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Some state politicians may be moving beyond name-calling in health care

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Some state politicians may be moving beyond name-calling in health care

Riding around curvy roads in northeast Mississippi campaigning for reelection in 2007, Republican Gov. Haley Barbour unveiled to a reporter his plan to create a state exchange where individuals and businesses could shop for insurance at a lower rate.

The federal Patient Protection and Affordable Care Act passed in 2010 had a feature strikingly similar to what Barbour proposed, which coincidentally already was being used in Massachusetts. The ACA gave states the option to piggyback off the federal exchange to create their own exchange. The federal subsidies offered through the ACA would be available to individuals purchasing insurance off the federal or a state exchange.

Barbour wanted to create a state exchange that would include features from the proposal he offered during his 2007 reelection campaign. State Insurance Commissioner Mike Chaney also strongly supported a state exchange, saying his office would have more authority to shape a state exchange to fit the needs of Mississippians. But the ACA had by then morphed into “Obamacare,” which was meant to be a derisive term, and many Mississippi legislators, and then-Lt. Gov. Phil Bryant, were opposed to being associated with any part of the landmark national law touted and proposed by then-President Barack Obama.

In the end, there was no state exchange set up in Mississippi, though it could be argued that the national exchange has been a success in the state. About 270,000 Mississippians currently have insurance policies purchased off the national exchange.

Yet for 13 years now, most Mississippi politicians have continually demonized “Obamacare” and anything associated with the national law.

They blocked Medicaid expansion that would provide health care for primarily the working poor in Mississippi, and they rejected a state- exchange. And along the way, Medicaid expansion and Obamacare became dirty words in the minds of many Mississippi politicians.

That demonization might be ending. On the same day in the Mississippi House last week, members by an overwhelming 98-20 margin voted to expand Medicaid. Soon after that vote, House Ways and Means Chair Trey Lamar, R-Senatobia, offered a bill, which passed 112-5, to create a statewide exchange.

Under the bill, Mississippians will go to the state exchange to purchase their insurance policy, but importantly, the federal subsidies still will be available. Lamar is hoping by offering state tax incentives to private insurance companies to join the exchange that there will be more choices for Mississippians shopping for health care coverage. And he is hoping that by providing tax incentives to health care providers who accept who have exchange insurance coverage, that more of them will do so.

Hello, Haley Barbour and Mike Chaney from 2012.

During the debate of the two bills in the House, no one uttered the word Obamacare. And in general, fewer and fewer Mississippi politicians are saying Obamacare in a derisive manner, though many go out of the way not to say the phrase Medicaid expansion when they are talking about — gulp — expanding Medicaid.

One politician, of course, continues to proudly and derisively use the term Obamacare. When arguing against expanding Medicaid, Republican Gov. Tate Reeves recently reposted a social media comment from former proclaiming: “Obamacare sucks!!!”

When explaining the bill to expand Medicaid to fellow House members, Missy McGee, R-Hattiesburg, did not about Obamacare. Instead, she talked about the fact that Mississippi has many of the nation’s worst health care outcomes.

Mississippi has among the highest rates of infant mortality, diabetes deaths, cardio disease — and the list goes on.

The bottom line is Mississippians have the shortest expectancy in the nation.

In terms of action by legislators to address those bad outcomes, she said, “‘No’ is not a policy that has helped.”

Before this is over, Reeves may have to decide whether he wants to continue the demonization of Obamacare or sign into law Medicaid expansion in an effort to address those poor health care outcomes. There is a strong possibility the bill also will pass the Senate and reach his desk, where he must decide whether to sign it or veto it or allow it to become law without his signature.

If so, Reeves will not be the first Mississippi governor to face some difficult decisions surrounding Medicaid.

In 1969, then-Gov. John Bell Williams, who had voted against creating the original Medicaid program when he was in the U.S. House in 1964 and who had railed against it, called a special session to ask legislators to opt into the Medicaid program. Williams said the fact he opposed the program should not keep lawmakers from embracing a federal program that would Mississippians.

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

Mississippi Today

On this day in 1875

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mississippitoday.org – Jerry Mitchell – 2024-11-02 07:00:00

Nov. 2, 1875

Pictured here are U.S. Sen. Hiram Revels of Mississippi, left, with six Black members of the U.S. House, Ben J.S. Turner of Alabama, Josiah T. Walls of Florida, Jefferson H. Long of Georgia, and Robert C. De Large, Joseph H. Rainy and R. Brown Elliot, all of South Carolina. Credit: Library of

The first Mississippi Plan, which included violence against Black Americans to keep them from , resulted in huge victories for white Democrats across the

A year earlier, the Republican Party had carried a majority of the votes, and many Black had been elected to office. In the wake of those victories, white leagues arose to Republican rule and began to use widespread violence and fraud to recapture control of the state. 

Over several days in September 1875, about 50 Black Mississippians were killed along with white supporters, a school teacher who worked with the Black community in Clinton. 

The governor asked President Ulysses Grant to intervene, but he decided against intervening, and the violence and fraud continued. Other Southern states soon copied the Mississippi plan. 

John R. Lynch, the last Black congressman for Mississippi until the 1986 election of Mike Espy, wrote: “It was a well-known fact that in 1875 nearly every Democratic club in the State was converted into an armed military company.” 

A federal grand jury concluded: “Fraud, intimidation, and violence perpetrated at the last election is without a parallel in the annals of history.”

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

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Mississippi Today

Mississippi Today’s NewsMatch Campaign is Here: Support Journalism that Strengthens Mississippi

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mississippitoday.org – Mary Margaret White – 2024-11-01 12:34:00

High-quality journalism like ours depends on reader ; without it, we simply couldn’t exist. That’s why we’re proud to join the NewsMatch movement, a national initiative aimed at raising $50 million for nonprofit newsrooms that serve communities like ours here in Mississippi, where access to reliable information has often been limited.

In a time when trusted journalists and media sources are disappearing, we believe the stakes couldn’t be higher. Without on-the-ground, trustworthy , civic engagement suffers, accountability falters and corruption often goes unaddressed. But it doesn’t have to be this way.

Here at we act as watchdogs, holding those in power accountable, and as storytellers, giving a platform to voices that have been ignored for too long. And we’re committed to keeping our stories for everyone because information should be accessible when it’s needed most.

Why NewsMatch and Why Now?

This year’s NewsMatch campaign runs from November 1 through December 31, giving us a special to make each dollar you give go even further. Through matching funds provided by local foundations like the Maddox Foundation, and national funders like the MacArthur Foundation, the Rural Partner Fund and the Hewlett Foundation, your gift will be matched dollar for dollar up to $1,000. Plus, if 100 new donors join us, we’ll unlock an additional $2,000 in funding, bringing us even closer to our goal. Boiled down: your donation goes four times as far.

Every dollar raised strengthens our ability to serve you with fact-based journalism on issues that impact your everyday life—whether it’s covering local election issues or reporting on decisions affecting schools, safety and economic growth in Mississippi. Your support makes it possible for us to stay rooted in the community, offering nuanced perspectives that Mississippians understand and engage with what’s happening around them.

Special Event: “Freedom of the Press: Southern Challenges, National Impact”

As part of the campaign, we’re excited to host a special virtual event, “ of the Press: Southern Challenges, National Impact.” Join Deep South Today newsrooms Mississippi and Verite News, along with national experts on press freedom, for an in-depth discussion on the unique challenges facing journalists in the Deep South. This one-hour session will explore the critical role local newsrooms play in holding power accountable, highlighting recent restrictions on press freedom such as Louisiana’s “25-foot ,” which affects journalists’ ability to vital news.

We’ll examine what’s at stake if local newsrooms lose press freedoms and will discuss how you, as members of the public, can help protect it. This event is open to Mississippi Today and Verite News members as a special thank-you for supporting local journalism and standing with us in this mission. Donate today to RSVP!

How You Can Help

Make Your Gift Today

Together, let’s ensure Mississippi has the robust, independent journalism it needs to thrive. Your support fuels our ability to expose the truth, elevate marginalized stories and build a more informed Mississippi.

Thank you for believing in the power of journalism to strengthen the communities we love—not only during election season but year-round. With your help, we’ll keep Mississippi informed, engaged and connected for generations to come.

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

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Mississippi Today

Hinds County loses fight over control of jail

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mississippitoday.org – Mina Corpuz – 2024-11-01 12:57:00

The sheriff and Board of Supervisors have lost an appeal to prevent control of its jail by a court-appointed receiver and an injunction that orders the county to address unconstitutional conditions in the facility.   

Two members from a three-judge panel of the 5th U.S. Circuit Court of Appeals agreed with decisions by U.S. District Judge Carlton Reeves to appoint a receiver to oversee day-to-day jail operations and keep parts of a previous consent decree in place to fix constitutional violations, a failure to protect detainees from harm. 

However, the appeals court called the new injunction “overly broad” in one area and is asking Reeves to reevaluate the scope of the receivership.

The injunction retained provisions relating to sexual assault, but the appeals court found the provisions were tied to general risk of violence at the jail, rather than specific concerns about the Prison Rape Elimination Act. The court reversed those points of the injunction and remanded them to the district court so the provisions can be

The court also found that the receiver should not have authority over budgeting and staff salaries for the Raymond Detention Center, which could be seen as “federal intrusion into RDC’s budget” – especially if the receivership has no end date. 

Hinds County Board of Supervisors President Robert Graham was not immediately available for comment Friday. Sheriff Tyree Jones declined to comment because he has not yet read the entire court opinion. 

In 2016, the Department of Justice sued Hinds County alleging a pattern or practice of unconstitutional conditions in four of its detention facilities. The county and DOJ entered a consent decree with stipulated changes to make for the jail system, which people facing trial. 

“But the decree did not resolve the dispute; to the contrary, a yearslong battle ensued in the district court as to whether and to what extent the County was complying with the consent decree,” the appeals court wrote.  

This prompted Reeves to hold the county in contempt of court twice in 2022. 

The county argued it was doing its best to comply with the consent decree and spending millions to fix the jail. One of the they offered was building a new jail, which is now under construction in

The county had a to further prove itself during three weeks of hearings held in February 2022. Focuses included the of seven detainees in 2021 from assaults and suicide and issues with staffing, contraband, old and use of force. 

Seeing partial compliance by the county, in April 2022 Reeves dismissed the consent decree and issued a new, shorter injunction focused on the jail and removed some provisions from the decree.

But Reeves didn’t see improvement from there. In July 2022, he ordered receivership and wrote that it was needed because of an ongoing risk of unconstitutional harm to jail detainees and staff. 

The county pushed back against federal oversight and filed an appeal, arguing that there isn’t sufficient evidence to show that there are current and ongoing constitutional violations at the jail and that the county has acted with deliberate indifference. 

Days before the appointed receiver was set to take control of the jail at the beginning of 2023, the 5th Circuit Court ordered a stay to halt that receiver’s work. The new injunction ordered by Reeves was also stayed, and a three-person jail monitoring team that had been in place for years also was ordered to stop work. 

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

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