fbpx
Connect with us

Mississippi Today

‘We have been struggling.’ As Mississippi’s health care crisis worsens, health department funding lags

Published

on

State Officer Dr. Dan Edney made one big ask of lawmakers this year: $9 million to hire the nurses needed to fully staff county health departments and a program that puts nurses in the homes of low-income pregnant women with high-risk pregnancies.

As he made the request, news headlines in Mississippi and around the country reported on the state's financially struggling hospitals, worsening maternal mortality crisis and one of the highest uninsured populations in the country as the result of state leaders' steadfast opposition to Medicaid expansion.

Still, the answer he got was no.

That's not a novel response from lawmakers — the agency's budget was slashed in 2017 and is still making up for the loss. But this year, it could be especially damning as the state's health care crisis reaches a breaking point.

Advertisement

As hospitals bleed out and it becomes increasingly dangerous for Black to give birth in the state, the need for public health services offered by the Mississippi Department of Health is seeing a resurgence.

“That was my testimony at the Legislature,” said Edney, the agency's leader. “I reminded them … we are to do more, which is not good. It's a sign that the needle is moving the wrong way.”

But there's a limit to what his agency can do without adequate .

Daniel Edney, M.D., is the State Health Officer. Credit: Vickie D. King/

The Healthy Moms, Healthy Babies program, a partnership between the department and the state Division of Medicaid, puts nurses in the homes of expecting mothers who are undergoing high-risk pregnancies. The program serves about 700 moms, Edney said.

He knows the number of moms involved in the program needs to grow. But to do that, he needs more nurses — an increasingly difficult resource to by in Mississippi, where nurse vacancies and turnover rates are at their highest in a decade.

Advertisement

The $9 million would have paid for a total of 100 nurses, the bare minimum Edney said he needs to adequately cover the state's public health needs.

The money needed to come from the state, Edney said, because federal funds have strict strings attached.

“One way I explained it at the Capitol was that state-funded nurses could do whatever we needed them to do,” Edney said. “I need Swiss Army knives. The feds give you the knife, and they tell you how to use it.”

But instead, as the agency's responsibilities continue to grow, they got just enough to keep operating and cover inflationary costs for the next year — despite lawmakers starting the year with a historic $3.9 billion surplus.

Advertisement

Republican Rep. John Read, House Appropriations Chair and principal author of the Health Department's appropriations bill, said the decision-making process was about prioritization.

“We had some money, but it's like everything else: You don't want to spend all your savings,” he said. “Everybody in this legislature wants to help everybody we can … Nobody gets 100% of what they asked for. There's no way.”

Read maintained that the department's staffing issue isn't about their state appropriation — it's about the nurse availability and desired salaries. To Read, hiring 100 nurses sounds impossible.

Still, Edney can't hire even one of the 100 nurses without funding.

Advertisement

In an interview with Mississippi , Edney said he was grateful for the money his agency did get. He repeatedly expressed his desire to do the necessary work with what he got.

“We'll keep ,” Edney said. “That doesn't mean we ignore those needs. We'll push ahead with resources that we can find.”

The agency operates with a total budget of over half a billion dollars. The vast majority of that budget comes from federal dollars and a variety of fees generated from other agency operations. Less than 10% comes from the state.

Though the state portion is small, it is essential to the agency's ability to fulfill its job.

Advertisement

It's the mission of the state Health Department to promote and protect Mississippians' health. That includes surveilling for diseases and sexually transmitted infections, as well as other preventative public health efforts. The agency is also responsible for overseeing water testing, inspecting restaurants and licensing and regulating health care facilities.

This year, the Legislature gave the state Health Department $48 million. Of that, about half will go to agency operations, which includes salaries for state-funded positions. The other half goes elsewhere — the state Department of Health acts as a conduit for millions that will fund programs within their agency and others.

While Edney was hoping to increase pay for his employees, he wasn't able to secure enough funding to hand out uniform raises — just for the lowest compensated employees in the department.

The agency is experiencing a vacancy rate of over 40% across departments – meaning almost one of two jobs at the agency are not filled – according to Edney.

Advertisement

On paper, it looks like the agency got a huge increase in funding, up $13 million from last year. But $12 million of that money is set to go to the Victims of Act program, which provides services for victims of domestic abuse, childhood violence and human trafficking. It's a program that's only recently been added to the state Health Department's list of responsibilities, as well as the state's new medical cannabis program.

The Yazoo County Health Department, located at 230 E. Broadway Street, has been renovated and re-opened in Yazoo City, Monday, June 5, 2023. Credit: Vickie D. King/Mississippi Today

The remaining $12 million of the state appropriation is split among systems such as trauma care, emergency medical services, AIDS-related services and drugs, stroke and heart attack care programs, domestic violence prevention, Mississippi qualified health centers, the early intervention program and Medicaid matching.

And in a last minute change toward the end of the legislative session, lawmakers also decided to task the department with choosing the state's next burn center and awarding it $4 million. Merit Health Central in Jackson closed Mississippi's only accredited burn center in October.

“I have to remind folks we're happy to administer grants and direct funding from the Legislature,” Edney said. “But we had to keep our focus on what is our core appropriation. That appropriation that helps us achieve the things we have to achieve to make sure that the most vulnerable populations in the state are served to the best of our ability.”

For agency operations, the Health Department got an increase of about $720,000, which Edney said covered cost increases caused by inflation.

Advertisement

“So we didn't go backwards,” Edney said.

In the newly painted lobby of Yazoo County's renovated health department, Edney was candid about the state Health Department's financial limitations.

“If I had the money, I would have done it yesterday,” he said of the county health department's reopening on Monday.

It had been closed since September of last year.

Advertisement

“I have begged for the money to get our county health departments back open again,” Edney said. “We have been struggling.”

Within a month, David Caulfield, central regional administrator for the state Health Department, said the Yazoo clinic will be open four to five days a week, up from its temporary twice-a-week schedule, and be fully staffed.

It's typically up to the individual counties to provide and pay for their county health department's building, while the state pays to staff it.

“I want to personally thank the Board of Supervisors for caring about public health in Yazoo County,” Edney said. “Not every county has the same commitment to public health. They don't look after their folks the same way you do it.

Advertisement

“I can't tell you the joy in my heart to see this today because it shows me what we can do in Mississippi.”

But Yazoo County's health department isn't the standard — it's an outlier.

As the state Health Department has been gutted by budget cuts over the past decade while simultaneously being tasked with more responsibilities, county health departments have suffered.

Rebecca Collins listens as David Caulfield, Central Regional Administrator for the State Department of Health, discusses the laboratory at the newly re-opened Yazoo County Health Department in Yazoo City, Monday, June 5, 2023. Credit: Vickie D. King/Mississippi Today

After the major budget cuts in 2017, hours were reduced at the majority of county health departments, and they became much harder to staff, Edney said. Services have been cut, too — county health departments stopped offering prenatal care in 2016.

And as hospital closures continue to loom — a report puts a third of rural hospitals at risk — it's not apparent that the state Health Department is prepared to fill the gaps.

Advertisement

“We utilize all the resources we can from our federal partners to help the county health departments, but the (Centers for Disease Control and Prevention) does not fund public health at the county level,” Edney said. “It's up to us to do that, and we just don't have enough state funding to 86 county health departments the way that we would love to run them.”

While county health departments remain a place where Mississippians can access vaccinations, STI testing, diabetes and hypertension care, tuberculosis screenings and treatment, pap smears, family planning and pregnancy testing, Edney wants to increase staffing and get health departments open longer more days a week. They're also exploring restarting prenatal care at county health departments.

It's not clear how he'll pay for it, but Edney's determined to try.

“I'm not negative, because we have to do a better job on our side of the street,” he said. “We will be doing all that we can do, so when I go back to the Legislature and continue to ask for funding our workforce needs on the county level, I can honestly say we're doing all we can.”

Advertisement

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

Mississippi Today

Renada Stovall, chemist and entrepreneur

Published

on

mississippitoday.org – Vickie King – 2024-05-17 11:53:33

Renada Stovall sat on the back deck of her rural Arkansas home one evening, contemplating when she had a life-altering epiphany…

“I gotta get out of these woods.” 

She heard it as clear as lips to her ear and as deep as the trees surrounding her property. Stovall's job as a chemist had taken her all over the country. In addition to Arkansas, there were stints in Atlanta, Dallas and Reno. But she was missing home, her and friends. She also knew, she needed something else to do. 

Advertisement

“I thought, what kind of business can I start for myself,” said Stovall, as she watered herbs growing in a garden behind her south home. Some of those herbs are used in her all-natural products. “I know when I lived in Reno, Nevada, where it's very hot and very dry, there really weren't products available that worked for me, my hair, and my skin suffered. I've got a chemistry degree from Spelman College. I took the plunge and decided to create products for myself.”

A variety of soaps created by Renada Stovall. Stovall is a chemist who creates all natural skin and hair care products using natural ingredients.

In 2018, Stovall's venture led to the creation of shea butter moisturizers and natural soaps. But she didn't stop there, and in December 2022, she moved home to Mississippi and got to work, expanding her product line to include body balms and butters, and shampoos infused with avocado and palm, mango butter, coconut and olive oils.

Nadabutter, which incorporates Renada's name, came to fruition.

Renada Stovall, owner of Nadabutter, selling her all-natural soaps and balms at the Clinton Main Street Market: Spring into Green, in April of this year.

Stovall sells her balms and moisturizers at what she calls, “pop-up markets,” across the during the summer. She's available via social and also creates products depending on what of her ingredients a customer chooses. “My turmeric and honey is really popular,” Stovall added.

“The all-natural ingredients I use are great for conditioning the skin and hair. All of my products make you feel soft and luscious. The shea butter I use from Africa. It's my way of networking and supporting other women. And it's my wish that other women can be inspired to be self-sufficient in starting their own businesses.”

Soap mixture is poured into a mold to cure. Once cured, the block with be cut into bars of soap.
Renada Stovall, making cold soap at her home.
Renada Stovall adds a vibrant gold to her soap mixture.
Tumeric soap created by Nadabutter owner, Renada Stovall.
Soap infused with honey. Credit: Vickie D. King/

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

Advertisement
Continue Reading

Mississippi Today

On this day in 1954

Published

on

mississippitoday.org – Jerry Mitchell – 2024-05-17 07:00:00

MAY 17, 1954

Ella J. Rice talks to one of her pupils, all of them white, in a third grade classroom of Draper Elementary School in Washington, D.C., on September 13, 1954. This was the first day of non-segregated schools for teachers and . Rice was the only Black teacher in the school. Credit: AP

In Brown v. Board of Education and Bolling v. Sharpe, the unanimously ruled that the “separate but equal” doctrine in Plessy v. Ferguson was unconstitutional under the 14th Amendment, which guaranteed equal treatment under the

The historic brought an end to federal tolerance of racial segregation, ruling in the case of student Linda Brown, who was denied admission to her local elementary school in Topeka, Kansas, because of the color of her skin. 

In Mississippi, segregationist called the day “Black Monday” and took up the charge of the just-created white Citizens' Council to preserve racial segregation at all costs.

Advertisement

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

Continue Reading

Mississippi Today

Every university but Delta State to increase tuition this year

Published

on

mississippitoday.org – Molly Minta – 2024-05-17 06:30:00

Every in Mississippi is increasing tuition in the fall except for Delta University.

The new rates were approved by the governing board of the eight universities, the Institutions of Higher Learning Board of Trustees, at its regular meeting Thursday. 

The average cost of tuition in Mississippi is now $8,833 a year, a roughly 3% increase from last year. can expect to pay tuition ranging from $7,942 a year at Mississippi Valley State University to $10,052 a year at Mississippi State University. 

Advertisement

In recent years, universities have cited and rising insurance costs as reasons for the tuition increases. At Thursday's meeting, the board heard a presentation on how property insurance is becoming more expensive for the eight universities as Mississippi sees more tornadoes and storms with severe wind and hail.  

READ MORE: Tuition increases yet again at most public universities

But it's an ongoing trend. Mississippi's public universities have steadily increased tuition since 2000, putting the cost of college increasingly out of reach for the average Mississippi . More than half of Mississippi college students graduated with an average of $29,714 in student debt in 2020, according to the Institution for College Access and .

At Delta State University, the president, Daniel Ennis, announced that he will attempt to avoid tuition increases as the regional college in the Mississippi Delta undergoes drastic budget cuts in an effort to become more financially sustainable. 

Advertisement

“We will resist tuition increases so that our most economically vulnerable students can continue to have access to the opportunities that a college degree can ,” he wrote in a memo to faculty and staff on Monday. “We will move beyond basic survival and into a place where we have the capacity to take better advantage of our undeniable strengths.” 

Delta State didn't increase tuition last year, either. have been concerned the university is becoming too pricey for the students it serves. 

Tuition for the 2024-25 academic year, by school:

  • Alcorn State University: $8,105
  • Delta State University: $8,435
  • State University: $8,690
  • Mississippi State University: $10,052
  • Mississippi University for Women: $8,392
  • Mississippi Valley State University: $7,492
  • University of Mississippi: $9,612
  • University of Southern Mississippi: $9,888

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

Advertisement
Continue Reading

News from the South

Trending