Sunday, May 5, 2019

Bill Crawford: Mississippi Population Trends Make Healthcare Big

Reckon conservatives will listen when two conservative, pro-capitalism columnists say healthcare is a big issue in Mississippi?


Both Wyatt Emmerich and Sid Salter have conservative views and come from the owner side of newspapers where capitalism prevails. Both recently wrote powerful columns about the need to address healthcare issues in Mississippi.

Emmerich wrote about Medicaid expansion and pointed to a Millsaps College poll that showed "'making healthcare more accessible and affordable' is the third most important issue to Mississippi voters, after fixing the roads and teacher pay raises."

Salter wrote about his own healthcare challenges in a column entitled "Paying for public health care remains federal, state governments’ most vexing challenge." He noted that "Aging Baby Boomers like me are going to significantly swell the ranks of the uninsured and underinsured over the next 20 years."

Both the swelling and the vexing are with us already.

As noted last week, 63 of Mississippi's 82 counties lost population from 2010 through 2018, according to recently released U.S. Census Bureau data. Significantly, there is one population demographic that increased in every one of our 82 counties – people age 65 and older, the group Salter is closing in on.

This older population segment grew statewide by 21% while total population grew less than 1%. Wow!

Also significant was the change in the age 18 to 64 population demographic. Statewide this age group declined 1%. It declined in all 63 counties that lost population plus another eight counties. That the decrease wasn't greater can be attributed to growth of this segment in a handful of large population counties – DeSoto, Lamar, Madison, Harrison, Hancock and Rankin, all of which had good total population growth

In raw numbers the older segment grew nearly 80,000 while the younger segment fell about 26,000.

Why do these trends matter?

Well, shrinkage of the 18 to 64 demographic, the major job-holding and taxpayer age group, will result in fewer people working and paying taxes in most Mississippi counties.

Growth of the 65 and older demographic will result in more demand for Medicaid funded nursing home beds, more Medicaid funding for poor elders on Medicare, and more healthcare access to hospitals and clinics in rural areas, not to mention higher homestead exemption costs and more local services for seniors.

Hmmm.

Fewer people working and paying taxes in most counties with more people demanding taxpayer funded services in every county – sounds pretty darn vexing to me.

No doubt that's why Emmerich points out that Mississippi's failure to expand Medicaid may be costing us both population growth and jobs.

He pointed to both Louisiana and Arkansas which expanded Medicaid. Louisiana's population grew 126,493, seven times Mississippi’s growth rate. Arkansas' grew 97,707, five times Mississippi’s growth rate. He also noted that Arkansas tax collections jumped $200 million this year.

Hmmm.

Looks like these two conservative neighboring states are using Medicaid expansion to help grow their populations and provide needed healthcare to their citizens.

What will conservatives in Mississippi do?

Emmerich is clearly fed up with conservative politicians who won't even talk about the issue, much less solve it – notably Tate Reeves and Philip Gunn.

Salter says "there is no more important question for political candidates than this one: How do you plan to pay for public health care?”

See their columns here:

https://www.northsidesun.com/opinion-columns/medicaid-expansion-will-be-big-issue-fall-elections#sthash.3Zto0KTh.dpbs

https://www.djournal.com/opinion/columnists/sid-salter-paying-for-public-health-care-remains-federal-state/article_5f03eaf8-78c7-5922-b36f-97ec8a547aa2.html

Crawford is a syndicated columnist from Meridian.

32 comments:

Anonymous said...

Let's talk about C.O.N. that keeps hospitals out of Madison.

Anonymous said...

Please link the study that these statistics are based on....inquiring minds want to know

Anonymous said...

Mississippi has more issues than most states. examples such as diabetes, obesity, teen pregnancy, as well as STD's are a huge concern and due mainly to poverty!!! We have the highest % of black population in the country per state. Black patients are much more prone to diabetes. This is a huge expense that other states are not prone to. So it's not all apples to apples.

Bill Crawford said...

Response to 8:42: Go to American Fact Finder at census.gov. Click on “advanced search.”

Anonymous said...

Thx Bill...

Anonymous said...

This is the most fundamental test Mississippians could possibly have to make a determination of whether their political candidates are concerned with serving ALL the people of Mississippi or appealing to to their political base of support just to win a primary and an election. Would Tate, Waller, or Reeves throw the baby out with the bathwater just to please a short sighted bunch of foggies who want to keep the "Mississippi way of Life" We'll see.

Anonymous said...

Bill Waller Jr and Jim Hood both offer a path forward. People do not want that. They will vote for Tate.

Anonymous said...

10:06 - Did you intend to mention Reeves twice in your question?

Mississippi is a poor state. How much more can we afford to have extracted from our wages in order to provide for those who can't or won't provide for themselves? We've already watched our education system go to shit because of liberal efforts to 'average' and 'dumb down' the systems.

If we give up much more, individually and as families, we'll be Venezuela.

Anonymous said...

How very far he's fallen when Crawford desperately leans on Emmerich as some sort of "conservative" wise man. Good Lord save us. Find some other damn voices Kingfish before JJ goes as stale as Crawford and Salter.

Anonymous said...

I certainly don't consider Emmerich conservative.

Anonymous said...

10:43 So expanding medicaid to access dollars that are already there will make us Venezuela? What did the other poor states who take the money become?

Mississippi Lord have mercy Mississippi.

Anonymous said...

Why are STDs and pregnancy 'linked to poverty'? If everybody passes through the same or similar hormonal influences, why does poverty determine who lays back?

Mr. Crawford might also want to know that 98% of all Mississippi deaths in 2017 involved both male and female who had ingested either salad or carrots during the year.

Anonymous said...

Ending the use of tax dollars to fund junk food with no nutritional value would eliminate the need to expand medicaid. Why are we paying for soda, candy, chips, etc? Mississippi could save hundreds of millions a year. Feeding disease for the pharmaceutical industry. Stand behind someone with an EBT card when the sodas are on sale.

Anonymous said...

So they conflate Medicaid expansion with both population growth and increase in tax revenue? Where is any statistical analysis to show a cause and effect?

Anonymous said...

to 3:45...boy howdy , do you get it right or what!!!

Anonymous said...

Wyatt Emmerich attacked Shad White as being intellectually dishonest and compromised. Surely, no one will label Emmerich a conservative ever again.

Anonymous said...

It irritates me that whenever Bill Crawford writes an article extolling the virtues of Medicaid expansion, he never simply discloses that he is a sitting member of the Board of Directors a hospital health system that would directly benefit to the tune of tens of millions of dollars. I know he is not a journalist by profession, but it seems such a disclosure (at least once) would be dictated by simple journalistic ethics, assuming such still exists. I respect his opinions, but he deliberately deprives his readers from having the appropriate frame of reference as to his possible bias. Anyway, he keeps doing it, and it is irritating.

Anderson Regional Medical Center Board Of Directors: https://www.andersonregional.org/AndersonLeadership.aspx

Anonymous said...

"simple journalistic ethics" = oxymoron

Anonymous said...

7:22 am God forbid someone who knows something about how the medical system works should comment when we can hear from clueless people like you. You don't dispute the facts or his points, you attack him.

Anonymous said...

If MS puts up $100, the federal government will put of $900 - that's the match rate on this program. MS would be falling all over itself for any other federal program that has a 90% match rate. The people eligible for this reform are the WORKING poor. The program almost certainly would be a pick up for the state general fund - not a cost. Mike Pence found a conservative solution in IN, and MS should too. As it is, federal money is being spent in CA and NY, and yes, conservative IN, instead of MS.

Anonymous said...

2:05 pm STDs and pregnancy and illness are linked to poverty because the poor tend not to have either education or access ( purchase power) to know how to take preventative measures or recognize the need get early treatment. Or even when they do know, they can't afford it.

Sex is a free entertainment and pleasure. Creating a family is seen as creating those who will love and value you and give you authority where none exists. And, one of more of those children may grow up to improve your economic outlook.

This is the human condition that has existed throughout history and in every society. The poor have more children and more health problems than the rich.

The remedy is education, but men who seek power and cheap labor figured out long ago that creating new followers and new sources of labor is easier than converting or enticing others. It's a means of sustaining power than continues to backfire once the numbers of and poor conditions of " unwashed masses" become to large to control.


Anonymous said...

We could triple our Medicaid budget and still leave people wanting for care. The problem is cultural, not financial.

Anonymous said...

May 6, 2019 at 8:41 AM = misses the point, purposefully

Rod Knox said...

And Bill Crawford's situation may be somewhat common in this "most corrupt state" 7:22. Reading between the lines of the Tupelo paper for several decades I feel somewhat sure that the local Daily Journal's board are primary owners of the regional hospital situated directly across the street. Of course Delaware corporate regulations protect the owners' anonymity. But ain't it great to have such $ucce$$ful neighbors. We can all feel richer being in their midst.

Anonymous said...

At 12:48. No person "owns" a non-profit. The hospital in Tupelo and the one for which Bill Crawford serves are non-profits. I doubt very much that any board members on either hospital board are paid anything other than reimbursements for expenses, if any are incurred, in attending meetings. If they are paid anything, it is certainly not much.

I don't know whether Crawford should state for every article that he writes on this topic that he serves on a hospital board. It doesn't change the fact that hospitals - and other providers - in the state are struggling. Maybe he should just to let folks know.

Rod Knox said...

I'd be very interested in where you found that information 1:16. Someone must own the hospitals regardless whether they are for profit or not. And someone(s) are apparently making a great deal of profit from the non profits.

https://www.forbes.com/sites/brucelee/2016/05/08/very-profitable-nonprofit-hospitals-but-where-are-the-profits-going/#7387553b36b2

Anonymous said...

9:07 AM We do have a cultural problem. A racist Klan mentality has destroyed this state. They have held this state back for generations.

Anonymous said...

2:38, I know these are non-profit hospitals and am almost certain these are non-stock corporations. There are by-laws that set out the Boards and governance rules of these entities. As far as ownership, no person owns these companies as their is no stock or ownership interest owned by a person. No person has a right to the returns (or obligation for the losses) of the hospital.

The article you posted is related to some of the largest non-profit hospitals in the country. Some relevant quotes from the article....

"The same study did show that a majority of the 3,000 U.S. hospitals that they studied lost money...when just considering patient care services. They did not look at potential profits from other activities such as education, licensing technology, renting space, investments, parking, selling T-shirts and plush toys, and providing wonderful hospital food." In MS, there isn't a whole lot of money to be made from licensing technology or selling T-shirts.

"What types of hospitals tended to be more profitable? Those that were larger, located in urban areas, did not have to teach medical students, interns or residents, and were part of a larger health system." MS is a rural state so some of the factors listed in the article are not relevant to MS.

Anonymous said...

Medicaid expansion is a must.

Rod Knox said...

Well you took advantage of your opportunity to ignore the fact that non profits make profits as stated in the link. Ignoring facts is such a clever way to pretend you're correct. I take it you have a lot of practice.

Anonymous said...

4:07. I didn't say non-profits cannot have net income or imply that anywhere. They can. They can also lose money. Your first post stated something that is just not true - "I feel somewhat sure that the local Daily Journal's board are primary owners of the regional hospital situated directly across the street". It is just a simple statement of fact that individuals are not owners of non-profits. And, it's misleading to imply that individuals are making decisions that result in ownership profits going into their pockets. That's why a non-profit has net assets as opposed to shareholders equity on its balance sheet.

Anonymous said...

Well, sounds like the greedy boomers should've saved more of their money along the way to pay for their healthcare costs as they age... Or you know, they can just pass it off on younger generations to deal with, just like everything else.

2016 Hottest Reporter Poll

Suscribe to latest on JJ.

Recent Comments

Search Jackson Jambalaya

Subscribe to JJ's Youtube channel

Who is the hottest reporter?

Archives

Who is the Hottest Reporter in Jackson?

Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).


Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.


In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.


Note: Security provided by INS.

Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

Note: Security provided by INS
.