fbpx
Connect with us

Mississippi Today

Despite Gov. Reeves’ debate claims, experts say it’s hard to argue that states are ‘better off’ without Medicaid expansion

Published

on

Gov. Tate Reeves, the state's most powerful opponent of expansion, repeated a familiar claim at Wednesday night's gubernatorial debate: that the program wouldn't save the state's failing hospitals.

But 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 to uninsured 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 the policy, the governor has remained steadfast in his opposition.

READ MORE: FAQ: What is Medicaid expansion, really?

Advertisement

“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 Quality and Payment Reform's rural hospital 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.”

Advertisement

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 ? 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%.

Advertisement

“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 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 .

Advertisement

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.

Advertisement

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.

Advertisement

READ MORE: ‘It is a moral obligation': Faith leaders, advocates, doctors cite Christianity as reason to expand Medicaid

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

Mississippi Today

On this day in 1917

Published

on

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

May 5, 1917

Eugene Jacques Bullard, seen here in uniform in World War I, was the first African-American combat pilot. Credit: Wikipedia

Eugene Jacques Bullard became the first Black American combat pilot. 

After the near lynching of his father and hearing that Great Britain lacked such racism, the 12-year-old Georgia native stowed away on a ship headed for Scotland. From there, he moved to Liverpool, England, where he handled odd before becoming a boxer, traveling across Europe before he settled in Paris. 

“It seems to me that the French democracy influenced the minds of both White and Black Americans there and helped us all to act like brothers as near as possible,” he said. “It convinced me, too, that God really did create all men equal, and it was easy to that way.” 

Advertisement

When World War I began, he was too young to fight for his adopted country, so he and other American expatriates joined the French Foreign Legion. Through a of battles, he was wounded, and doctors believed he would never walk again. 

No longer able to serve in the infantry, an American friend bet him $2,000 that he could not get into aviation. Taking on the , he earned his “wings” and began fighting for the French Aéronautique Militaire. 

He addressed racism with words on his plane, “All Blood Runs Red,” and he nicknamed himself, “The Black Swallow of .” 

On his flights, he reportedly took along a Rhesus monkey named “Jimmy.” He tried to join the U.S. Service, only to be turned away because he was Black. He became one of France's most decorated war heroes, earning the French Legion of Honor. 

Advertisement

After the war he bought a Paris nightclub, where Josephine Baker and Louis Armstrong performed and eventually helped French ferret out Nazi sympathizers. After World War II ended, he moved to Harlem, but his widespread fame never followed him back to the U.S. 

In 1960, when French President Charles de Gaulle visited, he told officials that he wanted to see his old friend, Bullard. No one in the government knew where Bullard was, and the FBI finally found him in an unexpected place — working as an elevator operator at the Rockefeller Center in New York

After de Gaulle's visit, he appeared on “The Today Show,” which was shot in the same building where he worked. 

Upon his death from cancer in 1961, he was buried with honors in the French War Veterans' section of the Flushing Cemetery in Queens, New York. 

Advertisement

A sculpture of Bullard can be viewed in the Smithsonian National and Air Museum in Washington, D.C., a statue of him can be found outside the Museum of Aviation, and an exhibit on him can be seen inside the National Museum of the U.S. Air Force, which posthumously gave him the rank of a second lieutenant. He is loosely portrayed in the 2006 film, “Flyboys.”

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

Continue Reading

Mississippi Today

A seat at table for Democrats might have gotten Medicaid expansion across the finish line

Published

on

mississippitoday.org – Bobby Harrison – 2024-05-05 06:00:00

The Mississippi Capitol is 171,000 square feet, granted a massive structure, but when it to communication between the two legislative chambers that occupy the building, it might as well be as big as the cosmos.

Such was the case in recent days during the intense and often combustible process that eventually led to the of expansion and with that the loss of the opportunity to for 200,000 working poor Mississippians with the federal paying the bulk of the cost.

Democrats in the state House came under intense pressure and criticism for blocking a Medicaid expansion compromise reached by Republican House and Senate negotiators.

Advertisement

First of all, it would be disingenuous to argue that Democrats, who compose less than one-third of the membership of either chamber, blocked any proposal. Truth be known, Republicans should be able to pass anything they want without a solitary Democratic vote.

But on this particular issue, the Republican legislative leadership who finally decided that Medicaid expansion would be good for the state needed the votes of the minority party, which incidentally had been working for 10 years to pass Medicaid expansion. The reason their votes were needed is that many Republicans, despite the wishes of their leaders, still oppose Medicaid expansion.

The in the process could be attributed to the decision of the two presiding officers, House Speaker Jason White and Lt. Gov. Delbert Hosemann in the Senate, not to appoint a single Democrat to the all-important conference committee.

Conference committees are formed of three senators and three House members who work out the differences between the two chambers on a bill. Considering that Democratic votes were needed in both chambers to pass Medicaid expansion, and considering Democrats had been working on the issue for a decade while Republicans blocked it, it would have made sense that they had a seat at the table in the final negotiations process.

Advertisement

One Democrat from each chamber on the conference committee could not have altered the outcome of the negotiations. But the two Democrats could have provided input on what their fellow legislative Democrats would accept and vote for.

In the eyes of the Democrats, the compromise reached without their voice being heard was unworkable and would not have resulted in Medicaid expansion.

The Republican compromise said Medicaid would not be expanded until the federal government provided a waiver mandating those on Medicaid expansion were working. Similar work requirement requests by other states have been denied. Under the compromise, if the work requirement was rejected by federal officials, Medicaid expansion would not occur in Mississippi.

After voicing strong objections to the work requirement, House Minority Leader Rep. Robert Johnson, recognizing the Senate would not budge from the work requirement, offered a compromise. The Johnson compromise to the compromise was to a provision mandating the state apply annually with federal officials for the work requirement.

Advertisement

Instead, under Johnson's proposal, state Medicaid officials would be mandated to apply just once for the work requirement. If it was rejected, Medicaid expansion would not occur, but hopefully that would compel the Legislature to take up the issue of the work requirement and perhaps remove it.

“We just want the Legislature to come back and have a conversation next year if the federal government doesn't approve the work requirement. It's as simple as that,” Johnson said.

Senate leaders agreed that Johnson's proposal was a simple ask and something they might consider.

But Lt. Gov. Delbert Hosemann, who presides over the Senate, said he never heard Johnson's proposal until late in the process — too late in the process, as it turned out.

Advertisement

Speaker Jason White, R-, also said he never heard the proposal, though Johnson said he repeatedly discussed it with House leaders. He certainly was relaying the information to the during the final hectic days before Medicaid expansion died.

And perhaps if Johnson or one of his Democratic colleagues had been on the conference committee, that information would have been heard by the right legislative people and perhaps Medicaid expansion would not have died.

After all, a conference room or an office where negotiators are meeting to hammer out a compromise is much smaller than the massive state Capitol, where communications often get lost in the cosmos.

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 1884

Published

on

May 4, 1884

of Ida B. Wells, circa 1893 Credit: Courtesy of National Park Service

Crusading journalist Ida B. Wells, an African-American native of Holly Springs, Mississippi, was riding a train from Memphis to Woodstock, Tennessee, where she worked as a teacher, when a white railroad conductor ordered her to move to another car. She refused.

When the conductor grabbed her by the arm, “I fastened my teeth in the back of his hand,” she wrote.

The conductor got from others, who dragged her off the train.

In response, she sued the railroad, saying the company forced Black Americans to ride in “separate but unequal” coaches. A local judge agreed, awarding her $500 in damages.

But the Tennessee Supreme Court reversed that ruling three years later. The upended her belief in the court system.

Advertisement

“I have firmly believed all along that the was on our side and would, when we appealed it, give us justice,” she said. “I feel shorn of that belief and utterly discouraged, and just now, if it were possible, would gather my race in my arms and fly away with them.”

Wells knew about caring for others. At age 16, she raised her younger siblings after her and a brother died in a yellow fever epidemic. She became a teacher to her .

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=355325

Advertisement
Continue Reading

News from the South

Trending