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Gov. Tate Reeves, Brandon Presley pitch differing solutions to ongoing hospital crisis

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FLOWOOD — As hospitals around the state continue to bleed out critical health care services, Mississippi’s two leading candidates for governor shared different visions with the Mississippi Press Association Friday on how to stop the hemorrhaging. 

Republican Gov. Tate Reeves called on state lawmakers to abolish certain hospital regulations, while Democratic candidate Brandon Presley continued to push legislators to expand Medicaid coverage to the working poor.

Since the two candidates have started campaigning for governor, the state’s hospital crisis has worsened. St. Dominic Memorial Hospital in Jackson laid off over 5% of its workforce and eliminated its mental health services, and Memorial Hospital in Gulfport cut 2% of its employees. 

A third of Mississippi’s rural hospitals are also at risk of closure within the near future, according to a recent report from the Center for Healthcare Quality and Payment Reform.

READ MORE: Patients, advocates worry more people will end up in jail or without treatment following St. Dominic behavioral health closure

Reeves, who is running for a second four-year term, advocated for abolishing the state’s certificate of need laws, or CON laws, because he believes it will cause more innovative medical services to emerge in the Magnolia State. 

“By reforming Mississippi’s certificate of need laws, we can root out anticompetitive behavior that blocks the formation of medical facilities and prevents the delivery of life saving healthcare for our fellow Mississippians,” Reeves said.

CON laws require medical facilities to seek approval from the state Health Department before they create a new health care center or expand an existing facility’s services in a specific area.

Republican legislators have filed bills to do away with such laws, but they have never gained any major momentum at the Capitol.

The first-term governor also said he supported establishing more medical residency programs outside of the capital city to address physician shortages and dismissed Medicaid expansion as a viable solution.

“I don’t think the answer to our biggest issues, however, is massively expanding welfare,” Reeves said of Medicaid expansion.

Presley, the current utilities regulator in north Mississippi, dismissed the idea that Medicaid expansion is welfare and declared the main reason the governor has opposed increased Medicaid coverage is because of “cheap, petty politics.”

“It is ridiculous to think that giving 230,000 working people health care because they’re working is somehow welfare,” Presley said. “That’s ridiculous. That’s just totally ridiculous.”

One of the Democratic candidate’s core platforms is to expand the program to more people because he believes it will allow hospitals to reduce the money they lose from uncompensated care.

The federal government would cover the bulk of the expanded program, and the state would likely provide 10% in matching funds. The state economist published a report concluding that the revenue the state collected from the program would cover the increased cost of matching funds.

Presley said he was open to cutting or reforming Mississippi’s CON laws, but openly questioned why Reeves had not implemented the policy while he served as lieutenant governor, the leader of the state Senate, for eight years.

“Where have you been for 12 years?” Presley said about Reeves. “You were lieutenant governor for eight. You’ve been governor for four. If all of these ideas were great, why haven’t you gotten them done, partner?”

Lt. Gov. Delbert Hosemann and state Sen. Chris McDaniel, the two main candidates competing in the Republican primary for lieutenant governor, also shared their primary proposals to the press association. 

McDaniel advocated for abolishing the state income tax and reducing the sales tax on groceries.

Hosemann praised his past efforts to reduce the size of government, while leading efforts to spend tax dollars on teacher pay raises and new infrastructure projects.

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

Mississippi Today

On this day in 1908

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mississippitoday.org – Jerry Mitchell – 2024-12-26 07:00:00

Dec. 26, 1908

Jack Johnson Credit: Wikipedia

Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion. 

Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.” 

After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves. 

He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel. 

In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today. 

Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.” 

In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence. 

He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon. 

To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook. 

“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”

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

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Health department’s budget request prioritizes training doctors, increasing health insurance coverage

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mississippitoday.org – Gwen Dilworth – 2024-12-26 06:00:00

New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year. 

The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation. 

The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training. 

The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs. 

The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn. 

A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage. 

People will access these services at community-based health departments, said Flynn. 

Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26. 

“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said. 

The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace. 

The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff. 

State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.

“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said. 

State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April. 

The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9. 

The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.

Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget. 

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 1956

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mississippitoday.org – Jerry Mitchell – 2024-12-25 07:00:00

Dec. 25, 1956

Civil rights activist Fred Shuttllesworth Credit: Wikipedia

Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.

An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”

Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.

Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”

Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.

A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.

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

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