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Katrina-era regulations dash hopes of reclaiming Pascagoula homes

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PASCAGOULA — Massive tree branches stretch overhead, shading the small brick house decades past its prime. 

with a rotting carport, it shows every bit of the some 100 years it's spent on its patch of Midway Avenue. An aged board blocks off the front door. Shutters are missing; windows busted. The inside is an 897-square-foot shell.

The walls are solid brick; the house sits on a concrete slab. Through the overgrown weeds and algae-seeped walls of the screened-in porch, Rony Hernandez saw his family's dream home. He grew up doing construction with his father. He was confident he could handle the renovation.

But those dreams came to a halt during Hernandez's first to the city for building permits. The Ingalls Shipbuilding employee wanted to where he worked — but fixing up the old home is going to take more than sweat equity.

It might take a miracle.

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FEMA's 50% rule does not allow homeowners to spend more than 50% of the structure's value to improve their homes unless they elevate their property. Credit: Eric Shelton/Mississippi

Not because of the home itself, but because of the Hurricane Katrina-era regulations that residents say hang over Pascagoula like a dark cloud. In order for a municipality to take part in the National Flood Insurance Program (NFIP), it has to agree to adopt certain building codes for flood zones recommended by the Federal Emergency Management Agency. That's where the “50% rule” comes into play.

Hernandez's fixer-upper is valued at just $36,000 and sits about 2 feet below the Pascagoula's base flood level. Under the current building code, the city can only permit Hernandez half the home's value in repairs over a 10-year period.

That leaves just $18,000 for a complete makeover, labor costs included. More than 90% of the city is in a flood zone, beholden to the same set of rules. Before the flood maps were redone in 2009, only about 15% of the city was in designated flood zones.

“We are in a situation with the city that we cannot issue permits for those people needing and wanting to do improvements over 50%,” said Pascagoula Mayor Jay Willis. “So, in many cases, we are condemning these properties, and they are in the of being demolished when, if this rule didn't exist, they could very well be brought back into code.”

Nearby cities on the Gulf Coast have had an explosive housing market with skyrocketing property values and a surge in new builds. Even as investments in Pascagoula's mean new apartments, and a $6.8 million hotel, much of the city's residential neighborhoods are lagging well behind the surrounding cities.

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FEMA officials explained that the NFIP rules about making improvements, which enacted decades ago, are meant to deter over-investing in properties that are vulnerable to flooding.

“We, as public servants – FEMA, the state and local officials, owe it to the residents and businesses to work together to take actions that will help keep us safer,” FEMA spokesperson Crystal Paulk-Buchanan said in a written response to Mississippi Today. “When communities adopt and enforce floodplain management regulations that include strong building codes, disaster impacts are less severe, and recovery is faster.”

But to those in Pascagoula, it feels like they got slammed twice. First from Katrina, and then with building permit regulations that have crippled the city from making a meaningful comeback over the last decade.

“We've got more going on in construction and in this town than we've had in 30 years,” said Josh Church, the city's planning and building director. “But it has been a battle from day one.”

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The only way Pascagoula's homeowners in the city's flood zones can spend more than 50% of a home's value on renovations is if they elevate the structure above the base flood level. But many older homes are attached to concrete slabs, making them much more expensive to raise.

Raising an existing house is costly, as is building a new house higher up.
As a result, Pascagoula neighborhoods sit as a stark divide between the have and have-nots: New luxury homes high on stilts and old homes falling deeper and deeper into disrepair until the city has no choice but to declare them condemned.

And more and more, the working class — people like Hernandez — say they're being squeezed out of affording a safe place to live that can help build wealth for their families. Hernandez saved up to redo an old home, but he doesn't have the income to build a new one from scratch.

The abandoned homes and overgrown lots that litter Pascagoula are a constant reminder of how much Katrina changed the trajectory of a city known for its major economic contributions to the state. It is home to Chevron, an oil refinery, and Ingalls Shipbuilding, which employs more than 11,000 people.

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Ingalls Shipbuilding in Pascagoula, Miss., Wednesday, May 17, 2023. Credit: Eric Shelton/Mississippi Today

Every weekday the city's population of 20,000 doubles to 40,000 when workers commute in, but shrinks back down once they clock out, according to estimates from the mayor's office.

Hernandez, 32, wants to live in Pascagoula, but he and most of his coworkers are spread out across nearby cities such as Moss Point and Ocean Springs or out of state in Alabama — their paychecks, made in Pascagoula, rarely circulate much in the city's economy. They can't find homes available in Pascagoula: they're typically run down or elevated seaside mansions.

“I feel like part of the community already and, as part of the community, I see what's going on, I see how these types of regulations hurt the community,” Hernandez said in front of the old house on Midway. “Because, look, we got a vacant house over here. Hopefully, hopefully, I will be able to fix it. But a lot of people they're not even trying. They buy properties, they can't fix them. And then they become trash.”

On the first Tuesday of every month, Church, the building director, gives a short presentation before Pascagoula's city council, pinpointing nuisance properties.

He and his team of code enforcement agents have a list of about 150 properties they've flagged as derelict or dangerous. Property by property, they work through the list by calling the owners, sending warning letters and posting notices. Going before the city or to court is the last-ditch effort to clean up the city.

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Property owners have a chance to speak at a public hearing before the board votes on whether the property should be torn down.

Most don't show. The ones who do are regularly facing an unfortunate reality: Their properties are too far gone to fix, especially with the 50% rule looming overhead.

The problem properties range from overgrown vacant lots where houses were long ago torn down to abandoned retail spots to dozens of dilapidated houses that have been empty for years, many since 2005, when Katrina flooded the city.

“If they don't live here 75 to 80% of them don't care,” Church said. “You can send them letters all you want. It's just like talking to that wall. They don't see it, they don't care about it.”

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The nuisance property problem isn't a coast-wide problem. It's a Pascagoula problem that most agree traces back to Katrina's damages, the regulations that followed, and increasing flood insurance costs that make it more and more difficult to justify investing in existing structures.

Some of the properties were passed down to relatives after a death. Many wind up in the hands of out-of-state owners who wanted to turn a quick buck after winning a tax lien certificate in an auction with the city but don't bother investing in the parcel or old home's upkeep.

Once the nuisance properties are gone, city leaders hope it will attract more new builds.

Pascagoula Mayor Dr. Jay Willis stands next to a home that has been affected by by FEMA's 50 percent rule in Pascagoula, Miss., Wednesday, May 17, 2023. Credit: Eric Shelton/Mississippi Today

“We have people coming in that are recognizing the great things that are happening in Pascagoula and wanting to be part of it,” said Willis, the Pascagoula mayor. “The next step of that is to get into the residential housing area, and have some of these investors building houses here, and hopefully that's where we're going.”

In the interim, there is some risk: Once a house — even a derelict house — is gone, the property taxes may go from $1,000 a year down to $30. It's an immediate impact on the city's tax base.

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Meanwhile, builders and investors are struggling to turn the profits needed to justify Pascagoula builds in residential neighborhoods.

Brandi and Brandon Busby scurried around a brand-new three bedroom home they built from the ground up in Pascagoula, checking items off their “to do's” before handing the keys over to the house's new owner. 

The Busbys just built Pascagoula's first new housing development since 2001. Six homes total.

“We had planned to build 11,” Brandi said, leaning over the kitchen's glossy marble counters. “But we had to stop. The problem with construction in Pascagoula versus, say, Ocean Springs, is we are paying $26,000 more here to raise the house up, and it eats our profit margin.”

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The Busbys bought a parcel of land on Mantou Street that once held three dilapidated homes the couple described as shacks. The land was slightly higher than in much of the rest of the city, so while the homes needed to be raised some to meet the regulations of new construction, they're not towering over the neighborhood.

The homes are elevated on brick foundation, with stairs leading to a porch. They have sleek siding in neutral colors. The ceilings are high and the kitchen and living areas are bright and open.

With the cost of building materials, the Busbys said it's impossible to build a new home for under $200,000 and turn a profit. Add in the extra costs of elevating in Pascagoula and high homeowners' and flood insurance rates, it's easy to quickly be priced out.

“There's no in between anymore,” Brandi said, referring to Pascagoula's makeup. “It's either 800-square-foot little Navy houses (built during World War II) or a mansion on Washington Avenue.”

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The Busbys have a history of turning down Pascagoula remodel requests. In the city's flood zones, new construction needs to be elevated — even if it's a room addition on a lower-lying home.

They wanted to improve Pascagoula but had to stop short of their goal. The costs just didn't make sense. Pascagoula houses already sit on the market longer than in competing coast cities. Not only are they more expensive to build, but also the flood zones in the county's lowest lying areas make them less valuable to sell. One misstep could mean losing money on a build.

“At the end of the day, we're a business,” Brandi said, “and we have to keep food on our own table.”

Brandon, Brandi's husband, worries about Pascaogula's long-term future — beyond just the 50% rule that keeps him from even attempting to flip the city's older homes.

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A home undergoes construction in a neighborhood in Pascagoula, Miss., Wednesday, May 17, 2023. Credit: Eric Shelton/Mississippi Today

Homeowner insurance is skyrocketing along the state's coastal cities, with one insurance agent seeing increases of 15-70%. Inflation and the overall risk of natural disasters are all contributing to the growing costs. Flood insurance prices are getting steeper on much of the coast, too.

In 2021, FEMA began using new metrics to determine the costs of the National Flood Insurance Program by assessing a property's risk, especially its proximity to water.

At first, the rule change only affected new policies. Existing policies didn't increase until the year. While some folks may be grandfathered in to lower rates, they will increase each year — usually at 18%.

“The $1,800 you're paying now won't stay $1,800,” Brandon said. “People don't seem to understand the magnitude of that. In three to four years, Pascagoula is going to be a ghost town for that reason.”

Realtor Lazaro Rovira primarily sells homes to Hispanic families who work at Ingalls and Chevron. 

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“They want to live in Pascagoula,” he said. “It's convenient because you already have the Hispanic population here, the Hispanic supermarkets and the restaurants.”

But he sees how many of them are opting out of the headache of homeownership in Pascagoula because there's a shortage of reasonable homes. He also sees potential homeowners running the numbers and opting for properties they think may be a better, long-term investment.

He recalls one recent Pascagoula home he sold for $135,000.

“When you add the flood insurance and everything, her payments were $1,400 a month, which is a lot of money,” he said. “If you're going to pay that much, you might as well go to newer construction in Ocean Springs. It just makes more sense for a lot of people.”

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Rovira applauds the mayor's office for attacking the nuisance property problem and for standing up against the 50% rule. But he's worried about what could actually be done.

“We've been complaining about this for a long time,” he said of those in real estate. “And this is literally the first administration to actually notice and take action to do something about it … Even for them just to try, really speaks volumes.”

If the 50% rule were to be lifted, or changed, Rovira said “it's going to open up the floodgates to Pascagoula” renovations.

Like Rovira, Bernie O'Sullivan has a soft spot for Pascagoula's historic properties at risk of being torn down.

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She and her husband bought a large Victorian built in the late 1800s for $85,000 in 2017 with plans to flip it. But it wound up costing $50,000 just to raise it 3-and-a-half feet to make the home no longer subject to the 50% rule.

“If we would have done the renovations under the 50% rule, in the next 10 years we couldn't do anything to fix the house if anything happened,” she said. “A little kitchen fire, anything … (the city) would have shut us down when we asked for more permits.”

She said friends and city workers were skeptical if she could pull off the project. Once the home was finished, she couldn't let it go. She and her husband moved in.

She knows what she did is the exception. Most people don't have the means to save an old house the way she did.

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“And that's why so many people in Pascagoula just walk away from their properties,” she said.

Asked about criticism of the 50% rule from Coast locals, FEMA called the policy a compromise: the rule allows investment in flood zones while taking into account the risk of repeated damages.

Officials told to Mississippi Today that they're working with local and state officials to address concerns.

But Clayton French, the deputy director of the Mississippi Emergency Management Agency, said he understood where Pascagoula homeowners were coming from, saying that those looking to make improvements are “trapped.”

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“I think the real answer is Congress needs to relook this again,” French said, explaining what it would take to change the policy. “They probably made some choices, just guessing, years ago, and now they're seeing the fruits of some of those choices.

Pascagoula is low lying. The Gulf waters near Pascagoula are shallow. That means there's not a lot of room for it to absorb storm surge. Unlike New Orleans, there isn't a levy built to control it.

Most Pascagoula locals view Katrina as a 100-year storm. They're not worried about it happening again.

According to NFIP data, the program saw an average of 51 flood insurance claims from Pascagoula between 1977 and 2004, the year before Katrina. Since Katrina, that number's dropped to 33 per year.

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“When you look at the number of flood claims, it's not the issue,” said Pascagoula resident Jimmy Fondren, a Republican candidate for the Mississippi House. “The issue is the mapping … People shouldn't be told by the federal government what they can and can't do with their own homes.”

Pascagoula leadership is figuring out what next steps could help the city. 

It could opt out of FEMA's flood insurance program altogether to avoid the building requirements it has to impose to be in the program.

Mayor Willis said the city would have to carefully consider making such a move and would only do it if a private insurer was able to step up and back the city in FEMA's place.

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Willis and other local leaders say they've spoken to Congress members about altering the FEMA requirements so Pascagoula wouldn't have to adopt a 50% rule — but maybe a 100% percent rule — that would allow homeowners in the city to at least make improvements up to the full value of what the house is worth.

Republican 4th District U.S. Rep. Mike Ezell said he has “made it a priority to work with other members, especially our neighbors from other Gulf Coast districts, to address these problems and provide much-needed relief to our coastal communities.”

“As a Pascagoula native and a lifelong resident of the Gulf Coast, I've witnessed the negative impacts of the 50% rule on Pascagoula, especially on young families who can't afford to live in my hometown. I've also seen how cities and towns across the Gulf Coast struggle because of delays in reimbursements and other FEMA programs.”

If a 100% rule went into effect, Hernandez would have enough room to fix his home and have enough wiggle room should he need to add in other repairs over the next 10 years. Before he knew about the 50% rule, he planned to spend about $20,000 in home improvements.

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For now, he's stuck. He's struggling to find a contractor willing to come give the estimate he needs to give to the city before the planning office can even consider issuing a building permit.

The longer the house sits, the more likely it could one day end up on the city's list of homes it has no choice but to condemn and knock down.

Hernandez saw a future in the one-story home. He got it for a low price, but has already spent several thousands of dollars renting dumpsters just to clear our trash from the house's yard.

He grew up in New Orleans. He understands the risk of living in a low-lying area.

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He purchased the house in 2017 with high hopes. It was supposed to become the perfect home for his three kids and his two sisters he's helping raise.

“We bought it thinking that we were gonna be able to move here,” Hernandez said, looking at the little brick house.

He just wants that to be true.

Mississippi Today Reporter Alex Rozier contributed to this report.

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

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Mississippi Today

‘This doesn’t need to be a slap on the wrist,’ DA says of Noxubee County case

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mississippitoday.org – Jerry Mitchell and Ilyssa Daly – 2024-05-09 13:45:26

A capital murder investigation helped lead to unrelated federal charges against former Noxubee County Sheriff Terry Grassaree and his deputy that involved the sexual abuse of a jailed woman.

On Tuesday, Grassaree pleaded guilty to lying to the FBI when he denied receiving nude photos and from a woman locked in his jail. He faces up to five years in federal prison when he is sentenced Aug. 7.

Ex-Noxubee County Sheriff Terry Grassaree heads into federal court where he will plead guilty, Tuesday, May 7, 2024 in Jackson.

His former deputy, Vance Phillips, pleaded guilty last year to bribery, which experts say could have been the perks the woman received, a contraband cellphone. No date has been set for his sentencing.

District Attorney Scott Colom said Thursday he would like to see serious punishment for Grassaree for such abuse. “This doesn't need to be a slap on the wrist,” he said.

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He said the discovery of this abuse began with a capital murder case. In 2015, Kristopher Haywood died in a convenience store attack in Macon when someone blasted the 28-year-old twice in the head with a shotgun.

A Noxubee County grand jury indicted Jonathan Shumaker, his girlfriend, Elizabeth Layne Reed, and Justin Williams and his brother, Joshua, on capital murder charges. Shumaker was also found in possession of a shotgun and charged with possession of a firearm by a felon. (These charges were dropped last year after an audio recording surfaced that exonerated them.)

But when Colom inherited the case as the new district attorney in 2016, he said he discovered the evidence and some of the witnesses contradicted the description of what happened.

Three years later, as he prepared for trial, he said his office interviewed Reed, who shared that deputies had been having sex with her inside the jail, “but you're not going to do anything about it.”

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Colom promised that he would.

He said he reached out to federal authorities in 2019 for assistance out of concern that it might be difficult to investigate law enforcement in such a small county. 

He said his office took the lead. One of his workers messaged Deputy Phillips from Reed's Facebook page a photograph of a positive test for pregnancy.

“That's how we got Vance to corroborate that Reed was telling the truth about the unlawful sex,” Colom said. “We knew we had a serious problem then.”

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Any sex that an officer has with someone behind bars is a felony under Mississippi law and carries up to five years in prison. The maximum penalty under federal law is also five years.

There is no way for those behind bars to give consent, Colom said. “They're in a vulnerable situation. Their liberty and can be used against them.”

Reed told Colom's office that the sex began with Phillips after he began transporting her to ' visits. He first took her to his trailer to have sex and then had sex with her while the female correctional officers were at lunch, Colom said.

The encounters also took place in deputies' offices, the interrogation room and even the evidence shed, he said.

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The deputy continued to demand sex with her on an almost weekly basis between May 2017 and October 2019, according to a she filed against Noxubee County and the sheriff's office. “Reed, under the coercion of Phillips' authority and her incarceration, acquiesced in Phillips' demands.”

Another deputy, Damon Clark, who gave her cigarettes and a touchscreen cell phone, took her up front to a shower, where “he laid me on the floor [and] got on top of me,” she told authorities.

Clark has never been charged. “I never coerced Reed into sex,” he wrote in his response to the lawsuit, but he never answered whether he had sex with her.

Reed told authorities that one other deputy digitally penetrated her and another groped her and “sexted” her.

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Colom said their investigation into sexual abuse corroborated much of what Reed alleged. It was then, he said, “we realized we had a serious problem with the Noxubee County Sheriff's Office under the regime of former Sheriff Terry Grassaree.”

Their investigation showed Grassaree knew about his deputies' activities, but rather than referring the matter to authorities, he sought to “get in on the action himself,” Colom said.

Reed's lawsuit said Grassaree demanded “a continuous stream of explicit videos, photographs and texts” from her in jail. She also alleged in the lawsuit that Grassaree touched her in a “sexual manner.”

The county settled the lawsuit for an undisclosed amount.

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Colom said he decided to turn over his investigation to federal authorities with the agreement they would prosecute since they could pull far more potential jurors. Getting enough people to serve as jurors has long been a problem in Noxubee County, which has a population of less than 10,000, much less finding impartial jurors, he said.

On July 13, 2020, an FBI agent interviewed Grassaree, who denied that he received nude photos and videos from Reed in jail.

Two years later, reporters from the Mississippi Center for Investigative at Mississippi Today and The New York Times began asking Colom about the case. Colom responded that he was waiting for federal authorities to prosecute as they agreed. Afterward, he contacted federal authorities again and told them reporters had reached out to him, asking questions.

In October 2022, a federal grand jury finally indicted Grassaree and Phillips.

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Colom said federal authorities “never gave me a good reason for why they took so long.”

He said even more troubling in his investigation was the discovery of “illegal activities” by the sheriff's office “that were unrelated to sex.” There have been no indictments in that case.

Noxubee County already have a lot of skepticism toward law enforcement, he said, “so when you actually do have corruption, it has to be aggressively handled. We can't have forces where the people we are trusting to protect and serve are only concerned about themselves and their own illegal agendas.”

He still hopes federal authorities will prosecute, he said. “It would send a strong message to the citizens in Noxubee County that you care about them.”

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Asked if his office could bring charges now, he said that was impossible because “the statute of limitations has run.”

Federal authorities have a five-year statute of limitations, but the statute of limitations in Mississippi is only two years.

Colom said he didn't move sooner because federal “had agreed to prosecute the charges and kept telling me they were going to do something.”

A spokesperson for the U.S. Attorney's office in Jackson responded Thursday, “The Department of Justice follows the facts, law, and principles of federal prosecution when determining how to proceed in an investigation and what charges, if any, can be filed. Federal agents and prosecutors will continue working hard every day to hold public officials in Mississippi, like Sheriff Grassaree, accountable for corrupt use of their office and efforts to mislead investigators.”

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Mike Hurst, U.S. attorney for the Southern District of Mississippi

Former U.S. Attorney Michael Hurst, who served from 2017 to 2021, said prosecuting public corruption was one of his top priorities, especially when it involved law enforcement who “violated their oath and victimized our citizens.”

He said if the U.S. attorney's office had sufficient evidence beyond a reasonable doubt to prosecute, “we prosecuted them, no matter who they were, period. In many instances, federal prosecutors are the last line of defense in our society of ensuring that our citizens are protected, their rights are upheld, and that criminals — especially corrupt public officials — are held accountable.”

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

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Mississippi Today

Medical residents are increasingly avoiding states with abortion restrictions

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mississippitoday.org – Rachana Pradhan, KFF Health News and Julie Rovner, KFF Health News – 2024-05-09 12:27:53

Isabella Rosario Blum was wrapping up medical school and considering residency programs to become a practice physician when she got some frank advice: If she wanted to be trained to abortions, she shouldn't stay in Arizona.

Blum turned to programs mostly in states where abortion access — and, by extension, abortion — is likely to remain protected, like California, Colorado, and New Mexico. Arizona has enacted a law banning most abortions after 15 weeks.

“I would really like to have all the training possible,” she said, “so of course that would have still been a limitation.”

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In June, she will start her residency at Swedish Cherry Hill hospital in Seattle.

According to new statistics from the Association of American Medical Colleges, for the second year in a row, students graduating from U.S. medical schools were less likely to apply this year for residency positions in states with abortion bans and other significant abortion restrictions.

Since the Supreme Court in 2022 overturned the constitutional right to an abortion, fights over abortion access have created plenty of uncertainty for pregnant patients and their . But that uncertainty has also bled into the world of medical education, forcing some new doctors to factor state abortion laws into their decisions about where to begin their careers.

Fourteen states, primarily in the Midwest and South, have banned nearly all abortions. The new analysis by the AAMC — a preliminary copy of which was exclusively reviewed by KFF Health News before its public release — found that the number of applicants to residency programs in states with near-total abortion bans declined by 4.2%, compared with a 0.6% drop in states where abortion remains legal.

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Notably, the AAMC's findings illuminate the broader problems abortion bans can create for a state's medical community, particularly in an era of provider shortages: The organization tracked a larger decrease in interest in residencies in states with abortion restrictions not only among those in specialties most likely to treat pregnant patients, like OB-GYNs and emergency room doctors, but also among aspiring doctors in other specialties.

“It should be concerning for states with severe restrictions on reproductive rights that so many new physicians — across specialties — are choosing to apply to other states for training instead,” wrote Atul Grover, executive director of the AAMC's Research and Action Institute.

The AAMC analysis found the number of applicants to OB-GYN residency programs in abortion ban states dropped by 6.7%, compared with a 0.4% increase in states where abortion remains legal. For internal medicine, the drop observed in abortion ban states was over five times as much as in states where abortion is legal.

In its analysis, the AAMC said an ongoing decline in interest in ban states among new doctors ultimately “may negatively affect access to care in those states.”

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Jack Resneck Jr., immediate past president of the American Medical Association, said the data demonstrates yet another consequence of the post-Roe v. Wade era.

The AAMC analysis notes that even in states with abortion bans, residency programs are filling their positions — mostly because there are more graduating medical students in the U.S. and abroad than there are residency slots.

Still, Resneck said, “we're extraordinarily worried.” For example, physicians without adequate abortion training may not be able to manage miscarriages, ectopic pregnancies, or potential complications such as infection or hemorrhaging that could stem from pregnancy loss.

Those who work with students and say their observations support the AAMC's findings. “People don't want to go to a place where evidence-based practice and human rights in general are curtailed,” said Beverly Gray, an associate professor of obstetrics and gynecology at Duke School of Medicine.

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Abortion in North Carolina is banned in nearly all cases after 12 weeks. Women who experience unexpected complications or discover their baby has potentially fatal birth defects later in pregnancy may not be able to receive care there.

Gray said she worries that even though Duke is a highly sought training destination for medical residents, the abortion ban “impacts whether we have the best and brightest coming to North Carolina.”

Rohini Kousalya Siva will start her obstetrics and gynecology residency at MedStar Washington Hospital Center in Washington, D.C., this year. She said she did not consider programs in states that have banned or severely restricted abortion, applying instead to programs in Maryland, New Hampshire, New York, and Washington, D.C.

“We're physicians,” said Kousalya Siva, who attended medical school in Virginia and was previously president of the American Medical Student Association. “We're supposed to be giving the best evidence-based care to our patients, and we can't do that if we haven't been given abortion training.”

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Another consideration: Most graduating medical students are in their 20s, “the age when people are starting to think about putting down roots and starting families,” said Gray, who added that she is noticing many more students ask about politics during their residency interviews.

And because most young doctors make their careers in the state where they do their residencies, “people don't feel safe potentially their own pregnancies living in those states” with severe restrictions, said Debra Stulberg, chair of the Department of Family Medicine at the University of Chicago.

Stulberg and others worry that this self-selection away from states with abortion restrictions will exacerbate the shortages of physicians in rural and underserved areas.

“The geographic misalignment between where the needs are and where people are choosing to go is really problematic,” she said. “We don't need people further concentrating in urban areas where there's already good access.”

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After attending medical school in Tennessee, which has adopted one of the most sweeping abortion bans in the nation, Hannah Light-Olson will start her OB-GYN residency at the University of California-San Francisco this summer.

It was not an easy , she said. “I feel some guilt and sadness leaving a situation where I feel like I could be of some ,” she said. “I feel deeply indebted to the program that trained me, and to the patients of Tennessee.”

Light-Olson said some of her fellow students applied to programs in abortion ban states “because they think we need pro-choice providers in restrictive states now more than ever.” In fact, she said, she also applied to programs in ban states when she was confident the program had a way to provide abortion training.

“I felt like there was no perfect, 100% guarantee; we've seen how fast things can change,” she said. “I don't feel particularly confident that California and New York aren't going to be under threat, too.”

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As a condition of a scholarship she received for medical school, Blum said, she will have to return to Arizona to practice, and it is unclear what abortion access will look like then. But she is worried about long-term impacts.

“Residents, if they can't get the training in the state, then they're probably less likely to settle down and work in the state as well,” she said.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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

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Mississippi Today

On this day in 1928

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mississippitoday.org – Jerry Mitchell – 2024-05-09 07:00:00

MAY 9, 1928

First NFL with an all-Black officiating crew on Nov. 23, 2020. Burl Toler, pictured far right, was remembered. Credit: NBC

Burl Toler was born in Memphis. The first Black official in any major sport in the U.S., he defeated prejudice at each turn. 

In 1951, Toler starred for the legendary undefeated of San Francisco Dons. Prejudice kept the integrated team from playing in the Gator Bowl, but the team found anyway. Nine players went to the NFL, three of them later inducted into the Professional Football Hall of Fame. Their best player may have been Toler, who was drafted by Cleveland but suffered a severe knee injury in a college all-star game that ended his playing days. 

Toler decided to make his way into professional football through officiating. The NFL hired him in 1965 — a year before Emmett Ashford became the first Black umpire in Major League and three years before Jackie White broke the color barrier in the NBA. 

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He rose above the racism he encountered, working as a head linesman and field judge for a quarter-century. He officiated Super Bowl XIV, where the Pittsburgh Steelers defeated the Los Angeles Rams in 1980. Two years later, he officiated the “Freezer Bowl,” where the Cincinnati Bengals defeated the San Diego Chargers in the AFC Championship Game. The game marked the coldest temperatures of any game in NFL history — minus 59 degrees wind chill — and Toler suffered frostbite. 

In addition to his NFL work, he worked as an educator, becoming the first Black secondary school principal in the San Francisco district. He died in 2009. Two area schools and a hall on the University of San Francisco campus have been renamed in his honor. On Nov. 23, 2020, Toler was remembered again when the NFL had its first all-Black officiating crew.

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

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