His most significant plan is to fully expand Medicaid in Mississippi, which Mr. Reeves — along with Republicans in nine other states, mostly in the South — refuses to do. As The New York Times recently reported, health care is in a serious crisis in the state, where five hospitals have closed since 2005 and 36 percent of the remaining rural hospitals are at risk of closing from lack of funds. Mississippi’s stubbornness has cost it about $1.35 billion a year in federal funds to hospitals and health care providers, money that could be used for 100,000 poor adults who now have no guaranteed health coverage.
“This will go down in history one of the dumbest decisions ever made in this state,” Mr. Presley said. “Our health care system is on fire because Tate Reeves is not willing to help working Mississippians, just because of some petty, cheap, childish politics.”
The state has a $3.9 billion budget surplus and could easily afford its 10 percent share of the expansion cost, but Mr. Reeves would rather use the money to help prosperous earners by getting rid of the income tax, which most low-income people do not pay. Mr. Presley, on the other hand, is campaigning to eliminate the grocery tax, which at 7 percent is the highest in the nation and hurts poor people the most. Though he is too politic to say so, the grocery tax is yet another legacy of Mississippi’s structural racism, which helps explain why there is more hunger in the state than in any other.
Polling shows that nearly 60 percent of state voters say they will support only a candidate for governor who wants to get rid of the grocery tax, and 55 percent will support only a candidate who wants to expand Medicaid. But that same poll shows Mr. Reeves ahead of Mr. Presley by 11 points. (The Presley campaign says its internal polling shows the race to be within the margin of error.) To a large degree, that contradiction can be explained by rote party identification in the state, but it’s also because nearly two-thirds of voters don’t know enough about Mr. Presley yet, particularly in African American areas.
“In those neighborhoods, he’s still a white guy that nobody knows,” said State Representative Robert L. Johnson III, the House Democratic leader, who is Black and has been supportive of Mr. Presley. “But he’s not afraid to embrace the African American vote in this state. He’s made commitments to do things that other candidates don’t do. It’s early yet, but the governor has been so bad that I think this time might be different.”
Mr. Presley has won the endorsement of Bennie Thompson, the Democratic congressman from Jackson who carries a lot of weight among Black voters, and he has one new advantage: In 2020, voters abolished the Jim Crow-era requirement that candidates for governor have to win not only the popular vote but also the most votes in a majority of the 122 state House districts, a law intended to keep Black candidates out of statewide offices. (Mr. Reeves did not support the repeal.)
“I think he can win,” Mr. Espy told me. “He’s very likable, a good retail politician, and Tate Reeves is so very, very unpopular. But he’s got a big job. He needs to raise the money and do more Black outreach.”