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The long history of white, Southern politicians rejecting health care expansion

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The long history of white, Southern politicians rejecting health care expansion

Southern politicians have a long history of opposing efforts to provide government-sponsored health care for their constituents.

In 1947, President Harry Truman proposed legislation that essentially would provide universal health care paid through fees and taxes. Remember, health care options for working people in those days were even more dire than now with fewer people having employer-based health insurance.

Truman’s proposal was killed in part by Southern Democrats in the U.S. House and Senate. Nobel Prize-winning economist Paul Krugman wrote in his book, “The Conscience of a Liberal,” that Southern politicians opposed the plan of the Democratic president because they feared that it would lead to a government mandate to integrate hospitals.

“Keeping Black people out of white hospitals was more important to Southern politicians than providing poor whites with the means to get medical treatment,” Krugman wrote.

Southern politicians, as it turns out, are still not crazy about government-sponsored health insurance.

A quick glance at a map of the states that have and have not expanded Medicaid is startling. Of the 11 states that have not expanded Medicaid, eight (if Texas is included) are Southern states.

The map of the non-expansion states, a matter of fact, looks a lot like the footprint of the collegiate Southeastern Conference sports league with the exception of Louisiana, Arkansas, Kentucky and Missouri. Those four states have expanded Medicaid. Granted, most would say that Missouri is not a Southern state, but it is in the SEC.

At any rate, it is the SEC states, led by Southern politicians, now Republican Southern politicians, who are again resisting efforts to expand government-sponsored health care to help their poor constituents.

No longer, of course, are hospitals segregated. They were integrated in the 1960s, according to Krugman, when another government-sponsored program was enacted: Medicare, which provides health care to the elderly.

While it has been established by various studies that the largest percentage of people who would benefit from Medicaid expansion are people of color, it is important to point out that there are many white citizens who also would benefit.

Medicaid expansion, as is allowed as part of the Patient Protection and Affordable Care Act, provides health insurance for primarily the working poor — for people earning up to 138% of the federal poverty level, or $18,754 per year for an individual. In Mississippi, the traditional Medicaid program covers, generally speaking, poor pregnant women, poor children, certain groups of poor retirees and the disabled, but not the working poor.

The federal government pays the bulk of the health care costs for those on Medicaid expansion. When Southern politicians express their opposition to Medicaid expansion, they often simply proclaim they “are against Obamacare” as if that is enough reason to oppose it.

“I am opposed to Obamacare expansion in Mississippi. I am opposed to Obamacare expansion in Mississippi. I am opposed to Obamacare expansion in Mississippi. I don’t know how many ways I can explain this to y’all,” Republican Gov. Tate Reeves said in response to reporters’ questions.

When the nation’s only Black president — Barack Obama — passed through Congress in 2010 the Affordable Care Act, almost all Republicans were opposed to “Obamacare.” But now solid Republican states like Montana, North Dakota, Utah and Idaho have embraced Medicaid expansion. In Republican-controlled South Dakota, voters just approved a ballot initiative to adopt Medicaid expansion. For the most part, it is just Southern politicians eschewing Medicaid expansion.

John Bell Williams also was against expanding health care when he served in the U.S. House representing Mississippi. As a congressman, he voted against Democratic President Lyndon Johnson’s plan to enact a Medicaid program for a small population of the underprivileged.

But as governor, Williams later called a special session in 1969 and urged the Legislature to opt into the Medicaid program.

In a speech to the Legislature, Williams said, “Let us not delude ourselves into the false notion that we can — or will — evade the burden of caring for these unfortunate people. Our society, through the instrument of government, has always shouldered this responsibility, and I am sure it always will.”

Williams went on to say the state could not afford to turn down a federal health care program that would require the state to provide only 20% of the matching funds. He spoke of the economic impact it would have on the state.

“The simple fact is that someone pays for health services, and we must decide, who will do it and how,” he explained.

The special session lasted from July 22 to Oct. 11. In the end, the Mississippi Legislature opted into the program, proving that Southern politicians did not always oppose improving health care for their poor constituents.

Whether that will happen with Medicaid expansion remains to be seen.

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

Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

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

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.

The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.

Some who oppose Medicaid expansion say the digital tracker is flawed.

During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.

“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”

White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.

Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.

White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.

Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.

People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.

During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.

White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.

They are correct.

But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.

As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.

Some have speculated that Medicaid expansion also could be on Musk’s chopping block.

That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.

Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?

If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.

The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.

In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.

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 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

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

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