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‘Mississippi moms can’t wait.’ Doctors urge legislators to extend postpartum coverage

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‘Mississippi moms can't wait.' Doctors urge legislators to extend postpartum coverage

Flanked by residents and student physicians from all over the , Mississippi and the Mississippi State Medical Association had one ask for Speaker of the House Phillip Gunn on Wednesday.

“We're simply asking the speaker to allow (Senate Bill) 2212 to be brought for a vote,” said Dr. Anita Henderson, a pediatrician from Hattiesburg.

Last year, Gunn killed the legislation before it could be brought to a vote on the House floor. He has been noncommittal as to whether he will allow his chamber to vote on it this session.

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In a press conference hosted on the second floor of the Capitol, Mississippi doctors emphasized the importance of extending postpartum care in the state and at times spoke directly to the House, asking them to pass SB 2212 to extend Medicaid postpartum coverage from 60 days to 12 months.

According to a Mississippi Today poll of House lawmakers conducted this session, a majority support extending the health insurance coverage for moms on Medicaid.

Currently, Mississippi women who have Medicaid have insurance coverage for two months after giving birth. But many women in Mississippi and other states who have not expanded Medicaid lose coverage after that, despite complications associated with recovering from pregnancy continuing past that point.

Wyoming's Senate and Utah's House are currently considering similar legislation. Mississippi and Wyoming are the only two states with neither extended postpartum coverage nor expanded Medicaid.

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“I know that those moms are suffering, and I know that those babies are likely to suffer as well,” Henderson said. “Babies need their mothers, and their mothers need .”

Dr. Anita Henderson, a pediatrician at The Pediatric Clinic, speaks in support of Senate Bill 2212 during a press conference at the Capitol in , Miss., Wednesday, February 22, 2023. The bill would extend postpartum coverage from two months to one year.

SB 2212 was passed by the full Senate on Feb. 7. It's the second time in four years the Republican-led Senate has voted in favor of extending postpartum care.

The bill now goes to the House, where Speaker Phillip Gunn's office will likely assign it to the House Medicaid Committee.

In spite of urging from health professionals for years, state leaders like Gov. Tate Reeves and Gunn have remained steadfast in their opposition.

Gunn has repeatedly referred to the bill as Medicaid expansion, another hotly contested Mississippi legislative issue. He indicated to WAPT on Wednesday he would not allow the bill to up for a vote for that reason.

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But the bill doesn't expand Medicaid eligibility —it extends coverage for those already on Medicaid. Gunn has also said that he's waiting on the state Division of Medicaid to take a stance on the issue, which they've refused.

“It's really not a right versus left issue,” Henderson said. “It's a right versus wrong issue.”

Reeves last week said he needs more data to support that the legislation will mothers.

Donning a button that said “The Kids Sent Me,” Henderson presented lots of data on Thursday: Two-thirds of babies born in Mississippi are born to mothers on Medicaid, and the state's already-dismal maternal mortality rate is worsening. Mississippi has the highest infant mortality rate, preterm birth rate and low birthweight rate in the country.

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Things are only set to get worse: The state's neonatal ICUs and labor and delivery units are closing. With the 's decision to overturn rights last summer, the state is expecting thousands more births.

And when a baby is born prematurely, it can cost the state more than half a million dollars more.

Every medical organization and the state economic council supports the extension of postpartum care for a reason, Henderson said.

Dr. John Cross, president of the Mississippi State Medical Association, speaks in support of Senate Bill 2212 during a press conference at the Capitol in Jackson, Miss., Wednesday, February 22, 2023. The bill would extend postpartum coverage from two months to one year.

“Children are 25% of our population, but 100% of our future,” Henderson said. “What I'm here to tell you is the future of Mississippi is being born right now … and if we want Mississippi to look differently in 10 years, in 20 years, we need to address maternal mortality, and we need to tackle the problem of prematurity.”

Dr. Michelle Owens, an OB-GYN board-certified in maternal fetal medicine, said the situation is dire.

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“The of transitioning back to a non-pregnant state is not arbitrarily cut off at 60 days, or at two months,” Owens said. “It takes almost a year to have a baby. It takes almost a year to get back.”

Henderson said she frequently sees mothers who are suffering from postnatal conditions like postpartum depression, hypertension and cardiomyopathy long after they give birth.

When she screens new mothers and they present complications after 60 days, there's not much she can do.

Owens said the extension of coverage has the potential to be “transformative.”

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“Mississippi moms can't wait, and Mississippi has waited long enough,” she said.

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

Mississippi Today

Mississippi company listed among the ‘Dirty Dozen’

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A chicken processing company and a staffing agency that allowed a teenager to clean machines at a Hattiesburg plant, leading to his , have landed on a national list of unsafe and reckless employers.

The National Council for Occupational Safety and Health assembled its “Dirty Dozen” list compiled through nominations and released its report Thursday during Workers' Memorial .

“These are unsafe and reckless employers, risking the lives of workers and communities by failing to eliminate known, preventable hazards – and in at least one case, actively lobbying against better protections for workers,” the report states.

More than half of the companies included on the list have locations in Mississippi.

Marc-Jac Poultry and Onin Staffing

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Onin Staffing hired 16-year-old Duvan Perez and placed him at the Mar-Jac Poultry plant in Hattiesburg. The night of July 14, 2023, he died after being pulled into a deboning machine.

Federal prohibits from working in dangerous conditions such as meat processing plants, especially because of the machinery. In January, OSHA cited Mar-Jac for 17 violations relating to the teenager's death and proposed over $212,000 in penalties.

Duvan Perez, 16, a Hattiesburg middle-schooler, was killed July 14, 2023, while cleaning a deboning machine at Mar-Jac Poultry. Credit: Courtesy of the family's attorney, Seth Hunter

Mar-Jac said it relied on Onin to verify employees' age, qualifications and , and Onin denied being Duvan's employer, according to court . An attorney for Mar-Jac told NBC News the teenager used identification of a 32-year-old man to get the job.

In February, Duvan's mother filed a wrongful death lawsuit against Mar-Jac and Onin in the Forrest County Circuit Court. Responding to the complaint, both companies denied most of the allegations.

“The plaintiff's decedent's negligence was the sole and/or proximate contributing cause of plaintiff's injuries,” Mar-Jac states in its response to the complaint.

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Since 2020, two other workers have died at the Hattiesburg poultry plant, and workers have suffered amputations and other injuries, according to court records.

To date, OSHA has cited Mar-Jac nearly 40 times for violations in the past decade, according to agency records.

Tyson Foods

The company has operations across the country, including two mills in Carthage and Ceres, as well as hatcheries, feed mills, truck stops and other offices across Mississippi.

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The report said six workers have died since 2019 and over 140 have been injured from ammonia leaks, none of them in Mississippi. The gas is often used to refrigerate meat, and according to the Centers for Disease Control and Prevention, exposure to the gas in high doses can be fatal.

The report also said the company is under investigation for child labor violations, assigning children to work in dangerous high-risk , which is illegal.

In the past decade, OSHA has issued over 300 citations against Tyson, according to agency records.

When asked about what it takes to get companies with a poor history of worker safety to protect employees, Jessica Martinez, co-executive director of COSH, said change is needed from all fronts, including agencies like Occupational Health and Safety Administration conduct routine inspections.

She said workers are too fearful to complain. “They need these jobs for survival. Workers are fearful of losing their jobs,” she said.

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Uber and Lyft

Nationwide, over 80 drivers for the rideshare apps have been killed on the job since 2017, according to Gig Workers Rising. The report says this is a sign that drivers are pressured to accept unsafe riders.

Internal documents have shown 24,000 “alleged assaults and threats of assault” against Uber drivers, and workers of color and immigrants experience most of the danger, according to the report.

JC Muhammad, a Lyft driver and organizer with the Chicago Gig Alliance, was physically assaulted by a passenger, and said the companies need a complete overhaul in how they protect drivers, including verification of passenger identification.

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In his situation, another person, allegedly the mother of the passenger, called for the ride. There was no verification for the person, and the passenger did not have an ID. Muhammad said he had no way to report what happened to police because he lacked the necessary information.

“We've had drivers robbed, assaulted, shot at,” he said during a Thursday press conference. “There are no protections, no protocols.”

In Mississippi, several drivers have been injured, including a woman grabbed by a drunk passenger in Ocean Springs in 2019; a man assaulted by his passenger in Oxford in 2021 and a woman driver shot in the head by a passenger in Gulfport in 2023.

Two other companies included in the report are Waffle House and , which were cited for inadequate security to protect workers and customers and a lack of worker protections. Both have locations in Mississippi and have had incidents occur here, including shootings and fights.

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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

Isabelle Taft named as Livingston Award finalist

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mississippitoday.org – 2024-04-26 09:45:16

Former Mississippi Today reporter Isabelle Taft has been named as a 2024 Livingston Award finalist in the local division for her investigation into Mississippi's practice of jailing people who have not been charged with a crime and are in need of mental treatment.

The award recognizes the best reporting by young journalists.

Isabelle Taft is a reporter and member of the Community Health Team at Mississippi Today, Friday, Jan. 28, 2022.

Committed to Jail,” a 2023 Mississippi Today and ProPublica investigation, revealed that Mississippi counties jail hundreds of people without criminal charges every year, for days or weeks at a time, solely because they may need mental health treatment — a practice that has resulted in 14 deaths since 2006 and is unique in scope in the United States. Taft was named as a finalist along with ProPublica counterparts Agnel Philip and Mollie Simon.

Mississippi Today found that in just 19 of the 's 82 counties, people were jailed without charges more than 2,000 times over four years. Taft spoke with 14 about their experiences in jail and learned that people detained for being sick are generally treated the same as people accused of crimes. She obtained Mississippi Bureau of Investigation reports on jail deaths and pored over lawsuits and clips to identify 15 people who died after being jailed during this process since 2006, ( the most recent in January, after the original was published). And she surveyed behavioral health officials and disability rights advocates in all 50 states to show that Mississippi stands alone.

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Taft was selected from thousands of applicants as a 2024-2025 fellow at The New York Times beginning this summer. She will national news.

The winner will be announced in June.

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 1964

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mississippitoday.org – Jerry Mitchell – 2024-04-26 07:00:00

April 26, 1964

Aaron Henry testifies before the Credentials Committee at the 1964 Democratic National Convention. Credit: Wikipedia

activists started the Mississippi Democratic Party to Mississippi's all-white regular delegation to the Democratic National Convention. 

The regulars had already adopted this resolution: “We oppose, condemn and deplore the Civil Rights Act of 1964 … We believe in separation of the races in all phases of our society. It is our belief that the separation of the races is necessary for the peace and tranquility of all the people of Mississippi, and the continuing good relationship which has existed over the years.” 

In reality, Black had been victims of intimidation, harassment and violence for daring to try and vote as well as laws passed to disenfranchise them. As a result, by 1964, only 6% of Black Mississippians were permitted to vote. A year earlier, activists had a mock election in which thousands of Black Mississippians showed they would vote if given an

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In August 1964, the Freedom Party decided to challenge the all-white delegation, saying they had been illegally elected in a segregated and had no intention of supporting President Lyndon B. Johnson in the November election. 

The prediction proved true, with White Mississippi Democrats overwhelmingly supporting Republican candidate Barry Goldwater, who opposed the Civil Rights Act. While the activists fell short of replacing the regulars, their courageous stand led to changes in both parties.

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

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