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How seriously is Gov. Tate Reeves taking Mississippi’s hospital crisis? It’s unclear 

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NESHOBA COUNTY FAIR — Republican Gov. Tate Reeves at the Neshoba County Fair gave conflicting answers to reporters on how seriously he views Mississippi worsening hospital crisis and what he’s proposing to fix the problem.

Reeves, running for a second term, initially indicated that hospitals around the state laying off employees and slashing medical services was not a real campaign issue, but he later said there’s “no doubt” state leaders should do more to improve health care infrastructure.

Mississippi Today initially asked the first-term governor last week what his reaction was to hospitals and medical facilities laying off employees. The governor chuckled, didn’t substantively respond and brushed off the question.

“I’m shocked that you decided to take the position of the CEO of the Hospital Association today,” Reeves answered. “The fact of the matter is we know that my opponent can’t talk about my record. He can’t talk about what he believes in, so he’s making up all these things that don’t make any sense.”

But another reporter later asked the governor how he believes the state Legislature should address the burgeoning issue, prompting a more serious answer from the Republican official.

“We’ve got to have more availability of health care throughout our state, we’ve got to have more accessibility to health care throughout our state and we’ve got to make sure that we can make health care more affordable throughout our state,” Reeves said. 

Much like in 2019, Medicaid coverage and access to health care are some of the primary issues between the two leading candidates in this year’s governor’s race.

And while medical infrastructure in the state has been fragile for several years, it’s gotten increasingly worse during the current statewide election cycle.

Almost half of Mississippi’s rural hospitals could close in the near future, according to a newly updated report from the Center for Healthcare Quality and Payment Reform.

Here is a list of hospitals that have recently announced layoffs or cuts to services:

  • North Mississippi Health Services in Tupelo announced last month it was laying off employees, cutting their hours and reassigning them to different jobs.
  • Ochsner Health, which operates several facilities in Mississippi, announced in May it was cutting hundreds of jobs.
  • Memorial Hospital in Gulfport announced layoffs just days before the Oschner announcement.
  • In June, St. Dominic Hospital in Jackson announced it was cutting 5.5% of its workforce and ending its behavioral health program.
  • KPC Promise, a hospital in Vicksburg, closed last May. 
  • And Delta Health last year closed its NICU unit, leaving the Delta region, one of the most impoverished areas in the nation, without a neonatal center.

Reeves told the press on Thursday that he believes bringing “better, more higher-paying jobs” that provide private insurance to employees, not Medicaid, can improve access to health care. He believes certificate of need, or CON, laws requiring medical facilities to seek approval from a state agency before they create a new health care center should be eliminated.

Presley, currently north Mississippi’s utility regulator, has repeatedly hammered the first-term governor at campaign events for his response to struggling hospitals, often saying that the governor is “twiddling his thumbs” while hospitals lose more revenue.

“Tate Reeves doesn’t give a damn about the Greenwood Leflore Hospital,” Presley told reporters Wednesday night in Greenwood.

The Democratic candidate believes one of the main ways hospitals can stay afloat is for state leaders to expand Medicaid coverage to the working poor, something the GOP-dominated Legislature and Reeves have resisted for years.

Most hospital administrators have pushed for state leaders to expand the federal program, though they acknowledge the policy wouldn’t be a panacea.

Iris Stacker, the CEO of Delta Health System in Greenville, said last month she supported Medicaid expansion because it would reduce the amount of uncompensated care that medical workers provide to patients without health insurance.

Mississippi is one of 10 states that have not expanded Medicaid. The 40 other U.S. states that have expanded the program have seen a significant drop in uncompensated care costs post-expansion. Louisiana, which expanded Medicaid in 2016, saw a 55% decrease in uncompensated care costs for rural hospitals.

Economic experts say the remaining states, many in the Deep South, would experience an economic boon if officials expanded the program. Studies show Mississippi is leaving more than $1 billion in new health care related revenue on the table every year it does not expand.

Medical leaders have pleaded for state leaders to expand the program under the federal Affordable Care Act to draw down on additional funds. If the program were expanded, the federal government would likely cover 90% of the costs while the state contributed a 10% matching rate.

Reeves is expected to defeat John Witcher and David Hardigree in the GOP primary on Tuesday. The winner of the party primary will compete against Presley, the only Democratic candidate, in the Nov. 7 general election.

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

Mississippi Today

On this day in 1946

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mississippitoday.org – Jerry Mitchell – 2024-12-23 07:00:00

Dec. 23, 1946

Chuck Cooper Credit: Wikipedia

University of Tennessee refused to play a basketball game with Duquesne University, because they had a Black player, Chuck Cooper. Despite their refusal, the all-American player and U.S. Navy veteran went on to become the first Black player to participate in a college basketball game south of the Mason-Dixon line. Cooper became the first Black player ever drafted in the NBA — drafted by the Boston Celtics. He went on to be admitted to the Basketball Hall of Fame.

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

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Mississippi Today

Podcast: Ray Higgins: PERS needs both extra cash and benefit changes for future employees

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mississippitoday.org – Bobby Harrison – 2024-12-23 06:30:00

Mississippi Today’s Bobby Harrison talks with Ray Higgins, executive director of the Mississippi Public Employees Retirement System, about proposed changes in pension benefits for future employees and what is needed to protect the system for current employees and retirees. Higgins also stresses the importance of the massive system to the Mississippi economy.

READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs

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

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‘Bringing mental health into the spaces where moms already are’: UMMC program takes off

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mississippitoday.org – Sophia Paffenroth – 2024-12-23 06:00:00

A program aimed at increasing access to mental health services for mothers has taken off at the University of Mississippi Medical Center. 

The program, called CHAMP4Moms, is an extension of an existing program called CHAMP – which stands for Child Access to Mental Health and Psychiatry. The goal is to make it easier for moms to reach mental health resources during a phase when some may need it the most and have the least time. 

CHAMP4Moms offers a direct phone line that health providers can call if they are caring for a pregnant woman or new mother they believe may have unaddressed mental health issues. On the line, health providers can speak directly to a reproductive psychiatrist who can guide them on how to screen, diagnose and treat mothers. That means that moms don’t have to go out of their way to find a psychiatrist, and health care providers who don’t have extensive training in psychiatry can still help these women. 

“Basically, we’re trying to bring mental health into the spaces where moms already are,” explained Calandrea Taylor, the program manager. “Because of the low workforce that we have in the state, it’s a lot to try to fill the state with mental health providers. But what we do is bring the mental health practice to you and where mothers are. And we’re hoping that that reduces stigma.”

Launched in 2023, the program has had a slow lift off, Taylor said. But the phone line is up and running, as the team continues to make additions to the program – including a website with resources that Taylor expects will go live next year. 

To fill the role of medical director, UMMC brought in a California-based reproductive psychiatrist, Dr. Emily Dossett. Dossett, who grew up in Mississippi and still has family in the state, says it has been rewarding to come full circle and serve her home state – which suffers a dearth of mental health providers and has no reproductive psychiatrists

“I love it. It’s really satisfying to take the experience I’ve been able to pull together over the past 20 years practicing medicine and then apply it to a place I love,” Dossett said. “I feel like I understand the people I work with, I relate to them, I like hearing where they’re from and being able to picture it … That piece of it has really been very much a joy.”

As medical director, Dossett is able to educate maternal health providers on mental health issues. But she’s also an affiliate professor at UMMC, which she says allows her to train up the next generation of psychiatrists on the importance of maternal and reproductive psychiatry – an often-overlooked aspect in the field. 

If people think of reproductive mental health at all, they likely think of postpartum depression, Dossett said. But reproductive psychiatry is far more encompassing than just the postpartum time period – and includes many more conditions than just depression. 

“Most reproductive psychiatrists work with pregnant and postpartum people, but there’s also work to be done around people who have issues connected to their menstrual cycle or perimenopause,” she explained. “… There’s depression, certainly. But we actually see more anxiety, which comes in lots of different forms – it can be panic disorder, general anxiety, OCD.”

Tackling mental health in this population doesn’t just improve people’s quality of life. It can be lifesaving – and has the potential to mitigate some of the state’s worst health metrics.

Mental health disorders are the leading cause of pregnancy-related death, which is defined by the Centers for Disease Control as any death up to a year postpartum that is caused by or worsened by pregnancy. 

In Mississippi, 80% of pregnancy-related deaths between 2016 and 2020 were deemed preventable, according to the latest Mississippi Maternal Mortality Report.

Mississippi is not alone in this, Dossett said. Historically, mental health has not been taken seriously in the western world, for a number of reasons – including stigma and a somewhat arbitrary division between mind and body, Dossett explained.

“You see commercials on TV of happy pregnant ladies. You see magazines of celebrities and their baby bumps, and everybody is super happy. And so, if you don’t feel that way, there’s this tremendous amount of shame … But another part of it is medicine and the way that our health system is set up, it’s just classically divided between physical and mental health.”

Dossett encourages women to tell their doctor about any challenges they’re facing – even if they seem normal.

“There are a lot of people who have significant symptoms, but they think it’s normal,” Dossett said. “They don’t know that there’s a difference between the sort of normal adjustment that people have after having a baby – and it is a huge adjustment – and symptoms that get in the way of their ability to connect or bond with the baby, or their ability to eat or sleep, or take care of their other children or eventually go to work.”

She also encourages health care providers to develop a basic understanding of mental health issues and to ask patients questions about their mood, thoughts and feelings. 

CHAMP4Moms is a resource Dossett hopes providers will take advantage of – but she also hopes they will shape and inform the program in its inaugural year. 

“We’re available, we’re open for calls, we’re open for feedback and suggestions, we’re open for collaboration,” she said. “We want this to be something that can hopefully really move the needle on perinatal mental health and substance use in the state – and I think it can.”

Providers can call the CHAMP main line at 601-984-2080 for resources and referral options throughout the state. 

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

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