Mississippi Today
A program is putting more doctors in rural Mississippi. The auditor says it needs improvements.

A program aimed at increasing doctors in rural Mississippi communities isn’t effective enough, a new report from the state auditor’s office says.
As health care worker shortages continue, the program’s success could be crucial to improving the state’s persistent health care crisis.
The Mississippi Rural Physicians Scholarship Program, established in 2007 by the Legislature and administered by the University of Mississippi Medical Center, awards money to medical school students for tuition or student loans. In exchange, recipients must spend one year practicing in Mississippi for every year they accept the money. A similar program focused on incentivizing dentists to practice in rural Mississippi followed in 2013.
Ideally, the programs would help close the state’s health care gap — half of all Mississippians live in medically underserved counties, according to a 2021 assessment from the state Health Department. Eighty of Mississippi’s 82 counties are federally classified as Health Professional Shortage Areas in either primary or dental care.

But according to State Auditor Shad White, the programs aren’t producing doctors and dentists fast enough. A former participant of the program, however, says it was never intended to solve the shortage entirely – the problem is too big and complex.
Data in the report show that the percent of need met for primary and dental care in Mississippi’s neediest communities has decreased over the past decade, despite more money being infused into the programs.
Fletcher Freeman, a spokesperson for the State Auditor’s office, said the programs, as they stand, are too small to be effective.
But participants like Dr. Jonathan Buchanan who moved home to Carthage in 2017 to practice family medicine said the programs are making significant changes in the communities they serve, despite the fact they are not solving the entire problem.
“I was the first physician to come back to this area in 26 years — that’s a generation’s worth of time,” he said. “Our program is currently somewhere in the 70 range of people graduated from the program and practicing, and if you asked each of those physicians, they’d say they’re making a tremendous impact on the quality of health care that rural Mississippians are receiving.”
The report takes issue with several things in particular: the programs’ definition of “rural” is too broad, and the commissions running the programs should maintain better oversight of them.
“We just don’t have the definition of ‘rural’ down,” Freeman said. “We’re using definitions when it’s convenient to potentially place doctors in Flowood.”
Though no participants have been placed in Flowood, the rules for the program allow for the Jackson suburb to be considered “rural” because of its small population. Currently, 10% of scholarship recipients practice in areas that the federal government doesn’t consider “rural.”
The report recommends adopting the federal definition of “rural” to ensure participants are placed where they’re most needed.
However, when the Legislature created the programs, they established commissions to oversee them. Those commissions decide how the programs work, including the definitions under which they operate.

Dr. Natalie Gaughf, the University of Mississippi Medical Center’s assistant vice chancellor for academic affairs, said “it has been determined that the federal designation of ‘rural’ is not adequate” to meet the state’s needs, and what’s currently used is based on an “understanding of Mississippi’s current and historic health care landscape.”
Mississippi towns that have a population of less than 15,000 and are located more than 20 miles from a “medically served” metropolitan area are eligible for graduates to be placed for work, she said, and every practice location request is reviewed individually.
Students who aren’t from rural areas are also eligible to receive a scholarship, though Gauphf said that all of the program’s recipients have “substantial ties” to rural communities.
Additionally, the report found that a quarter of rural physician scholarship recipients and 14% of dental scholarship participants have breached their contracts.
That can mean students did not complete their commitment requirements, or they chose a non-primary care field of medicine or chose to practice in a non-rural part of Mississippi or out of the state entirely.
Breaching the contract should result in the scholarship being converted into a loan with interest. However, the report found that the scholarship programs’ offices do not accurately monitor this data. Gauphf did not expand on the challenges associated with tracking these numbers.
According to Gaughf, 49 medical school graduates have breached their contract from the time the program was created to the fall of last year.
Freeman couldn’t say what provoked the first-time review of the programs, aside from gauging their general effectiveness and ensuring that taxpayer dollars are being put to good use.
Since the program’s inception, more than $33.5 million in state dollars have gone toward it.
“This report was meant to highlight basically efficiencies and inefficiencies in the program to maximize every dollar they receive,” he said.
Freeman said if the offices use the report to address the programs’ deficiencies, perhaps they’ll receive more money and be able to make more of an impact. According to Gauphf, changes based on the report have already been made, including at least one new form used to track individuals who breach their contracts.
The Legislature has recently expanded both programs, putting $2.17 million into the rural physician scholarship program and $420,000 into the dentists’ program in fiscal years 2023 and 2024, according to the report.
“It’s a good program that’s effective at producing doctors,” Freeman said. “Just not at the rate we need them.”
Still, it’ll be hard for the program to keep up with the rate physicians and dentists are choosing to leave the state or retire, which Gauphf said is “faster than the programs can produce graduates.”
Buchanan, the scholarship program alumnus practicing in Carthage, sees the state’s health care worker crisis as multifactorial and not something that can be solved through a single program.
“We just don’t have enough physicians, period,” he said. “But I think this is definitely a step in the right direction.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Pearl River Glass Studio’s stained glass windows for historic Memphis church destroyed in fire
For the Pearl River Glass Studio, located in the Midtown neighborhood of Jackson, it started as an honor and labor of love, with Memphis-based artist Lonnie Robinson, who out of hundreds of artistic contestants, won the privilege to create the stained glass windows along with artist Sharday Michelle, for the historic Clayborn Temple, located in Memphis, Tennessee, as part of a massive renovation project.


This team of artisans restored three enormous stained glass windows, panel by panel, for the historic church that was a bastion for the Civil Rights movement in Memphis, Tennessee, in the 1960s. The stained glass windows depicted Civil Rights icons and paid homage to the 1968 Memphis Sanitation Strike, which lasted 64 days from Feb. 12 to April 16, 1968. It is the site where sanitation workers agreed to end the strike when city officials recognized their union and their raised wages.





Over time, the church fell into disrepair and closed in 1999.
In 2018, it was officially named a national treasure by the National Trust for Historic Preservation.

The $14 million restoration of Clayborn Temple was a collaborative effort by non-profits, movers and shakers on the national scene, community leaders and donations.







The hard work, the labors of love, the beautiful stained glass arch windows and other restorative work at the historic church all came to an end due to a fire in the wee hours of Monday morning on April 28 of this year.

The cause of the fire is currently under investigation.

This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Pearl River Glass Studio's stained glass windows for historic Memphis church destroyed in fire appeared first on mississippitoday.org
Mississippi Today
Podcast: Economist discusses Mississippi economy’s vulnerability
State Economist Corey Miller talks with Mississippi Today’s Geoff Pender and Bobby Harrison about the state of the state economy, chances of recession amid trade war, federal spending cuts and state tax overhaul. He declines to answer questions about MSU baseball.
READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Podcast: Economist discusses Mississippi economy's vulnerability appeared first on mississippitoday.org
Mississippi Today
How state law allows private schools to ‘double dip’ by using two public programs for the same students
The Mississippi Legislature’s insistence of not requiring oversight has resulted in a way for private schools to “double dip,” or receive money from two separate state programs to educate the same handful of students.
There is currently no mechanism in state law to allow state officials to determine whether double dipping is occurring. More importantly, there is nothing in state law to prevent double dipping from occurring.
So, maybe the private schools are double dipping and maybe they are not. And this is not an effort to demonize private schools — many of which are doing stellar work — but to point out the lack of state oversight and to question the wisdom of sending public funds to private schools.
There are two primary programs in Mississippi that provide public funds and state tax credit funds to private schools: the Education Scholarship Account and the Children’s Promise Act.
The programs overlap in terms of the children the private schools must educate to receive the state benefits. To receive money through an Education Scholarship Account of up to $7,829 per year to attend a private school, a student must be designated as a special needs student. The special needs designation could be the result of a physical, mental or emotional issue. An attention deficit disorder, for instance, could result in a special needs designation.
On the other hand, students who make private schools eligible to receive the Children’s Promise Act tax credit benefits must have “a chronic illness or physical, intellectual, developmental or emotional disability” or be eligible for the free lunch program or be a foster child.
No more than $3 million per year can be spent through the Education Scholarship Account while the Children’s Promise Act is capped at $9 million annually.
The bottom line is that state officials do not know how many students the private schools are serving through the Children’s Promise Act state tax credits.
The Mississippi Department of Revenue, which has a certain amount of oversight of the Children’s Promise Act funds, has said in the past it knew the number of children being served in the first year a school received the state tax credit funds, but the agency does not know whether the number of students being served in following years changes.
In short, there is nothing in state law that would prevent a private school from receiving the maximum benefit of $405,000 annually while enrolling only one child fitting the definition that would make the school eligible to receive the tax credit funds.
There is a little more oversight of the Education Scholarship Account funds, though that oversight has been slow and has only occurred after a legislative watchdog group pointed out the lax oversight.
If a school has fewer than 10 students receiving the ESA funds, the state Department of Education will not release the exact number, citing privacy concerns. But the Department of Education has released the amount of ESA funds each school received during the 2023-24 school year.
According to that information, multiple schools receiving those ESA funds but educating fewer than 10 ESA students also are receiving significant Children’s Promise Act tax credit funds. According to the Department of Revenue, as of January, six schools had received the maximum tax credit funds of $405,000 for calendar year 2024.
Three of those schools also received Education Scholarship Account funds for fewer than 10 students. For instance, one private school received $16,461 in Education Scholarship Account funds, or most likely money for two students.
If the students receiving the ESA funds were the same ones making the school eligible for the $405,000 in tax credit funds, that would mean the state was paying $210,730 per student whereas the average per pupil spending in the public schools is about $11,500 per pupil in state and local funding.
Of course, state law does not prohibit private schools from educating only one child with special needs and being eligible for the maximum tax credit benefit of $405,000 annually.
Perhaps it seems far-fetched that a private school would be educating only one child to be eligible to receive up to $405,000 in tax credit funds.
But it also seems far-fetched that for years the students receiving the Education Scholarship Account funds were mandated by state law to use the money to go to schools equipped to meet their special education needs. Yet, research by the Legislature’s Performance Evaluation and Expenditure Review Committee (PEER) found the students were going to private schools that in some instances did not have any special education teachers and in some cases the students were still getting those services from the public schools.
Perhaps the Legislature’s PEER Committee needs to do some more research to determine whether double dipping is occurring.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post How state law allows private schools to 'double dip' by using two public programs for the same students 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 critical examination of Mississippi state law and the potential for private schools to receive funds from multiple public programs, with little oversight. The tone is analytical, raising questions about the effectiveness and transparency of the system, without offering a strong ideological stance. The language is factual, with a focus on state law and fiscal policy rather than promoting a political agenda. Although the article critiques the absence of proper oversight, it avoids demonizing private schools, instead advocating for more legislative scrutiny. The piece sticks to the reporting of facts, with a call for further investigation into the issue.
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