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Rebuilding trust: How Ted Henifin hopes to repair the relationship between Jacksonians and their water system

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Rebuilding trust: How Ted Henifin hopes to repair the relationship between Jacksonians and their water system

Eager to spread the of a massive federal investment in his city's drinking water system, Jackson Mayor Chokwe Antar Lumumba called several town hall events over the last few months to his constituents.

But to the residents in attendance, the $800 million coming to Jackson is far less tangible than the problems right in front of them, as many directed the same, commonly heard refrains towards Lumumba: What is with my water bill? Why am I being charged for water that's unsafe to drink? Who's going to fix the sewage spewing onto my lawn?

“I'm being charged for water I'm not even using,” one man said at a Forest Hill High School town hall in February, saying the water he was being charged for was leaking across his yard.

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A woman in attendance said her monthly bill went from $55 to over $200, which she eventually just refused to pay. At another town hall in December, a said he got a bill in the thousands even though the water from his tap was brown.

Unable to speak to each person's problem, Lumumba echoed a hopeful sentiment: While the city didn't have the resources it needed before, it does now, and help is on the way.

While much has happened for the future of Jackson's water since last fall – a federal takeover that placed a third-party team in control of the system's improvement, the $800 million investment provided through several federal funding streams, a grant program that's already eliminated $8 million in resident's water bill debt in less than a week – the process of restoring trust among residents in what comes out of their taps is a long road ahead.

“I mean we're going on, what, 40 years of distrust in Jackson's water system?” said Brooke Floyd, a coordinator with the JXN People's Assembly.

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Floyd, a Jackson native, mother, and former teacher, said she distrusted the water even as a child, recalling her grandparents boiling the water for as long as she remembers.

“People are centering this on (the current) administration, but this is a deep-seated distrust that goes for years,” Floyd said. “So, I think it's going to take some time for residents to understand, and it's going to take some showing; you have to show people that the billing is going to get straightened out, and that our water is safe and that the pipes work, all those things.”

Last November, a federal judge appointed Ted Henifin to be the one in charge of lifting Jackson's water system into a state of self-reliance.

Henifin recently sat down with Mississippi Today to talk about his game plan, as well as rebuilding trust in a water system among the people who have to pay for it.

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Henifin said restoring credibility comes down to three changes: fixing the billing system, providing consistent water pressure by replacing small water lines and finally clarifying the existence of lead in Jackson's distribution system.

Henifin's plan

After working for 40 years in Virginia, it wasn't until getting to Jackson that Henifin realized being a municipal utility worker could earn him public notoriety.

“People will recognize me pretty much everywhere I go, which is a little weird,” Henifin told Mississippi Today at his office. “I'll be going out to dinner and people will say, ‘Oh, you're the water guy.'”

But Henifin is in a city where such basic services – whether it's garbage pickup, sewage disposal or drinking water – regularly leave residents without guarantees. He's also in a position where few very, if any, municipal water professionals have ever sat.

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In one of the largest federal interventions of a local utility system in American history, the U.S. government equipped Henifin with far-reaching authority that allows him to bypass local and state regulation, as well as nearly a dollars to spend on projects and a $400,000 personal salary.

His new title is chief executive officer of JXN Water, a nonprofit established to carry out the federal order put in place in November.

Although he's heading a non-public entity that can avoid public record laws and government procurement rules, Henifin said he's committed to transparency.

Jackson Mayor Chokwe Antar Lumumba speaks to Jackson residents concerning the city's water during a town hall meeting at Forest Hill High School in Jackson, Miss., Feb. 1, 2023.

At the December town hall, Henifin waited afterwards to greet attendees, handing out his phone number to anyone who asked. While he said connecting with people directly is important for him to build credibility with Jackson residents, he admitted it's been a little overwhelming at times trying to get back to everyone who reaches out.

But restoring trust is more than just being a personable face. Henifin said he wants residents, who will have to fund the water system once he's left and the federal money has dried up, to feel that they're paying into something worthwhile and that they're being charged fairly.

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“The billing system's not helping us whatsoever at the moment, sending out terrible bills and continuing to struggle answering calls,” he said. “The trust-building where (residents) connect to us, which is really billing, is the big piece.”

While it's a widely accepted practice for to charge customers based on how much water they consume, Jackson hasn't had a reliable metering system in place for years due to the fallout from a failed Siemens contract, and residents are constantly burdened with inconsistent or incorrect bills.

As part of a debt relief program – funded through a new social safety net grant created under the CARES Act – Jackson last week began offering to correct water bills for customers who felt they were given incorrect charges. In less than a week, the city corrected $8 million in residents' debt.

Recognizing the damage the broken water meters had done to the whole system's credibility, Henifin in January laid out a novel approach in a financial proposal he was required to submit by the federal order: charging residents based on their property value. He conceded then that, as far as he knew, the only city to try something similar was Milwaukee with its wastewater system.

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According to an analysis he presented, this system wouldn't change much for the lower-income and average rate-payers: the median single-family household would see a $50 monthly bill; lower-value property owners would pay slightly less; and and higher-value owners would pay slightly more, with bills capped at $150.

What would change, Henifin explained, is that residents would be getting the same bill amount every month, taking away the monthly mystery that has haunted Jackson customers since the Siemens fiasco.

But on Wednesday, lawmakers passed a bill in the Senate that would ban charging customers for water in a way that doesn't include consumption. The bill is headed back to a committee for further debate.

Henifin called out the Legislature's efforts to interfere during a recent town hall at Millsaps college.

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“There are so many things we pay for that aren't directly connected to our use,” he. “We all pay for schools, not all of us have children. We all pay for , some people put out tons of trash, some people only put out a bit.

“We're just stuck in this, ‘water has to be based on consumption' mindset, but so many other things that are for society we pay for without even giving it much thought, because it's all about a community that's supporting the other members of the community.”

Lumumba has yet to comment on the idea, saying he hasn't seen Henifin's proposal.

The JXN Water CEO will spend the next few weeks and months at roundtables with community members to hear their on his idea, among others he put in his January financial plan.

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Trusting the water

In 2015, test results for lead in Jackson's water system showed samples above the “action level,” or legal limit, of 15 parts per billion (ppb). Just months later, the state Department of Health found that nearly a quarter of homes it tested had lead levels above 15 ppb.

The Environmental Protection Agency has since required the city to issue quarterly notices to residents, reminding pregnant women and children to take extra precautions before drinking the water. The EPA requirement is still in place for Jackson because the city has yet to complete a corrosion control plan to ensure no lead or copper dissolves into the water during the treatment process.

“How can you have trust if you have to have that statement on everything you put out about the water?” Henifin said.

He said the system to complete the corrosion control, which the city has put off completing for years, should be in place this summer, which would then allow the city to stop sending the quarterly notices.

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But even after fixing the treatment process, the city will still have to ensure there's no lead in the water lines of the distribution system. Henifin said he has a contractor set to do an inventory analysis of Jackson's piping to determine if there are any lead service lines, and said that information should be presented to the public within a year.

Jackson is facing multiple lawsuits that allege the city exposed residents to lead, including one representing 600 children that alleges a coverup dating back to 2013.

Danyelle Holmes, National Social Justice Organizer with the Poor People's Campaign, said that even with the city upgrading its water lines, there is still a concern of the presence of lead in the city's homes, especially in poorer neighborhoods where pipe replacements are less feasible.

“If they're old pipes they need to be replaced,” Holmes said. “We know that in south Jackson, and in Jackson as well, a large portion of those homes are old homes, and those are the homes that we're concerned will be disproportionately affected.”

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In the city's latest quarterly notice, it disclosed that during the July-December testing period it found the 90th percentile of results showed 6 ppb of lead; while 15 ppb is the legal limit, health experts say that no amount of lead is safe to consume.

Last year, a series of tests conducted by the Clarion Ledger and Mississippi Center for Investigative Reporting found positive results for lead throughout Jackson, with the highest being about 6 ppb at Jackson State University.

Restoring pressure: replacing lines, plugging leaks

Because of leaks throughout the distribution system, the city of Jackson loses about half of the water that it treats and puts out everyday. On average, water around the country lose about 15% of the water they put out.

Water pumped from a hole dug by a water maintenance crew on Pascagoula Street in Jackson to repair a broken waterline Saturday. Crews continue to repair waterlines across the city in order to restore water to homes after severe winter storms crippled the city and state.

Henifin's team, led by former Jackson planning director Jordan Hillman, is finding major leaks throughout the city, he said, in some cases by detecting chlorine in puddles that wouldn't otherwise be there. He projects that, through contracted work, they'll be able to fix some of the larger leaks within the next two years.

The other issue, though, is the city's small diameter water lines. The modern standard is that water lines should be at least 6 inches in diameter; Jackson, though, has over 100 miles of lines smaller than that.

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Henifin projected it'll take between five to 10 years to make the necessary fixes, with the goal of doing about 20 miles of replacements each year.

“Hopefully soon after we'll get the anecdotal stories that people say, ‘Wow, the water's great, it's no longer discolored,'” Henifin said. “So, if we get a couple of those stories out by fall, I think by next year we could have some movement towards trust building if (we fix) the billing system, pipe replacement, and we get the corrosion control. Those three things should help to at least begin to build some trust.”

Optimistically speaking, Henifin added, if his team of contractors plug enough of the city's leaks, Jackson could reach a point within the next year where it wouldn't need the century-old J.H. Fewell, one of the system's two treatment plants. City officials have for years hoped to retire Fewell, which would save Jackson “significant money” from not having to operate it, Henifin said.

What's next

Pending the legislative session and feedback from upcoming community roundtables and city , Henifin hopes to have the new billing system in place by October.

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On Tuesday, Henifin also mentioned early talks of Jackson's wastewater system, which is under an EPA consent decree, joining the drinking water system in the federal stipulated order. But he said that decision is at least a few weeks away.

Looking ahead, Henifin is already thinking about how he plans to leave the city. In his January proposal, he looked at the various options for long-term governance, and suggested the best option would be placing the water system under a corporate nonprofit, similar to JXN Water but with a board of governors made of local constituents.

Under that model, Jackson would retain ownership of the water system assets, and contract out its services. Henifin said while he hadn't thoroughly researched it, he didn't know of any water systems in the U.S. with a similar model.

He added that he didn't think it'd be wise to give the city back full control of the system, citing local politics and obstacles in issuing contracts. He said he's had that conversation with Jackson leadership, and thinks they may come around to the idea at some point.

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“I don't believe the city has demonstrated that they're able to do this,” Henifin said. “With a track record like that, what would make any of us think that changes just because there's an influx of federal dollars?”

On Wednesday, proposed legislation to create a state-controlled regional authority over Jackson's water system died in the House.

Floyd, the coordinator with JXN People's Assembly, said she's encouraged by the work Henifin has done so far, and thinks he's serious about winning over residents' trust.

“There's going to be a lack of trust with whoever is (running the water system),” Floyd said. “I don't think people are really that worried with (Henifin) being from wherever and coming from the outside. When is the water going to be fixed and when is my bill going to be fixed? That's the number one concern for everybody.”

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In conversations with those affected by the ongoing water crisis, Henifin said he's been surprised by the empathy he's gotten from Jacksonians.

“The folks have very high expectations that I might be able to make a difference, but they also seem willing to be patient,” he said. “Much more so than if I was in their shoes and had lost water pressure for weeks during the summer and again at Christmas. I've found it actually to be increasing my personal pressure to succeed because so many people have been really nice about encouraging me.”

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

Mississippi Today

Experts dispel fears that Medicaid expansion is too costly for Mississippi

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mississippitoday.org – Kate Royals and Sophia Paffenroth – 2024-04-26 10:58:24

National studies and experts in expansion states refute concerns voiced in Mississippi's legislative conference committee that costs to the would exceed projections.

Among those dispelling that fear are experts and a former governor in Kentucky – one state Mississippi conferee and Senate Medicaid Chairman Kevin Blackwell referred to as an example of where expansion has been expensive.

One study in the National Bureau of Economic Research that analyzed state budget data over an eight-year period found that changes in state spending were “modest and non-significant” after Medicaid expansion, and “state projections (of cost) in the aggregate were reasonably accurate, with expansion states projecting average Medicaid spending from 2014-2018 within 2 percent of the actual amounts, and in fact overestimating Medicaid spending in most years.”

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Senate negotiators on Tuesday said they fear more people than estimated would enroll in Medicaid under expansion, and that this would result in higher-than-estimated costs to the state. 

House Medicaid Chairwoman Missy McGee, R-Hattiesburg, reiterated that multiple studies – one done this month on expansion's potential impact in Mississippi by a nonpartisan research organization – found that traditional expansion would result in savings to the state, not increased costs.

Rep. Missy McGee, R-Hattiesburg, in talks regarding Medicaid expansion during a public meeting at the state Capitol, Tuesday, April 23, 2023. Credit: Vickie D. King/Mississippi Today

The study found that traditional expansion – insuring those making up to 138% of the federal poverty level or about $20,000 annually for an individual – would cost the state nothing in the first four years of implementation, and roughly $3 million the year. It would stimulate the , putting about $1.2 billion into circulation that the state would not see otherwise and creating 11,000 new jobs in Mississippi, in addition to providing health insurance for poor working people and cutting uncompensated care costs for state- and locally owned hospitals by 60% each year. 

While Medicaid enrollment after expansion could exceed projections, that possibility was taken into account by Hilltop's , which estimated 95% of enrollees would be newly eligible. According to the study, about 200,000 Mississippians would enroll in Medicaid post-expansion. 

Sen. Brice Wiggins, R-Pascagoula, said he believes the Senate's original plan is a pragmatic proposal that offers savings – “whereas 44 other states have not been that,” he said, referencing the 40 – not 44 – expansion states. The original Senate plan covers fewer people than the House plan, includes a stringent work requirement unlikely to be approved by the federal , and doesn't qualify for increased federal .

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Blackwell also made a similar comment, asking his House counterpart “Have any of (the states) – I guess how many exceeded the number of population they estimated at onset? I think 40.”

Blackwell later offhandedly told a reporter he heard from a fellow lawmaker in Kentucky expansion had been expensive.

Asked what their sources were regarding their statements about Medicaid expansion costs, Wiggins referred questions to fellow conferee Sen. Nicole Boyd, R-Oxford, who declined to comment. Blackwell said he was unable to any sources because they “are still working on the bill” and suggested the reporter read an opinion piece by a conservative columnist whose past views have aligned with those of Gov. Tate Reeves, a Medicaid expansion opponent. 

Dr. Ben Sommers, a health economist and primary care physician based in Boston, is the author of the National Bureau of Economic Research study that found minimal changes in state spending in expansion states. He shared three additional publications with Mississippi Today that show there is no evidence of expansion negatively impacting state budgets.  

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“There's a difference between saying that enrollment was higher than expected and that the state budget impact was worse than expected. More people enrolling than projected doesn't mean that states lost money … expansion states were able to bring in 90% federal funding which often replaced things like behavioral health and uncompensated care spending that the state was previously paying for with 100% state dollars,” Sommers told Mississippi Today.

Morgan Henderson, one of the authors on the Hilltop report, echoed Sommers. And even with a lower matching rate from the federal government in current years, Henderson, who has a PhD in economics, believes the costs to states are still offset by other .  

“Higher enrollment than expected in the expansion group can lead to higher costs than expected, but this relationship likely won't be one-for-one. More new enrollees can also mean more cost offsets – such as premium tax revenue and other state tax revenue due to the increased economic activity in the state – which significantly mitigate the costs of expansion,” he told Mississippi Today.

Experts and a former governor in Kentucky – one state Blackwell referred to as an example of where expansion has been costly – said that Sommers' and Henderson's characterizations are accurate for what their state experienced post-expansion. 

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A study published by the University of Louisville Commonwealth Institute of Kentucky found that while Kentucky did experience an increase in its Medicaid budget, the increase has been offset by other benefits, such as savings in general state funds “related to care for vulnerable groups who were ineligible for Medicaid prior to expansion.” 

Expansion funneled $2.9 billion into the state's health care system within the first two years, which reduced costs of charity care and collections for medical debts, the study said.

Even if the number of enrollees is higher than originally estimated, that doesn't necessarily bode poorly for the state's budget, Sommers said. On top of the 90% federal match and the increased federal incentives for newly expanded states, the leftover portion the state is responsible for under expansion is mitigated by increased tax revenue, reduced uncompensated care costs to hospitals, and other program cost offsets, Sommers explained.

While the state does put up a small amount of money for each new enrollee under expansion, it is less expensive than the amount of money the state pays pre-expansion to cover uninsured individuals who seek care in emergency rooms and inpatient hospital settings – the most expensive places to receive care and often the only option for uninsured people.

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Mississippi hospitals incur around $600 million in uncompensated care annually. Kentucky's hospitals saw a 64% decrease in uncompensated care costs from 2013 to 2017, according to the Center on Budget and Policy Priorities

“Everybody's got heartburn over people ‘getting something they don't deserve,'” Dr. Dustin Gentry, a rural physician from Louisville, Mississippi, and self-described conservative, said. “But they're getting it anyway. They go to the ER, they get free care, they don't pay for it, but that doesn't bother anybody. But if they get Medicaid, which will actually pay the hospitals for the work they do, all of a sudden everybody's got heartburn.”

One report estimates that nearly half of all Mississippi's rural hospitals are at risk of closure.

And while the original House and the Senate plans both cover those in the coverage gap – those making too much to qualify for Medicaid currently but too little to afford private insurance plans – the House proposal would draw down $1 billion federal dollars the original Senate plan would not, since it is not considered true “expansion” according to the Affordable Care Act. That means the state would have to shell out more money, receiving its typical 77% federal match instead of 90%, and would not qualify for the additional funds that would make expansion free to the state for the first four years under the House plan. 

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In the last 10 years, as 40 states have chosen to expand Medicaid to cover the working poor, the poorest and sickest state has held out. 

After leaving House conferees alone at the negotiating table Thursday afternoon, the Senate announced its own compromise plan Friday morning. The option extends coverage to those making up to 138% of the federal poverty level and draws down the maximum amount of federal dollars available.

Lawmakers have until Monday to pass a final bill, according to current deadlines.

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

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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 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 children 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 's attorney, Seth Hunter

Mar-Jac said it relied on Onin to verify employees' age, qualifications and training, and Onin denied being Duvan's employer, according to court records. 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 and other offices across Mississippi.

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The report said six workers have died since 2019 and over 140 have been 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 having 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 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 and are in need of mental health 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 Mississippians 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 of Investigation reports on jail deaths and pored over lawsuits and news clips to identify 15 people who died after being jailed during this since 2006, (including 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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