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In this shrinking Mississippi Delta county, getting a college degree means leaving home behind

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ISSAQUENA COUNTY — The kings and queens of the South Delta School District tossed candy and waved at their families as the mid-October parade wound through a small town several miles north of this rural county.

“There’s no place like homecoming,” read a sign on a colorful “Wizard of Oz” themed float with a picture of Emerald City on the back.

Homecoming in Issaquena County, the least populated county in Mississippi — and one of the smallest in the country — is so popular that locals call it “South Delta University.”

But there is no college here, not for miles and miles; in fact, there is no public school of any kind. Students from Issaquena County attend school in neighboring counties — and it’s a big reason why many of these kids will have no choice when they grow up but to move away.

There are virtually no jobs for college graduates in this rural county blanketed in farm fields of soybeans, cotton and corn. There are no factories and no hospitals in Issaquena County. There are no public schools – haven’t been for decades. The median household income is roughly $24,000, a little more than half of the statewide average.

A single statistic underscores all these factors. Here, out of the county’s 1,111 residents, just an estimated 42 people aged 25 and older have a bachelor’s degree — meaning Issaquena County’s population has one of the lowest rates of educational attainment in America.

That’s not because people from this county aren’t going to college. Many of their families want them to get a degree — and then leave.

There’s little appetite or means in Issaquena to change this reality, a product of generations of decisions that favored powerful, largely white land interests over education and jobs.

“All my grandkids, they’re going to college,” said Norah Fuller, a Black farm manager, as he watched the football game that Friday night. “I’m going to make sure they’re going to college. Do we want the kids to stay? No. What they gonna stay here for?”

Farmland in the Mississippi Delta is pictured here on Wednesday, Nov. 29, 2023. Credit: Eric J. Shelton/Mississippi Today

Unless his grandchildren want to work on a farm, it’s hard to say. Outside of local government and a prison, the primary source of jobs are the farms that have existed since before the Civil War. But these days, the white families who own much of the land in a county that’s 63% Black are hiring less, and they have little incentive to make room for industries or jobs that could bring college-educated people back.

Fuller himself left the area, dropping out of school in the early 1960s. He didn’t come back until he felt mentally ready to do the same kind of labor enslaved people in this area did.

“I had to get away,” he said. “I stayed away until I could handle it.”

So the cycle continues in Issaquena: Year after year, more and more people move away, leaving behind fewer reasons for anyone else to stay, for any change to happen, and more reasons for young, educated people to go.

“Around here, that’s really the only way you’re gonna make money,” said Amber Warren, a 29-year-old mom who has an associate’s degree and has tried to get a job in Issaquena that will support her three kids. After years of applying, she finally landed one as a caseworker aid last year making $11-an-hour.

Now she’s searching for a better-paying job, up the hills and out of the Delta, away from all her family.

Issaquena County is flat, desolate and strikingly more rural than anywhere else in Mississippi. The famous “blues highway” largely skirts this southwestern corner of the Delta, where much of the traffic consists of pickups, tractors and trailers. Along the river looms a grassy levee that’s rivaled in height only by large silver grain bins and silos.

The county has been in a state of economic depression for decades. But that didn’t happen overnight.

The story of this fertile land starts in 1820, when it was ceded by the Choctaw, whose words for “deer river” form “Issaquena.” Wealthy settlers — cotton farmers from the east — swooped in and set up plantations. By the eve of the Civil War, a vast majority of the nearly 100 farm operators in Issaquena owned enslaved people, who made up 93% of the county’s population, the highest percentage in Mississippi.

Reconstruction did little to change this imbalance of power. Agriculture continued to dominate the local economy. The “wild lands” were cheap, and Mayersville, the county seat, became something of a boom town, replete with hotels and saloons as the area grew to more than 10,000 people.

The water tower is the only structure taller than the levee in Mayersville. Credit: Eric J. Shelton/Mississippi Today

Soon politicians, businessmen and planters all over the Delta were vying for a railroad to come through their town, eager for alternatives to the crumbling, unpaved roads.

Issaquena’s landowners resisted, believing their land could get a higher price from the railroad companies. That wasn’t the case. The county was circumvented, and Issaquena, as one newspaper in 1902 put it, had “repented” ever since. A few logging rails run through the county today.

Thus began Issaquena’s first major population decline. Mayersville was soon considered the last undeveloped place in the Delta. By the 1930s, the county’s population had shrunk to less than 6,000. Nearly all of the farms were operated by sharecroppers.

Around this time, Stan Delaney’s grandfather crossed the river from Arkansas to Mayersville and, with money he’d saved from managing a farm, bought land. Delaney grew up on it. He learned to drive a tractor when he was 7, and he dropped out of the newly formed, private Sharkey-Issaquena Academy in his senior year to farm, working alongside a Black family, the Wallaces, that his dad employed.

The Wallaces have since moved away, Delaney said. Today, Delaney’s wife and son help him work the family’s roughly 1,150 acres, which are worth about $1 million. One of the county’s 189 farm producers who are white, Delaney rents the land from his mother.

His daughter, Whitney Delaney, went to college because she didn’t now want to farm. Now she figures she makes less working in a local community college’s student services than her brother does in farming.

Stan Delaney and his daughter, Whitney, talk about their family’s connection to the land in Issaquena County, Miss. Credit: Eric J. Shelton/Mississippi Today

Delaney wants to see more young people in Issaquena — especially so his 28-year-old son can meet someone. He knows industry could bring that. But he’d never dream of selling the land to make way for something different. If his kids didn’t feel the same, he’d set up a trust so it could never be sold. 

“My dad worked so hard, and my grandfather worked so hard and sacrificed,” he said. “That’s your tradition, that’s just your Southern tradition.”

Like everything else here, the brick building four minutes from Mayersville on Highway 1 is surrounded by fields. Bales of cotton bound in bright yellow plastic greet visitors driving down the gravel road to the Head Start. The school, which opened in 1964, is Issaquena’s sole educational institution.

LaSonya Coleman logs attendance on her sherbert-green office’s desktop computer around 10 a.m. As the center manager, she oversees the development of 41 students. Just seven, she said, are from Issaquena.

The only educational institution in Issaquena County, Miss., the Head Start serves 41 children from the surrounding area, but only seven are from Issaquena. Credit: Eric J. Shelton/Mississippi Today

Today, many residents, Black and white, aren’t troubled by Issaquena’s lack of public schools because the population is so small. In rural school districts across the country, consolidation is a common cost-saving measure.

But the reason why there are no public schools in Issaquena has nothing to do with population.

In 1952, the U.S. Supreme Court took up five cases that signaled it was going to rule on school segregation. Fearing the end of separate-but-equal, white lawmakers in Mississippi scrambled. In a special session, they passed a plan to finally “equalize” the white and Black schools, believing the ruling could be stopped if the state proved it actually funded separate-but-equal facilities equally.

It was a futile attempt. Instead, the plan threw into relief how unequal school funding really was: Black students received just 13% of education funding around that time, despite making up 57% of the school-age population.

In Issaquena, which had no white schools, the plan resulted in the shuttering of the school district, making it the first county in the state to not have one of its own. There was little reporting on the local fallout, but according to a 1988 article, Isssaquena’s 13 public schools closed too.

Yet Issaquena County has continued to pay taxes to support public schools that, aside from educating its residents, provide scant economic benefit to the county itself. South Delta is based in Sharkey County; the Western Line School District is in Washington County. Mississippi Delta Community College is 60 miles away in Moorhead.

Last year, Issaquena paid more than $937,000 in taxes to support all three institutions, the bulk going to South Delta, according to the county auditor.

“Having a school district does require college-educated people earning not great salaries, but still college-educated salaries, which helps in terms of property taxes, income taxes, all of the above,” said Toren Ballard, an analyst at Mississippi First, an education policy nonprofit.

LaSonya Coleman is the center manager of the Head Start, the only educational institution in Issaquena County. Credit: Courtesy of LaSonya Coleman

Coleman, the Head Start director, had grown up just south of Issaquena in a tenant house her father designed and built on a plantation farm. A “country kid,” Coleman and her 14 siblings would play in a nearby creek while her dad worked the land and her mom, a housekeeper, cared for the farm owners’ kids.

In 1991, Coleman, wanting to explore after she got her associate’s degree at Hinds Community College, moved to Chicago. She worked at her sister’s daycare center. Four years later, she came back to the area after her dad was diagnosed with prostate cancer. He could no longer work on the farm, so he had to move out of the house.

By 2016, Coleman returned for good to find the area’s population even smaller than when she’d left. She said she would always tell her sister that local politicians should be working to bring more to the county, like a museum, something that isn’t seasonal like farming or school.

“I mostly stay to myself, but I do a lot of observing of what goes on in the community,” she said. “And I feel that they should bring the jobs in.”

If anyone wanted to bring more jobs to Issaquena County, it’d be tough to do it without talking to George Mahalitc first.

George Mahalitc, the largest landowner and one of the major employers in Issaquena County, Miss., said he doesn’t want a “big population” in the area. Credit: Eric J. Shelton/Mississippi Today

With more than 9,200 acres, Mahalitc is one of the largest private landowners in the county. His properties flank Mayersville to the north and south. In a classic tale of American success, his family moved to the area from Texas in 1961. Now, he may be the only farmer in Issaquena rich enough to grow cotton, an expensive crop. If a field is marked by bales of cotton wrapped in yellow, some locals say that probably means it’s Mahalitc’s land.

Mahalitc is also one of the county’s major employers. He hires tractor drivers and mechanics and workers for the cotton gin he owns with his brothers just over the county line in Washington County.

All told, Mahalitc employs about 30 people — something, he said, that’s getting harder to do.

Workers get ready to pack processed cotton to be shipped on Nov. 1, 2023 from Mahalitc’s Issaquena-South Washington Gin Inc. in Glen Allan, Miss. Credit: Eric J. Shelton/Mississippi Today

He believes that Issaquena has no jobs for college graduates, and few jobs for anyone else, because its people don’t want to work. His point of view is not uncommon among farmers and landowners.

“What needs to happen is people need to get off their lazy tails and wanna go to work,” Mahalitc said. “Our government is subsidizing paying these people to sit at home. That’s the problem.”

But it doesn’t take long for Mahalitc to admit that farmers, by and large, want Issaquena to stay this way.

“Us farmers, we like it like that,” he said. “We don’t want the big population.”

As farmers have historically provided most of the jobs in Issaquena, they’ve also resisted efforts to develop the land that could bring other industries to the county, even as mechanization means they’re hiring less. And because just 26 farm producers in Issaquena are Black, most of the people protesting development in Issaquena are white.

Some farmers want more development. For Mahalitc, it depends on the project; he was interested in selling his land to a solar panel company that recently approached him but, he said, the company backed out.

Waye Windham, another white farmer and the county’s sheriff, said a decade ago, he would hire seven to eight workers for his farm of soybeans and corn. Now he hires two.

“We can’t stop looking for industry to come here,” he said. “If we do, we won’t ever find anybody.”

Harvested cotton is seen at George Mahalitc’s Issaquena-South Washington Gin Inc. in Glen Allan, Miss., on Nov. 1, 2023. Credit: Eric J. Shelton/Mississippi Today

Yet in 1990, farmers across the tri-county area foiled the county board of supervisors’ efforts to get a $75 million hazardous waste incinerator. It would have created 79 permanent jobs and increased local tax revenues by an estimated $2.5 million at a time when cities and towns across the southern United States were competing to process each other’s trash.

And it was a rare opportunity: Issaquena is prone to backwater flooding that can destroy roads, homes and farmland, another factor that has limited the county’s economic opportunities.

Fearing the damage the waste could cause to local crops, a pair of farmers fiercely opposed it, writing op-eds and sending mailers to every registered voter in the county, which ultimately voted 413-315 against the plant.

Mahalitc was one of the 413. The plant would have been across his property line, and he was worried about his crops. Plus, he didn’t think anyone in Issaquena would be qualified to work at the plant.

“Where would they have qualified people to help run something like that?” Mahalitc said. “They’re not here.”

Those who wanted to develop Issaquena didn’t pin their whole hope for the future on the incinerator. The county also voted to legalize gambling (but the riverboat casino went to Vicksburg). Then came along the prison.

When the Issaquena County Regional Correctional Facility opened in the late 1990s, it promised to bring $1 million in revenue to the county tax rolls, but some locals are skeptical the prison has kept its word. Credit: Eric J. Shelton/Mississippi Today

When the 376-bed Issaquena County Correctional Facility opened in 1997, it brought $1 million to the county tax rolls. Today it is the largest employer in the county — more than 50 people work there, but many are not from Issaquena — and it sits across Highway 1 from Mayersville. It, too, borders Mahalitc’s land.

Stallard Williams, a board supervisor who represents Mayersville, is skeptical the prison has kept its promise to Issaquena County. So is Willie Peterson, an alderman who has worked in local government for decades.

“We ain’t got no benefit from it, make sure you put that down,” Peterson said.

The prison recently has been at risk of shuttering. In 2019, the board of supervisors voted to do just that, believing the prison had lost more than $760,000 that year. But Williams thought there was more to the story. He’d been getting calls from people concerned the prison would be privatized, so he audited the numbers and determined the shortfall had simply been a mathematical error.

“I feel like, if something is not right, if it’s something that especially an interest group or anybody else have over the people, over the community, then I speak up,” Williams said.

With what money the county does have, Williams would much rather be spending his time on ambitious projects to finally develop Issaquena. In his nearly eight years as a supervisor, he has led the board to build a park and secured funding for a walking trail outside the county courthouse, right next to the street that could one day be Mayersville’s center of business activity.

Issaquena County Supervisor Stallard Williams , center, received an award in June 2023 from the institute for Excellence in County Government. With him are his brother Robert, right, and fellow Supervisor Eddie Holcomb. Credit: Courtesy of Stallard Williams

But Williams wants to do more. He has a long list. To attract tourism, he wants to preserve the home of former Mayersville Mayor Unita Blackwell, the first Black woman to be elected mayor in the United States.

The Mississippi River, he says, is Mayersville’s “golden opportunity for economic development,” but the town doesn’t even have a port. He’d like to raise salaries at the prison, which pays just a few dollars above minimum wage. Issaquena, with its quiet swathes of land, attracts hundreds of recreational hunters and fishers — but there’s no place for them to buy gas locally.

The county’s future, Williams said, should be about “give and take” between landowners and workers.

“I benefit from the farmers,” said Williams, who started with his dad a local lawn business mowing farmers’ yards. “But as far as the people that just want a job here, they’re more likely gonna have to work on a farm or go 50 or 60 miles to get a job.”

Yet so many of his ideas require land to generate taxes and to build on. In recent years, some of the county’s land was bought by the state to create hunting grounds named after former governor Phil Bryant.

Change also requires political will. Some supervisors, like Eddie Hatcher, who runs a trucking company and privately owned hunting grounds, believe jobs are available in Issaquena if people want to work.

Barges on the Mississippi River sit on the other side of the levee from Mayersville, Miss., which lacks a port despite locals’ desire to develop one. Credit: Eric J. Shelton/Mississippi Today

“When the government is giving able-bodies money for nothing,” he said, “why would you go to work?”

And sometimes even small improvements can be hard to do in an under-resourced place like Issaquena.

In late October, the Mayersville board of aldermen met at the town’s multipurpose complex. The mayor, Linda Williams Short, led the meeting. She has been mayor since she unseated Blackwell by 11 votes in 2001. Like most people in Issaquena, Williams Short doesn’t have a college degree.

Just two community members attended the meeting. The Yazoo City-bound Warren, whose mom is an alderman, and a man who Warren said always comes for “moral support.”

A heated discussion concerned some of the aging infrastructure in Mayersville, and the local construction company that was struggling to keep up. A few pipes were leaking across town. The water tower needed a new pump, and its gate, which had just been fixed, was falling down.

One alderman suggested getting “the whole system redone.” Williams Short insisted there was nothing she could do to speed up the work.

“We all know it’s been too long,” she said. “And all we can do is ask.”

This reporting is part of a collaboration with the Institute for Nonprofit NewsRural News Network, and the Cardinal News, KOSU, Mississippi Today, Shasta Scout and The Texas Tribune. Support from Ascendium made the project possible.

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 1898

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mississippitoday.org – Jerry Mitchell – 2025-02-22 07:00:00

Feb. 22, 1898

Lavinia Baker and her five surviving children. A white mob set fire to their house and fatally shot and killed her husband, Frazier Baker, and baby girl Julia on Feb. 22, 1898. Left to right: Sarah; Lincoln, Lavinia; Wille; Cora, Rosa Credit: Wikipedia

Frazier Baker, the first Black postmaster of the small town of Lake City, South Carolina, and his baby daughter, Julia, were killed, and his wife and three other daughters were injured when a lynch mob attacked

When President William McKinley appointed Baker the previous year, local whites began to attack Baker’s abilities. Postal inspectors determined the accusations were unfounded, but that didn’t halt those determined to destroy him. 

Hundreds of whites set fire to the post office, where the Bakers lived, and reportedly fired up to 100 bullets into their home. Outraged citizens in town wrote a resolution describing the attack and 25 years of “lawlessness” and “bloody butchery” in the area. 

Crusading journalist Ida B. Wells wrote the White House about the attack, noting that the family was now in the Black hospital in Charleston “and when they recover sufficiently to be discharged, they) have no dollar with which to buy food, shelter or raiment. 

McKinley ordered an investigation that led to charges against 13 men, but no one was ever convicted. The family left South Carolina for Boston, and later that year, the first nationwide civil rights organization in the U.S., the National Afro-American Council, was formed. 

In 2019, the Lake City post office was renamed to honor Frazier Baker. 

“We, as a family, are glad that the recognition of this painful event finally happened,” his great-niece, Dr. Fostenia Baker said. “It’s long overdue.”

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

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Memorial Health System takes over Biloxi hospital, what will change?

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mississippitoday.org – Roy Howard Community Journalism Center – 2025-02-21 15:22:00

by Justin Glowacki  with contributions from Rasheed Ambrose, Javion Henry, McKenna Klamm, Matt Martin and Aidan Tarrant

BILOXI – On Feb. 1, Memorial Health System officially took over Merit Health Biloxi, solidifying its position as the dominant healthcare provider in the region. According to Fitch Ratings, Memorial now controls more than 85% of the local health care market.

This isn’t Memorial’s first hospital acquisition. In 2019, it took over Stone County Hospital and expanded services. Memorial considers that transition a success and expects similar results in Biloxi.

However, health care experts caution that when one provider dominates a market, it can lead to higher prices and fewer options for patients.

Expanding specialty care and services

Kristian Spear, Hospital Administrator at Memorial Hospital Biloxi, speaks on the hospital’s acquisition and future goals for improvement. (RHCJC News)

One of the biggest benefits of the acquisition, according to Kristian Spear, the new administrator of Memorial Hospital Biloxi, will be access to Memorial’s referral network.

By joining Memorial’s network, Biloxi patients will have access to more services, over 40 specialties and over 100 clinics.

“Everything that you can get at Gulfport, you will have access to here through the referral system,” Spear said.

One of the first improvements will be the reopening of the Radiation Oncology Clinic at Cedar Lake, which previously shut down due to “availability shortages,” though hospital administration did not expand on what that entailed.

“In the next few months, the community will see a difference,” Spear said. “We’re going to bring resources here that they haven’t had.”

Beyond specialty care, Memorial is also expanding hospital services and increasing capacity. Angela Benda, director of quality and performance improvement at Memorial Hospital Biloxi, said the hospital is focused on growth.

“We’re a 153-bed hospital, and we average a census of right now about 30 to 40 a day. It’s not that much, and so, the plan is just to grow and give more services,” Benda said. “So, we’re going to expand on the fifth floor, open up more beds, more admissions, more surgeries, more provider presence, especially around the specialties like cardiology and OB-GYN and just a few others like that.”

For patient Kenneth Pritchett, a Biloxi resident for over 30 years, those changes couldn’t come soon enough.

Keneth Pritchett, a Biloxi resident for over 30 years, speaks on the introduction of new services at Memorial Hospital Biloxi. (RHCJC News) Credit: Larrison Campbell, Mississippi Today

Pritchett, who was diagnosed with congestive heart failure, received treatment at Merit Health Biloxi. He currently sees a cardiologist in Cedar Lake, a 15-minute drive on the interstate. He says having a cardiologist in Biloxi would make a difference.

“Yes, it’d be very helpful if it was closer,” Pritchett said. “That’d be right across the track instead of going on the interstate.”

Beyond specialty services and expanded capacity, Memorial is upgrading medical equipment and renovating the hospital to improve both function and appearance. As far as a timeline for these changes, Memorial said, “We are taking time to assess the needs and will make adjustments that make sense for patient care and employee workflow as time and budget allow.”

Unanswered questions: insurance and staffing

As Memorial Health System takes over Merit Health Biloxi, two major questions remain:

  1. Will patients still be covered under the same insurance plans?
  2. Will current hospital staff keep their jobs?

Insurance Concerns

Memorial has not finalized agreements with all insurance providers and has not provided a timeline for when those agreements will be in place.

In a statement, the hospital said:

“Memorial recommends that patients contact their insurance provider to get their specific coverage questions answered. However, patients should always seek to get the care they need, and Memorial will work through the financial process with the payers and the patients afterward.”

We asked Memorial Health System how the insurance agreements were handled after it acquired Stone County Hospital. They said they had “no additional input.”

What about hospital staff?

According to Spear, Merit Health Biloxi had around 500 employees.

“A lot of the employees here have worked here for many, many years. They’re very loyal. I want to continue that, and I want them to come to me when they have any concerns, questions, and I want to work with this team together,” Spear said.

She explained that there will be a 90-day transitional period where all employees are integrated into Memorial Health System’s software.

“Employees are not going to notice much of a difference. They’re still going to come to work. They’re going to do their day-to-day job. Over the next few months, we will probably do some transitioning of their computer system. But that’s not going to be right away.”

The transition to new ownership also means Memorial will evaluate how the hospital is operated and determine if changes need to be made.

“As we get it and assess the different workflows and the different policies, there will be some changes to that over time. Just it’s going to take time to get in here and figure that out.”

During this 90-day period, Erin Rosetti, Communications Manager at Memorial Health System said, “Biloxi employees in good standing will transition to Memorial at the same pay rate and equivalent job title.”

Kent Nicaud, President and CEO of Memorial Health System, said in a statement that the hospital is committed to “supporting our staff and ensuring they are aligned with the long-term vision of our health system.”

What research says about hospital consolidations

While Memorial is promising improvements, larger trends in hospital mergers raise important questions.

Research published by the Rand Corporation, a nonprofit, nonpartisan research organization, found that research into hospital consolidations reported increased prices anywhere from 3.9% to 65%, even among nonprofit hospitals.

Source: Liu, Jodi L., Zachary M. Levinson, Annetta Zhou, Xiaoxi Zhao, PhuongGiang Nguyen, and Nabeel Qureshi, Environmental Scan on Consolidation Trends and Impacts in Health Care Markets. Santa Monica, CA: RAND Corporation, 2022.

The impact on patient care is mixed. Some studies suggest merging hospitals can streamline services and improve efficiency. Others indicate mergers reduce competition, which can drive up costs without necessarily improving care.

When asked about potential changes to the cost of care, hospital leaders declined to comment until after negations with insurance companies are finalized, but did clarify Memorial’s “prices are set.”

“We have a proven record of being able to go into institutions and transform them,” said Angie Juzang, Vice President of Marketing and Community Relations at Memorial Health System.

When Memorial acquired Stone County Hospital, it expanded the emergency room to provide 24/7 emergency room coverage and renovated the interior.

When asked whether prices increased after the Stone County acquisition, Memorial responded:

“Our presence has expanded access to health care for everyone in Stone County and the surrounding communities. We are providing quality healthcare, regardless of a patient’s ability to pay.”

The response did not directly address whether prices went up — leaving the question unanswered.

The bigger picture: Hospital consolidations on the rise

According to health care consulting firm Kaufman Hall, hospital mergers and acquisitions are returning to pre-pandemic levels and are expected to increase through 2025.

Hospitals are seeking stronger financial partnerships to help expand services and remain stable in an uncertain health care market.

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Source: Kaufman Hall M&A Review

Proponents of hospital consolidations argue mergers help hospitals operate more efficiently by:

  • Sharing resources.
  • Reducing overhead costs.
  • Negotiating better supply pricing.

However, opponents warn few competitors in a market can:

  • Reduce incentives to lower prices.
  • Slow wage increases for hospital staff.
  • Lessen the pressure to improve services.

Leemore Dafny, PhD, a professor at Harvard and former deputy director for health care and antitrust at the Federal Trade Commission’s Bureau of Economics, has studied hospital consolidations extensively.

In testimony before Congress, she warned: “When rivals merge, prices increase, and there’s scant evidence of improvements in the quality of care that patients receive. There is also a fair amount of evidence that quality of care decreases.”

Meanwhile, an American Hospital Association analysis found consolidations lead to a 3.3% reduction in annual operating expenses and a 3.7% reduction in revenue per patient.

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

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Adopted people face barriers obtaining birth certificates. Some lawmakers point to murky opposition from judges

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mississippitoday.org – Michael Goldberg – 2025-02-21 10:00:00

When Judi Cox was 18, she began searching for her biological mother. Two weeks later she discovered her mother had already died. 

Cox, 41, was born in Gulfport. Her mother was 15 and her father didn’t know he had a child. He would discover his daughter’s existence only when, as an adult, she took an ancestry test and matched with his niece. 

It was this opaque family history, its details coming to light through a convergence of tragedy and happenstance, that led Cox to seek stronger legal protections for adopted people in Mississippi. Ensuring adopted people have access to their birth certificates has been a central pillar of her advocacy on behalf of adoptees. But legislative proposals to advance such protections have died for years, including this year.  

Cox said the failure is an example of discrimination against adopted people in Mississippi — where adoption has been championed as a reprieve for mothers forced into giving birth as a result of the state’s abortion ban. 

“A lot of people think it’s about search and reunion, and it’s not. It’s about having equal rights. I mean, everybody else has their birth certificate,” Cox said. “Why should we be denied ours?”

Mississippi lawmakers who have pushed unsuccessfully for legislation to guarantee adoptees access to their birth certificate have said, in private emails to Cox and interviews with Mississippi Today, that opposition comes from judges.

 “There are a few judges that oppose the bill from what I’ve heard,” wrote Republican Sen. Angela Hill in a 2023 email. 

Hill was recounting opposition to a bill that died during the 2023 legislative session, but a similar measure in 2025 met the same fate. In an interview this month, Hill said she believed the political opposition to the legislation could be bound up with personal interest.

“Somebody in a high place doesn’t want an adoption unsealed,” Hill said. “I don’t know who we’re protecting from somebody finding their birth parents,” Hill said. “But it leads you to believe some people have a very strong interest in keeping adoption records sealed. Unless it’s personal, I don’t understand it.”

In another 2023 email to Cox reviewed by Mississippi Today, Republican Rep. Lee Yancey wrote that some were concerned the bill “might be a deterrent to adoption if their identities were disclosed.”

The 2023 legislative session was the first time a proposal to guarantee adoptees access to their birth certificates was introduced under the state’s new legal landscape surrounding abortion.

In 2018, Mississippi enacted a law that banned most abortions after 15 weeks. The state’s only abortion clinic challenged the law, and that became the case that the U.S. Supreme Court used in 2022 to overturn Roe v. Wade, its landmark 1973 ruling that established a nationwide right to abortion.

Roe v. Wade had rested in part on a woman’s right to privacy, a legal framework Mississippi’s Solicitor General successfully undermined in Dobbs v. Jackson Women’s Health Organization. Before that ruling, anti-abortion advocates had feared allowing adoptees to obtain their birth certificates could push women toward abortion rather than adoption.

Abortion would look like a better option for parents who feared future contact or disclosure of their identities, the argument went. With legal access to abortion a thing of the past in Mississippi, Cox said she sees a contradiction.

“Mississippi does not recognize privacy in that matter, as far as abortions and all that. So if you don’t acknowledge it in an abortion setting, how can you do it in an adoption setting?” Cox said. “You can’t pick and choose whether you’re going to protect my privacy.”

Opponents to legislation easing access to birth certificates for adoptees have also argued that such proposals would unfairly override previous affidavits filed by birth parents requesting privacy.

The 2025 bill, proposed by Republican Rep. Billy Calvert, would direct the state Bureau of Vital Records to issue adoptees aged 21 and older a copy of their original birth certificate.

The bill would also have required the Bureau to prepare a form parents could use to indicate their preferences regarding contact from an adoptee. That provision, along with existing laws that guard against stalking, would give adoptees access to their birth certificate while protecting parents who don’t wish to be contacted, Cox said.

In 2021, Cox tried to get a copy of her birth certificate. She asked Lauderdale County Chancery Judge Charlie Smith, who is now retired, to unseal her adoption records. The Judge refused because Cox had already learned the identity of her biological parents, emails show.

“With the information that you already have, Judge Smith sees no reason to grant the request to open the sealed adoption records at this time,” wrote Tawanna Wright, administrator for the 12th District Chancery Court in Meridian. “If you would like to formally file a motion and request a hearing, you are certainly welcome to do so.”

In her case and others, judges often rely on a subjective definition of what constitutes a “good cause” for unsealing records, Cox said. Going through the current legal process for unsealing records can be costly, and adoptees can’t always control when and how they learn the identity of their biological parents, Cox added.

After Cox’s biological mother died, her biological uncle was going through her things and came across the phone number for Cox’s adoptive parents. He called them.

“My adoptive mom then called to tell me the news — just hours after learning I was expecting my first child,” Cox said.

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

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