Mississippi Today

‘It is a moral obligation’: Faith leaders, advocates, doctors cite Christianity as reason to expand Medicaid

Published

1 year ago

October 26, 2023

‘It is a moral obligation’: Faith leaders, advocates, doctors cite Christianity as reason to expand Medicaid

It felt more like church than a health summit at moments inside Duling Hall on Thursday.

The Better Health Summit, hosted by the poverty-focused nonprofit Together for Hope and the American Cancer Society Cancer Action Network, brought together faith leaders, medical experts and health care advocates in Fondren for one common cause: improving health care in Mississippi by expanding Medicaid.

Summit attendees, no matter their backgrounds, echoed versions of the same question: Why haven’t political leaders, in a majority-Christian state, seen Medicaid expansion as an issue of morality?

Though panels at the summit ranged from accessing community-based health care to retaining physicians in rural Mississippi, speakers framed the issues around Medicaid expansion, and how far the policy measure would go to improve the livelihoods of working-class Mississippians.

Dr. Daniel Jones, former president of the American Heart Association, former chancellor of the University of Mississippi, and dean and professor emeritus at the University of Mississippi School of Medicine, speaks during the Better Health Summit event at Duling Hall in Jackson, Miss., Thursday, Oct. 26, 2023. Credit: Eric J. Shelton/Mississippi Today

Dr. Dan Jones, the former president of the American Heart Association and former chancellor of the University of Mississippi and dean and professor emeritus at the University of Mississippi School of Medicine, spoke freely at the summit, finally without his ties to state institutions, he said.

He told stories from his stints in Iran, North Korea and South Korea as a medical missionary, and how it compared to the care he was able to provide under Mississippi’s health care system.

While abroad, when Jones diagnosed people with hypertension and diabetes, he knew they were going to be able to access long-term care and medications, he said.

In Mississippi, Jones had to tell a patient he’d need to get his leg amputated. The man, a logger, knew he’d had diabetes for three years but was unable to access health care because he couldn’t afford health insurance.

After the amputation, the logger, as a disabled person, finally became eligible for health insurance through Medicaid.

“In our country, you had to lose a leg before he had access to health care,” he said. “When I went home that night after seeing that patient, I was so frustrated … I said, ‘What an insane world we live in. Today, I told a man he was going to lose his leg for a condition that was absolutely 100% preventable. And it was our country, our state, who let him down and allowed that to happen to him.’”

He drew a contrast between those countries — where health care is generally considered a right, not a privilege — and Mississippi, a state where most of its residents are Christians, yet it took an amputation to get someone insured.

“It’s easy to think living where… people don’t have reasonable access to health care is okay, because it’s just the way it is,” he said. “It’s not.”

Jones echoed his faith and how he sees Medicaid expansion as a spiritual issue.

“I hope when I stand in the booth a few days from now that my first priority will not be what is going to be the economic impact on my family when I cast this vote,” he said. “I hope one of my thoughts is … are we going to do something that Jesus would approve of doing — to provide health care access to the most vulnerable in our community.

“It’s time for action.”

Medicaid expansion has remained a top issue in the upcoming election, perhaps most prevalently featured in the gubernatorial race.

Republican incumbent Gov. Tate Reeves has remained opposed to the policy change, reiterating his opposition as recently as last month, while Democratic challenger Brandon Presley has vowed repeatedly to expand Medicaid on his first day in office, if elected.

People in the faith community are increasingly calling for Medicaid expansion, including leaders at Reeves’ own church, which is hosting a series of lectures this weekend about how providing access to health care is a Christian value.

Mississippi is one of only 10 states that has not expanded Medicaid.

Research shows that over its first few years of implementation, expansion would bring in billions of dollars to Mississippi. That money is needed — the pandemic weakened an already-frail health care infrastructure, and now nearly half of the state’s rural hospitals are at risk of closure, partially due to money lost caring for uninsured patients.

Event-goers attend the Better Health Summit event at Duling Hall in Jackson, Miss., on Thursday, Oct. 26, 2023. Credit: Eric J. Shelton/Mississippi Today

Kimberly Hughes, the American Cancer Society Cancer Action Network’s government relations director, stressed how critical insurance coverage is in the fight against cancer. Mississippi has one of the highest cancer mortality rates in the nation.

“Cancer is curable if it’s caught early, and it’s only caught early if it’s screened for, and screening requires appropriate health insurance,” she said.

Hughes described the types of Mississippians who expansion would cover — veterans, working parents and low-wage workers.

“Stop and think about people that you know, people that you love, people that are your neighbors that have no health insurance that could greatly benefit from it,” she said.

Rev. Jason Coker, a Baptist pastor and the president of Together for Hope, described his wife’s experience as a cancer survivor and wondered how other people could undergo the same thing without knowing they have access to treatment.

Though emergency rooms by law cannot turn down patients, other medical facilities can, making preventative treatment near-impossible to come by without health insurance.

“If we as the state of Mississippi are big Christians, super Baptist, if we can’t understand that as a moral issue, our religion is dead and worthless,” he said.

He described the connection between poverty and poor health outcomes, emphasizing the need for expansion.

According to Coker, 53 of the state’s 82 counties are in “persistent poverty,” and expansion would impact 200,000 to 300,000 Mississippians.

“People getting access to health care … We think that it is a moral obligation on our states to do that,” Coker said.

As Reeves and other state leaders who oppose expansion have derisively referred to Medicaid expansion as adding more people to “welfare rolls,” Coker warned Mississippians to take heed and reflect on themselves.

“So much of our politics in this day is bound up in that idea of who deserves state aid. Who deserves our help? You can only ask that question if you are standing in the seat of power,” Coker said. “We have elected officials in this state … who had the power to do something, and decided not to do it because they didn’t think someone else deserved it, or was worthy of it.

“And make no bones about it: That’s as deeply rooted in white superiority as anything that we know and our lived experience in the state of Mississippi. We call it racism. But it’s more than racism. It is white superiority.”

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

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Mississippi Today

Senate panel weighs how much — or whether — to cut state taxes

Published

7 hours ago

November 4, 2024

Staff Editor

mississippitoday.org – Taylor Vance – 2024-11-04 15:42:00

A group of state senators on Monday grappled with how much to slash state taxes or if they should cut them at all, portending a major policy debate at the Capitol for next year’s legislative session.

The Senate Fiscal Policy Study Group solicited testimony from the state government’s leading experts on budget, economic and tax policies to prepare for an almost certain intense debate in January over how much they should trim state taxes while balancing the need to fund government services.

Senate Finance Chairman Josh Harkins, a Republican from Flowood whose committee has jurisdiction over tax policy, told Mississippi Today that he wanted senators to have basic facts in front of them before they help decide next year if Mississippi should cut taxes.

“We’re getting a tax cut the next two years whether we do anything or not,” Harkins said. “I just want to make sure we have all the facts in front of people to understand we have a clear picture of how much revenue we’re bringing in.”

Mississippi is already phasing in a major tax cut. After a raucous debate in 2022, lawmakers agreed to phase in an income tax cut. In two years it will leave Mississippi with a flat 4% tax on income over $10,000, one of the lowest rates in the nation.

However, the top two legislative leaders, Lt. Gov. Delbert Hosemann who oversees the Senate and House Speaker Jason White, have both recently said they want legislators to consider new tax cut policies.

Hosemann, the Republican leader of the Senate, has publicly said he would like to see the state’s grocery tax, the highest of its kind in the nation, reduced, though he hasn’t specified how much of a reduction or how long it would take for the cut to be implemented.

White, a Republican from West, said last week that he would like to see the state’s 4% income tax phased out and have the state’s 7% grocery tax cut in half over time.

“We are hoping to construct a tax system that, yes, prioritizes certain needs in our state, but it also protects and rewards taxpayers,” White said last week.

But it’s difficult to collect accurate data on the state’s grocery tax, and state lawmakers must grapple with a laundry list of spending needs and obligations based on testimony from state agency leaders on Monday.

Mississippi currently has a 7% sales tax, which is applied to groceries. The state collects the tax but remits 18.5% back to cities. For many municipalities, the sales tax is a significant source of revenue.

If state lawmakers want to reduce the grocery tax without impacting cities, they could pass a new law to change the diversion amounts or appropriate enough money to make the municipalities whole.

State Revenue Commissioner Chris Graham said the Mississippi Department of Revenue, the agency in charge of collecting state taxes, does not have a mechanism in place for accurately capturing how much money cities collect in grocery taxes. This is because the tax on groceries is the same as non-grocery items.

However, Graham estimates that the state collects roughly $540 million in taxes from grocery items.

The other problem lawmakers would have in implementing significant tax cuts is a growing list of spending needs in Mississippi, a state with abject poverty, water and sewer and other infrastructure woes and some of the worst health metrics in the nation.

Representatives from the Legislative Budget Office, the group that advises lawmakers on tax and spending policy, told senators that lawmakers will also be faced with rising costs in the public employee retirement system, the Medicaid budget, public education, state employee health insurance, and state infrastructure projects.

State agencies, including the employee retirement system, also requested $751 million more for the coming budget year.

“That’s the billion dollar question, I guess,” Senate Appropriations Chairman Briggs Hopson, a Republican from Vicksburg, said. “How we’re able to fund basic government services?”

Harkins and Hopson said the committee would likely meet again before the Legislature convenes for its 2025 session on January 7.

A House committee on tax cuts has also been holding hearings, and White in September held a summit on tax policy.

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

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Mississippi Today

Already dire lack of affordable housing for low-income Mississippians on verge of worsening

Published

11 hours ago

November 4, 2024

Staff Editor

mississippitoday.org – Simeon Gates – 2024-11-04 11:00:00

In Mississippi, where there’s already a dearth of 50,000 or more affordable homes for extremely low-income residents, that number could grow in the next five years.

Housing units available under the federal Low Income Tax Credit program could lose their affordability by 2030 –a number estimated nationwide to be 350,000 with 2,917 in Mississippi, alone; 496 in the state already have.

The federal program responsible for most of the nation’s affordable housing is expiring.

The Low Income Housing Tax Credit, introduced as part of the Tax Reform Act of 1986, provides for developers to buy, build and restore low-income housing units. Under the deal, the housing only needs to stay low-rent for 30 years. Construction began in the early 1990s.

Some LIHTC housing will remain affordable due to other subsidies, nonprofits, state law and individual landlords.

“I think the low-income housing tax credit has done everything that it can to address the need for affordable housing around the state,” said Scott Spivey, executive director of the Mississippi Housing Corporation, a state office that administers the program and works with the state government and those in the affordable housing industry to create and support affordable housing

Spivey supports the proposed Affordable Housing Credit and Improvement Act, a federal bill that would expand upon the low-income housing tax credit in several ways, including giving developers more credit for certain projects for low-income households and changing tenant eligibility rules.

The bill was introduced in the House and the Senate last session, and is co-sponsored by Mississippi Sens. Cindy Hyde-Smith and Roger Wicker and in the House by Reps. Mike Ezell, and Michael Guest. As of this spring, both bills are in committee.

While housing has become a major issue for Americans, getting legislation passed has been challenging. “Everybody knows that housing is an issue, but it gets caught up with everything else…and it kind of gets lost in the shuffle,” said Spivey.

This issue is especially important in Mississippi, where demand for housing is high across all incomes.

“All the market studies that we see that come with the applications tell us that there’s a huge need for affordable housing across the state at all the income bands” said Spivey.

According to the National Low Income Housing Coalition, almost a third of Mississippi renters are extremely low income; 65% of them are severely cost burdened, meaning they spent more than half their income on rent. The majority of these households are seniors, disabled people, single caregivers of young children, people enrolled in school, or other.

Director of Housing Law at the Mississippi Center for Justice, Ashley Richardson said housing problems worsened after Mississippi stopped participating in the federal rental assistance program in 2022.

MCJ’s work on housing includes a statewide eviction hotline, investigating instances of housing discrimination, and more.

Richardson praised the LIHTC program, but echoed Spivey’s concerns. “Even with the affordable housing we do have in Mississippi, we are still at a lack,” she said.

The National Housing Preservation Database estimates Mississippi is short 52,421 affordable and available rental homes for low-income people. The National Low Income Housing Coalition puts the figure at 49,478.

Richardson wants the state to deal with issues like providing more tenant protections and rental assistance. There’s also a need to improve homes that are rundown or in poor condition, and many housing nonprofits are running out of funding.

Spivey said people should talk to their property managers and learn about their rights. MHC’s website has resources for homebuyers and renters.

As the housing crisis goes on, there are options for people struggling to find and keep affordable housing and an effort to take action at the federal and state levels.

Some aspiring low-income homeowners may qualify for Habitat for Humanity, a program that builds homes for families in need. Families who qualify work on the homes alongside volunteers, pay an affordable mortgage and receive financial literacy education.

New applicants must meet the qualifications, including a good debt-income ratio, 125 hours of sweat equity and taking classes on financial literacy, home repairs, and being a good neighbor.

Merrill McKewen, executive director for Habitat for Humanity Mississippi Capital Area, emphasized the importance of housing to individuals and communities.

“There are untold studies that have been done that, you’ve gotta have a safe, decent, affordable place to live. The children are better students, the parents are better employees…it grounds you to a community that you can contribute to and be a part of. It is the American dream, to own a home, which is what we’re all about,” she said.

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

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Mississippi Today

Mississippi Election 2024: What will be on Tuesday’s ballot?

Published

11 hours ago

November 4, 2024

Staff Editor

mississippitoday.org – Bobby Harrison – 2024-11-04 10:00:00

Mississippians will go to the polls on Tuesday, Nov. 5, to elect federal and state judicial posts and some local offices, such as for election commissioners and school board members.

Polls will be open from 7 a.m. to 7 p.m. on Tuesday. To find your polling place, use the secretary of state’s locator, or call your local county circuit clerk.

The following is a list of the candidates for federal and judicial posts with brief bios:

President

Kamala Harris, current vice president and Democratic nominee for president. Her running mate is Tim Walz.
Donald Trump, former president and current Republican nominee. His running mate is J.D. Vance.
Robert Kennedy Jr. remains on the ballot in Mississippi even though he has endorsed Trump. His running mate is Nicole Shanahan.
Jill Stein is the Green Party candidate. Her running mate is Rudolph Ware.
Five other candidates will be on the Mississippi ballot for president. For a complete list of presidential candidates, see the sample ballot.

U.S. Senate

Ty Pinkins is the Democratic nominee. He is a Rolling Fork native and attorney, representing, among other clients, those alleging unfair working conditions. He served 21 years in the U.S. Army, including combat stints, other overseas deployment and posts in the White House,
Roger Wicker is the Republican incumbent senator. He resides in Tupelo and has served in the U.S. Senate since late 2007 after first being appointed to fill a vacancy by then-Gov. Haley Barbour. He was elected to the post in 2008. He previously served in the U.S. House and as a state senator. He is an attorney and served in the United States Air Force.

House District 1

Dianne Black is the Democratic nominee. She is a small business owner in Olive Branch in DeSoto County.
Trent Kelly is the Republican incumbent. He was elected to the post in a special election in 2015. He previously served as a district attorney and before then as a prosecuting attorney for the city of Tupelo. He is a major general in the Mississippi Army National Guard.

House District 2

Bennie Thompson is the Democratic incumbent. He was first elected to the post in 1993. Before then, he served as a Hinds County supervisor and as alderman and then as mayor of Bolton.
Ronald Eller is the Republican nominee. He grew up in West Virginia and moved to central Mississippi after retiring from the military. He is a physician assistant and business owner.

House District 3

Michael Guest is the Republican incumbent and is unopposed.

House District 4

Mike Ezell is the Republican incumbent first being elected in 2022. He previously served as Jackson County sheriff.
Craig Raybon is the Democratic nominee. Raybon is from Gulfport and began a nonprofit “focused on helping out the community as a whole.”

Central District Supreme Court

Jenifer Branning currently serves as a member of the state Senate from Neshoba County.
Byron Carter is a Hinds County attorney and previously served as a law clerk for Supreme Court Justice Armis Hawkins.
James Kitchens is the incumbent. He has served on the state’s highest court since 2008.
Ceola James previously served on the Court of Appeals.
Abby Gale Robinson is a Jackson attorney. She previously was a commercial builder.

Southern District Supreme Court

Dawn Beam is the incumbent, having been first appointed in 2016 by then-Gov. Phil Bryant and later winning election to the post. She is a former chancellor for the Hattiesburg area.
David Sullivan is an attorney in Harrison County and has been a municipal judge in D’Iberville since 2019. His father, Michael, previously served on the state Supreme Court.

Northern District Supreme Court seats

Robert Chamberlin of DeSoto County is unopposed.
James Maxwell of Lafayette County is unopposed.

Court of Appeals 5^th District seat

Ian Baker is an assistant district attorney in Harrison County.
Jennifer Schloegel is a Chancery Court judge for Harrison, Hancock and Stone counties.
Amy St. Pe is a Municipal Court judge in Gautier.