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UMMC researchers join fight against gun and domestic violence

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UMMC researchers join fight against gun and domestic violence

Gun and domestic violence research at the University of Mississippi Medical Center is seeking to better understand the causes of both and find ways to help those scarred by their impact.

Two federal grants awarded in September totaling $7.5 million from the National Institutes of Health and the U.S. Department of Health and Human Services are funding the research.

“Each grant will enhance the other,” Dr. Lei Zhang, professor and associate dean in UMMC’s School of Nursing, said in a statement. “Gun violence and intimate partner violence are deeply interconnected.”

Mississippi has the highest firearm mortality rate in the country (28.6 per 100,000 population), according to the Centers for Disease Control and Prevention, and the highest prevalence of domestic violence, based on data from 2009-2015 collected through the Pregnancy Risk Assessment Monitoring System.

One grant will establish the Mississippi Violence Injury Prevention Program at UMMC to address gun violence involving 11 investigators from multiple departments, including emergency medicine, psychiatry and preventative medicine.

Zhang said the program represents a mindset change in how gunshot victims are treated. The focus will be more holistic and community based and on prevention.

Dr. Matthew Kutcher, an associate professor of surgery, trauma and critical care, said another focus is addressing underlying conditions that lead to violence such as poverty, structural racism, housing insecurity and more.

“(W)ithout addressing the root causes that keep our state at the top of the list for gun violence, we’re chasing the problem from behind,” Kutcher, the co-principal investigator, said in a statement.

Examples of community-based resources can include the dispatch of credible messengers to prevent violence retaliation, mentorship from community members who have experienced violence and treatment for post traumatic stress disorder.

Rukia Lumumba, executive director of People’s Advocacy Institute and community outreach organizer of the program, said hospital-based violence intervention programs have been proven to improve public safety.

The oldest such program was developed in Oakland, California, in 1994. A 10-year evaluation by Giffords Law Center found that participants in the program were 70 percent less likely to be arrested and 60 percent less likely to have criminal involvement than a control group and produced a cost savings to hospitals of $1.5 million annually.

The next grant will train substance use disorder providers about domestic violence and how those issues intersect during pregnancy and after birth.

Mississippi has the highest prevalence of physical domestic violence before pregnancy and the second highest during pregnancy, according to the PRAMS data.

Dr. Michelle Owens, professor of obstetrics and gynecology, said one of the goals is to strengthen the ability of providers to identify and help people who are at risk of domestic violence or are experiencing it.

She said an integrated approach and community partnership will help bridge gaps and provide wraparound support for survivors of domestic violence and substance use disorder.

The goal is to “(empower) them to take the steps to secure their health, safety and a better future for themselves and their families,” Owens said in a statement.

The Mississippi Coalition Against Domestic Violence is a partner on UMMC’s grant and will develop training, said Executive Director Wendy Mahoney.

Those who experience trauma and coercion from domestic violence often turn to substance use as a coping mechanism, she said.

“(The research) is a great thing because of the intersectionality of domestic violence,” Mahoney said. “It intersects with almost every aspect of life. I don’t think people look at it that way, but the intersectionality is quite vast.”

She said it is great that this research is happening in the state, and she hopes to see others look into other ways domestic violence intersect with other issues including gun violence, housing, other health issues and mental health.

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 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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