Mississippi Today
Despite Gov. Reeves’ debate claims, experts say it’s hard to argue that states are ‘better off’ without Medicaid expansion
Gov. Tate Reeves, the state's most powerful opponent of Medicaid expansion, repeated a familiar claim at Wednesday night's gubernatorial debate: that the program wouldn't save the state's failing hospitals.
But health care experts say that was always clear, that the governor's argument is missing an understanding of the challenges facing the state's health care system and that expansion, by potentially insuring about a quarter million Mississippians, would allow hospitals to get paid something for the care they provide to uninsured patients versus getting paid nothing.
The first and only debate between Reeves and Democratic challenger Brandon Presley ahead of the Nov. 7 election opened Wednesday night with questions about Medicaid expansion, which has remained a title issue of the campaign cycle.
Mississippi is one of just 10 states that have not expanded Medicaid. Though most Mississippians support the policy, the governor has remained steadfast in his opposition.
READ MORE: FAQ: What is Medicaid expansion, really?
“Medicaid is not the best policy for rural hospitals, but you don't have to look very far to prove that,” Reeves said at the debate, before citing data from the Center for Healthcare Quality and Payment Reform's rural hospital report about Louisiana and Arkansas, two Southern states that have expanded Medicaid.
The center's most recent version of the report, which was updated last month, shows that Louisiana and Arkansas still have high rates of rural hospitals at risk of closure — 42% and 43%, respectively.
According to the report, 42% of Mississippi's rural hospitals are at risk of closure.
“Guess what? The difference is… Louisiana and Arkansas have expanded Medicaid,” Reeves continued. “Mississippi has not. (Medicaid expansion) is not the financial windfall that Brandon Presley would have you believe.”
READ MORE: Brandon Presley again vows to expand Medicaid as Gov. Tate Reeves reiterates opposition
The heart of Reeves' argument misses some major points, experts said.
“To say that other states that expanded have had the same problems is a very true statement,” said Ryan Kelly, executive director of the Mississippi Rural Health Association. “But would they be worse off without (Medicaid expansion) in the current environment? Yes, I think they would be.”
According to the center's report, the average percentage of rural hospitals at risk of closure in non-expansion states is over 37%, while the percentage in expansion states is much lower at 26%.
“What [Reeves is] saying is true,” said Harold Miller, leader of the Center for Healthcare Quality and Payment Reform. “Those are the numbers.”
However, expansion is about more than just “saving” hospitals, Miller said — it's about insuring vulnerable people, allowing them to receive regular health care.
While emergency rooms cannot turn down patients regardless of their insurance status, doctor's offices can, preventing people from receiving preventative and other non-urgent forms of health care.
Somewhere between 200,000 and 300,000 Mississippians would be affected by Medicaid expansion, according to projections. The policy would potentially bring in billions within its first few years of implementation in Mississippi, an influx of cash that the state needs. Just minutes later during the same debate, Reeves touched on Mississippi's economy, and the “competitive disadvantage” the state's up against when it comes to economic development.
Miller said hospitals in states that have expanded Medicaid do have greater losses on Medicaid services — Medicaid typically reimburses hospitals at lower rates than commercial insurance for health care services.
Reeves used that argument during the debate.
“The unintended consequence of expanding Medicaid to 300,000 Mississippians is moving individuals off of private insurance,” he said. “That's bad for rural hospitals as well, because the fact is that when you move them from private insurance, the reimbursement rates… are actually lower when they go on Medicaid.”
But that's better than not getting paid at all, according to Kelly.
Hospitals report losing about $600 million on uncompensated care annually, or services provided to people who aren't insured. That number would reduce drastically if Medicaid was expanded.
Experts agree that the hospital crisis, while heightened by the COVID-19 pandemic, has been caused by a multitude of factors. In the same vein, it won't be solved by one policy.
Kelly cited all of the other challenges hospitals are up against, including timely insurance reimbursements and rising health care costs, but he conceded that expansion would aid hospitals' uncompensated care losses, an issue that's fueling the crisis.
“You're going to have a real hard time finding someone who would say hospitals would be better off without Medicaid expansion,” Kelly said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1896
MAY 18, 1896
The U.S. Supreme Court ruled 7-1 in Plessy v. Ferguson that racial segregation on railroads or similar public places was constitutional, forging the “separate but equal” doctrine that remained in place until 1954.
In his dissent that would foreshadow the ruling six decades later in Brown v. Board of Education, Justice John Marshall Harlan wrote that “separate but equal” rail cars were aimed at discriminating against Black Americans.
“In the view of the Constitution, in the eye of the law, there is in this country no superior, dominant, ruling class of citizens,” he wrote. “Our Constitution in color-blind and neither knows nor tolerates classes among citizens. In respect of civil rights, all citizens are equal before the law. The humblest is the peer of the most powerful. The law … takes no account of his surroundings or of his color when his civil rights as guaranteed by the supreme law of the land are involved.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Did you miss our previous article…
https://www.biloxinewsevents.com/?p=359301
Mississippi Today
Renada Stovall, chemist and entrepreneur
Renada Stovall sat on the back deck of her rural Arkansas home one evening, contemplating life 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 parents and friends. She also knew, she needed something else to do.
“I thought, what kind of business can I start for myself,” said Stovall, as she watered herbs growing in a garden behind her south Jackson 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.”
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.
Stovall sells her balms and moisturizers at what she calls, “pop-up markets,” across the state during the summer. She's available via social media 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 comes from West 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.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1954
MAY 17, 1954
In Brown v. Board of Education and Bolling v. Sharpe, the U.S. Supreme Court unanimously ruled that the “separate but equal” doctrine in Plessy v. Ferguson was unconstitutional under the 14th Amendment, which guaranteed equal treatment under the law.
The historic decision 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 leaders called the day “Black Monday” and took up the charge of the just-created white Citizens' Council to preserve racial segregation at all costs.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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