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Q&A with neonatologist Dr. Christina Glick on the science and stigma of breastfeeding

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Note: This Q&A first published in Mississippi Today’s InformHer newsletter. Subscribe to our free women and girls newsletter to read stories like this monthly.

Dr. Christina Glick, director of Mississippi Lactation Services, poses for a portrait at her breastfeeding clinic in Jackson, Miss., Tuesday, Dec. 19, 2023. Credit: Eric J. Shelton/Mississippi Today

Dr. Christina Glick is a retired neonatologist who runs Mississippi Lactation Services, one of the only free-standing breastfeeding clinics in the Jackson area. She is an advocate of family-centered care, a system of practice that incorporates the family in therapeutic, management and even diagnostic decision-making, and a proponent of breastfeeding as medicine.

Research around breastfeeding – which lowers the incidence of numerous diseases, infections and depression in both mother and baby – has made strides in the last few decades. Still, Glick says she sometimes encounters colleagues who joke that she “quit practicing real medicine” when she opened her clinic in 2015.

With the highest rate of preterm birth, Mississippi could stand to benefit from increasing its breastfeeding rate – one of the lowest in the country. Mississippi Today spoke with Glick about the science and stigma of breastfeeding, the multi-billion dollar infant formula industry, and what would be needed to eradicate unnecessary pharmaceutical intervention in baby feeding practices.

Editor’s note: This Q&A has been edited for length and clarity.

Mississippi Today: How did you first get into breastfeeding research and, at the time, did you feel like it was a rather underappreciated or niche area?

Dr. Christina Glick: When I first did my training back in the early ‘80s, there was no breastfeeding training in medical school at all. It wasn’t even mentioned. And one of the things we were regularly losing babies from was malnutrition. So, the smallest babies were the hardest ones to be able to feed. And so there was some early work in the late ‘80s that breast milk was maybe a solution for some of our malnutrition issues in the tiniest, sickest babies who had chronic lung disease and just weren’t able to get enough nutrition. I got certified as a lactation consultant by the International Board of Certified Lactation Consultants, IBCLC, in the early 2000s. I started working with breastfeeding for my NICU patients at that time, and when I was in private practice I began to do a lot of breastfeeding medicine in the NICU.

When I opened my clinic, I thought ‘well I know a lot about breastfeeding and it’s going to be a pretty easy adjustment from intensive care medicine to lactation,’ and it was not – at all. I found that I knew very little about breastfeeding – and I’ve breastfed three children of my own. It’s a very confusing thing: you think it’s natural so it’s going to be simple, but it’s a very complex field of work. I have found that it’s absolutely critical to be able to coordinate the teamwork between the provider and the family to be able to successfully advocate for breastfeeding.

It is an extremely underrepresented field, still to this day. It’s getting more and more recognition but I still get people kidding me, ‘well, you quit practicing real medicine’ and stuff like that.

MT: Tell us a little bit about the research around breast milk and how breastfeeding has been shown to be mutually beneficial for mother and baby.

CG: There are so many aspects of breastfeeding that are just, seemingly magical. There’s the nutritional part of it – it’s the perfect food for the baby. So it’s exactly matched to the proteins that babies need. And we’ve found that breastfed babies actually need less volume, less protein, less calories when they’re fed breast milk – because it’s the perfect food.

Babies that are breastfed, we know, have a lower incidence of some of the diseases that are the most common causes of adult bad outcomes including cardiovascular disease, heart attack and stroke. So breastfed babies have less of that. And we always thought it was a nutritional thing but as we’ve been discovering, the human genome is actually affected by breastfeeding. So the epigenome, which is the part of our genetics that is changeable, is actually impacted greatly by breastfeeding. And so we think now that breastfeeding changes the likelihood of having heart attacks and strokes, based on the changes in the genome, not as a nutritional result – which I find pretty amazing. The breast milk actually turns off bad genes and turns on good genes.

And as we studied the microbiome, we found that breastfeeding dramatically changes the microbiome and probably has a really big effect on our overall long-term health as well as the epigenome. So breastfed babies have completely different colonies of bacteria in their gut and we think that affects their overall health and their immunological response to infections. So it’s not just the nutritional benefit but also the microbiome that helps fight infections.

MT: Aside from all the benefits for the baby, what are some of the benefits for the mother? Can it help with things like postpartum depression?

CG: Yes. And one of the confusing things about breastfeeding is that the first couple of weeks are usually pretty stressful. We always paint it as a time of bonding and rainbows and unicorns or whatever but establishing breastfeeding in the first couple of weeks can be extremely stressful.

And sometimes the first few weeks are so stressful that people imagine that postpartum depression is increased by breastfeeding – but the data shows that it’s actually protective. One of the best things that happens with breastfeeding is the hormonal changes that breastfeeding brings on are really unique. So, breastfeeding moms have really high levels of prolactin. And they have huge oxytocin surges which is what stimulates the transfer of milk to the baby. And it turns out that the oxytocin surges are pretty unique in breastfeeding mothers, and those oxytocin surges help reduce the incidence of cardiovascular disease long-term in the mother. So, we see less heart attacks and strokes in mothers who have breastfed for any significant time that is more than a matter of weeks.

In addition, breastfeeding helps reduce breast cancer. So breastfeeding mothers have a lower risk of developing breast cancer throughout the rest of their lives.

MT: Why do you think Mississippi has one of the lower rates of breastfeeding in the country?

CG: One of the things that gave formula such a strong foothold early on in the ‘50s and ‘60s was that it was called formula, so it was like the perfect scientific formulation of milk for a baby that was going to make babies healthier than breast milk. And so it became a socioeconomic incentive that well-off people can feed their babies with this new, special formulation of milk. So, it became a status symbol, if you will, that formula-fed babies are better off than breastfed babies. And that lingers in our culture today in America that it’s considered an advantage to be able to formula feed babies.

And one of the things that has happened is that one of the programs that serves lower socioeconomic groups, particularly single women, is the WIC program – Women, Infants and Children Program – and that has really translated to a sort of formula chain. There are some lactation consultants who work on supporting breastfeeding, but it’s not a perfect system and it tends to be sort of a knee-jerk to offer women formula instead of breastfeeding. It just seems easier, so if there’s any bump in the road they tend to switch to formula.

Breastfeeding is a cultural thing. If your mother breastfed you and your sisters and your cousins and everyone is breastfeeding their babies, then there is a lot of community support. If you come from a culture where everyone is formula feeding, there’s no one there who really understands. So when you hit problems, the answer is formula.

And unfortunately, the indigent population in Mississippi, and in the country as a whole, is still on the formula highway. There’s not support in our culture by a long history of breastfeeding. So, if you’re in a formula culture, you tend to formula feed and that is the case in Mississippi.

MT: Mississippi also has one of the highest rates of cesarean sections in the U.S. Are these two things, high rate of cesareans and high rate of formula use, connected?

CG: Right, great question. With a cesarean, there are a number of things that interfere with the initiation of breastfeeding. So, one of the big things is that a woman who has a C-section gets a big bolus of fluids, and that translates pretty quickly straight into the baby. So babies born of C-sections have higher water content in their bodies. And when we’re water overloaded what we do is pee it all out pretty quickly. And so babies born by C-section tend to lose weight really quickly. And we have this 10% cutoff, based on a terrible study that said that babies who lose more than 10% of their birth weight are in danger, and immediately supplement them with formula. So, just the weight loss piece of surgical deliveries makes them be at higher risk of formula supplementation recommendation right off the bat.

And then the second thing that happens is that surgical delivery delays the milk coming in. So, there’s breast milk and there’s colostrum. And normally, we transition from colostrum to regular milk by the second or third day, but with surgical deliveries that’s delayed to the fourth or fifth day. And oftentimes when a breastfed baby is only getting colostrum for four or five days, they’re pretty darn hungry by the time the milk comes in. And they’ve lost a lot of weight. So you have a crying, fussing baby who is acting unsatisfied and the natural response is to give the baby supplementation, instead of saying ‘it’s ok for that baby to cluster feed for 10 or 15 times a day to get that milk.’ And the data is that if you use more than four ounces of formula in a 24-hour period in the first month, it dramatically interferes with sustainability of breastfeeding in the long term.

MT: In your view, do you think more Americans are using formula than need it? What would be needed to shift the paradigm?

CG: Absolutely. That is completely, absolutely true. And one of the unfortunate things that has happened as a result of the move toward formula is the companies who have produced formula are very powerful political forces in this country. So it’s an economic incentive for hospitals and doctors to push formula. And that’s become a real driver in the supplementation of formula in our country. And breastfeeding is not a powerful money-making industry, right? So it’s very hard to fight the pharmaceutical intervention in infant feeding practices in our country.

We would need to strip the pharmaceutical power and make that not a factor anymore … Most mothers are given a sample of formula when they register at the prenatal clinic. So that’s a huge tool to get formula in your front door by sending you free formula. That should be banned. It should be illegal to do that.

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

Mississippi Today

IHL deletes the word ‘diversity’ from its policies

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mississippitoday.org – Molly Minta – 2024-11-21 14:32:00

The governing board of Mississippi’s public universities voted Thursday to delete the word “diversity” from several policies, including a requirement that the board evaluate university presidents on campus diversity outcomes.

Though the Legislature has not passed a bill targeting diversity, equity and inclusion initiatives in higher education, the Institutions of Higher Learning Board of Trustees approved the changes “in order to ensure continued compliance with state and federal law,” according to the board book

The move comes on the heels of the re-election of former President Donald Trump and after several universities in Mississippi have renamed their diversity offices. Earlier this year, the IHL board approved changes to the University of Southern Mississippi’s mission and vision statements that removed the words “diverse” and “inclusiveness.”

In an email, John Sewell, IHL’s communications director, did not respond to several questions about the policy changes but wrote that the board’s goal was to “reinforce our commitment to ensuring students have access to the best education possible, supported by world-class faculty and staff.”

“The end goal is to support all students, and to make sure they graduate fully prepared to enter the workforce, hopefully in Mississippi,” Sewell added.

On Thursday, trustees approved the changes without discussion after a first reading by Harold Pizzetta, the associate commissioner for legal affairs and risk management. But Sewell wrote in an email that the board discussed the policy amendments in open session two months ago during its retreat in Meridian, more than an hour away from the board’s normal meeting location in Jackson.

IHL often uses these retreats, which unlike its regular board meetings aren’t livestreamed and are rarely attended by members of the public outside of the occasional reporter, to discuss potentially controversial policy changes.

Last year, the board had a spirited discussion about a policy change that would have increased its oversight of off-campus programs during its retreat at the White House Hotel in Biloxi. In 2022, during a retreat that also took place in Meridian, trustees discussed changing the board’s tenure policies. At both retreats, a Mississippi Today reporter was the only member of the public to witness the discussions.

The changes to IHL’s diversity policy echo a shift, particularly at colleges and universities in conservative states, from concepts like diversity in favor of “access” and “opportunity.” In higher education, the term “diversity, equity and inclusion” has traditionally referred to a range of efforts to comply with civil rights laws and foster a sense of on-campus belonging among minority populations.

But in recent years, conservative politicians have contended that DEI programs are wasteful spending and racist. A bill to ban state funding for DEI in Mississippi died earlier this year, but at least 10 other states have passed laws seeking to end or restrict such initiatives at state agencies, including publicly funded universities, according to ABC News.

In Mississippi, the word “diversity” first appeared in IHL’s policies in 1998. The diversity statement was adopted in 2005 and amended in 2013. 

The board’s vote on Thursday turned the diversity statement, which was deleted in its entirety, into a “statement on higher education access and success” according to the board book. 

“One of the strengths of Mississippi is the diversity of its people,” the diversity statement read. “This diversity enriches higher education and contributes to the capacity that our students develop for living in a multicultural and interdependent world.”

Significantly, the diversity statement required the IHL board to evaluate the university presidents and the higher learning commissioner on diversity outcomes. 

The statement also included system-wide goals — some of which it is unclear if the board has achieved — to increase the enrollment and graduation rates of minority students, employ more underrepresented faculty, staff and administrators, and increase the use of minority-owned contractors and vendors. 

Sewell did not respond to questions about if IHL has met those goals or if the board will continue to evaluate presidents on diversity outcomes.

In the new policy, those requirements were replaced with two paragraphs about the importance of respectful dialogue on campus and access to higher education for all Mississippians. 

“We encourage all members of the academic community to engage in respectful, meaningful discourse with the aim of promoting critical thinking in the pursuit of knowledge, a deeper understanding of the human condition, and the development of character,” the new policy reads. “All students should be supported in their educational journey through programming and services designed to have a positive effect on their individual academic performance, retention, and graduation.” 

Also excised was a policy that listed common characteristics of universities in Mississippi, including “a commitment to ethnic and gender diversity,” among others. Another policy on institutional scholarships was also edited to remove a clause that required such programs to “promote diversity.” 

“IHL is committed to higher education access and success among all populations to assist the state of Mississippi in meeting its enrollment and degree completion goals, as well as building a highly-skilled workforce,” the institutional scholarship policy now reads. 

The board also approved a change that requires the universities to review their institutional mission statements on an annual basis.

A policy on “planning principles” will continue to include the word “diverse,” and a policy that states the presidential search advisory committees will “be representative in terms of diversity” was left unchanged.

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

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Closed St. Dominic’s mental health beds to reopen in December under new management

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mississippitoday.org – Gwen Dilworth – 2024-11-21 13:54:00

The shuttered St. Dominic’s mental health unit will reopen under the management of a for-profit, Texas-based company next month. 

Oceans Behavioral Hospital Jackson, a 77-bed facility, will provide inpatient behavioral health services to adults and seniors and add intensive outpatient treatment services next year. 

“Jackson continuously ranks as one of the cities for our company that shows one of the greatest needs in terms of behavioral health,” Oceans Healthcare CEO Stuart Archer told Mississippi Today at a ribbon cutting ceremony at its location on St. Dominic’s campus Thursday. “…There’s been an outcry for high quality care.” 

St. Dominic’s 83-bed mental health unit closed suddenly in June 2023, citing “substantial financial challenges.”

Merit Health Central, which operates a 71-bed psychiatric health hospital unit in Jackson, sued Oceans in March, arguing that the new hospital violated the law by using a workaround to avoid a State Health Department requirement that the hospital spend at least 17% of its gross patient revenue on indigent and charity care.

Without a required threshold for this care, Merit Health Central will shoulder the burden of treating more non-paying patients, the hospital in South Jackson argued. 

The suit, which also names St. Dominic’s Hospital and the Mississippi Department of Health as defendants, awaits a ruling from Hinds County Chancery Court Judge Tametrice Hodges-Linzey next year. 

The complaint does not bar Oceans from moving forward with its plans to reopen, said Archer.

A hallway inside Oceans Behavioral Hospital in Jackson, Miss., is seen on Thursday, Nov. 21, 2024, during the facility’s grand opening. Credit: Eric Shelton/Mississippi Today

Oceans operates two other mental health facilities in Mississippi and over 30 other locations in Louisiana, Oklahoma and Texas. 

“Oceans is very important to the Coast, to Tupelo, and it’s important right here in this building. It’s part of the state of Mississippi’s response to making sure people receive adequate mental health care in Mississippi,” said Lt. Governor Delbert Hosemann at the Nov. 21 ribbon cutting.

Some community leaders have been critical of the facility. 

“Oceans plans to duplicate existing services available to insured patients while ignoring the underserved and indigent population in need,” wrote Hinds County Sheriff Tyree Jones in an Oct. 1 letter provided to Mississippi Today by Merit Health. 

Massachusetts-based Webster Equity Partners, a private-equity firm with a number of investments in health care, bought Oceans in 2022. St. Dominic’s is owned by Louisiana-based Catholic nonprofit Franciscan Missionaries of Our Lady Health System.

Oceans first filed a “certificate of need” application to reopen the St. Dominic’s mental health unit in October 2023. 

Mississippi’s certificate of need law requires medical facilities to receive approval from the state before opening a new health care center to demonstrate there is a need for its services. 

The Department of Health approved the application under the condition that the hospital spend at least 17% of its patient revenue on free or low-cost medical care for low-income individuals – far more than the two percent it proposed. 

Stuart Archer, CEO of Oceans Healthcare, speaks during the grand opening of Oceans Behavioral Hospital in Jackson, Miss., on Thursday, Nov. 21, 2024. Credit: Eric Shelton/Mississippi Today

Oceans projected in its application that the hospital’s profit would equal $2.6 million in its third year, and it would spend $341,103 on charity care.

Merit Health contested the conditional approval, arguing that because its mental health unit provides 22% charity care, Oceans providing less would have a “significant adverse effect” on Merit by diverting more patients without insurance or unable to pay for care to its beds. 

Oceans and St. Dominic’s also opposed the state’s charity care condition, arguing that 17% was an unreasonable figure. 

But before a public hearing could be held on the matter, Oceans and St. Dominic’s filed for a “change of ownership,” bypassing the certificate of need process entirely. The state approved the application 11 days later

Merit Health Central then sued Oceans, St. Dominic and the State Department of Health, seeking to nullify the change of ownership. 

“The (change of ownership) filing and DOH approval … are nothing more than an ‘end run’ around CON law,” wrote Merit Health in the complaint. 

Oceans, St. Dominic’s and the Mississippi Department of Health have filed motions to dismiss the case. 

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

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How Mississippi’s Supreme Court Runoff Election Could Impact Criminal Cases

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mississippitoday.org – Caleb Bedillion, The Marshall Project and Daja E. Henry, The Marshall Project – 2024-11-21 11:00:00

Mississippi voters have dealt defeat to one conservative state Supreme Court justice and forced a moderate justice into a Nov. 26 runoff, with the final outcome possibly making the court more open to considering the rights of criminal defendants.

The nine-member court is largely conservative but justices have recently split in high-profile decisions that sharply affected state politics, including a ruling that shut down citizen-led ballot initiatives in Mississippi and allowed some state control over local criminal cases in its majority-Black capital. The court has also rendered rulings that have made the state increasingly unfavorable to defendants appealing their cases. 

“The ability of death row inmates in particular, and inmates in general, to access the courts has been recently curtailed significantly,” Matthew Steffey, a professor at Mississippi College School of Law, told The Marshall Project – Jackson and Bolts following the Nov. 5 election.  

Justice Dawn H. Beam joined the majority in those decisions, acquiring a reputation of being hostile to appeals by criminal defendants, and she ran for reelection this fall as the Republican Party’s favored candidate. However, she lost in the state’s 2nd District on Nov. 5 to David P. Sullivan, a defense attorney who has worked as a public defender.

Judicial races in Mississippi are nonpartisan and Sullivan has given few explicit signals about his judicial outlook. He has supported at least some criminal justice reforms and would be the third justice with experience as a defense attorney on this court. Some reformers nationwide have pushed for more professional diversity on the bench.

Even if Sullivan turns out to be more centrist or independent than Beam on criminal law, any overall shift in power on the court depends on the outcome of a runoff election next week. 

Two-term Justice Jim Kitchens and challenger Jenifer B. Branning will face each other in the Nov. 26 runoff election after neither won more than 50% of the vote on Nov. 5. The runoff will take place across the 22 counties that make up the Supreme Court’s central district, including Hinds County, home to Jackson. Throughout the campaign, the state GOP targeted Kitchens with attacks, while Branning, a Republican state senator with a conservative voting record, is endorsed by the party.

Kitchens is one of two reliably moderate-to-liberal high court justices. Justices from among an additional group of four sometimes veer away from the majority, as well, but can be more unpredictable, and this group does not vote as a bloc. 

Quinn Yeargain, a Michigan State University law professor who closely watches state courts, recently analyzed the court’s voting patterns and found Beam was consistently more conservative than Kitchens in recent cases. Yeargain told The Marshall Project – Jackson and Bolts that conservative and liberal voters often have few signals about how to select a candidate in judicial races. “It’s very hard to label the justices,” they said.


Sullivan — whose father was a Mississippi Supreme Court justice from 1984 to 2000 — called himself a “conservative” throughout his campaign. But he has also touted the value of judicial independence and criticized Beam for campaigning on her endorsement by the state Republican Party. 

“I think that rubbed a lot of people the wrong way,” Sullivan told the Sun Herald newspaper, speaking of Beam’s use of the endorsement. “Judicial races are nonpartisan for a reason. A judge’s impartiality could be called into question.”

Sullivan has broad legal experience, but much of his career has focused on private criminal defense while also doing some public defense work. He told The Marshall Project – Jackson and Mississippi Today that he supported a new administrative rule handed down in 2023 by the state Supreme Court to require continuous legal representation for poor criminal defendants from the beginning of their cases. An investigation by The Marshall Project, ProPublica and the Northeast Mississippi Daily Journal last year found, however, that many courts were unready at the time to implement the new representation rules.

During the campaign, Sullivan told The Marshall Project – Jackson and Mississippi Today that more work is needed to improve public defense.

Kitchens has also advocated for public defense reforms during his two terms on the court. He told a committee of legislators last year that the “playing field is far from level” between prosecutors and poor defendants.

On other criminal justice issues, he has sometimes dissented from opinions upholding death sentences. His decisions have scrutinized prosecutorial conduct and inadequate legal representation. 

Branning, the Republican senator, has a voting record on criminal justice issues that suggests a harsher approach toward criminal defendants. She has supported higher mandatory minimum sentences and reclassifying misdemeanors as felonies, has opposed expansion of parole and was among only a few lawmakers who voted against legalizing medical marijuana. 

She also supported increasing the jurisdiction of a controversial, state-run police force inside the majority-Black city of Jackson as well as increasing state control over many felony cases in Jackson. The Supreme Court unanimously curtailed much state power over these felony cases, but a majority left some control intact, with Kitchens and another judge dissenting.

Branning did not respond to questions from The Marshall Project – Jackson and Mississippi Today during the Nov. 5 campaign about her possible judicial outlook.

Kitchens was a prosecutor and then in private practice before joining the bench. Branning is a practicing attorney who typically handles civil cases. 

The winner of the Nov. 26 runoff will join Sullivan on a court that in recent years has been restricting the ability of people who say the legal system has wronged them to seek relief, legal experts told The Marshall Project – Jackson and Bolts this month. 

Krissy Nobile, director of the state’s Office of Capital Post-Conviction Counsel, said it’s become “increasingly more difficult to correct a wrongful conviction.” Her office provides legal counsel for indigent people on death row. 

She said a number of recent cases showed the barriers the high court has erected for criminal defendants appealing their convictions, and demonstrated indifference to civil rights violations. Kitchens disagreed with the majority, in full or in part, in all but one of the appeals, which the court unanimously denied.

In a case earlier this year, the Court ruled to monetarily fine an incarcerated person for filing any future post-conviction relief petitions that lacked merit. Kitchens joined a dissenting opinion condemning the fine. In another, the court denied a man who argued that his lawyers were ineffective and that they did not challenge prosecutorial misconduct or false forensic evidence presented by a medical examiner with a checkered past. The court’s majority denied the motion, and in the process, overturned a precedent that allowed ineffective counsel as an adequate reason to give a case another look in some types of appeals. Kitchens dissented, along with two other justices. 

“For decades in Mississippi, the Court held that it would correct errors if there was a violation (of) a person’s fundamental rights,” Nobile said. But she added this has changed considerably. Now, if you land a terrible lawyer who rushes your case, “You are out of luck,” she said, “even if your core constitutional rights have been clearly violated.” 

For the court’s majority, Nobile added, “The legal technicalities now trump a person’s constitutional rights.” 

Branning, left, and Kitchens at the Neshoba County Fair in August 2024. Credit: Eric Shelton, Mississippi Today

The runoff is the nation’s final supreme court race of the year. Thirty-two states held elections for their high courts earlier this year, resulting in a muddled picture, with liberals and conservatives each gaining ground in different places, Bolts reports

Mississippi’s runoff outcome will heavily depend on turnout and the composition of the electorate. In the Supreme Court’s central district, voters split narrowly between Democrat Kamala Harris and Republican Donald Trump in the presidential election on Nov. 5, but the runoff is just two days before Thanksgiving and will likely see a large dropoff in turnout. Branning received 42% of the vote in the first round, and Kitchens received 36%, with three other candidates making up the rest. 

There will also be a runoff the same day in the Gulf Coast area between Amy Lassiter St. Pé and Jennifer Schloegel for an open seat on the state Court of Appeals. The Court of Appeals hears both criminal and civil cases that have been appealed from lower courts. The Mississippi Supreme Court can hear cases directly on appeal or can assign cases to the Court of Appeals.

Observers agreed that against the national legal backdrop, neither a Kitchens victory nor a Branning victory would lead to a seismic change since neither outcome would flip the court’s conservative lean. Still, a modest shift could impact some of the most controversial cases, such as a rare 5-4 decision that upheld the death sentence in Willie Manning’s case

A Kitchens win, coupled with Sullivan’s upset earlier this month, would deal the Republican Party rare setbacks in a state where it has been dominant and could put moderate forces in a position to grow their numbers further in future elections. 

“You might end up with a normal conservative court,” law professor Yeargain said, “instead of one of the most conservative courts in the country.”

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

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