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Studies show that not expanding Medicaid is killing Mississippians

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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

Mississippians honor first Black lawmaker since Reconstruction

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mississippitoday.org – Vickie King – 2025-03-09 20:22:00

Mississippians honor first Black lawmaker since Reconstruction

*MAIN ART
Former State Representative and House Speaker Pro Tem Robert Clark, Jr., lies in state at the State Capitol rotunda, Sunday, March 9, 2025 in Jackson. Clark was also the first Black legislator in the state since Reconstruction.

Former Mississippi Rep. Robert Clark Jr. lay in state Sunday in the Capitol Rotunda as family, friends, officials and fellow citizens paid respect to the first Black legislator in the state since Reconstruction.

Clark, a Holmes County native, was elected to the House in 1967 and served until his retirement in 2004. He was elected speaker pro tempore by the House membership in 1993 and held that second-highest House position until his retirement.

The Senate and House honored the 96-year-old veteran lamaker last week.

A Mississippi state trooper salutes the coffin of former State Rep. and House Speaker Pro Tem Robert Clark Jr. before the changing of the honor guard in the State Capitol rotunda Sunday, March 9, 2025, in Jackson. Clark was the first Black legislator in the state since Reconstruction.

“Robert Clark … broke so many barriers in the state of Mississippi with class, resolve and intellect. So he is going to be sorely missed,” Lt. Gov. Delbert Hosemann said last week.

Hosemann was among those who came Sunday to honor Clark. So did House Speaker Jason White, who like Clark hails from Holmes County. 

Rep. Bryant Clark (center) chats with Lt. Gov. Delbert Hosemann on Sunday, March 9, 2025, in the State Capitol Rotunda where Rep. Clark’s father, Robert Clark Jr. lies in repose. Robert Clark Jr. a former state representative and House speaker pro tem, was the first Black legislator in the state since Reconstruction.

Clark was the only Black Mississippian serving in the Legislature from until 1976 and was ostracized when first elected, sitting at a desk by himself for years without the traditional deskmates. But he rose to become a respected leader.

An educator when elected to the House, Clark served 10 years as chair of the House Education Committee, including when the historic Education Reform Act of 1982 was passed.

Clark served as the only Black Mississippian serving in the Legislature from 1968 until 1976.

“He was a trailblazer and icon for sure,” White said last week.

Former state Rep. and House Speaker Pro Tem Robert Clark Jr. lies in state at the State Capitol rotunda on Sunday, March 9, 2025, in Jackson. Clark was the first Black legislator in the state since Reconstruction.
Respects are paid to former state Rep. and House Speaker Pro Tem Robert Clark Jr. lying in state at the State Capitol Rotunda on Sunday, March 9, 2025, in Jackson. Clark was the first Black legislator in the state since Reconstruction.
Respects are paid to former state Rep. and House Speaker Pro Tem Robert Clark Jr. lying in state at the Capitol Rotunda 0n Sunday, March 9, 2025, in Jackson. Clark was the first Black legislator in the state since Reconstruction.
Family and friends gathered in the Capitol Rotunda to pay their respects to former state Rep. and House Speaker Pro Tem Robert Clark Jr. lies at the State Capitol on Sunday, March 9, 2025, in Jackson. Clark was the first Black legislator in the state since Reconstruction.

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 1912

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mississippitoday.org – Jerry Mitchell – 2025-03-09 07:00:00

March 9, 1912

Portrait of Charlotte Bass Credit: Wikipedia

Charlotta Bass became one of the nation’s first Black female editor-owners. She renamed The California Owl newspaper The California Eagle, and turned it into a hard-hitting publication. She campaigned against the racist film “Birth of a Nation,” which depicted the Ku Klux Klan as heroes, and against the mistreatment of African Americans in World War I. 

After the war ended, she fought racism and segregation in Los Angeles, getting companies to end discriminatory practices. She also denounced political brutality, running front-page stories that read, “Trigger-Happy Cop Freed After Slaying Youth.” 

When she reported on a KKK plot against Black leaders, eight Klansmen showed up at her offices. She pulled a pistol out of her desk, and they beat a “hasty retreat,” 

The New York Times reported. “Mrs. Bass,” her husband told her, “one of these days you are going to get me killed.” She replied, “Mr. Bass, it will be in a good cause.” 

In the 1940s, she began her first foray into politics, running for the Los Angeles City Council. In 1951, she sold the Eagle and co-founded Sojourners for Truth and Justice, a Black women’s group. A year later, she became the first Black woman to run for vice president, running on the Progressive Party ticket. Her campaign slogan: “Win or Lose, We Win by Raising the Issues.” 

When Kamala Harris became the first Black female vice presidential candidate for a major political party in 2020, Bass’ pioneering steps were recalled. 

“Bass would not win,” The Times wrote. “But she would make history, and for a brief time her lifelong fight for equality would enter the national spotlight.”

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 1977

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mississippitoday.org – Jerry Mitchell – 2025-03-08 07:00:00


On this day in 1977

March 8, 1977

Henry Marsh
Henry L. Marsh III became the first Black mayor of the Confederacy’s capital.

Henry L. Marsh III became the first Black mayor of the former capital of the Confederacy, Richmond, Virginia. 

Growing up in Virginia, he attended a one-room school that had seven grades and one teacher. Afterward, he went to Richmond, where he became vice president of the senior class at Maggie L. Walker High School and president of the student NAACP branch. 

When Virginia lawmakers debated whether to adopt “massive resistance,” he testified against that plan and later won a scholarship for Howard University School of Law. He decided to become a lawyer to “help make positive change happen.” After graduating, he helped win thousands of workers their class-actions cases and helped others succeed in fighting segregation cases. 

“We were constantly fighting against race prejudice,” he recalled. “For instance, in the case of Franklin v. Giles County, a local official fired all of the black public school teachers. We sued and got the (that) decision overruled.” 

In 1966, he was elected to the Richmond City Council and later became the city’s first Black mayor for five years. He inherited a landlocked city that had lost 40% of its retail revenues in three years, comparing it to “taking a wounded man, tying his hands behind his back, planting his feet in concrete and throwing him in the water and saying, ‘OK, let’s see you survive.’” 

In the end, he led the city from “acute racial polarization towards a more civil society.” He served as president of the National Black Caucus of Elected Officials and as a member of the board of directors of the National League of Cities. 

As an education supporter, he formed the Support Committee for Excellence in the Public Schools. He also hosts the city’s Annual Juneteenth Celebration. The courthouse where he practiced now bears his name and so does an elementary school. 

Marsh also worked to bridge the city’s racial divide, creating what is now known as Venture Richmond. He was often quoted as saying, “It doesn’t impress me to say that something has never been done before, because everything that is done for the first time had never been done before.”

He died on Jan. 23, 2025, at the age of 91.

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

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