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Mississippi Today

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

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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.

Mississippi Today

On this day in 1956

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mississippitoday.org – Jerry Mitchell – 2025-02-24 07:00:00

Feb. 24, 1956

In 1976, the statue of U.S. Sen. Harry F. Byrd Sr. was erected near the Virginia Capitol. In 2021, the statue was finally removed. Credit: Wikipedia

U.S. Sen. Harry F. Byrd Sr. coined the term “Massive Resistance” to unite white leaders in Virginia in their campaign to preserve segregation. The policy appealed to white Virginians’ racial views, their fears and their disdain for federal “intrusion” into the “Southern way of life.” 

Virginia passed laws to deny state funds to any integrated school and created tuition grants for students who refused to attend these schools. Other states copied its approach. 

When courts ordered desegregation in several schools in Charlottesville and Norfolk, Virginia Gov. James Lindsay Almond Jr. ordered those schools closed. When Almond continued that defiance, 29 of the state’s leading businessmen told him in December 1958 that the crisis was adversely affecting Virginia’s economy. Two months later, the governor proposed a measure to repeal the closure laws and permit desegregation. 

On Feb. 2, 1959, 17 Black students in Norfolk and four in Arlington County peacefully enrolled in what had been all-white schools.

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

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Mississippi Today

If Tate Reeves calls a tax cut special session, Senate has the option to do nothing

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mississippitoday.org – Bobby Harrison – 2025-02-23 06:00:00

An illness is spreading through the Mississippi Capitol: special session fever.

Speculation is rampant that Gov. Tate Reeves will call a special session if the Senate does not acquiesce to his and the House leadership’s wishes to eliminate the state personal income tax.

Reeves and House leaders are fond of claiming that the about 30% of general fund revenue lost by eliminating the income tax can be offset by growth in other state tax revenue.

House leaders can produce fancy charts showing that the average annual 3% growth rate in state revenue collections can more than offset the revenue lost from a phase out of the income tax.

What is lost in the fancy charts is that the historical 3% growth rate in state revenue includes growth in the personal income tax, which is the second largest source of state revenue. Any growth rate will entail much less revenue if it does not include a 3% growth in the income tax, which would be eliminated if the governor and House leaders have their way. This is important because historically speaking, as state revenue grows so does the cost of providing services, from pay to state employees, to health care costs, to transportation costs, to utility costs and so on.

This does not even include the fact that historically speaking, many state entities providing services have been underfunded by the Legislature, ranging from education to health care, to law enforcement, to transportation. Again, the list goes on and on.

And don’t forget a looming $25 billion shortfall in the state’s Public Employee Retirement System that could create chaos at some point.

But should the Senate not agree to the elimination of the income tax and Reeves calls a special session, there will be tremendous pressure on the Senate leadership, particularly Lt. Gov. Delbert Hosemann, the chamber’s presiding officer.

Generally speaking, a special session will provide more advantages for the eliminate-the-income-tax crowd.

First off, it will be two against one. When the governor and one chamber of the Legislature are on the same page, it is often more difficult for the other chamber to prevail.

The Mississippi Constitution gives the governor sole authority to call a special session and set an agenda. But the Legislature does have discretion in how that agenda is carried out.

And the Legislature always has the option to do nothing during the special session. Simply adjourn and go home is an option.

But the state constitution also says if one chamber is in session, the other house cannot remain out of session for more than three days.

In other words, theoretically, the House and governor working together could keep the Senate in session all year.

In theory, senators could say they are not going to yield to the governor’s wishes and adjourn the special session. But if the House remained in session, the Senate would have to come back in three days. The Senate could then adjourn again, but be forced to come back if the House stubbornly remained in session.

The process could continue all year.

But in the real world, there does not appear to be a mechanism — constitutionally speaking — to force the Senate to come back. The Mississippi Constitution does say members can be “compelled” to attend a session in order to have a quorum, but many experts say that language would not be relevant to make an entire chamber return to session after members had voted to adjourn.

In the past, one chamber has failed to return to the Capitol and suffered no consequences after the other remained in session for more than three days.

As a side note, the Mississippi Constitution does give the governor the authority to end a special session should the two chambers not agree on adjournment. In the early 2000s, then-Gov. Ronnie Musgrove ended a special session when the House and Senate could not agree on a plan to redraw the state’s U.S. House districts to adhere to population shifts found by the U.S. Census.

But would Reeves want to end the special session without approval of his cherished income tax elimination plan?

Probably not.

In 2002 there famously was an 82-day special session to consider proposals to provide businesses more protection from lawsuits. No effort was made to adjourn that session. It just dragged on until the House finally agreed to a significant portion of the Senate plan to provide more lawsuit protection.

In 1969, a special session lasted most of the summer when the Legislature finally agreed to a proposal of then-Gov. John Bell Williams to opt into the federal Medicaid program.

In both those instances, those wanting something passed — Medicaid in the 1960s and lawsuit protections in the 2000s — finally prevailed.

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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