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Mississippi mothers and babies are dying. One man and his 87% male House are blocking help.

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Mississippi mothers and babies are dying. One man and his 87% male House are blocking help.

Note: This editorial was first published in Mississippi Today’s weekly legislative newsletter.Subscribe to our free newsletterfor exclusive early access to legislative analyses and up-to-date information about what’s happening under the Capitol dome.

Mississippi babies are more likely to die before their first birthday than infants anywhere else in the country. Mississippi has the highest preterm birth rate and the lowest birth weight rate in America, and one of every seven babies born here are preterm. Black babies are twice as likely to die as their white counterparts in Mississippi.

Mothers who give birth in Mississippi are more likely to die here than in 45 other states, with a pregnancy-related mortality rate nearly double the national average. A whopping 86% of pregnancy-related deaths occur postpartum, including 37% after six weeks. Black women are three times likelier than white women to die of a pregnancy-related cause.

These numbers are made worse because of the state’s high rates of poverty and uninsured people. Across Mississippi, about 65% of babies are born to mothers on Medicaid. Because of lag times in getting approved for coverage and a 60-day cutoff of postpartum care coverage, mothers often do not receive the prenatal and postpartum care they need — care that could prevent major problems.

Mississippi physicians, economists, mothers and children, and now a Republican appointed board of advisers all agree that lawmakers should make a single decision to save countless lives: extend Medicaid coverage from 60 days post-birth to one year. It would cost the state an estimated $7 million per year, a drop in the bucket as lawmakers sit on a record cash reserve of $3.9 billion.

But dismal statistics, expert testimony, sobering pleas of affected mothers, and clear life-saving benefits of extension be damned — one man, Speaker of the House Philip Gunn, is blocking it.

“I don’t see the advantage of doing the postpartum thing,” Gunn told reporters in December, saying he will only do it if the Mississippi Division of Medicaid recommends it. A spokesman for the state’s Medicaid department led by Drew Snyder, an appointee of Gov. Tate Reeves, told lawmakers in December the agency would not recommend for or against postpartum coverage.

“(Medicaid leaders) have not called me and told me that I’m wrong on that,” Gunn said.

Last year, a bill to extend postpartum coverage to 12 months had some serious momentum after a vast majority of senators voted to pass it. Senate Republicans, including the chamber’s president, Lt. Gov. Delbert Hosemann, called it “a no-brainer.”

But Gunn unabashedly killed it when it got to his chamber. He publicly claimed he had not seen data or been part of discussions showing that the extension would save lives. But that was not true, Mississippi Today reported. Just weeks earlier, five of the state’s major medical associations penned a letter to Gunn laying out the relevant data and directly stating that extending the program would save lives.

READ MORE: Doctors asked Speaker Philip Gunn to extend health coverage for moms and babies. Then he blocked it.

Gunn has also referenced his long-standing opposition to broader Medicaid expansion in defense of his decision to block the postpartum extension. That topic, long contentious in Mississippi and in other Republican-controlled states, is rife with its own distracting narratives, and health experts have implored lawmakers to keep the two separate issues separate. But that hasn’t stopped Gunn from playing that political card at every turn.

Looking around the House chamber, it quickly becomes apparent how Gunn could comfortably justify his decision to kill a bill that most directly affects Mississippi women and why there hasn’t been an uprising of lawmakers pleading with him to change his mind. In the chamber Gunn leads, just 15 members out of 120 current members (13%) are women. Just three of the 47 House committees of which Gunn appoints leaders are chaired by women.

The Senate’s statistics are better, but not by much. Just 10 senators out of 52 total (19%) are women. Hosemann has appointed six women to chair committees out of 44 total Senate committees.

In a state where 51% of the population is made up of women, just 15% of the entire state Legislature is made up of women. And with so few women in leadership positions, it’s tough to see a change in policy affecting women happening soon.

If you’re keeping track at home, here’s what has to happen to pass a widely supported and affordable plan to save or improve the lives of countless Mississippi mothers and their children: A majority of a group of 105 powerful men has to sign off, a majority of a group of 42 powerful men has to sign off, then a powerful man has to get the go-ahead from another powerful man, who likely has to get the blessing from his boss who is — you guessed it! — another powerful man.

Some are hoping a recommendation made last week by a committee of appointees from Reeves, Hosemann and Gunn himself could spur action on postpartum coverage. The 11-member Mississippi Medical Care Advisory Committee unanimously voted to recommend that the Legislature extend postpartum Medicaid coverage for new mothers from 60 days to 12 months.

Several proponents of the bill regularly note that Gov. Reeves could bypass the Legislature altogether and extend postpartum coverage himself with an executive order. But Reeves, who has long decried expansion of any federal Medicaid program, has given no indication that he supports the policy.

But in the Legislature, there’s always a chance. Several bills in both the Senate and the House have already been filed this session. Senate leaders, who spent the fall studying how to improve the lives of Mississippi women and children, vow to again pass the bill this session and send it to the House.

Notably, one of the 15 women in the House — a member of Gunn’s own Republican caucus — authored a postpartum extension bill and is publicly backing it.

“As a woman and as a mother, I couldn’t let this issue pass without advocating it and really trying to push it forward,” Rep. Missy McGee, a Hattiesburg Republican, told Mississippi Today last week. She said she supports extending the postpartum coverage to 12 months based on what she’s heard from health experts — including pediatricians, neonatologists and emergency medicine doctors from her district — and based on her experiences as a woman and a mother.

But if Gunn, the man who single-handedly controls every piece of legislation that comes through the House, continues to resist the proposal, McGee’s perspective may not mean a thing in the end.

Meanwhile, real Mississippi mothers and children across the state are suffering and could profoundly benefit from a little more help from their speaker and their government.

READ MORE: After lawmakers choose not to extend postpartum Medicaid, six Mississippi moms speak out

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

Mississippi Today

On this day in 1997

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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.

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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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.

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Mississippi Today

On this day in 1911

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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.

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