Connect with us

Mississippi

‘We have been struggling.’ As Mississippi’s health care crisis worsens, health department funding lags

Published

on

‘We have been struggling.’ As Mississippi’s health care crisis worsens, health department funding lags


State Health Officer Dr. Dan Edney made one big ask of lawmakers this year: $9 million to hire the nurses needed to fully staff county health departments and a program that puts nurses in the homes of low-income pregnant women with high-risk pregnancies.

As he made the request, news headlines in Mississippi and around the country reported on the state’s financially struggling hospitals, worsening maternal mortality crisis and one of the highest uninsured populations in the country as the result of state leaders’ steadfast opposition to Medicaid expansion.

Still, the answer he got was no. 

That’s not a novel response from lawmakers — the agency’s budget was slashed in 2017 and is still making up for the loss. But this year, it could be especially damning as the state’s health care crisis reaches a breaking point. 

Advertisement

As hospitals bleed out and it becomes increasingly dangerous for Black Mississippians to give birth in the state, the need for public health services offered by the Mississippi Department of Health is seeing a resurgence.

“That was my testimony at the Legislature,” said Edney, the agency’s leader. “I reminded them … we are having to do more, which is not good. It’s a sign that the needle is moving the wrong way.”

But there’s a limit to what his agency can do without adequate funding.

Daniel Edney, M.D., is the State Health Officer. Credit: Vickie D. King/Mississippi Today

The Healthy Moms, Healthy Babies program, a partnership between the department and the state Division of Medicaid, puts nurses in the homes of expecting mothers who are undergoing high-risk pregnancies. The program serves about 700 moms, Edney said.

He knows the number of moms involved in the program needs to grow. But to do that, he needs more nurses — an increasingly difficult resource to come by in Mississippi, where nurse vacancies and turnover rates are at their highest in a decade.

The $9 million would have paid for a total of 100 nurses, the bare minimum Edney said he needs to adequately cover the state’s public health needs. 

The money needed to come from the state, Edney said, because federal funds have strict strings attached.

Advertisement

“One way I explained it at the Capitol was that state-funded nurses could do whatever we needed them to do,” Edney said. “I need Swiss Army knives. The feds give you the knife, and they tell you how to use it.”

But instead, as the agency’s responsibilities continue to grow, they got just enough to keep operating and cover inflationary costs for the next year — despite lawmakers starting the year with a historic $3.9 billion surplus.

Republican Rep. John Read, House Appropriations Chair and principal author of the Health Department’s appropriations bill, said the decision-making process was about prioritization.

“We had some money, but it’s like everything else: You don’t want to spend all your savings,” he said. “Everybody in this legislature wants to help everybody we can … Nobody gets 100% of what they asked for. There’s no way.”

Read maintained that the department’s staffing issue isn’t about their state appropriation — it’s about the nurse availability and desired salaries. To Read, hiring 100 nurses sounds impossible.

Still, Edney can’t hire even one of the 100 nurses without funding.  

In an interview with Mississippi Today, Edney said he was grateful for the money his agency did get. He repeatedly expressed his desire to do the necessary work with what he got. 

“We’ll keep trying,” Edney said. “That doesn’t mean we ignore those needs. We’ll push ahead with resources that we can find.”

Advertisement

The agency operates with a total budget of over half a billion dollars. The vast majority of that budget comes from federal dollars and a variety of fees generated from other agency operations. Less than 10% comes from the state.

Though the state portion is small, it is essential to the agency’s ability to fulfill its job. 

It’s the mission of the state Health Department to promote and protect Mississippians’ health. That includes surveilling for diseases and sexually transmitted infections, as well as other preventative public health efforts. The agency is also responsible for overseeing water testing, inspecting restaurants and licensing and regulating health care facilities.

This year, the Legislature gave the state Health Department $48 million. Of that, about half will go to agency operations, which includes salaries for state-funded positions. The other half goes elsewhere — the state Department of Health acts as a conduit for millions that will fund programs within their agency and others. 

While Edney was hoping to increase pay for his employees, he wasn’t able to secure enough funding to hand out uniform raises — just for the lowest compensated employees in the department. 

Advertisement

The agency is experiencing a vacancy rate of over 40% across departments – meaning almost one of two jobs at the agency are not filled – according to Edney.

On paper, it looks like the agency got a huge increase in funding, up $13 million from last year. But $12 million of that money is set to go to the Victims of Crime Act program, which provides services for victims of domestic abuse, childhood violence and human trafficking. It’s a program that’s only recently been added to the state Health Department’s list of responsibilities, as well as the state’s new medical cannabis program.

The Yazoo County Health Department, located at 230 E. Broadway Street, has been renovated and re-opened in Yazoo City, Monday, June 5, 2023. Credit: Vickie D. King/Mississippi Today

The remaining $12 million of the state appropriation is split among systems such as trauma care, emergency medical services, AIDS-related services and drugs, stroke and heart attack care programs, domestic violence prevention, Mississippi qualified health centers, the early intervention program and Medicaid matching.

And in a last minute change toward the end of the legislative session, lawmakers also decided to task the department with choosing the state’s next burn center and awarding it $4 million. Merit Health Central in Jackson closed Mississippi’s only accredited burn center in October.

“I have to remind folks we’re happy to administer grants and direct funding from the Legislature,” Edney said. “But we had to keep our focus on what is our core appropriation. That appropriation that helps us achieve the things we have to achieve to make sure that the most vulnerable populations in the state are served to the best of our ability.”

For agency operations, the Health Department got an increase of about $720,000, which Edney said covered cost increases caused by inflation.

Advertisement

“So we didn’t go backwards,” Edney said. 

In the newly painted lobby of Yazoo County’s renovated health department, Edney was candid about the state Health Department’s financial limitations.

“If I had the money, I would have done it yesterday,” he said of the county health department’s reopening on Monday.

It had been closed since September of last year.

“I have begged for the money to get our county health departments back open again,” Edney said. “We have been struggling.”

Advertisement

Within a month, David Caulfield, central regional administrator for the state Health Department, said the Yazoo clinic will be open four to five days a week, up from its temporary twice-a-week schedule, and be fully staffed. 

It’s typically up to the individual counties to provide and pay for their county health department’s building, while the state pays to staff it. 

“I want to personally thank the Board of Supervisors for caring about public health in Yazoo County,” Edney said. “Not every county has the same commitment to public health. They don’t look after their folks the same way you do it.

“I can’t tell you the joy in my heart to see this today because it shows me what we can do in Mississippi.”

But Yazoo County’s health department isn’t the standard — it’s an outlier. 

Advertisement

As the state Health Department has been gutted by budget cuts over the past decade while simultaneously being tasked with more responsibilities, county health departments have suffered. 

Rebecca Collins listens as David Caulfield, Central Regional Administrator for the State Department of Health, discusses the laboratory at the newly re-opened Yazoo County Health Department in Yazoo City, Monday, June 5, 2023. Credit: Vickie D. King/Mississippi Today

After the major budget cuts in 2017, hours were reduced at the majority of county health departments, and they became much harder to staff, Edney said. Services have been cut, too — county health departments stopped offering prenatal care in 2016.

And as hospital closures continue to loom — a report puts a third of rural hospitals at risk — it’s not apparent that the state Health Department is prepared to fill the gaps. 

“We utilize all the resources we can from our federal partners to help the county health departments, but the (Centers for Disease Control and Prevention) does not fund public health at the county level,” Edney said. “It’s up to us to do that, and we just don’t have enough state funding to run 86 county health departments the way that we would love to run them.”

While county health departments remain a place where Mississippians can access vaccinations, STI testing, diabetes and hypertension care, tuberculosis screenings and treatment, pap smears, family planning and pregnancy testing, Edney wants to increase staffing and get health departments open longer more days a week. They’re also exploring restarting prenatal care at county health departments. 

It’s not clear how he’ll pay for it, but Edney’s determined to try. 

Advertisement

“I’m not negative, because we have to do a better job on our side of the street,” he said. “We will be doing all that we can do, so when I go back to the Legislature and continue to ask for funding our workforce needs on the county level, I can honestly say we’re doing all we can.”

Creative Commons License

Republish our articles for free, online or in print, under a Creative Commons license.



Source link

Advertisement
Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Mississippi

As Climate Threats to Agriculture Mount, Could the Mississippi River Delta Be the Next California? – Inside Climate News

Published

on

As Climate Threats to Agriculture Mount, Could the Mississippi River Delta Be the Next California? – Inside Climate News


This story was originally published by The Tennessee Lookout.

A smorgasbord of bright red tomatoes and vibrant vegetables line the walls of Michael Katrutsa’s produce shop in rural Camden, Tennessee. What began a decade ago as a roadside farm stand is now an air-conditioned outbuilding packed with crates of watermelon, cantaloupe and his locally renowned sweet corn — all picked fresh by a handful of local employees each morning.

The roughly 20-acre farm west of the Tennessee River sells about half of its produce through his shop, with the rest going to the wholesale market.

Farms like Katrutsa’s make up just a sliver of roughly 10.7 million acres of Tennessee farmland largely dominated by hay, soybeans, corn and cotton. Specialized machines help farmers harvest vast quantities of these commodity “row crops,” but Katrutsa said the startup cost was too steep for him. While specialty crops like produce are more labor-intensive, requiring near-constant attention from early July up until the first frost in October, Katrutsa said he takes pride in feeding his neighbors.

Advertisement

The World Wildlife Fund sees farms in the mid-Mississippi delta as ripe with opportunity to become a new mecca for commercial-scale American produce. California currently grows nearly three-quarters of the nation’s fruits and nuts and more than a third of its vegetables. 

Election 2024

Explore the latest news about what’s at stake for the climate during this election season.

But as climate change compounds the threats of water scarcity, extreme weather and wildfires on California’s resources, WWF’s Markets Institute is exploring what it would take for farmers in West Tennessee, Mississippi and Arkansas to embrace — and equitably profit from — specialty crop production like strawberries, lettuce or walnuts. 

Specialty crops make up only 0.19% of the region’s farm acreage, but their higher sale value allows them to generate 1.08% of the region’s agriculture revenue, according to WWF’s May report, called The Next California, spearheaded by Markets Institute Senior Director Julia Kurnik. She argues that there’s an opportunity to proactively create more inclusive, higher-yield business models on existing farms, preventing natural ecosystems from being unnecessarily transformed into farmland.

But shifting produce growth to the Mid-Delta comes with hurdles: it requires buyers willing to try new markets, understanding of new crops’ diseases and needs, specialized equipment like cold storage and lots of expensive hands-on labor.

Advertisement

“It is not as simple as a farmer simply putting new crops in the ground,” Kurnik said.

Early Adopters Put Idea to the Test

Sixth-generation Arkansas farmer Hallie Shoffner is putting WWF’s models to the test through a nonprofit called the Delta Harvest Food Hub. The hub works with Black and women farmers to pilot the scalability of growing specialty crops in the Delta region, starting with specialty rice.

Shoffner grows basmati, jasmine, sushi rice, sake rice seeds and more on her 2,000-acre, century-old farm located in an unincorporated town outside Newport, Arkansas. She’s skeptical about a full switch to produce, but sees specialty rice products as “low-hanging fruit” easily adopted in the mid-Delta, where commodity rice is already widely grown.

The United States is the fifth-largest rice exporter in the world, and Arkansas is the country’s top producer, with other Mississippi River valley states not far behind. But the majority of specialty rice is grown in California or imported from East Asian countries.

Sixth-generation Arkansas farmer Hallie Shoffner grows specialty rice like basmati, jasmine and sushi rice, on her farm near Newport, Arkansas. Credit: Phillip Powell/Arkansas TimesSixth-generation Arkansas farmer Hallie Shoffner grows specialty rice like basmati, jasmine and sushi rice, on her farm near Newport, Arkansas. Credit: Phillip Powell/Arkansas Times
Arkansas rice farmer Hallie Shoffner runs the nonprofit Delta Harvest Food Hub, which works with farmers to pilot the scalability of growing specialty crops in the Delta region, starting with specialty rice. Credit: Phillip Powell/Arkansas TimesArkansas rice farmer Hallie Shoffner runs the nonprofit Delta Harvest Food Hub, which works with farmers to pilot the scalability of growing specialty crops in the Delta region, starting with specialty rice. Credit: Phillip Powell/Arkansas Times
Sixth-generation Arkansas farmer Hallie Shoffner grows specialty rice like basmati, jasmine and sushi rice, on her farm near Newport, Arkansas. Credit: Phillip Powell/Arkansas Times

“We are forward-thinking farmers who want to change, who want to do something different,” Shoffner said. “We want to make more money, because we know we cannot make as much money as small farms in the current agricultural economy.”

The commodity farming that dominates Delta agriculture makes the economic success of farmers largely dependent on the market prices of rice, corn, soybeans, wheat and other crops, Shoffner said. This incentivizes farms to grow larger to ensure they turn a profit even when prices are low, like they are now. But smaller farms struggle to stay afloat.

Advertisement

Shoffner said her vision for developing specialty crop markets in Arkansas will be through more collaboration between many smaller farms to diversify crop production and produce for large contracts together. She’s also exploring possibilities for expanding chickpea, sunflower, sesame and pea production in Arkansas.

And while she’s at it, Shoffner is working to make agriculture more equitable.

“As a white farmer who is a sixth generation farmer, I realize that I have inherited a large amount of land that systematically disenfranchised Black farmers,” Shoffner said. “And it is my responsibility to acknowledge that, and leverage what I’ve been given to help others.”

Her project, Delta Harvest, has a contract to grow specialty rice with a large company and she’s working with several Black farmers. She was too small to do it by herself, so they are doing it cooperatively.

Finding the Right Markets

In Mississippi, efforts to shift some of California’s sprawling specialty crop industry to the Mid-Delta drew skepticism from some farmers—even those with established specialty crop operations.

Advertisement

For the past 20 years, Don van de Werken has co-owned a 120-acre blueberry and tea farm in Poplarville, Mississippi, distributing much of its crops to buyers in his county and nearby cities.

Van de Werken questioned whether there would be enough regional demand to sustain a scaled-up specialty crop industry in Mississippi, noting that the success of his own enterprise hinges on targeting hyper-local markets like New Orleans. Shipping vegetables, fruits and other produce to buyers outside the Delta region would quickly become cost prohibitive for local farmers, van de Werken said.

“The problem we have, not just in Mississippi but the mid South in general, is we just don’t have the population base,” said van de Werken, who is also president of the Gulf South Blueberry Growers Association. “We don’t want our blueberries to go to Maine or Seattle. We want to focus our produce in a regional market.”

To make growing specialty crops worthwhile, Mississippi farmers would need to identify nearby buyers willing to purchase the new products on a consistent basis, van de Werken said. While selling goods directly to retail grocery chains like Kroger is often difficult, farmers could reduce financial risks by signing purchasing agreements with regional brokers like Louisiana-based Capitol City Produce.

“Anybody that puts anything in the ground is already taking a risk, but you want to minimize that risk,” he explained. “If you can prove to the brokers and the buyers that they can make money doing this, then the farming will come.”

The WWF report investigates ways to distribute risk across the supply chain to make selling to new markets easier on farmers, and works to connect buyers with Mid-Delta farmers. 

Advertisement

AgLaunch, a Memphis-based nonprofit that guides farmers in innovation, estimates that adding specialty crops to the Mid-Delta region could spur $4.6 billion in added revenue and 33,000 jobs. But while commodity crop prices are readily available on the Chicago Board of Trade, the specialty crop market is generally not so transparent. Large, vertically integrated companies usually dictate contract terms, AgLaunch President and farmer Pete Nelson said.

AgLaunch helps build “smart contracts” that allow multiple farmers to produce on a contract, helping them secure higher quantity deals with proper compensation as a collective. 

This story is funded by readers like you.

Our nonprofit newsroom provides award-winning climate coverage free of charge and advertising. We rely on donations from readers like you to keep going. Please donate now to support our work.

Donate Now

Advertisement

Purdue College of Agriculture professor Fred Whitford said the idea of farming cooperatives that help smaller farmers carve out space in a large-quantity market is more than 100 years old. Whitford compared commodity producers to retail giants like Walmart, which make money by selling in bulk. Small producers are more like Ace Hardware, he said.

“Maybe the smaller folks have an ability to make more off their land by going to a specialty crop,” he said.

New Challenges Need New Solutions

Farmers who embrace specialty crops will face hurdles before they make it to the market.

Growing produce can be more profitable but “easier said than done,” Whitford said. “It’s nice on paper … but boy, in reality, you’re going to have to keep an eye on this crop, whatever you’re growing, because one slip up … then you have lost a lot of money.”

In Tennessee, Katrutsa grew strawberries in addition to his other crops for 10 years, but last April, a hail storm pulverized his entire field, leaving him with nothing. He’s not growing strawberries this year, and he might not plant them again — he’s not sure if he can find enough labor to make it work.

Advertisement

He grows many types of produce so if one fails, it’s less catastrophic. He sources seedlings from a neighboring state (it’s cheaper than growing from seed) and plants five times each season to maximize yield.

He works with a consultant to help identify diseases and how to treat them. Tomatoes are the most challenging, Katrutsa said. Some of his tomato plants withered this year due to bacterial wilt that flourishes in wet soil and high temperatures and has few effective chemical remedies.

Carolyn Preble helps out farmer Michael Katrutsa at the farm shop, which stocks the more than 20 acres of produce Katrutsa grows in rural Camden, Tennessee. Credit: John Partipilo/Tennessee Lookout

Chemical treatments pose other challenges. In Shaw, Mississippi, Michael Muzzi relies on a range of herbicides to grow soybeans and other feed grains on his 2,000-acre farm. Once sprayed, herbicides like Liberty and Dicamba remain in the ground and can drift in the air, which is hazardous to specialty crops, like tomatoes, that aren’t resistant.

“You’re not going to be able to spray [those herbicides] on specialty crops,” Muzzi said.  “You’d have to have something that’s chemically tolerant.”

Advertisement

Growing fruits and vegetables on a farm with previous heavy herbicide use would require insulating those crops from chemical runoff — a feat that could only be reliably achieved by leaving whole acres of land unused for years, he said.

AgLaunch is exploring innovative ways to address these problems. For some farmers, this means helping make their existing row crops more efficient using farmer-incubated technology, adding local value by growing specialty crops or taking on processing, Nelson said. 

Then there’s disruption with higher risk: farmers can partner with agriculture automation technology startups, allowing them to field test their products and collect data in exchange for farmer equity in the startup companies. If the startup succeeds, the farmer shares in the benefits.

“It’s not as simple as, ‘Hey, we should grow tomatoes,’” Nelson said. “It’s how you think about the whole value chain and make sure the farmer is protected. Make sure it’s not an opportunity just to grow a crop, but it’s an opportunity to own part of the processing or to build new products.”

Kurnik said WWF isn’t trying to recruit farmers to start growing specialty crops – they just want Mid-Delta farmers to have the information they need to make informed decisions. In terms of acreage, row crops “dwarf” specialty crops in the United States. A small percentage shift would mean a significant change in the level of specialty crops in the Delta.

Advertisement

“We don’t need everyone to want to jump on board tomorrow,” she said. “They would flood the market if they did.”

This story is a product of the Mississippi River Basin Ag & Water Desk, an independent reporting network based at the University of Missouri in partnership with Report for America, with major funding from the Walton Family Foundation. Disclosure: The Next California report was also funded by Walton. 

About This Story

Perhaps you noticed: This story, like all the news we publish, is free to read. That’s because Inside Climate News is a 501c3 nonprofit organization. We do not charge a subscription fee, lock our news behind a paywall, or clutter our website with ads. We make our news on climate and the environment freely available to you and anyone who wants it.

That’s not all. We also share our news for free with scores of other media organizations around the country. Many of them can’t afford to do environmental journalism of their own. We’ve built bureaus from coast to coast to report local stories, collaborate with local newsrooms and co-publish articles so that this vital work is shared as widely as possible.

Two of us launched ICN in 2007. Six years later we earned a Pulitzer Prize for National Reporting, and now we run the oldest and largest dedicated climate newsroom in the nation. We tell the story in all its complexity. We hold polluters accountable. We expose environmental injustice. We debunk misinformation. We scrutinize solutions and inspire action.

Advertisement

Donations from readers like you fund every aspect of what we do. If you don’t already, will you support our ongoing work, our reporting on the biggest crisis facing our planet, and help us reach even more readers in more places?

Please take a moment to make a tax-deductible donation. Every one of them makes a difference.

Thank you,

Advertisement



Source link

Continue Reading

Mississippi

Mississippi man dies of an apparent overdose in MDOC custody in Rankin County

Published

on

Mississippi man dies of an apparent overdose in MDOC custody in Rankin County


A 41-year-old man incarcerated at Central Mississippi Correctional Facility in Rankin County died Thursday of an apparent overdose.

Mississippi Department of Corrections Commissioner Burl Cain confirmed the death in a news release.

The man was identified as Juan Gonzalez. According to prison records, he was serving a four-year sentence on multiple convictions in Hinds County and was tentatively scheduled for release in May 2025.

“Because of the unknown nature of the substance, the Mississippi Emergency Management Agency and the Mississippi Department of Health were notified,” MDOC reported.

Advertisement

The investigation into Gonzalez’s death remains ongoing.

This is a developing story and may be updated.



Source link

Continue Reading

Mississippi

Mississippi high school football scores for 2024 MHSAA Week 2

Published

on

Mississippi high school football scores for 2024 MHSAA Week 2


play

Here is our Mississippi high school football scoreboard, including the second week of the season for MHSAA programs.

THURSDAY

Heidelberg 14, Quitman 8

Advertisement

Independence 20, Byhalia 6

Myrtle 47, Potts Camp 18

North Pontotoc 41, Water Valley 19

Okolona 40, Calhoun City 0

Provine 16, Lanier 6

Advertisement



Source link

Continue Reading

Trending