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Mississippi Medical Association has not always been out front on state’s health care issues

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In 2002, during the 83-day special session, the longest in state history, members of the Mississippi Medical Association were out in full force in favor of legislation to provide health care providers more protection from lawsuits.

The Medical Association, the largest organization of physicians in the state, had members in their white coats at the Mississippi Capitol aggressively lobbying lawmakers.

They won.

A few years later, the white-coated members were nowhere to be seen at the Capitol as various groups ranging from the American Cancer Society to the American Heart Association and many more were lobbying lawmakers for an increase in the 18-cent per pack tax on cigarettes, which was the third lowest in the nation and significantly below the national average.

The groups argued that multiple studies had found it was good for the state’s public health to increase the tax on cigarettes. And various studies had confirmed that higher taxes on cigarettes were a deterrent to smoking, especially among teenagers.

Then-Gov. Haley Barbour, a former tobacco lobbyist, blocked all efforts to increase the cigarette tax — and even the bipartisan effort led by Republican Lt. Gov. Amy Tuck to reduce the grocery tax to offset that lost revenue by increasing the cigarette tax.

The Medical Association, which was quiet on the issue, had long supported Barbour.

In Barbour’s second term, he finally acquiesced to an increase in the cigarette tax, but not a reduction in the grocery tax. But at a meeting of legislative leaders where the cigarette tax increase was announced, the head of the Mississippi Medical Association was sitting front and center.

When asked what he was doing at the meeting, he replied his group had been working for years to increase the cigarette tax. As the old saying goes, nobody knows what goes on behind closed doors, but members of the Medical Association were far from front and center on the issue like they had been on efforts to garner themselves more protection from lawsuits.

This year the Medical Association — or at least its political action committee — has endorsed Tate Reeves for governor. Reeves, like Barbour in the early 2000s, is blocking a proposal that many other health care groups argue would help improve health care in the state.

Reeves has adamantly rejected pleas from numerous groups to expand Medicaid with the federal government paying at least 90% of the costs to provide health care to primarily the working poor. Heck, while not uttering the words Medicaid expansion, even the aforementioned Mississippi Medical Association has voiced support for expanding Medicaid.

In January 2002, the Medical Association wrote: “The fact is, there is a sizable gap that exists for working Mississippians who cannot afford private health insurance, yet whose income is too much to qualify for Mississippi Medicaid. When these individuals need healthcare, hospitals are required to treat them regardless of their ability to pay. And because these individuals are uninsured, the hospital is not compensated for this necessary care. Such an economical strain on hospitals is one that even the most successful private business could not endure.”

In the same opinion piece, the Medical Association offered some “considerations” it said should be enacted.

They include a “raise the income eligibility for Medicaid.” Raising the income level is the very definition of expanding Medicaid. And if that is not enough, the Medical Association also proposed considering “the Arkansas model to provide access to care for working Mississippians through the purchase of private insurance for qualified recipients.” The Arkansas model has been approved by the federal government, which pays the bulk of the costs as a form of Medicaid expansion.

When asked if the endorsement of Reeves meant the Medical Association was giving up on Medicaid expansion, Dr. James Rish, chair of the Medical Association’s political action committee, replied via email: “We look forward to further discussion and engagement with Gov. Reeves to address the many healthcare challenges in our state, including improving accessibility, affordability, and the overall statewide healthcare delivery system for all Mississippians.”

If history is an indicator, one thing is for sure: members of the Medical Association will be sitting front and center when and if Medicaid is ever expanded, just as they were when the cigarette tax was finally increased.

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

Mississippi Today

On this day in 1908

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mississippitoday.org – Jerry Mitchell – 2024-12-26 07:00:00

Dec. 26, 1908

Jack Johnson Credit: Wikipedia

Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion. 

Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.” 

After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves. 

He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel. 

In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today. 

Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.” 

In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence. 

He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon. 

To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook. 

“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”

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

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Health department’s budget request prioritizes training doctors, increasing health insurance coverage

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mississippitoday.org – Gwen Dilworth – 2024-12-26 06:00:00

New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year. 

The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation. 

The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training. 

The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs. 

The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn. 

A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage. 

People will access these services at community-based health departments, said Flynn. 

Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26. 

“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said. 

The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace. 

The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff. 

State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.

“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said. 

State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April. 

The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9. 

The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.

Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget. 

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 1956

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mississippitoday.org – Jerry Mitchell – 2024-12-25 07:00:00

Dec. 25, 1956

Civil rights activist Fred Shuttllesworth Credit: Wikipedia

Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.

An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”

Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.

Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”

Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.

A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.

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

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