Mississippi Today
State health department braces for impending hospital crisis
State health department braces for impending hospital crisis
As the Mississippi health care crisis worsens and threatens to imminently shutter hospitals in the Mississippi Delta, the state Department of Health is taking steps to prepare for the impending disaster.
The Mississippi State Department of Health, an agency that has been gutted by budget cuts and weakened services over the past decade, was not staffed nor funded to take on the full burden of replacing health care services lost if hospitals close.
But State Health Officer Dr. Daniel Edney recently told lawmakers the department, in anticipation of an increase of health care deserts in the Delta, has begun assessing how it can help.
“We’re studying where health care deserts are emerging or we think they’re going to be,” Edney told members of the Senate Public Health Committee on Nov. 21, adding that the Health Department increasing services is “usually not a good thing.”
“We’re the provider of last resort,” he continued. “We’re there for public health. When you see us in perinatal care, hypertension, diabetes management – that means these communities aren’t being served.”
While more than 38 hospitals across the state are at risk of closing, the Mississippi Delta — the poorest region of the state with already dismal health outcomes — is most susceptible to the crisis. In August, the Delta’s only neonatal intensive care unit in Greenville closed. Greenwood Leflore Hospital has eliminated labor and delivery and other major services over the last several months. Today, the Greenwood hospital’s future is uncertain after negotiations with the University of Mississippi Medical Center to enter into a lease agreement abruptly fell through last month.
Additionally, Sharkey Issaquena Hospital and several other Delta hospitals are in dire financial straits.
A recent report from the Center for Healthcare Quality and Reform shows that over half of rural hospitals in Mississippi – or 38 – are at risk of closing. The state has the highest percentage of rural hospitals at immediate risk of closing in the nation, and hospitals as a whole are in a deficit of more than $200 million in 2022, according to the Mississippi Hospital Association.
A 2019 report from the consulting firm Navigant revealed a similar statistic as the one from 2022: half of rural hospitals were at risk of closure then, too. But the difference now is the severity of the situation, said Ryan Moore, executive director of the Mississippi Rural Hospital Association.
“Hospitals that were bleeding slowly are now bleeding quicker,” said Moore. “But the underlying problem is still the same.”
A 2019 report from the consulting firm Navigant revealed a similar statistic as the one from 2022: Half of rural hospitals were at risk of closure then, too. But the difference now is the severity of the situation, said Ryan Moore, executive director of the Mississippi Rural Hospital Association.
“Hospitals that were bleeding slowly are now bleeding quicker,” said Moore. “But the underlying problem is still the same.”
With no clear solutions in sight, Edney said the Health Department will do what it can to strengthen the “safety net” in these underserved areas.
“We’ve already got an action plan in place,” Edney told lawmakers.
But when Mississippi Today followed up with the state Health Department and submitted a records request for that plan, department officials responded “… as of now we have no plan on paper.”
Mississippi Today then asked for clarification and details of the plan Edney referenced. A Health Department spokesperson emailed a statement from Jim Craig, senior deputy and director of health protection.
“Our next steps in plan development will be to meet with Delta Community Health Center leaders and coordinate needs and efforts with our Field Services office that coordinates care in county health departments around the state,” the statement read.
Mississippi Today then asked for an interview with Craig or someone else with the department, and the reporter was told she could email questions.
The department said it is “currently evaluating” what services might be needed when responding to a question about whether the focus would first be on the Delta and maternity and infant care.
“Maternal and infant services are one of the service areas we are evaluating,” said Craig in the email.
The state Health Department has closed 10 county health departments in the past decade, nine of which were closed in 2016. It also reduced hours in “several” county health departments around the state, though department officials declined to provide a specific number.
In 2016, it announced it would no longer be providing maternity services at the county health departments.
The Health Department’s mission is to promote and protect the health of Mississippians. The agency does surveillance for diseases such as West Nile virus, flu and sexually transmitted infections, offers disease and injury prevention programming and information and other public health efforts. It also oversees drinking water testing, restaurant permits and inspections, on-site wastewater and sewage system regulation. It is responsible for licensing and regulating child care facilities, nursing homes, and other health care facilities.
There is no timeline for the implementation of the safety net Edney referred to, the department said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1871
Nov. 17, 1871
Edward Crosby stood before the congressional hearing and swore to tell the truth. By raising his right hand, Crosby put himself and his family at risk. He could be killed for daring to tell about the terrorism he and other Black Mississippians had faced.
Days earlier, he had attempted to vote in Aberdeen, Mississippi, asking for a Republican ballot. The clerk at the polling place said none was available. He waited. Dozens more Black men came to vote, and they were all told the same thing. Then he tried another polling place. Same result.
That day, white men, backed by a cannon, drove about 700 Black voters from the polls in Aberdeen. After nightfall, Crosby stepped out to retrieve water for his child when he saw 30 or so Klansmen galloping up on horses. He hid in a smokehouse, and when Klansmen confronted his wife, she replied that he was away. They left, and from that moment on, “I didn’t sleep more than an hour,” Crosby recalled. “If there had been a stick cracked very light, I would have sprung up in the bed.”
In response, Mississippi, which was under federal rule at the time, pursued an anti-Klan campaign. In less than a year, grand juries returned 678 indictments with less than a third of them leading to convictions.
That number, however, was misleading, because in almost all the cases, Klansmen pleaded no contest in exchange for small fines or suspended sentences. Whatever protection that federal troops offered had vanished by the time they left the state a few years later.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Supporters of public funds to private schools dealt a major blow after recent election results
Mississippians who are dead set on enacting private school vouchers could do like their counterparts in Kentucky and attempt to change the state constitution to allow public funds to be spent on private schools.
The courts have ruled in Kentucky that the state constitution prevents private schools from receiving public funds, commonly known as vouchers. In response to that court ruling, an issue was placed on the ballot to change the Kentucky Constitution and allow private schools to receive public funds.
But voters threw a monkey wrench into the voucher supporters’ plans to bypass the courts. The amendment was overwhelmingly defeated this month, with 65% of Kentuckians voting against the proposal.
Kentucky, generally speaking, is at least as conservative or more conservative than Mississippi. In unofficial returns, 65% of Kentuckians voted for Republican Donald Trump on Nov. 5 compared to 62% of Mississippians.
In Mississippi, like Kentucky, there has been a hue and cry to enact a widespread voucher program.
Mississippi House Speaker Jason White, R-West, has voiced support for vouchers, though he has conceded he does not believe there are the votes to get such a proposal through the House Republican caucus that claims a two-thirds supermajority.
And, like in Kentucky, there is the question of whether a voucher proposal could withstand legal muster under a plain reading of the Mississippi Constitution.
In Mississippi, like Kentucky, the state constitution appears to explicitly prohibit the spending of public funds on private schools. The Mississippi Constitution states that public funds should not be spent on a school that “is not conducted as a free school.”
The Mississippi Supreme Court has never rendered a specific ruling on the issue. The Legislature did provide $10 million in federal COVID-19 relief funds to private schools. That expenditure was challenged and appealed to the Mississippi Supreme Court. But in a ruling earlier this year, the state’s high court did not directly address the issue of public funds being spent on private schools. It instead ruled that the group challenging the expenditure did not have standing to file the lawsuit.
In addition, a majority of the court ruled that the case was not directly applicable to the Mississippi Constitution’s language since the money directed to private schools was not state funds but one-time federal funds earmarked for COVID-19 relief efforts.
To clear up the issue in Mississippi, those supporting vouchers could do like their counterparts did in Kentucky and try to change the constitution.
Since Mississippi’s ballot initiative process was struck down in an unrelated Supreme Court ruling, the only way to change the state constitution is to pass a proposal by a two-thirds majority of the Mississippi House and Senate and then by a majority of the those voting in a November general election.
Those touting public funds for private schools point to a poll commissioned by House Speaker White that shows 72% support for “policies that enable parents to take a more active role in deciding the best path for their children’s education.” But what does that actually mean? Many have critiqued the phrasing of the question, wondering why the pollster did not ask specifically about spending public funds on private schools.
Regardless, Mississippi voucher supporters have made no attempt to change the constitution. Instead, they argue that for some vague reason the language in the Mississippi Constitution should be ignored.
Nationwide efforts to put vouchers before the voters have not been too successful. In addition to voters in Kentucky rejecting vouchers, so did voters in ruby-red Nebraska and true-blue Colorado in this year’s election.
With those election setbacks, voucher supporters in Mississippi might believe their best bet is to get the courts to ignore the plain reading of the state constitution instead of getting voters to change that language themselves.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1972
Nov. 16, 1972
A law enforcement officer shot and killed two students at Southern University in Baton Rouge after weeks of protests over inadequate services.
When the students marched on University President Leon Netterville’s office, Louisiana Gov. Edwin Edwards sent scores of police officers in to break up the demonstrations. A still-unidentified officer shot and killed two 20-year-old students, Leonard Brown and Denver Smith, who weren’t among the protesters. No one was ever prosecuted in their slayings.
They have since been awarded posthumous degrees, and the university’s Smith-Brown Memorial Union bears their names. Stanley Nelson’s documentary, “Tell Them We Are Rising: The Story of Black Colleges and Universities,” featured a 10-minute segment on the killings.
“They were exercising their constitutional rights. And they get killed for it,” former student Michael Cato said. “Nobody sent their child to school to die.”
In 2022, Louisiana State University Cold Case Project reporters, utilizing nearly 2,700 pages of previously undisclosed documents, recreated the day of the shootings and showed how the FBI narrowed its search to several sheriff’s deputies but could not prove which one fired the fatal shot. The four-part series prompted Louisiana Gov. John Bel Edwards to apologize to the families of the victims on behalf of the state.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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