Mississippi Today
Q&A: Harvard public health dean talks Medicaid expansion and heartbreaking mortality rates of Delta mothers
Q&A: Harvard public health dean talks Medicaid expansion and heartbreaking mortality rates of Delta mothers
Michelle Williams, a renowned epidemiologist and dean of the Harvard T.H. Chan School of Public Health, caught up with health editor Kate Royals following the state Legislature’s decision to expand postpartum Medicaid coverage.
Harvard University’s School of Public Health has an active program focused on the maternal mortality rate in the Mississippi Delta. Williams has also paid close attention to Mississippi’s debate over Medicaid expansion.
While Williams says she is heartened by Gov. Tate Reeves’ decision to extend postpartum coverage, the esteemed public health expert says the new law doesn’t go far enough.
Kate Royals: Tell me about the school’s work in the Mississippi Delta.
Michelle Williams: We have a long history of collaborating on research and education in the Delta, in partnership with state officials, community health centers and local colleges, including Mississippi State and the University of Mississippi.
When you talk about health in Mississippi, the focus is often on the dire statistics, such as sky-high infant and maternal mortality. But it’s important to know that the state has a history of truly important innovation. For instance, the first community health centers sprang up in Mississippi — an outgrowth of the civil rights movement. Our collaborations aim to build on and nurture those innovations.
We gather regularly with our partners to discuss and develop health care programs. We work together on research grants, too. As one example, we would love to secure funding to enable state health officials to make regular home visits to new moms in the Mississippi Delta; we would then evaluate the impact of the program and widely disseminate lessons learned.
Finally, we organize academic exchanges so students in Mississippi spend time at Harvard and vice versa, with opportunities to get involved in research and community projects. I recently talked to one of our (master’s of Public Health) students who is in Clarksdale for her fieldwork practicum, working with a program called “Baby University” that teaches new parents about early childhood development and gives them tips for supporting their babies’ growth.
Royals: You have cited some pretty startling statistics about outcomes for mothers – particularly Black mothers – in Mississippi compared to other countries. What were those?
Williams: I’m glad you asked, because I think these are statistics that every policy maker – and every citizen – should know.
For Black women in Mississippi, the mortality rate is 65.1 deaths per 100,000 live births, according to the state Department of Health.
That’s a horrifying number. To put it in context, Black women in Mississippi are nearly 20 times more likely to die from complications of pregnancy or childbirth than women in Greece, Poland, or Slovenia. They’re nearly 8 times more likely to die than women in Turkey.
The mortality rate for white women in Mississippi is lower, at 16.2 deaths per 100,0000 live births, but that is still far above the U.S. average. They are at least three times more likely to die from complications of pregnancy or childbirth than women in the UK or Canada.
Each of those deaths is a tragedy with long-lasting effects: Too many young, promising lives cut short; too many children who grow up without the love and support of their mothers; too many families who struggle with grief for the rest of their lives.
It is heartbreaking but it is also, quite frankly, infuriating. We know why maternal mortality rates are so high among Black women. They are high because of the devastating impacts of structural racism and individual bias, including lack of access to appropriate care. That we allow this to continue to happen, in the wealthiest country in the world, is unforgivable.
Royals: What do you believe, from your research and experience, will be the benefits of extending the health care coverage of mothers on Medicaid for women and babies in Mississippi?
Williams: We know from state data that 42.5% of pregnancy-related maternal deaths in Mississippi occur between 60 days and a year after childbirth. That’s the precise period that would be covered by the Medicaid expansion bill now on the governor’s desk.
I am certain that having access to care in this period will save lives. Remaining on Medicaid will give new mothers … access to mental health care, which is critically important for not only a mother’s health but also the health of her children. It will also allow women to get care for chronic conditions such as high blood pressure, diabetes and obesity. That’s important because cardiovascular conditions are the most common cause of pregnancy-related maternal deaths in the state.
There are many other benefits as well. Extending Medicaid coverage should help more young mothers get … screened for cancer. This is crucial because Mississippi has among the highest mortality rates in the nation for breast, cervical and colorectal cancer, all of which can often be treated successfully if detected early.
The bill should also help new mothers get access to contraception to help them control the spacing of future pregnancies. Given that abortion is now banned in Mississippi, with very limited exceptions, access to effective birth control is critical.
Finally, I want to emphasize what I mentioned earlier: Extending Medicaid will improve the odds not only for the mom, but for the newborn – and for any other children in the family. This generational effect is particularly important in Mississippi, which has long had the highest infant mortality rate in the U.S.
As every parent knows, the first year of a child’s life is wondrous, but it can also be tiring, isolating, and stressful. Parents are better equipped to navigate those stresses and support their children through this crucial phase of development if they have access to the care they need to keep themselves healthy.
Royals: I understand you applaud Mississippi for passing extended postpartum coverage but maintain there’s much more to be done. Can you say more about that, and how Medicaid expansion factors in?
Williams: Absolutely. That’s a great question.
The extension is critical for all the reasons I mentioned above. But the state could – and should – enact the full Medicaid expansion allowed under the Affordable Care Act. So far, I believe 39 states plus D.C. have taken advantage of this provision to extend Medicaid to nearly all adults with income up to a certain level, typically about $20,000 a year for a single person. That would cover not just new mothers, but all adults who meet the income guidelines.
One particular group that would benefit is young women who are not yet pregnant but might conceive in the near future. It would give them access to the care they needed to get chronic diseases like hypertension and diabetes under control. That could be a game changer in reducing maternal mortality.
And of course, Medicaid is not the only way to protect public health.
I firmly believe that Mississippi must restore physicians’ freedom to deliver the full range of health care for every resident, including gender-affirming care and abortion. State policy makers must also address the environmental factors that threaten health and well-being. That includes the unconscionable water crisis in Jackson, air pollution in Pascagoula, and the lack of access to fresh fruits and vegetables in “food deserts” across the state.
Williams cited the following articles in her responses:
Health Status : Maternal and infant mortality
Mississippi State Plan for Comprehensive Cancer Control 2018-2022
A Mississippi community is ‘grateful’ for more air testing, but skeptical of what comes next | WWNO
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Mississippi prepares for another execution
The Mississippi Supreme Court has set the execution of a man who kidnapped and murdered a 20-year-old community college student in north Mississippi 30 years ago.
Charles Ray Crawford, 59, is set to be executed Oct. 15 at the Mississippi State Penitentiary at Parchman, after multiple requests by the attorney general’s office.
Eight justices joined the majority opinion to set the execution, concluding that Crawford has exhausted all state and federal legal remedies. Mississippi Supreme Court Justice T. Kenneth Griffis Jr. wrote the Friday opinion. Justice David Sullivan did not participate.
However, Kristy Noble with the Mississippi Office of Capital Post-Conviction Counsel released a statement saying it will file another appeal with the U.S. Supreme Court.
“”Mr. Crawford’s inexperienced trial counsel conceded his guilt to the jury — against Mr.
Crawford’s timely and repeated objections,” Noble said in the statement. “Mr. Crawford told his counsel to pursue a not guilty verdict. Counsel did just the opposite, which is precisely what the U.S. Supreme Court says counsel cannot do,” Noble said in the statement.
“A trial like Mr. Crawford’s – one where counsel concedes guilt over his client’s express wishes – is essentially no trial at all.”
Last fall, Crawford’s attorneys asked the court not to set an execution date because he hadn’t exhausted appeal efforts in federal court to challenge a rape conviction that is not tied to his death sentence. In June, the U.S. Supreme Court declined to take up Crawford’s case.
A similar delay occurred a decade ago, when the AG’s office asked the court to reset Crawford’s execution date, but that was denied because efforts to appeal his unrelated rape conviction were still pending.
After each unsuccessful filing, the attorney general’s office asked the Mississippi Supreme Court to set Crawford’s execution date.
On Friday, the court also denied Crawford’s third petition for post-conviction relief and a request for oral argument. It accepted the state’s motion to dismiss the petition. Seven justices concurred and Justice Leslie King concurred in result only. Again, Justice Sullivan did not participate.
Crawford was convicted and sentenced to death in Lafayette County for the 1993 rape and murder of North Mississippi Community College student Kristy Ray.
Days before he was set to go to trial on separate aggravated assault and rape charges, he kidnapped Ray from her parents’ Tippah County home, leaving ransom notes. Crawford took Ray to an abandoned barn where he stabbed her, and his DNA was found on her, indicating he sexually assaulted her, according to court records.
Crawford told police he had blackouts and only remembered parts of the crime, but not killing Ray. Later he admitted “he must of killed her” and led police to Ray’s body, according to court records.
At his 1994 trial he presented an insanity defense, including that he suffered from psychogenic amnesia – periods of time lapse without memory. Medical experts who provided rebuttal testimony said Crawford didn’t have psychogenic amnesia and didn’t show evidence of bipolar illness.
The last person executed in Mississippi was Richard Jordan in June, previously the state’s oldest and longest serving person on death row.
There are 36 people on death row, according to records from the Mississippi Department of Corrections.
Update 9/15/25: This story has been updated to include a response from the Mississippi Office of Capital Post-Conviction Counsel
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Mississippi prepares for another execution appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The article presents a factual and balanced account of the legal proceedings surrounding a scheduled execution in Mississippi. It includes perspectives from both the state’s attorney general’s office and the defense counsel, without using emotionally charged language or advocating for a particular political stance. The focus on legal details and court decisions reflects a neutral, informative approach typical of centrist reporting.
Mississippi Today
Presidents are taking longer to declare major natural disasters. For some, the wait is agonizing
TYLERTOWN — As an ominous storm approached Buddy Anthony’s one-story brick home, he took shelter in his new Ford F-250 pickup parked under a nearby carport.
Seconds later, a tornado tore apart Anthony’s home and damaged the truck while lifting it partly in the air. Anthony emerged unhurt. But he had to replace his vehicle with a used truck that became his home while waiting for President Donald Trump to issue a major disaster declaration so that federal money would be freed for individuals reeling from loss. That took weeks.
“You wake up in the truck and look out the windshield and see nothing. That’s hard. That’s hard to swallow,” Anthony said.
Disaster survivors are having to wait longer to get aid from the federal government, according to a new Associated Press analysis of decades of data. On average, it took less than two weeks for a governor’s request for a presidential disaster declaration to be granted in the 1990s and early 2000s. That rose to about three weeks during the past decade under presidents from both major parties. It’s taking more than a month, on average, during Trump’s current term, the AP found.
The delays mean individuals must wait to receive federal aid for daily living expenses, temporary lodging and home repairs. Delays in disaster declarations also can hamper recovery efforts by local officials uncertain whether they will receive federal reimbursement for cleaning up debris and rebuilding infrastructure. The AP collaborated with Mississippi Today and Mississippi Free Press on the effects of these delays for this report.
“The message that I get in the delay, particularly for the individual assistance, is that the federal government has turned its back on its own people,” said Bob Griffin, dean of the College of Emergency Preparedness, Homeland Security and Cybersecurity at the University at Albany in New York. “It’s a fundamental shift in the position of this country.”
The wait for disaster aid has grown as Trump remakes government
The Federal Emergency Management Agency often consults immediately with communities to coordinate their initial disaster response. But direct payments to individuals, nonprofits and local governments must wait for a major disaster declaration from the president, who first must receive a request from a state, territory or tribe. Major disaster declarations are intended only for the most damaging events that are beyond the resources of states and local governments.
Trump has approved more than two dozen major disaster declarations since taking office in January, with an average wait of almost 34 days after a request. That ranged from a one-day turnaround after July’s deadly flash flooding in Texas to a 67-day wait after a request for aid because of a Michigan ice storm. The average wait is up from a 24-day delay during his first term and is nearly four times as long as the average for former Republican President George H.W. Bush, whose term from 1989-1993 coincided with the implementation of a new federal law setting parameters for disaster determinations.
The delays have grown over time, regardless of the party in power. Former Democratic President Joe Biden, in his last year in office, averaged 26 days to declare major disasters — longer than any year under former Democratic President Barack Obama.
FEMA did not respond to the AP’s questions about what factors are contributing to the trend.
Others familiar with FEMA noted that its process for assessing and documenting natural disasters has become more complex over time. Disasters have also become more frequent and intense because of climate change, which is mostly caused by the burning of fuels such as gas, coal and oil.
The wait for disaster declarations has spiked as Trump’s administration undertakes an ambitious makeover of the federal government that has shed thousands of workers and reexamined the role of FEMA. A recently published letter from current and former FEMA employees warned the cuts could become debilitating if faced with a large-enough disaster. The letter also lamented that the Trump administration has stopped maintaining or removed long-term planning tools focused on extreme weather and disasters.
Shortly after taking office, Trump floated the idea of “getting rid” of FEMA, asserting: “It’s very bureaucratic, and it’s very slow.”
FEMA’s acting chief suggested more recently that states should shoulder more responsibility for disaster recovery, though FEMA thus far has continued to cover three-fourths of the costs of public assistance to local governments, as required under federal law. FEMA pays the full cost of its individual assistance.
Former FEMA Administrator Pete Gaynor, who served during Trump’s first term, said the delay in issuing major disaster declarations likely is related to a renewed focus on making sure the federal government isn’t paying for things state and local governments could handle.
“I think they’re probably giving those requests more scrutiny,” Gaynor said. “And I think it’s probably the right thing to do, because I think the (disaster) declaration process has become the ‘easy button’ for states.”
The Associated Press on Monday received a statement from White House spokeswoman Abigail Jackson in response to a question about why it is taking longer to issue major natural disaster declarations:
“President Trump provides a more thorough review of disaster declaration requests than any Administration has before him. Gone are the days of rubber stamping FEMA recommendations – that’s not a bug, that’s a feature. Under prior Administrations, FEMA’s outsized role created a bloated bureaucracy that disincentivized state investment in their own resilience. President Trump is committed to right-sizing the Federal government while empowering state and local governments by enabling them to better understand, plan for, and ultimately address the needs of their citizens. The Trump Administration has expeditiously provided assistance to disasters while ensuring taxpayer dollars are spent wisely to supplement state actions, not replace them.”
In Mississippi, frustration festered during wait for aid
The tornado that struck Anthony’s home in rural Tylertown on March 15 packed winds up to 140 mph. It was part of a powerful system that wrecked homes, businesses and lives across multiple states.
Mississippi’s governor requested a federal disaster declaration on April 1. Trump granted that request 50 days later, on May 21, while approving aid for both individuals and public entities.
On that same day, Trump also approved eight other major disaster declarations for storms, floods or fires in seven other states. In most cases, more than a month had passed since the request and about two months since the date of those disasters.
If a presidential declaration and federal money had come sooner, Anthony said he wouldn’t have needed to spend weeks sleeping in a truck before he could afford to rent the trailer where he is now living. His house was uninsured, Anthony said, and FEMA eventually gave him $30,000.
In nearby Jayess in Lawrence County, Dana Grimes had insurance but not enough to cover the full value of her damaged home. After the eventual federal declaration, Grimes said FEMA provided about $750 for emergency expenses, but she is now waiting for the agency to determine whether she can receive more.
“We couldn’t figure out why the president took so long to help people in this country,” Grimes said. “I just want to tie up strings and move on. But FEMA — I’m still fooling with FEMA.”
Jonathan Young said he gave up on applying for FEMA aid after the Tylertown tornado killed his 7-year-old son and destroyed their home. The process seemed too difficult, and federal officials wanted paperwork he didn’t have, Young said. He made ends meet by working for those cleaning up from the storm.
“It’s a therapy for me,” Young said, “to pick up the debris that took my son away from me.”
Historically, presidential disaster declarations containing individual assistance have been approved more quickly than those providing assistance only to public entities, according to the AP’s analysis. That remains the case under Trump, though declarations for both types are taking longer.
About half the major disaster declarations approved by Trump this year have included individual assistance.
Some people whose homes are damaged turn to shelters hosted by churches or local nonprofit organizations in the initial chaotic days after a disaster. Others stay with friends or family or go to a hotel, if they can afford it.
But some insist on staying in damaged homes, even if they are unsafe, said Chris Smith, who administered FEMA’s individual assistance division under three presidents from 2015-2022. If homes aren’t repaired properly, mold can grow, compounding the recovery challenges.
That’s why it’s critical for FEMA’s individual assistance to get approved quickly — ideally, within two weeks of a disaster, said Smith, who’s now a disaster consultant for governments and companies.
“You want to keep the people where they are living. You want to ensure those communities are going to continue to be viable and recover,” Smith said. “And the earlier that individual assistance can be delivered … the earlier recovery can start.”
In the periods waiting for declarations, the pressure falls on local officials and volunteers to care for victims and distribute supplies.
In Walthall County, where Tylertown is, insurance agent Les Lampton remembered watching the weather news as the first tornado missed his house by just an eighth of a mile. Lampton, who moonlights as a volunteer firefighter, navigated the collapsed trees in his yard and jumped into action. About 45 minutes later, the second tornado hit just a mile away.
“It was just chaos from there on out,” Lampton said.
Walthall County, with a population of about 14,000, hasn’t had a working tornado siren in about 30 years, Lampton said. He added there isn’t a public safe room in the area, although a lot of residents have ones in their home.
Rural areas with limited resources are hit hard by delays in receiving funds through FEMA’s public assistance program, which, unlike individual assistance, only reimburses local entities after their bills are paid. Long waits can stoke uncertainty and lead cost-conscious local officials to pause or scale-back their recovery efforts.
In Walthall County, officials initially spent about $700,000 cleaning up debris, then suspended the cleanup for more than a month because they couldn’t afford to spend more without assurance they would receive federal reimbursement, said county emergency manager Royce McKee. Meanwhile, rubble from splintered trees and shattered homes remained piled along the roadside, creating unsafe obstacles for motorists and habitat for snakes and rodents.
When it received the federal declaration, Walthall County took out a multimillion-dollar loan to pay contractors to resume the cleanup.
“We’re going to pay interest and pay that money back until FEMA pays us,” said Byran Martin, an elected county supervisor. “We’re hopeful that we’ll get some money by the first of the year, but people are telling us that it could be [longer].”
Lampton, who took after his father when he joined the volunteer firefighters 40 years ago, lauded the support of outside groups such as Cajun Navy, Eight Days of Hope, Samaritan’s Purse and others. That’s not to mention the neighbors who brought their own skid steers and power saws to help clear trees and other debris, he added.
“That’s the only thing that got us through this storm, neighbors helping neighbors,” Lampton said. “If we waited on the government, we were going to be in bad shape.”
Lieb reported from Jefferson City, Missouri, and Wildeman from Hartford, Connecticut.
Update 98/25: This story has been updated to include a White House statement released after publication.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Presidents are taking longer to declare major natural disasters. For some, the wait is agonizing appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
This article presents a critical view of the Trump administration’s handling of disaster declarations, highlighting delays and their negative impacts on affected individuals and communities. It emphasizes concerns about government downsizing and reduced federal support, themes often associated with center-left perspectives that favor robust government intervention and social safety nets. However, it also includes statements from Trump administration officials defending their approach, providing some balance. Overall, the tone and framing lean slightly left of center without being overtly partisan.
Mississippi Today
Northeast Mississippi speaker and worm farmer played key role in Coast recovery after Hurricane Katrina
The 20th anniversary of Hurricane Katrina slamming the Mississippi Gulf Coast has come and gone, rightfully garnering considerable media attention.
But still undercovered in the 20th anniversary saga of the storm that made landfall on Aug. 29, 2005, and caused unprecedented destruction is the role that a worm farmer from northeast Mississippi played in helping to revitalize the Coast.
House Speaker Billy McCoy, who died in 2019, was a worm farmer from the Prentiss, not Alcorn County, side of Rienzi — about as far away from the Gulf Coast as one could be in Mississippi.
McCoy grew other crops, but a staple of his operations was worm farming.
Early after the storm, the House speaker made a point of touring the Coast and visiting as many of the House members who lived on the Coast as he could to check on them.
But it was his action in the forum he loved the most — the Mississippi House — that is credited with being key to the Coast’s recovery.
Gov. Haley Barbour had called a special session about a month after the storm to take up multiple issues related to Katrina and the Gulf Coast’s survival and revitalization. The issue that received the most attention was Barbour’s proposal to remove the requirement that the casinos on the Coast be floating in the Mississippi Sound.
Katrina wreaked havoc on the floating casinos, and many operators said they would not rebuild if their casinos had to be in the Gulf waters. That was a crucial issue since the casinos were a major economic engine on the Coast, employing an estimated 30,000 in direct and indirect jobs.
It is difficult to fathom now the controversy surrounding Barbour’s proposal to allow the casinos to locate on land next to the water. Mississippi’s casino industry that was birthed with the early 1990s legislation was still new and controversial.
Various religious groups and others had continued to fight and oppose the casino industry and had made opposition to the expansion of gambling a priority.
Opposition to casinos and expansion of casinos was believed to be especially strong in rural areas, like those found in McCoy’s beloved northeast Mississippi. It was many of those rural areas that were the homes to rural white Democrats — now all but extinct in the Legislature but at the time still a force in the House.
So, voting in favor of casino expansion had the potential of being costly for what was McCoy’s base of power: the rural white Democrats.
Couple that with the fact that the Democratic-controlled House had been at odds with the Republican Barbour on multiple issues ranging from education funding to health care since Barbour was inaugurated in January 2004.
Barbour set records for the number of special sessions called by the governor. Those special sessions often were called to try to force the Democratic-controlled House to pass legislation it killed during the regular session.
The September 2005 special session was Barbour’s fifth of the year. For context, current Gov. Tate Reeves has called four in his nearly six years as governor.
There was little reason to expect McCoy to do Barbour’s bidding and lead the effort in the Legislature to pass his most controversial proposal: expanding casino gambling.
But when Barbour ally Lt. Gov. Amy Tuck, who presided over the Senate, refused to take up the controversial bill, Barbour was forced to turn to McCoy.
The former governor wrote about the circumstances in an essay he penned on the 20th anniversary of Hurricane Katrina for Mississippi Today Ideas.
“The Senate leadership, all Republicans, did not want to go first in passing the onshore casino law,” Barbour wrote. “So, I had to ask Speaker McCoy to allow it to come to the House floor and pass. He realized he should put the Coast and the state’s interests first. He did so, and the bill passed 61-53, with McCoy voting no.
“I will always admire Speaker McCoy, often my nemesis, for his integrity in putting the state first.”
Incidentally, former Rep. Bill Miles of Fulton, also in northeast Mississippi, was tasked by McCoy with counting, not whipping votes, to see if there was enough support in the House to pass the proposal. Not soon before the key vote, Miles said years later, he went to McCoy and told him there were more than enough votes to pass the legislation so he was voting no and broached the idea of the speaker also voting no.
It is likely that McCoy would have voted for the bill if his vote was needed.
Despite his no vote, the Biloxi Sun Herald newspaper ran a large photo of McCoy and hailed the Rienzi worm farmer as a hero for the Mississippi Gulf Coast.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Northeast Mississippi speaker and worm farmer played key role in Coast recovery after Hurricane Katrina appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The article presents a factual and balanced account of the political dynamics surrounding Hurricane Katrina recovery efforts in Mississippi, focusing on bipartisan cooperation between Democratic and Republican leaders. It highlights the complexities of legislative decisions without overtly favoring one party or ideology, reflecting a neutral and informative tone typical of centrist reporting.
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