Health | Most hospitals for blacks within the South have long been closed. Their effects are still felt

By Lauren Sausser, Kaiser Health News

MOUND BAYOU, Mississippi – In the middle of this historically black city once called the “Jewel of the Delta” by President Theodore Roosevelt, dreams of revitalizing an abandoned hospital constructing have all but dried up.

An Art Deco sign still marks the foremost entrance, however the front doors are locked and the parking zone is empty. These days, a supermarket across North Edwards Avenue is way busier than the old Taborian Hospital, which first closed greater than 40 years ago.

Myrna Smith-Thompson, the chief director of the community group that owns the property, lives 100 miles away in Memphis, Tennessee, and is unsure what’s going to turn into of the decaying constructing.

“I'm open to suggestions,” said Smith-Thompson, whose grandfather led a black fraternal order now called the Knights and Daughters of Tabor. In 1942, that group founded Taborian Hospital, a hospital staffed by black doctors and nurses that admitted only black patients at a time when Jim Crow laws denied them access to the identical health care facilities as white patients.

“It's a very painful conversation,” said Smith-Thompson, who was born at Taborian Hospital in 1949. “It's part of who I am.”

An analogous scenario has played out in a whole lot of other rural communities across the United States, where Hospitals were facing closure over the past 40 years. In this respect, the story of Mound Bayou Hospital isn’t an isolated case.

But there’s more to this hospital closure than simply the lack of beds, historians say. It can also be a story about how a whole lot of black hospitals within the United States fell victim to social progress.

The Civil Rights Act of 1964 and the introduction of Medicare and Medicaid in 1965 benefited tens of millions of individuals. The federal campaign to desegregate hospitals, which resulted in a Court case of 1969 of Charleston, South Carolina, guaranteed black patients access to the identical health care facilities as white patients throughout the South. Black doctors and nurses were now not prohibited from working in white hospitals or practicing medicine. But the top of legal segregation led to the decline of many black hospitals, which had been a vital source of employment and a middle of pride for black Americans.

“And not just for doctors,” says Vanessa Northington Gamble, a physician and historian at George Washington University. “They were social institutions, financial institutions and also medical institutions.”

In Charleston, employees of a historically black hospital on Cannon Street began publishing a monthly magazine called The Hospital Herald in 1899, which covered hospital work and public hygiene, amongst other topics. When Kansas City, Missouri, opened a hospital for black patients in 1918, people held a parade. Taborian Hospital in Mound Bayou had two operating rooms and state-of-the-art equipment. The famous civil rights activist Fannie Lou Hamer died here in 1977.

“There were Swedish hospitals. There were Jewish hospitals. There were Catholic hospitals. That's part of the story, too,” says Gamble, writer of “Making a Place for Ourselves: The Black Hospital Movement, 1920-1945.”

Nurses care for patients in this historic photo of the pediatric ward at Wheatley-Provident Hospital, a black hospital in Kansas City, Missouri. It opened in 1918, but like most black hospitals, it was closed following the federal campaign to desegregate hospitals in the 1960s. (Missouri Valley Special Collections/Kansas City Public Library/KFF Health News/TNS)
Nurses take care of patients on this historic photo of the pediatric ward at Wheatley-Provident Hospital, a black hospital in Kansas City, Missouri. It opened in 1918, but like most black hospitals, it was closed following the federal campaign to desegregate hospitals within the Sixties. (Missouri Valley Special Collections/Kansas City Public Library/KFF Health News/TNS)

“But racism in medicine was the main reason for the establishment of hospitals for blacks,” she said.

By the early Nineteen Nineties, Gamble estimated that only eight remained.

“It has ripple effects that affect the fabric of the community,” said Bizu Gelaye, an epidemiologist and program director of the Mississippi Delta Partnership in Public Health at Harvard University.

Researchers have largely concluded that desegregating hospitals improved the long-term health of black patients.

A 2009 study that focused on automobile crashes in Mississippi within the Sixties and Nineteen Seventies found that blacks were less more likely to die in hospitals after desegregation. They were in a position to reach hospitals that were closer to the scene of the accident, reducing the space they’d otherwise must travel by about 50 miles.

A Analysis of kid mortalitypublished in 2006 by economists on the Massachusetts Institute of Technology found that hospital desegregation within the South helped significantly close the mortality gap between black and white infants. That's partly because black infants affected by illnesses reminiscent of diarrhea and pneumonia had higher access to hospitals, the researchers found.

A brand new evaluation recently accepted for publication within the journal Review of Economics and Statistics suggests that racism continued to harm the health of black patients within the years after hospital integration. White hospitals were forced to integrate starting within the mid-Sixties in the event that they desired to receive Medicare funding. But they didn’t necessarily provide the identical quality of care to black and white patients, said Mark Anderson, an economics professor at Montana State University and co-author of the study. His Analysis found that the desegregation of hospitals within the South between 1959 and 1973 had “little or no effect on postneonatal mortality among blacks.”

Nearly 3,000 babies were born at Taborian Hospital before it closed its doors in 1983. The constructing sat empty for a long time until a $3 million federal grant 10 years ago helped convert the ability right into a short-lived urgent care center. It closed only a 12 months later amid a legal battle over ownership, Smith-Thompson said, and has been falling into disrepair ever since.

“We would probably need at least millions,” she estimated the price of reopening the constructing. “Now we are back to where we were before the renovation.”

In 2000, the hospital was listed as certainly one of Mississippi's most endangered historic places by the Mississippi Heritage Trust. For this reason, some people would really like to see it reopened, in any form that ensures its survival as a vital historic site.

Hermon Johnson Jr., director of the Mound Bayou Museum, who was born at Taborian Hospital in 1956, suggested using the constructing as a gathering room or museum. “It would be a tremendous boost to the community,” he said.

Most of the hospital's former patients have now died or left Mound Bayou. The city's population has fallen by about half since 1980, in response to U.S. Census Bureau records. Bolivar County is certainly one of the poorest within the country, and life expectancy is ten years lower than the national average.

A community medical institution remains to be open in Mound Bayou, but the closest hospital is in Cleveland, Mississippi, a 15-minute drive away.

Mound Bayou Mayor Leighton Aldridge, who can also be a board member of the Knights and Daughters of Tabor, said he wants Taborian Hospital to stay a health care facility and suggested it might be considered to be used as a brand new children's hospital or rehabilitation center.

“We need to bring something back there as quickly as possible,” he said.

Smith-Thompson agreed and believes the situation is urgent. “The health care available to people in the Mississippi Delta is deplorable,” she said. “People are really, really sick.”


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