Roy Mitchell, executive director at the Mississippi Health Advocacy Program, which also supports expansion, noted that in a survey his organization conducted earlier this year, nearly three-fourths of respondents said they had difficulty affording care and nearly two-thirds said they delayed care or skipped it because of cost. “Hundreds of thousands of Mississippians are struggling without health insurance,” he said in an interview. “Until Medicaid is expanded, Mississippi will continue to pay the price in lost dollars, lost jobs and lost lives.”