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It is hard to find a list where Mississippi doesn't rank last: Life expectancy. Per capita income. Children's literacy. "Mississippi's people do not fare well," wrote Willie Morris, a seventh-generation, native son who was raised in Yazoo City, once a bustling trading center perched around the southern fringe of the cotton-rich Delta. Today, up to 50 % of Yazoo City's residents reside in poverty; its people, such as the Delta's vast swamps, have been drained away.

While neighboring Southern states Slim Xtreme Gold ushered their agricultural economies into the modern world --building vibrant, commercial engines like Birmingham, Atlanta and Charlotte with opportunities for blacks to move into the middle-class --Mississippi remains a rural landscape. Indications of the impoverished post-Civil War South abound: irrepressible kudzu vines pressing in to the glass door of the abandoned building; tipsy wooden shacks that look at first glance neglected and forlorn are instead occupied with life. "The Depression, actually, wasn't an obvious phenomenon in the poorest state in the Union," wrote Eudora Welty, when she photographed Mississippi in the 1930s. It remains the poorest state today: 22 percent live in poverty.

None of which bodes well for the coverage of health of the state's 3 million people. Small businesses that dominate the economy typically don't offer medical health insurance, and despite its residents being down-at-the-heels, Mississippi's public health program for the poor is among the most restrictive in the nation. Able-bodied adults without dependent children can't join Medicaid no matter how little they earn, and only parents who earn less than 22 percent from the federal poverty level--about $384 per month for a group of three--can enroll. As a result, 25 percent of adult Mississippians--cashiers, cooks, housekeepers, truck drivers--goes without coverage. And African-Americans carry much of that burden: one out of three adults is uninsured, compared to one in five whites.

It is not easy to untangle the state's dismal health --rampant obesity, diabetes, cardiovascular disease --from its antebellum past. Generational upward mobility happened elsewhere; here, families have remained poor and undereducated, ready against change wrought by the New South. The practice of going to a doctor for maintenance continues to lag in Mississippi for logical reasons, including no insurance and little money, but also for cultural ones. For blacks, there remain deep wells of distrust dating back to Jim Crow laws that barred them in the front doors of doctors' offices, and to when black women were routinely sterilized with what became referred to as "Mississippi appendectomies." As a result, Mississippians are less likely compared to remaining country to seek primary care for chronic conditions and more prone to turn to hospitals when those ailments become more serious and expensive.

Gruesome ends await.

Mississippi has the highest rate of leg amputations in the usa and the lowest rate of Hemoglobin H1c testing, used to monitor and stop diabetes complications. The amputation rate for African-Americans Slim Xtreme Pills is startling: 4.41 per 1,000 Medicare enrollees versus 0.92 for non-blacks. The state also offers high cancer of the breast death rates, though it has a low breast cancer incidence rates. The cancer often isn't found until it's past too far.