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Poll: 80% of Mississippians favor Medicaid expansion

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Poll: 80% of Mississippians favor Medicaid expansion

A wide majority of Mississippians across partisan and demographic lines support expanding Medicaid to provide health coverage for the working poor, according to a newly released Mississippi Today/Siena College poll.

The poll showed 80% of respondents — including 70% of Republicans — either strongly agree or somewhat agree the state should “accept federal funds to expand Medicaid.”

The numbers appear to show a continued shift of voter sentiment in what has long been a partisan battle. Mississippi’s elected Republican governors and other leaders for the last decade have blocked Medicaid expansion via the Affordable Care Act and the billions in federal dollars that would have come with it. This resistance continues even as struggling hospitals and more citizens in the poorest, unhealthiest state cry for help.

“Yes, I support it,” said Joy Cevera, 60, a Republican voter from Oxford who said she generally supports Gov. Tate Reeves but disagrees with him on Medicaid expansion. Several poll respondents agreed to talk with Mississippi Today about their responses.

For Cevera, a disability-retired cook, the issue is personal.

“I used to be one of the working poor,” she said. “I watched my son suffer because I couldn’t afford medical care for him … He’s now 35, and I’m still watching him suffer because he’s one of the working poor. There’s got to be something done. If other states can do it, why can’t we?”

Graphic: Bethany Atkinson

The poll showed large majorities across partisan and demographic lines strongly support the state’s hospitals, large and small, being adequately funded and a majority believe state government has a responsibility to help poor, working people pay for basic healthcare. Vast majorities, including 91% of Republican voters, agree every Mississippian should have access to good health care.

“I think we do have a responsibility as a society to help folks, and sometimes the folks you’re helping aren’t your favorite folks, but too bad,” said Brad Dickey, 58, an engineer from Southaven who said he votes Republican at least 90% of the time. “The right to live is a basic right … They should expand it. We are an unhealthy state … I tell my friends who say they don’t want to give money to people who don’t work or can’t afford insurance, ‘Yes, but they have children.’

“They have got to have something, otherwise what they do is go to the emergency room,” Dickey continued. “It would be much more affordable care if done another way. It stresses the hospitals, and yes, we end up paying for it anyway.”

Editor’s note: Poll methodology and crosstabs can be found at the bottom of this story. Click here to read more about our partnership with Siena College Research Institute.

Mississippi is one of 11 states to refuse expansion. The decision means the state is refusing about $1 billion a year in federal funding meant to help poor states provide healthcare, and leaving up to 300,000 working Mississippians without coverage.

Meanwhile, health officials say 38 rural hospitals are in danger of closure, in large part due to eating the cost of providing care to indigent patients. Some of those hospitals are larger regional care centers, such as Greenwood Leflore Hospital, and even larger metro area hospitals are struggling financially because of uncompensated care costs.

But 14% of voters, including 23% of Republicans, according to the poll, remain opposed to Medicaid expansion. Some of those, such as small business owner Joseph Allen, 42, of Brandon, see it as an issue of fairness and too much of their tax dollars going to social or entitlement programs.

“I pay for my own insurance myself, and it’s a lot of money,” Allen said. “… To me it’s like the same old broken record in America. The more you put in, the more you’re penalized. The harder you work, the more they take.”

Independent voter Michelle Dukes, 52, a homemaker and caregiver in Edwards, said previously working 15 years in the mental health services field showed Medicaid is a flawed program and “the system needs to be fixed before they expand it.”

For some voters, support of Medicaid expansion comes with caveats and limits.

“I support it, but in a very specific way,” said Robby Raymond, 47, a heavy equipment operator who supports Gov. Reeves and is friends with him from their hometown in Florence.

“I do believe we need to do more to help the working poor, or the retired,” Raymond said. “… But for the people who are able to work that don’t and think they need assistance — what they need is a job. That’s our big downfall in this whole country, that we don’t do enough to help the people that need help, and do too much for the people who don’t need it … I’ve been fortunate and always had a good job, made good money and had insurance. But there’s lots of people I know that struggle.

“I do disagree with Tate Reeves (on Medicaid expansion), but I still talk with him a couple of times a year, and I know that he also shares my viewpoint that we should do more to help our retired and our working poor,” Raymond said.

Tim Moore, president of the Mississippi Hospital Association and advocate for Medicaid expansion, said he was not surprised to see widespread support for expansion, but the numbers were a little higher than he would have expected.

“I have for a long time thought it’s at least 65%-70%, simply because of the high numbers we got on our last poll just with Republican voters,” Moore said. “An overwhelming majority of Mississippians support it. I don’t know how our leadership ignores that.”

Moore said MHA participated in polling in 2019, gearing up for a ballot initiative drive for voters to force Medicaid expansion over legislative reluctance. But the state Supreme Court, in a ruling on medical marijuana, invalidated the state’s ballot initiative system and lawmakers have yet to restore that right to voters.

Moore noted that South Dakota, like Mississippi, was long a hold out on Medicaid expansion because of partisan politics. South Dakota voted 56% to 44% last year to expand Medicaid.

“South Dakota is also a very red state,” Moore said. “Their governor made a public statement that she didn’t support it, but if that’s what South Dakotans wanted, she would put it in place.

“I am very encouraged by the numbers this new poll is reflecting,” Moore said. “Mississippi is seeing the need for change.”

State Rep. Tracy Arnold, a conservative Republican from Booneville, said he’s not surprised at the support the poll showed for Medicaid expansion. He recently did some informal polling of his constituents on Facebook, and said he estimates support was 90% to 95%, “As long as you’re talking about the working poor.”

“I’m not surprised, because that’s the only portion of our society that is left out of everything — working people and small business owners,” Arnold said. Arnold said he’s interested in “some sort of hybrid,” expansion, perhaps similar to that enacted by Arkansas.

“Maybe have some buy in, like normal insurance with copay for visits and medicines, or even a voucher to let them buy insurance on the private market,” Arnold said. He said he might also support helping seniors who struggle to pay for supplemental insurance for Medicare.

Arnold said that although the leadership has thwarted voting or debate on Medicaid expansion in recent years, he suspects it will be at least debated when other issues are brought up, such as the Senate’s push to expand postpartum coverage for mothers.

“I think people are a little more open minded about it than they were,” Arnold said. “We have a substantial amount of revenue now. We have to help save our struggling hospitals, and this would not only be giving hospitals more funding, it would hep the struggling taxpaying citizen.

“There’s only a few states left that haven done this, and it appears to be providing some benefit and services where they have,” Arnold said. “… My position is, I will listen to the people I represent.”

The Mississippi Today/Siena College Research Institute poll of 821 registered voters was conducted Jan. 8-12 and has an overall margin of error of +/- 4.6 percentage points. Siena has an A rating in FiveThirtyEight’s analysis of pollsters.

Click here for complete methodology and crosstabs relevant to this story.

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

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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On this day in 1958

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mississippitoday.org – Jerry Mitchell – 2024-12-20 07:00:00

Dec. 20, 1958

Bruce Boynton played a key role in the U.S. Supreme Court case that led to the Freedom Riders protests of 1961. Credit: Jay Reeves/Associated Press

Bruce Boynton was heading home on a Trailways bus when he arrived in Richmond, Virginia, at about 8 p.m. The 21-year-old student at Howard University School of Law — whose parents, Amelia Boynton Robinson and Sam Boynton, were at the forefront of the push for equal voting rights in Selma — headed for the restaurant inside the bus terminal. 

The “Black” section looked “very unsanitary,” with water on the floor. The “white” section looked “clinically clean,” so he sat down and asked a waitress for a cheeseburger and a tea. She asked him to move to the “Black” section. An assistant manager followed, poking his finger in his face and hurling a racial epithet. Then an officer handcuffed him, arresting him for trespassing. 

Boynton spent the night in jail and was fined $10, but the law student wouldn’t let it go. Knowing the law, he appealed, saying the “white” section in the bus terminal’s restaurant violated the Interstate Commerce Act. Two years later, the U.S. Supreme Court agreed. “Interstate passengers have to eat, and they have a right to expect that this essential transportation food service,” Justice Hugo Black wrote, “would be rendered without discrimination prohibited by the Interstate Commerce Act.” 

A year later, dozens of Freedom Riders rode on buses through the South, testing the law. In 1965, Boynton’s mother was beaten unconscious on the day known as “Bloody Sunday,” where law enforcement officials beat those marching across the Selma bridge in Alabama. The photograph of Bruce Boynton holding his mother after her beating went around the world, inspiring changes in voting rights laws. 

He worked the rest of his life as a civil rights attorney and died in 2020.

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‘Something to be proud of’: Dual-credit students in Mississippi go to college at nation’s highest rate

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mississippitoday.org – Molly Minta – 2024-12-20 06:00:00

Mississippi high school students who take dual-credit courses go to college at the nation’s highest rate, according to a recent report. 

It’s generally true that students who take college classes while in high school attend college at higher rates than their peers. Earlier this year, a study from the Community College Research Center at Teacher’s College, Columbia University found that nationally, 81% of dual-credit students go to college. 

In Mississippi, that number shoots up to 93%, meaning the vast majority of the state’s high school students who take college classes enroll in a two- or four-year university. 

“When we did this ranking, boom, right to the top it went,” said John Fink, a senior research associate and program lead at the research center who co-authored the study. 

State officials say there’s likely no silver bullet for the high rate at which Mississippi’s dual-credit students enroll in college. Here, “dual credit” means a course that students can take for both high school and college credit. It’s different from “dual enrollment,” which refers to a high school student who is also enrolled at a community college. 

In the last 10 years, participation in these programs has virtually exploded among Mississippi high school students. In 2014, about 5,900 students took dual-credit courses in Mississippi, according to the Mississippi Community College Board. 

Now, it’s more than 18,000. 

“It reduces time to completion on the post-secondary level,” said Kell Smith, Mississippi C0mmunity College Board’s executive director. “It potentially reduces debt because students are taking classes at the community college while they’re still in high school, and it also just exposes high school students to what post-secondary course work is like.” 

“It’s something to be proud of,” he added. 

There are numerous reasons why Mississippi’s dual-credit courses have been attracting more and more students and helping them enroll in college at the nation’s highest rate, officials say. 

With a few college credits under their belt, students may be more inspired to go for a college degree since it’s closer in reach. Dual-credit courses can also build confidence in students who were on the fence about college without requiring them to take a high-stakes test in the spring. And the Mississippi Department of Education’s accountability model ensures that school districts are offering advanced courses like dual credit.

Plus, Mississippi’s 15 community colleges reach more corners of the state, meaning districts that may not be able to offer Advanced Placement courses can likely partner with a nearby community college.

“They’re sometimes like the only provider in many communities, and they’re oftentimes the most affordable providers,” Fink said.

Test score requirements can pose a barrier to students who want to take dual-credit courses, but that may be less of a factor in Mississippi. While the state requires students to score a 19 on ACT Math to take certain courses, which is above the state average, a 17 on the ACT Reading, below the state average of 17.9, is enough for other courses. 

Transportation is another barrier that many high schools have eliminated by offering dual-credit courses on their campuses, making it so students don’t have to commute to the community colleges to take classes. 

“They can leave one classroom, go next door, and they’re sitting in a college class,” said Wendy Clemons, the Mississippi Department of Education’s associate state superintendent for secondary education. 

This also means high school counselors can work directly with dual-credit students to encourage them to pursue some form of college.

“It is much less difficult to graduate and not go to college when you already possess 12 hours of credit,” Clemons said.

Word-of-mouth is just as key.

“First of all, I think parents and community members know more about it,” Clemons said, “They have almost come to expect it, in a way.” 

This all translates to benefits to students. Students who take dual-credit courses are more likely to finish college on time. They can save on student debt.

But not all Mississippi students are benefiting equally, Fink said. Thr research center’s report found that Black students in Mississippi and across the country were less likely to pursue dual-credit opportunities. 

“The challenge like we see in essentially every state is that who’s in dual enrollment is not really reflective of who’s in high school,” Fink said.

Without more study, it’s hard to say specifically why this disparity exists in Mississippi, but Fink said research has generally shown it stems from elitist beliefs about who qualifies for dual-credit courses. Test score requirements can be another factor, along with underresourced school districts. 

“The conventional thinking is (that) dual enrollment is just … another gifted-and-talented program?” Fink said. “It has all this baggage that is racialized … versus, are we thinking about these as opportunities for any high school student?”

Another factor may be the cost of dual-credit courses, which is not uniform throughout the state. Depending on where they live, some students may pay more for dual-credit courses depending on the agreements their school districts have struck with local community colleges and universities. 

This isn’t just an equity issue for students — it affects the institutions, too. 

“You know, we’ve seen that dual-credit at the community college level can be a double-edged sword,” Smith said. “We lose students who oftentimes … want to stay as long as they can, but there are only so many hours they can take at a community college. 

Dual-credit courses, which are often offered at a free or reduced price, can also result in less revenue to the college. 

“Dual credit does come at a financial price for some community colleges, because of the deeply discounted rates that they offer it,” Smith said. “The more students that you have taking dual-credit courses, the more the colleges can lose.” 

State officials are also working to turn the double-edged sword into a win-win for students and institutions. 

One promising direction is career-technical education. Right now, the vast majority of dual credit students enroll in academic courses, such as general education classes like Composition 1 or 2 that they will need for any kind of college degree. 

“CTE is far more expensive to teach,” Clemons said.

Smith hopes that state officials can work to offer more dual-credit career-technical classes. 

“If a student knows they want to enroll in career-tech in one of our community colleges, let’s load them up,” Smith said. “Those students are more likely to enter the workforce quicker. If you want to take the career-tech path, that’s your ultimate goal.”

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

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