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Mississippi ranks last in health outcomes in the entire country, again

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For yet another year, Mississippi’s health system performance has been deemed the worst in the country.

The comprehensive annual report from the Commonwealth Fund, a private health care research foundation, ranked Mississippi as one of the worst states for a number of health categories, including reproductive and women’s health and racial health equity, based on the most recent available data from 2021.

The fund has consistently found stark health disparities in Mississippi and ranked the state near the bottom or last for a number of measures used to evaluate health system performance. 

The results hardly come as a shock to Dr. Daniel Edney, Mississippi’s state health officer. As the leader of the state health department, he’s intimately familiar with the health care challenges Mississippians are up against.

“If we had 60 states, we’d be 60th in health,” he said. “Someone has to be 50th, but it doesn’t have to be us.”

Within Mississippi’s healthcare system ranking, some of the worst categories are the state’s preterm birth rate, infant mortality rate, breast and cervical cancer deaths, and premature deaths.

The latter is a category that worsened since last year’s report, and the fund connects the rise, which has lowered the nation’s average life expectancy, to the COVID-19 pandemic. People of color experienced the steepest declines. Mississippi’s avoidable death rate surged more than 35 percent between 2019 and 2021.

The scorecard for the first time included measures to evaluate state reproductive care and women’s health performance, and the results showed that throughout the country, women struggled to receive adequate health care. Those difficulties were especially pronounced in Mississippi. The only state with worse outcomes was New Mexico.

Mortality rates for women of reproductive age generally increased across all states, including Mississippi, especially among American Indian/Alaska Native and Black women. Mississippi’s maternal mortality rate between 2019 and 2021 was the highest, with 50.3 deaths per 100,000 live births. 

The report said that many of the deaths could be attributed to inequitable access to comprehensive health care and racial and ethnic disparities in quality of care, even at the same hospitals. Growing “maternity care deserts” and lack of insurance coverage contributes to the problem.

Furthermore, Mississippi ranked at the bottom when considering health care access and affordability. 

Edney has long stressed that maternal and infant mortality is one of the biggest health care challenges the state is facing.

“It’s critically important that we… take the fact that we have the lowest life expectancy, the highest infant death rate, and one of the highest maternal death rates in the country very seriously and stop accepting it as our lot in life,” Edney said. “We must be willing to do whatever it takes to get us off the bottom in health.”

According to experts at the Commonwealth Fund, postpartum care is critical to improving reproductive health outcomes. Mississippi extended postpartum Medicaid coverage to one year this legislative session. 

But experts say it’ll take more than just one policy change to turn the state’s health care crisis around.

The state health department, in conjunction with the Mississippi Division of Medicaid, has recently created a program that sends nurses to the homes of mothers experiencing high-risk pregnancies. While the Healthy Moms, Healthy Babies program currently serves about 700 people across the state, Edney said it’s not nearly enough.

However, Edney previously told Mississippi Today he didn’t get the state funding this year to hire more nurses for the program.

The report also showed that 22.4 percent of women in Mississippi did not receive prenatal care in the first trimester. An investigation by Mississippi Today found that the state Division of Medicaid, the largest funder of births in the state, does not track when expecting mothers go to their first prenatal appointment.

Many of the states with some of the worst health outcomes were those without Medicaid expansion, including Mississippi. Republican state leaders have remained steadfast in their opposition to the policy change. 

And now, as the Magnolia State starts to feel the compounded effects of the reversal of abortion rights, a crumbling health care system and the unwinding of pandemic-era policies that extended insurance coverage, the situation may be poised to worsen.

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 – 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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Mississippi Today

On this day in 1865

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mississippitoday.org – Jerry Mitchell – 2024-12-24 07:00:00

Dec. 24, 1865

The Ku Klux Klan began on Christmas Eve in 1865. Credit: Zinn Education Project

Months after the fall of the Confederacy and the end of slavery, a half dozen veterans of the Confederate Army formed a private social club in Pulaski, Tennessee, called the Ku Klux Klan. The KKK soon became a terrorist organization, brutalizing and killing Black Americans, immigrants, sympathetic whites and others. 

While the first wave of the KKK operated in the South through the 1870s, the second wave spread throughout the U.S., adding Catholics, Jews and others to their enemies’ list. Membership rose to 4 million or so. 

The KKK returned again in the 1950s and 1960s, this time in opposition to the civil rights movement. Despite the history of violence by this organization, the federal government has yet to declare the KKK a terrorist organization.

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

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An old drug charge sent her to prison despite a life transformation. Now Georgia Sloan is home

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mississippitoday.org – Mina Corpuz – 2024-12-24 04:00:00

CANTON –  Georgia Sloan is home, back from a potentially life-derailing stint in prison that she was determined to instead make meaningful. 

She hadn’t used drugs in three years and she had a life waiting for her outside the Mississippi Correctional Institute for Women in Pearl: a daughter she was trying to reunite with, a sick mother and a career where she found purpose. 

During 10 months of incarceration, Sloan, who spent over half of her life using drugs, took classes, read her Bible and helped other women. Her drug possession charge was parole eligible, and the Parole Board approved her for early release. 

At the end of October, she left the prison and returned to Madison County. The next day she was back at work at Musee, a Canton-based bath products company that employs formerly incarcerated women like Sloan and others in the community facing difficulties. She first started working at the company in 2021. 

“This side of life is so beautiful. I would literally hold on to my promise every single minute of the day while I was in (prison),” Sloan told Mississippi Today in December. 

Next year, she is moving into a home in central Mississippi, closer to work and her new support system. Sloan plans to bring her daughter and mother to live with her. Sloan is hopeful of regaining custody of her child, who has been cared for by her aunt on a temporary basis. 

“This is my area now,” she said. “This has become my family, my life. This is where I want my child to grow up. This is where I want to make my life because this is my life.” 

Additionally, Sloan is taking other steps to readjust to life after prison: getting her driver’s license for the first time in over a decade, checking in monthly with her parole officer and paying court-ordered fines and restitution. 

In December 2023, Sloan went to court in Columbus for an old drug possession charge from when she was still using drugs. 

Sloan thought the judge would see how much she had turned her life around through Crossroads Ministries, a nonprofit women’s reentry center she entered in 2021, and Musee. Her boss Leisha Pickering who drove her to court and spoke as a witness on Sloan’s behalf, thought the judge would order house arrest or time served. 

Circuit Judge James “Jim” Kitchens of the 16th District.

Instead, Circuit Judge James Kitchens sentenced her to eight years with four years suspended and probation. 

He seemed doubtful about her transformation, saying she didn’t have a “contrite heart.” By choosing to sell drugs, Kitchens said she was “(making) other people addicts,” according to a transcript of the Dec. 4, 2023, hearing. 

“I felt like my life literally crumbled before my eyes,” Sloan said about her return to prison. “Everything I had worked so hard for, it felt like it had been snatched from me.”

She was taken from the courtroom to the Lowndes County Detention Center, where she spent two months before her transfer to the women’s prison in Rankin County. 

Sloan found the county jail more difficult because there was no separation between everyone there. But the prison had its own challenges, such as violence between inmates and access to drugs, which would have threatened her sobriety. 

She kept busy by taking classes, which helped her set a goal to take college courses one day with a focus on business. Visits, phone calls and letters from family members and staff from Musee and Crossroads were her lifeline. 

“I did not let prison break me, I rose above it, and I got to help restore other ladies,” Sloan said. 

She also helped several women in the prison get to Crossroads – the same program that helped her and others at Musee. 

Sloan credits a long-term commitment to Crossroads and Musee for turning her life around – the places where she said someone believed in her and took a chance on her. 

Georgia Sloan, left, and Leisha Pickering, founder and CEO of Musee Bath, sit for a portrait at the Musee Bath facility in Canton, Miss., on Wednesday, Dec. 11, 2024. Pickering has supported Sloan through her journey of recovery and reentry, providing employment and advocacy as Sloan rebuilds her life after incarceration. Credit: Eric Shelton/Mississippi Today

Pickering, Musee’s CEO, said in the three years she’s known Sloan, she’s watched her grow and become a light for others. 

The bath and lifestyle company has employed over 300 formerly incarcerated women in the past dozen years, but Pickering said not everyone has had the same support, advocacy and transformation as Sloan. Regardless, Pickering believes each person is worth fighting for. 

When Sloan isn’t traveling for work to craft markets with Pickering, she shares an office with her Musee colleague Julie Crutcher, who is also formerly incarcerated and a graduate of Crossroads’ programs. She also considers Crutcher a close friend and mentor.

Sloan has traveled to Columbus to see her mother and daughter whom she spent Thanksgiving with. She will see them again for Christmas and celebrate her daughter’s 12th birthday the day after.

Her involvement with the criminal justice system has made Sloan want to advocate for prison reform to help others and be an inspiration to others.

“I never knew what I was capable of,” Sloan said.  “I never knew how much people truly, genuinely love me and love being around me. I never knew how much I could have and how much I could offer the world.”

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

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