Wed. Mar 19th, 2025

Dozens of advocates, doctors and spiritual leaders gathered outside the Capitol Tuesday to call for the “defense and expansion of Medicaid.” 

“Medicaid is not just an insurance program – it is a lifeline for 707,000 Mississippians,” said Sonya Williams Barnes, the state policy director for Southern Poverty Law Center. “Medicaid ensures that 315,000 children receive the health care they need … Make no mistakes: A cut to Medicaid directly harms our most vulnerable.”

Despite having some of the strictest eligibility requirements for the program, Mississippi has one of the largest Medicaid populations in the country as a result of the state’s poverty. 

With federal changes threatening already-existing health care programs, defending Medicaid for vulnerable groups such as those who are pregnant, elderly or disabled has become the new goal  for Mississippi advocates. Expanding Medicaid – arguably the biggest issue of the historic 2024 legislative session – has taken a backseat. 

But some urge it’s as important as ever. 

“In this moment we cannot shift gears, after all these years, and only beg our elected officials to save Medicaid,” the Rev. Jason Coker said. “We can’t give up that ground at a moment when we need to be gaining ground. We’ve got to keep pushing for Medicaid expansion, while we demand and pray for Medicaid to continue uncut.” 

Key lawmakers have said expanding Medicaid in Mississippi is all but dead this year – though a vehicle for expansion is still alive in the Legislature. 

“In a most practical sense, I’d say we probably won’t be doing anything this year,” Senate Medicaid Chairman Kevin Blackwell told Mississippi Today.

Mississippi is one of 10 states not to expand Medicaid, which would give health insurance to hundreds of thousands of low-income working Mississippians who can’t afford private health insurance and don’t qualify for subsidies that make marketplace insurance affordable.

“What kind of society are we to compound suffering with catastrophic costs to those in our congregations and so many across our state who fall within that coverage gap?” Coker asked. 

Dr. Randy Easterling, former president of the Mississippi State Medical Association, recounted a story of an uninsured patient who was diagnosed with multiple myeloma, a kind of cancer, around the same time that Easterling’s insured relative was also diagnosed with the disease. The uninsured patient, Jimmy, died, while Easterling’s relative is now in remission. 

“Is this what we boil down to?” Easterling asked. “If you have insurance, you live, if you don’t, you die? Let me tell you something, folks: That’s not what I signed up for when I went to medical school.”

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