’ combined population is 75,130.
The report makes several recommendations for state lawmakers. Expanding Medicaid, adopting “rights-based, scientifically accurate” sex education in schools, and increasing awareness of HPV vaccines were among them. They also support more funding and improvements for telehealth, community-based health centers and county health departments.
Advocates are still pushing for Medicaid expansion in the current legislative session. The House and the Senate both passed Medicaid expansion “dummy” bills. These bills are meant to be placeholders while state lawmakers wait to act until the Trump administration weighs in.
Fitzgerald says that members of Southern Rural Black Women’s Initiative are part of the efforts to expand Medicaid and will continue working to improve outcomes across the state.
“This environment will be more difficult because policymakers are moving in lock-step with the national policy agenda,” she said. “But we never give up.”
Dobbs recommended that people take advantage of the Mississippi Medicaid Family Planning Waiver, a limited benefit that pays for women’s health care, including pap smears. The Mississippi Department of Health also has a program that covers breast and cervical cancer screenings for women who meet income and age requirements.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
‘This is a stupid bill’: Mississippi House advances DEI ban
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Mississippi House Republican lawmakers advanced a bill that would shutter DEI programs in all of the state’s public schools, ban certain concepts from being taught in classrooms and dictate how schools define gender.
The sweeping legislation would impact all public schools from the K-12 to community colleges and universities. It threatens to withhold state funds based on “complaints” that anyone could lodge. It would empower people to sue schools accused of violating the law.
And it drew impassioned opposition from House Democrats, almost all of whom are Black, in the state with the nation’s highest percentage of Black residents.
“House Bill 1193 is not just another piece of legislation,” said Rep. Jeffery Harness, D-Fayette. “It is a direct attack on the hard-fought battles that African Americans, other minorities, women and marginalized communities have waged for centuries. It is a cowardly attempt to sanitize history, to pretend that racism no longer exists, and to maintain the status quo of privilege of those who have always held power in this country.
The state house approved House Bill 1193, sponsored by Rep. Joey Hood, R-Ackerman, in a 74-41 vote. The bill would eliminate diversity training programs that “increase awareness or understanding of issues related to “race, sex, color, ethnicity, gender identity, sexual orientation, religion or national origin.” It also bans school officials from asking job applicants to submit diversity statements on such issues in the hiring process.
Hood said his proposal is necessary for ensuring employment decisions and student activities are based solely on individual merit without consideration of one’s views on DEI. He also said the bill targets programs and academic concepts that many people find objectionable and that no one group would be singled out.
“I haven’t heard anybody stand up and tell me that one of these divisive concepts are wrong,” Hood said. “I don’t think it’s unfair. I think these statements apply equally to all individuals.”
The legislation goes further than regulating hiring and training procedures in educational settings. It also meddles with classroom instruction, barring universities from offering courses that promote “divisive concepts,” including “transgender ideology, gender-neutral pronouns, heteronormativity, gender theory, sexual privilege or any related formulation of these concepts.”
Schools would not be able to “promote” the ideas above, but the law does direct them to promote a definition of gender.
The bill was updated in committee to add a provision that forces all public schools to teach and promote there are two genders, male and female. The move mirrors an executive order signed by President Donald Trump calls for the federal government to define sex as only male or female. Another order Trump signed also eliminated DEI in the federal government.
If the legislation were to become law, any public school or state-accredited nonpublic school that receives more than two complaints alleging a violation could lose state money.
DEI programs have come under fire mostly from conservatives, who say the programs divide people into categories of victims and oppressors, exacerbate antisemitism and infuse left-wing ideology into campus life. DEI also has progressive critics, who say the programs can be used to feign support for reducing inequality without actually doing so.
But proponents say the programs have been critical to ensuring women and minorities aren’t discriminated against in schools and workplace settings. They say the programs are necessary to ensure that institutions meet the needs of increasingly diverse student populations.
Hood said there are already federal laws in place that protect minorities from discrimination.
Democrats said the bill could dissuade student-athletes from attending universities in Mississippi and chill freedom of speech. They also said the bill wouldn’t eliminate favoritism in college admissions and hiring.
Democratic Rep. Omeria Scott introduced an amendment banning “legacy admissions” — the practice of favoring applicants with family ties or connections to alumni. That amendment was defeated.
Rep. Willie Bailey, D-Greenville, argued against the bill, saying, “The Bible could not be taught under this bill — it talks about diversity, it talks about equity, it talks about inclusion.”
“This is a stupid bill,” Bailey said.
The bill now heads to the Senate for consideration, which is expected to take up a proposal of its own restricting DEI.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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