Balfour is survived by family members and friends. News of her passing has led to an outpouring of condolences of support shared online from community members, including some she met in prison.
Instead of getting the chance to rebuild her life, Balfour was released with a death sentence, said Pauline Rogers, executive director of the RECH Foundation.
“Susie didn’t just survive prison, she came out fighting,” Rogers said in a statement. “She spent her final years demanding justice, not just for herself, but for the women still inside. She knew her time was limited, but her courage was limitless.”
Last year, Balfour filed a federal lawsuit against three private medical contractors for the prison system, alleging medical neglect. The lawsuit highlighted how she and other incarcerated women came into contact with raw industrial chemicals during cleaning duty. Some of the chemicals have been linked to an increased risk of cancer in some studies.
The companies contracted to provide health care to prisoners at the facility over the course of Balfour’s sentence — Wexford Health Sources, Centurion Health and VitalCore, the current medical provider — delayed or failed to schedule follow-up cancer screenings for Balfour even though they had been recommended by prison physicians, the lawsuit says.
“I just want everybody to be held accountable,” Balfour said of her lawsuit. “ … and I just want justice for myself and other ladies and men in there who are dealing with the same situation I am dealing with.”
Rep. Becky Currie, who chairs the House Corrections Committee, spoke to Balfour last week, just days before her death. Until the very end, Balfour was focused on ensuring her story would outlive her, that it would drive reforms protecting others from suffering the same fate, Currie said.
“She wanted to talk to me on her deathbed. She could hardly speak, but she wanted to make sure nobody goes through what she went through,” Currie said. “I told her she would be in a better place soon, and I told her I would do my best to make sure nobody else goes through this.”
During Mississippi’s 2025 legislative session, Balfour’s story inspired Rep. Justis Gibbs, a Democrat from Jackson, to introduce legislation requiring state prisons to provide inmates on work assignments with protective gear.
Gibbs said over 10 other Mississippi inmates have come down with cancer or become seriously ill after they were exposed to chemicals while on work assignments. In a statement on Monday, Gibbs said the bill was a critical step toward showing that Mississippi does not tolerate human rights abuses.
“It is sad to hear of multiple incarcerated individuals passing away this summer due to continued exposure of harsh chemicals,” Gibbs said. “We worked very hard last session to get this bill past the finish line. I am appreciative of Speaker Jason White and the House Corrections Committee for understanding how vital this bill is and passing it out of committee. Every one of my house colleagues voted yes. We cannot allow politics between chambers on unrelated matters to stop the passage of good common-sense legislation.”
The bill passed the House in a bipartisan vote before dying in the Senate. Currie told Mississippi Today on Monday that she plans on marshalling the bill through the House again next session.
Currie, a Republican from Brookhaven, said Balfour’s case shows that prison medical contractors don’t have strong enough incentives to offer preventive care or treat illnesses like cancer.
In response to an ongoing Mississippi Today investigation into prison health care and in comments on the House floor, Currie has said prisoners are sometimes denied life saving treatments. A high-ranking former corrections official also came forward and told the news outlet that Mississippi’s prison system is rife with medical neglect and mismanagement.
Mississippi Today also obtained text messages between current and former corrections department officials showing that the same year the state agreed to pay VitalCore $100 million in taxpayer funds to provide healthcare to people incarcerated in Mississippi prisons, a top official at the Department remarked that the company “sucks.”
Balfour was first convicted of murdering a police officer during a robbery in north Mississippi, and she was sentenced to death. The Mississippi Supreme Court reversed the conviction in 1992, finding that her constitutional rights were violated in trial. She reached a plea agreement for a lesser charge, her attorney said.
As of Monday, the lawsuit remains active, according to court records. Late last year Balfour’s attorneys asked for her to be able to give a deposition with the intent of preserving her testimony. She was scheduled to give one in Southaven in March.
Rogers said Balfour’s death is a tragic reminder of systemic failures in the prison system where routine medical care is denied, their labor is exploited and too many who are released die from conditions that went untreated while they were in state custody.
Her legacy is one RECH Foundation will honor by continuing to fight for justice, dignity and systemic reform, said Rogers, who was formerly incarcerated herself.
