Mississippi Today
Studies show that not expanding Medicaid is killing Mississippians
Study after study details how expanding Medicaid will create jobs, grow the state economy and provide a boost to Mississippi’s beleaguered hospitals.
The issue of expanding Medicaid will be hotly debated in this year’s gubernatorial election. Incumbent Republican Gov. Tate Reeves adamantly opposes Medicaid expansion, while Democratic challenger Brandon Presley is an ardent supporter. It seems at times the issue is viewed solely in terms of politics — whether supporting or opposing Medicaid expansion can help a candidate win elections.
What often is lost in the conversation, though, is the true intent of Medicaid expansion: to improve health and save lives. And there are studies that indicate expanding Medicaid does save lives.
States were allowed to start expanding Medicaid to provide health care coverage to primarily the working poor in 2014. A November 2019 study by the national nonprofit Center for Budget and Policy Priorities attributed the premature deaths of 540 Mississippians between the ages of 55 to 64 to the state’s refusal to expand Medicaid. The same study said that 19,000 lives had been saved in the states that had expanded Medicaid.
At the time that study was conducted, 16 states had not expanded Medicaid. Today, Mississippi is one of just 10 states refusing to expand Medicaid.
“Over a four-year period, the lives of 540 older people were lost because Mississippi did not expand Medicaid to low-income adults,” the Center for Budget and Policy Priorities study said.
Yes, the Center for Budget and Policy Priorities is viewed as a progressive but respected group. Several other groups, though, have reached the same conclusion — that expanding Medicaid saves lives.
A 2021 study by the Kaiser Family Foundation said, “Studies find that expansion was associated with significant declines in mortality related to certain specific conditions, in some instances limited to certain subgroups. These findings include decreased mortality associated with different types of cancer, cardiovascular disease, and liver disease.”
The KFF report also said, “A 2020 national study found that expansion was associated with a significant 3.6% decrease in all-cause mortality, the majority of which was accounted for by a significant 1.93% decrease in health care amenable mortality. Another study found that expansion was associated with reductions in health care amenable mortality and in mortality not due to drug overdose.”
“Health care amenable mortality” is a fancy way of saying deaths that should not have occurred if adequate and timely health care was available.
If a person with high blood pressure and/or high cholesterol receives adequate preventative medical care, he or she is less likely to have a life-threatening stroke or heart attack. Presumably, a person with Medicaid would be more likely to seek out such medical care.
Similar arguments can be made about a host of diseases including cancer, diabetes and others.
The study by the Center for Budget and Policy Priorities focused on those aged 55 to 64 – those who, in general terms, are nearing retirement. Those are the people most likely to be impacted by certain diseases and whose lives can be prolonged with proper medical care to combat high blood pressure or other potentially life-threatening conditions.
“Research shows that Medicaid expansion increased the share of low-income adults using medications to control chronic conditions like heart disease and diabetes,” the Center for Budget and Policy Priorities study found. “The new study finds particularly clear evidence of a drop in mortality from conditions like these, which are amenable to medication and other treatment.”
Common sense also would conclude that if people are getting those treatments they can work longer and pay taxes.
Mississippi is consistently last or next to last among the 50 states in what economists say is the important category of the labor force participation rate that measures the number of people pre-retirement age who are working. According to the latest numbers, Mississippi’s labor force participation rate of 54.8% is next to last, leading only West Virginia. That labor force participation rate is a drag on the state economy, experts say. The national average is 62.2%.
The issue is exacerbated in Mississippi due to the fact the state also has one of the highest percentage of people who are disabled and most likely not working. It is hard for a person who has had a stroke that left him or her with a physical impairment to do certain jobs.
Of course, in Mississippi, that person who had been working but is now disabled most likely would not have sought out preventative medical care because he or she could not afford it. They certainly didn’t have coverage from Medicaid, which has not been expanded to provide coverage to primarily the working poor.
Because of that lack of medical treatment, those people are more apt to die — according, at least, to many of these studies.
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
Dec. 24, 1865
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.
Mississippi Today
An old drug charge sent her to prison despite a life transformation. Now Georgia Sloan is home
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.
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.
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.
Mississippi Today
On this day in 1946
Dec. 23, 1946
University of Tennessee refused to play a basketball game with Duquesne University, because they had a Black player, Chuck Cooper. Despite their refusal, the all-American player and U.S. Navy veteran went on to become the first Black player to participate in a college basketball game south of the Mason-Dixon line. Cooper became the first Black player ever drafted in the NBA — drafted by the Boston Celtics. He went on to be admitted to the Basketball Hall of Fame.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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