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AMR response times spur cities to reconsider ambulance service contracts

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Some major Mississippi cities that have used the same private ambulance contractor for decades are reconsidering that relationship in light of questions about response times and potentially deadly consequences.

Leaders in Biloxi, Gulfport and Jackson have discussed American Medical Response’s ambulance response and the contracts with that service during recent city council meetings. They have said that forming city-specific ambulance districts is a step toward pursuing city-specific ambulance contracts, rather than being part of countywide contracts.

It’s a step Jackson resident Donna Echols sees as encouraging. On April 27, she waited 90 minutes for an AMR ambulance to come to her home to help her ex-husband, Jim Mabus, who was found to have suffered a series of strokes and died less than a week later. 

“It magnifies the problem that we experienced in that 90-minute wake,” she said. “It tells me people are dealing with the same issues and problems and they want to get something done.”

Councilwoman Angelique Lee, who had read Mississippi Today’s story about Mabus, invited Echols to speak at a June 22 Jackson City Council meeting.

Lee read the company’s explanation in the story for the 90-minute wait – staffing – and said long response times like the one Mabus faced are unacceptable and inexcusable.

AMR spokesperson Nicole Michel told Mississippi Today that the central Mississippi service area was at a level zero on April 27, with eight ambulances and two sprint medics were already responding to other calls, and during the nine o’clock hour, AMR received six service requests, including one for a heart attack.

“If AMR cannot handle the call, if they don’t have the manpower, then they need to be replaced,” Lee said during the meeting. “And I just want to know how many people are going to need to die before we do something about it?”

Mayor Chokwe Antar Lumumba said steps are being taken to reconsider the city’s ambulance service. Jackson has already formed its own ambulance district and the city is preparing to put out a request for proposals for ambulance services.

Lumumba said these efforts would give city control of a contract, and it can make sure to incorporate a mutual aid clause, which Echols believes may have helped Mabus get medical attention sooner.

The night she called 911, Echols tried to get Pafford Ambulance, which is contracted with Madison and Rankin counties, to come to her home, but she was told that company needed permission from AMR to cross into Hinds County where AMR operates. 

Ryan Wilson, operations manager for AMR Central Mississippi, said the company has been the county’s contractor since 1991. Analysis of any ambulance issues and plans must be in line with the Hinds County Board of Supervisors.

Hinds County officials did not respond to a request for comment.

Wilson also cautioned Jackson about taking independent steps that could have potential consequences that impact other cities, towns and unincorporated areas of the county. 

“It is AMR’s hope that all governmental entities will come together to address ambulance-related issues, jointly,” he said in a statement. “Such a collaborative effort would inspire a countywide examination of the current state of EMS, as well as add understanding to the causes of current challenges, leading to an informed discussion of options to a path forward.”

Wilson also said blaming AMR for its staff shortage is misguided due to a nationwide shortage of EMTs and paramedics, and bringing in another provider won’t necessarily address staffing.

In Jackson, family and friends are preparing to hold a celebration of life service for Mabus Saturday to reflect on the life he lived and the person he was. Days later, on July 18, is Mabus’ birthday. 

Jim Mabus, left, is pictured with his family at Christmas family photo left to right, daughter-in-law Mary Katherine Mabus, son Jake Mabus, and Denver Mabus with Donna Echols’ dogs Credit: Courtesy of Donna Echols

Echols wants the celebration to be a happy occasion, but she knows her sons are grieving and she still feels angry about what happened. While it is difficult to retell, she sees sharing the story of what happened as a way to turn a tragic experience into a way to help others.

Similar discussion about ambulance service, city-specific EMS districts and potential contracts are also happening on the Gulf Coast.

At a June 20 meeting, the Gulfport City Council discussed a resolution to establish an EMS district, but members voted to table it.

Mayor Billy Hewes said the city plans to put out a request for proposals for ambulance services, which could result in Gulfport choosing AMR again, but it would mean city leaders can negotiate.

“Sometimes we have to take moves like this to ensure we have a voice in something that is very important to our constituents, and quite frankly, the citizens of Gulfport deserve better ambulance services than they are getting,” he said during the meeting.

Neighboring Biloxi approved a resolution to set up a city-specific EMS district at its June 13 meeting as part of its consent agenda.

Fire Chief Nicholaus Geiser said a city-specific RFP and contract are the next steps.

He said the city has seen some delayed ambulance responses from AMR, especially between 2020 and 2022, when there would be a large number of calls all at once and not enough staff to handle them, but that is happening less now.

There have been times when a life-threatening call in a different area of the county has been prioritized, which led to an hour wait or longer, Geiser said.

He sees AMR has taken steps to work to improve its response times in the county, such as having a dedicated ambulance in Biloxi, which was determined after analyzing data and the city’s busy times. There are also supervisors going out who can relieve fire department crews.

Dwayne Tullos, regional director for AMR’s parent company Global Medical Response, said AMR has served the Gulf Coast for nearly 50 years and believes there is no other provider that can deliver higher standards of care and innovation.

“If the cities decide to contract for their own ambulance services, we look forward to the opportunity to work with city leaders on a customized proposal for each that includes new innovative solutions that only AMR can provide to the citizens of Biloxi and Gulfport,” he said in a statement.

Even if the cities continue to stay within the Harrison County EMS district, AMR is open to working with them to find solutions that ensure the best ambulance service for residents and visitors, Tullos said.

Firefighters, including in Biloxi, Gulfport and Jackson, are often required to train as EMTs and some have gone further and become paramedics. However, that training doesn’t give them the ability to transport people to the hospital.

Geiser, the Biloxi fire chief, said 80% of the department’s calls are for medical service. He said building codes have helped prevent many large-scales fires from happening, so crews are called to fires less often.

He read the Mississippi Today story about Echols’ experience waiting for an ambulance and said what happened to Mabus was unfortunate.

“It’s plain and simple: It’s life and death,” he said. “That’s what we’re trying to prevent here.”

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

Mississippi Today

Brain drain: Mother understands her daughters’ decisions to leave Mississippi

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mississippitoday.org – @BobbyHarrison9 – 2025-08-05 10:41:00


Julie Liddell Whitehead reflects on Mississippi’s brain drain through her family experience. Despite her mother’s initial opposition to her education and leaving home, Julie understands why her three daughters also choose to leave Mississippi for better career opportunities and quality of life elsewhere. Her eldest daughter works as a chef in Orlando, her middle daughter is a chemical engineer in New Hampshire, and her youngest studies civil engineering, likely to move away as well. Julie hopes Mississippi will one day provide enough opportunities and amenities to retain talented young people and earn their loyalty and investment.

Editor’s note: This Mississippi Today Ideas essay is published as part of our Brain Drain project, which seeks answers to Mississippi’s brain drain problem. To read more about the project, click here.


Back when I was a kid in 1988, my mama and I had an argument about what I wanted to major in at college.

I had dreamed of being a journalist since the age of 8. To me, that meant that I was going to Ole Miss, which had the journalism department.

My mama said I could only go away from home to Ole Miss if I was going to major in law.

So I settled on going to Mississippi State University just down the road and majoring in communication. She told me I should major in engineering since that’s what State was known for.

I said, “That’s even dumber than me going to law school. I hate math.”

“Well, you could at least try,” she said.

I said no. Then she told me I was wasting my education and turned her back on me.

Julie Liddell Whitehead

I get it. She knew and I knew that I couldn’t stay in Choctaw County where I was raised and earn a living with that degree. I would have to go somewhere else — probably to the Jackson metro area and work for Gannett or the Associated Press. Or to Memphis. Or Biloxi. Or even New Orleans. She never really forgave me for moving to the Jackson metro, working in my field and raising her grandchildren so far from her.

After a while, I got used to the pace of life around here. I knew I probably wouldn’t ever move anywhere else because I noticed that people who left Mississippi often came back, whether due to family obligations or a realization that “somewhere else” wasn’t quite all it was cracked up to be.

I also noticed that a lot of people played up how they were from Mississippi while making a very good living being someplace else. I decided I wanted to prove you could be from Mississippi, live in Mississippi, work in Mississippi and make something of yourself without leaving Mississippi. 

But I noticed something else over the years, too. Most of the kids in Brandon dreamed of going off from home to cities like Atlanta, Nashville, Dallas, DC, New York or Orlando. They didn’t seem to have reasons — just a desire to get away from the state as fast as they could. 

Then my three daughters and I started having conversations about what they wanted to major in when they went to college. My oldest wanted to be a chef. My middle one was undecided between chemical engineering and landscape architecture. And my youngest was fascinated with roads and bridges.

I was all too aware of what had happened in the job markets in Mississippi since I had come up. Companies closed operations in a globalized economy and fled to cheaper labor markets. The advent of the internet meant employers could hire from all over the world. Longtime business leaders retired and sold out to big corporations that reduced investments in local communities that had supported those businesses for decades and then complained that those towns didn’t offer enough amenities for their employees to want to relocate there. 

But the reality really set in when my chef daughter chose her first internship — in historic Williamsburg, Virginia. 

I would never have dreamed of driving that far from home to try out a place to work when I was her age. Then after her senior year, she interned at Walt Disney World and got hired full-time before the internship was over. She was off to live in Orlando where now with her husband and young son she’s creating community and loves going to work every day with a pretty enviable benefits package, too, a thing unheard of in the culinary world in Mississippi.

My middle one finally settled on chemical engineering and was picked for a co-op job in her first semester at age 18 at a company in Georgia. When she graduated four years later, we packed her off to Indiana for a research and development job, and she now lives in New Hampshire with her husband, making six figures a year at 26 years old and looking forward to partaking in the cultural offerings in New York City when she can.

The youngest is currently in college for civil engineering, and I’m bracing myself for the inevitable. She doesn’t want to work for state government, so she’s likely going out of state as well. Her comment about coming back to Jackson metro was the most damning of all. “There’s nothing to do here,” she says.

A lot of people ask me questions: How often do you see your daughters? How can you stand being so far from your grandson? Don’t they at least come home for Christmas?

The answer to all of those questions is that we do the best we can. We text, we message on Facebook, we talk on the phone at least once a week, every Sunday. We arrange visits; sometimes it’s us driving to them while other times they drive to us. 

I can’t imagine making my children as miserable as my mom made me over my life choices. We are flexible, understanding, and very, very proud of our daughters, who are grappling with enough in their lives without us loading them down with guilt over when they are coming home. 

The calculus may change in the future. We may have declines in health and need to move closer to one of our children if we need assistance. Or we may need to be in assisted living care here in Mississippi where such care may be marginally cheaper than wherever our girls land.

But I don’t wish our girls had settled for life in Mississippi. 

What I wish is that Mississippi could find a way to live up to its potential — to be a place more worthy of my daughters’ loyalty, affections and investment in themselves. 

Maybe it will be someday. I hope so, for all of our sakes.


Julie Liddell Whitehead lives and writes from Mississippi. An award-winning freelance writer, Julie covered disasters from 9/11 to Hurricane Katrina throughout her career. Her first book is “Hurricane Baby: Stories,” published by Madville Publishing. She writes on mental health, mental health education and mental health advocacy. She has a bachelor’s degree in communication, with a journalism emphasis, and a master’s degree in English, both from Mississippi State University. In 2021, she completed her MFA from Mississippi University for Women.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post Brain drain: Mother understands her daughters' decisions to leave Mississippi 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 essay reflects a Center-Left perspective by focusing on social and economic challenges faced by Mississippi, such as brain drain, job market changes, and community decline. The tone is empathetic and advocates for investment in local opportunities and amenities to retain talent, aligning with progressive concerns about economic inequality and regional development. However, it remains largely personal and reflective rather than explicitly ideological or partisan. The article critiques systemic economic shifts without advancing a polarized political agenda, emphasizing hope for future improvement and a more supportive environment for young professionals.

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Mississippi Today

After 30 years in prison, Mississippi woman dies from cancer she says was preventable

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mississippitoday.org – mississippitoday.org – 2025-08-04 17:37:00


Susie Balfour, who spent over 30 years in Mississippi prison, died in 2025 from terminal breast cancer she claimed was preventable. Diagnosed just two weeks before her release in 2021, she alleged prison medical providers failed to follow up on recommended screenings. Balfour’s 2024 lawsuit accused contracted health firms of neglect and cited inmates’ exposure to cancer-linked industrial chemicals during prison work. Her case inspired bipartisan legislation requiring protective gear for inmate workers, though it stalled in the Senate. Advocates say her death highlights systemic prison healthcare failures and the exploitation of incarcerated labor, sparking ongoing calls for reform.

Susie Balfour, diagnosed with terminal breast cancer two weeks before her release from prison, has died from the disease she alleged past and present prison health care providers failed to catch until it was too late. 

The 64-year-old left the Central Mississippi Correctional Facility in December 2021 after more than 30 years of incarceration. She died on Friday, a representative for her family confirmed.   

Balfour is survived by family members and friends. News of her passing has led to an outpouring of condolences of support shared online from community members, including some she met in prison. 

Instead of getting the chance to rebuild her life, Balfour was released with a death sentence, said Pauline Rogers, executive director of the RECH Foundation.

“Susie didn’t just survive prison, she came out fighting,” Rogers said in a statement. “She spent her final years demanding justice, not just for herself, but for the women still inside. She knew her time was limited, but her courage was limitless.”

Last year, Balfour filed a federal lawsuit against three private medical contractors for the prison system, alleging medical neglect. The lawsuit highlighted how she and other incarcerated women came into contact with raw industrial chemicals during cleaning duty. Some of the chemicals have been linked to an increased risk of cancer in some studies.  

The companies contracted to provide health care to prisoners at the facility over the course of Balfour’s sentence — Wexford Health Sources, Centurion Health and VitalCore, the current medical provider — delayed or failed to schedule follow-up cancer screenings for Balfour even though they had been recommended by prison physicians, the lawsuit says.

“I just want everybody to be held accountable,” Balfour said of her lawsuit. “ … and I just want justice for myself and other ladies and men in there who are dealing with the same situation I am dealing with.”

Rep. Becky Currie, who chairs the House Corrections Committee, spoke to Balfour last week, just days before her death. Until the very end, Balfour was focused on ensuring her story would outlive her, that it would drive reforms protecting others from suffering the same fate, Currie said.  

“She wanted to talk to me on her deathbed. She could hardly speak, but she wanted to make sure nobody goes through what she went through,” Currie said. “I told her she would be in a better place soon, and I told her I would do my best to make sure nobody else goes through this.”

During Mississippi’s 2025 legislative session, Balfour’s story inspired Rep. Justis Gibbs, a Democrat from Jackson, to introduce legislation requiring state prisons to provide inmates on work assignments with protective gear. 

Gibbs said over 10 other Mississippi inmates have come down with cancer or become seriously ill after they were exposed to chemicals while on work assignments. In a statement on Monday, Gibbs said the bill was a critical step toward showing that Mississippi does not tolerate human rights abuses.

“It is sad to hear of multiple incarcerated individuals passing away this summer due to continued exposure of harsh chemicals,” Gibbs said. “We worked very hard last session to get this bill past the finish line. I am appreciative of Speaker Jason White and the House Corrections Committee for understanding how vital this bill is and passing it out of committee. Every one of my house colleagues voted yes. We cannot allow politics between chambers on unrelated matters to stop the passage of good common-sense legislation.”

The bill passed the House in a bipartisan vote before dying in the Senate. Currie told Mississippi Today on Monday that she plans on marshalling the bill through the House again next session. 

Currie, a Republican from Brookhaven, said Balfour’s case shows that prison medical contractors don’t have strong enough incentives to offer preventive care or treat illnesses like cancer.  

In response to an ongoing Mississippi Today investigation into prison health care and in comments on the House floor, Currie has said prisoners are sometimes denied life saving treatments. A high-ranking former corrections official also came forward and told the news outlet that Mississippi’s prison system is rife with medical neglect and mismanagement. 

Mississippi Today also obtained text messages between current and former corrections department officials showing that the same year the state agreed to pay VitalCore $100 million in taxpayer funds to provide healthcare to people incarcerated in Mississippi prisons, a top official at the Department remarked that the company “sucks.”

Balfour was first convicted of murdering a police officer during a robbery in north Mississippi, and she was sentenced to death. The Mississippi Supreme Court reversed the conviction in 1992, finding that her constitutional rights were violated in trial. She reached a plea agreement for a lesser charge, her attorney said. 

As of Monday, the lawsuit remains active, according to court records. Late last year Balfour’s attorneys asked for her to be able to give a deposition with the intent of preserving her testimony. She was scheduled to give one in Southaven in March. 

Rogers said Balfour’s death is a tragic reminder of systemic failures in the prison system where routine medical care is denied, their labor is exploited and too many who are released die from conditions that went untreated while they were in state custody. 

Her legacy is one RECH Foundation will honor by continuing to fight for justice, dignity and systemic reform, said Rogers, who was formerly incarcerated herself. 

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post After 30 years in prison, Mississippi woman dies from cancer she says was preventable 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 Mississippi prison health care system, highlighting systemic failures and medical neglect that led to the death of a formerly incarcerated woman. The tone and framing focus on social justice issues, prisoner rights, and the need for government accountability and reform, which align with Center-Left values emphasizing government responsibility for vulnerable populations. While the article is largely investigative and fact-based, its emphasis on advocacy for reform, criticism of privatized prison health contractors, and highlighting bipartisan legislative efforts suggest a Center-Left leaning perspective rather than neutral reporting.

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Mississippi Today

FBI concocted a bribery scheme that wasn’t, ex-interim Hinds sheriff says in appeal

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mississippitoday.org – @MSTODAYnews – 2025-08-04 13:16:00


Former interim Hinds County sheriff Marshand Crisler is appealing his 2021 bribery and ammunition convictions, arguing the FBI entrapped him by exploiting his prior relationship with donor Tonarri Moore. Crisler’s attorney contends that without Moore’s requests, there was no quid pro quo and thus no bribery. Moore, who became an informant to avoid prosecution for guns and drugs, recorded meetings where he gave Crisler $9,500 in exchange for favors like moving a cousin in jail and job placement. Crisler maintains accepting campaign donations is normal political activity, not bribery without explicit promises of official acts. The appeal asks the 5th Circuit to overturn his conviction.

Former interim Hinds County sheriff Marshand Crisler is appealing bribery and ammunition charges stemming from his 2021 campaign, arguing that the federal government played on his relationship with a former supporter to entrap him. 

Crisler had asked Tonarri Moore, who donated to past campaigns, for a financial contribution for the sheriff’s race. Moore said he would donate if Crisler helped with several requests. Without the previous relationship, Crisler would not have acted, his attorney argues, and Crisler had no reason to believe he was being bribed. 

“The government, having concocted a bribery scheme to entrap Crisler, then had to contrive a corresponding quid pro quo to support the scenario with which to entrap him,” attorney John Holliman wrote in a Saturday appellant brief. 

Crisler is asking the U.S. 5th Circuit Court of Appeals to reverse his conviction and render its own rulings on both counts. 

He was convicted in federal court in November after a three-day trial and sentenced earlier this year to 2 ½ years in prison. Crisler is serving time in FCI Beckley in West Virginia. 

The day before Crisler reached out to Moore to ask for support for his campaign for sheriff, Drug and Enforcement Administration agents raided Moore’s home and found guns and drugs. An FBI agent called to the scene looked through Moore’s phone and saw Crisler had called. 

According to the appellant brief, the agent asked Moore what Crisler would do if offered money, and if Moore was bribing him. Moore said he wasn’t bribing Crisler, and the agent asked if Moore would do it. 

At that time, there weren’t reasonable grounds to start a bribery investigation into Crisler, his attorney argues, nor was there reason to believe he was seeking a bribe. 

Moore agreed to become an informant for the FBI, in exchange for the government not prosecuting him for the guns and drugs. 

The FBI fitted him with a wire to record Crisler during meetings, which began that day. The meetings included one inside Moore’s night club and a cigarette lounge in Jackson. Agents provided Moore with the $9,500 he gave to Crisler between September and November 2021.

Crisler’s 2023 indictment came as he campaigned again for sheriff and months before the primary election. He remained in the race and lost to the incumbent who he faced in 2021. 

At trial, the government argued the exchange of money were attempts to bribe because Moore made several requests of Crisler: to move his cousin to a different part of the Hinds County Detention Center, to get him a job in the sheriff’s office and for Crisler to let Moore know if law enforcement was looking into his activities. 

In closing arguments, Assistant U.S. Attorney Charles Kirkham pointed to examples of quid pro quo in recordings, including one where Moore said to Crisler, “You scratch my back, I scratch yours” and Crisler replied “Hello!” in a tone that the government saw as agreement. 

The appellant’s brief argues that without Moore’s requests, the government lacked a way to show quid pro quo, a requirement of bribery charge: that Crisler committed or agreed to commit an official act in exchange for funds. 

Moore also asked Crisler to give him bullets despite being a convicted felon, which is prohibited under federal law. The brief notes how the government directed Moore to come up with a story for needing the bullets and to ask Crisler to give them to him.

In response, Crisler told Moore he could buy bullets at several sporting goods stores. Moore said they ran out, and eventually Crisler gave him bullets. 

Crisler also argues that the government prosecuted routine political behavior. Specifically, accepting campaign donations is not illegal, and can not constitute bribery unless there is an explicit promise to perform or not perform an official act in exchange for money. 

“Our political system relies on interactions between citizens and politicians with requests being made for this or that which is within the power of the elected official to do,” the brief states. “This does not constitute a bribery scheme. It is the normal working of our political system.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post FBI concocted a bribery scheme that wasn’t, ex-interim Hinds sheriff says in appeal 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-Right

The article presents the legal appeal of former interim Hinds County sheriff Marshand Crisler with a focus on his argument that the FBI orchestrated an entrapment scheme. The language is largely factual and centers on the defense’s claims and legal standards for bribery, emphasizing normal political behavior versus illegal conduct. While the article reports on the government’s position, it gives significant space to Crisler’s defense and critiques of federal prosecution tactics. This framing, highlighting skepticism toward federal law enforcement and emphasizing the defense perspective, suggests a slight center-right leaning, reflecting a cautious stance on government overreach without overt ideological language.

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