Connect with us

Mississippi Today

‘It’s so much a death sentence’: Stroke victim waited 90 minutes for an ambulance in Jackson.

Published

on

Donna Echols had just returned to her north Jackson home from her eldest son’s fairytale wedding in the Bahamas and expected to greet the groom’s father who had stayed behind to watch the house and her pets.

What she didn’t expect was the start of an emotional rollercoaster.

That night, April 27, Echols found her ex-husband, “Diamond Jim” Mabus, on the living room floor unresponsive. Furniture was strewn around. She called 911 to ask for an ambulance.

What followed were five calls and an excruciating 90- minute wait before the county’s ambulance provider, American Medical Response, arrived and took Mabus to St. Dominic Hospital.

Mabus was in the intensive care unit for a week until his death on May 4 at the age of 76. An MRI scan revealed he had suffered a series of small strokes and a large stroke. He left behind two sons from his marriage to Echols, two other sons, and friends and family.

“It angers me so much,” Echols said about AMR’s drawn-out response time. “It’s so much a death sentence for someone.”

AMR spokesperson Nicole Michel said the night Echols called, the central Mississippi service area was at a level zero, meaning there were no available ambulances. Eight ambulances and two sprint medics were already responding to other calls, and during the nine o’clock hour, AMR received six service requests, including one for a heart attack.

Triage protocols are applied to service calls to determine if people are suffering or are likely to suffer a life-threatening illness or injury, the spokesperson said.

Medical providers say that seconds count when someone suffers a stroke because brain cells immediately start to die. Response time can determine whether someone fully recovers, faces complications such as paralysis or dies.

Echols made the first 911 call at 9:15 p.m., according to cellphone records shared with Mississippi Today. Within 10 minutes, four Jackson firefighters arrived and started tending to Mabus, but they were not able to render further medical attention because they are not trained EMTs or paramedics, she said.

When the ambulance still hadn’t arrived, firefighters at the scene called the ambulance provider themselves and were told Echols’ address was in the queue but nobody had been dispatched yet, Echols said.

At one point, Echols called someone she knows who works at Pafford Ambulance, another private company contracted with Madison and Rankin counties, to see if they could send an ambulance. There was an ambulance bus five minutes away, but she was told she needed to get AMR to give permission to Pafford to respond and cross over into Hinds County – AMR’s territory.

Echols called 911 again, and asked the AMR dispatcher what needed to be done to have Pafford respond instead. They told her there wasn’t anything they could do about that.

Finally, at 10:25 p.m. the AMR ambulance arrived. Echols saved the home security image of first responders wheeling Mabus out the front door around 10:30 p.m.

Jam Mabus was taken by ambulance from Donna Echols’ home in Jackson to St. Dominic Hospital on April 27 after nearly 90 minutes after she called 911. Credit: Courtesy of Donna Echols

In its contract with Hinds County, AMR is required to meet 85% of its Jackson and Clinton emergency calls in eight minutes or less and outer-Hinds County calls in 18 minutes or less, Mississippi Today reported in 2018 after analyzing the company’s contract.

That year, there were over 32,000 emergency calls countywide. A review of calls by Mississippi Today and WLBT found the average trip time is an hour and a half. Time starts from when an ambulance is dispatched to when a hospital admits the patient.

Hinds EMS Coordinator Joey Jamison did not immediately respond to a request to receive a copy of or review the most recent AMR contract.

Echols’ experience waiting for an ambulance came as providers across the state – including AMR – have shared fears that an ambulance system collapse is near.

A combination of staff shortages, low wages and an incomplete reimbursement system have been exacerbated by the ongoing COVID-19 pandemic, which has greatly affected Missisisppi’s ambulence system, Mississippi Today reported.

In 2018, Mississippi Today reported that “wall time” – the time ambulances wait at a hospital for a bed to become available – often contributes to long response times. AMR agreed that hospital wait times are a challenge its first responders face.

“Every minute a crew is waiting for a bed is a minute the crew cannot respond to assist a patient outside of the hospital,” the company said in a statement.

Weeks since Mabus’ death, Echols has more answers about that night, but she wonders whether AMR will make changes to ensure other families don’t have to go through what hers did.

She understands that staff shortages have plagued multiple fields, including police and fire departments and hospitals, but she wants to know what the company is doing to fix that.

While efforts are taken to build up staff, Echols sees a mutual agreement or “helping hands” clause in AMR’s contract as a potential solution to help when they are overwhelmed by a high volume of calls.

For example, such an agreement could have allowed a Pafford Ambulance to come to her home to tend to Mabus sooner, Echols said.

An AMR spokesperson said mutual aid agreements among ambulance providers in Mississippi tend to be in place for natural disasters or mass casualty events, but not for daily service requests.

Mutual aid can be requested, but the ambulance provider who receives it isn’t required to respond because their service area takes precedence, the spokesperson said. Providers strongly prefer not to send crews outside the primary service area and often they don’t have the resources to do so.

The spokesperson did not respond to questions asked about whether it is possible for another ambulance company to respond to a call in Hinds County and whether there is a process for someone to grant permission for an out-of-county ambulance to come to them.

“What I don’t understand is why AMR has not pushed for mutual aid for a helping hands situation if they can’t do the job,” Echols said. “It makes you ask the question: Are they more concerned about territory and profit than saving lives?”

“Is it my family today and your family tomorrow?”

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

Mississippi Today

On this day in 1997

Published

on

mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

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

Continue Reading

Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

Published

on

mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.

The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.

Some who oppose Medicaid expansion say the digital tracker is flawed.

During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.

“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”

White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.

Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.

White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.

Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.

People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.

During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.

White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.

They are correct.

But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.

As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.

Some have speculated that Medicaid expansion also could be on Musk’s chopping block.

That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.

Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?

If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.

The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.

In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.

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

Continue Reading

Mississippi Today

On this day in 1911

Published

on

mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

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

Continue Reading

Trending