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Louisianans on Medicaid expansion can get care across river at Natchez hospital

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Louisianans on Medicaid expansion can get care across river at Natchez hospital

Just across the Mississippi River bridge from Natchez are the Louisiana towns of Vidalia, Ferriday and other communities where there are people who have health care coverage through the expansion of Medicaid.

Those Louisianans, if they are in the correct Medicaid health care network, can obtain medical services across the bridge in Mississippi at Merit Natchez hospital. People in Mississippi, of course, also can receive health care at Merit, one of the largest health care providers in southwest Mississippi.

But those Mississippians cannot take advantage of Medicaid expansion to help pay their medical bills because Mississippi, unlike Louisiana, does not have Medicaid expansion.

“Expanding Medicaid was Gov. (John Bell) Edwards’ first official act when he took office in 2016,” Laura Leist, a spokeswoman for the Democratic governor, told Mississippi Today via email. “He often says it’s the easiest big decision he’s made as governor.”

Kay Ketchings, a spokesperson for the Natchez hospital, said Merit will work with Louisianans who are not in network to provide them medical care as it will with Mississippians who have no access to Medicaid expansion. But Merit Natchez, like other Mississippi hospitals, have a difficult time collecting payment from many poor people who are not covered by Medicaid expansion. They often do not have the money to pay, leaving hospitals to eat those costs or pass the costs on to other patients.

“Medicaid covers the most vulnerable residents in Mississippi …,” Ketchings said. “It is an important step toward advancing the overall health of Mississippians because it provides sustainable coverage for continued access to preventive care and physician assistance with chronic conditions. Like others in healthcare, we are supportive of efforts to expand coverage for vulnerable Mississippians.”

Louisiana is one of the few Southern states to expand Medicaid. Medicaid provides health care coverage for primarily the working poor who earn up to 138% of the federal poverty level or about $18,750 for an individual. The federal government pays 90% of the cost plus substantial incentives for the states that have not expanded Medicaid to do so.

South Dakota voters earlier this month voted to expand Medicaid. Now 11 states, mostly in the Southeast, have not taken advantage of the expansion as is offered as part of the Patient Protection and Affordable Care Act, also known as Obamacare.

A map of the states that have not expanded Medicaid looks much the same as a footprint of the NCAA’s Southeastern Conference with four notable exceptions – Arkansas, Louisiana, Kentucky and Missouri. Those four states, including two contiguous to Mississippi, have expanded Medicaid.

Of the 11 states that have not expanded Medicaid, seven have schools in the Southeastern Conference, and all seven have higher percentages of their population uninsured or lacking health care coverage than does the nation at a whole.

The four SEC states that have expanded Medicaid have higher percentages of their population with health insurance coverage than those that have not expanded Medicaid.

“Today, more than 747,000 of Louisiana’s working poor have access to health care, including mammograms and other preventive heath screenings, mental health resources and substance abuse services,” said Leist. “Louisiana’s uninsured rate has dropped from 22.7% in 2015 prior to expansion to just 9.4%, and rural hospitals that were on the verge of closing before expansion have been able to stay open and continue serving their communities.”

In Mississippi, the Hospital Association, with many of its member medical centers in financial straits, is one of the most vocal supporters of Medicaid expansion. Mississippi's State Health Officer Daniel Edney has said that 38, or 54%, of the state’ rural hospitals are in danger of closing. Hospital Association officials say Medicaid expansion would provide a boost to those struggling hospitals by decreasing the amount of uncompensated care they deliver.

But Mississippi political leaders have blocked efforts to expand Medicaid. They have provided a litany of reasons for opposing the expansion, ranging from the state cannot afford it to not wanting to expand welfare programs in the state.

Susan Dunlap, a spokesperson for Kentucky Gov. Andy Beshear, a Democrat, said Medicaid expansion has been a positive in the Bluegrass state.

“Costs to the state have matched what was anticipated,” she said. “Expansion of this program resulted in economic growth through increased state and local tax revenue, the creation of new jobs and additional (health care) provider revenue.”

She said the expansion has resulted in people being able to get medical care, including important but non-life threatening procedures, such as knee replacements, shoulder surgeries and tonsillectomies.

In three Southern states, Louisiana, Arkansas and Kentucky, Medicaid was expanded under Democratic governors. But in those states, the expansion has been largely supported by Republican-controlled legislatures that have not tried to repeal the program. And in Arkansas, it has been continued under a Republican governor. And Arkansas-Gov. elect Sarah Huckabee Sanders, former spokesperson for President Donald Trump, has not advocated for the repeal of that state’s version of Medicaid expansion. In Arkansas, the state uses the federal Medicaid expansion matching funds to purchase private insurance for those who otherwise would be eligible for the Medicaid expansion program.

“Out of the 38 (states that have expanded Medicaid), none have stopped,” Tim Moore, chief executive with the Mississippi Hospital Association, recently told the Senate Public Health Committee during a hearing on the financial difficulties facing Mississippi hospitals.

“They continue to use it. They continue to take down federal dollars. It has been a good thing for everybody, including the state, the patients and the providers.”

The states with the highest uninsured rates in the nation are primarily Southern states that have not expanded Medicaid. Texas is the highest at 18.4%, while Georgia and Florida are at 13.2% followed by Mississippi at 13%, according to a recent report by the Health Foundation.

The national uninsured rate is 9.2%, according to the same study. The Southern states that have expanded Medicaid all have uninsured rates near or below the national average. Kentucky's uninsured rate is 6.4%.

Uninsured rates across the national have declined significantly since the 2010 passage of the Affordable Care Act that also includes the health care exchange that allows people to buy insurance coverage in most cases with the help of a government subsidy.

But there are people who do not qualify for health insurance policies through the health care exchange because their income is below a certain level. The architects of the Affordable Care Act envisioned they would be covered through Medicaid expansion, not contemplating there would be states like Mississippi that opted not to participate in the program.

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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