Michigan
A Healthier Future: Improving Access for Immigrant Families in Michigan
Byline: Lenise Freeman, Government Relations and Public Policy Fellow
Accessing healthcare can be a daunting experience for anyone, but it poses unique challenges for immigrants and refugees. I recently participated in a breakout session at the Michigan Association for Local Public Health (MALPH) Conference held in Muskegon, Michigan, where we explored the systemic barriers that immigrant communities face in accessing healthcare. As a first-generation daughter of an immigrant, I know firsthand the barriers my mother faced while navigating the English language in healthcare settings. I often found myself translating medical jargon and filling out forms to ensure she received the care she needed. Hearing similar stories from others at the conference reinforced my commitment to advocate for better support for these individuals.
Insights from the immigrant health needs assessment conducted by the Washtenaw County Health Department reveal key challenges that immigrants and refugees face. Language barriers stand out as one of the most significant obstacles. Many struggle with English, making it hard to understand medical terms and navigate the healthcare system. One participant shared their experience as the only English speaker in their family, responsible for translating sensitive medical information. This scenario is common, underscoring the need for better communication support.
Beyond language challenges, the complexities of the U.S. healthcare system create additional barriers to access. Immigrants may be unfamiliar with fundamental concepts like making appointments or understanding insurance options. This is particularly concerning for immigrant children and pregnant individuals, who are often at greater risk of being uninsured. Legislation like House Bill (HB) 4740 aims to address this issue by suspending the five-year waiting period for immigrant children and pregnant individuals to eligible for Medicaid or the MI Child program. This bill would extend coverage to children up to 21 years of age and pregnant individuals, regardless of their length of residence in the United States. This is a critical step in ensuring these vulnerable populations receive the healthcare they need, especially in maternal and infant health.
Cultural differences also complicate matters, as traditional healthcare practices may differ from what is available in the U.S. For instance, some cultures may have stigmas surrounding mental health, deterring individuals from seeking necessary help. Additionally, a lack of access to healthy food and unfamiliarity with resources like food assistance programs can adversely impact overall well-being.
To foster a more inclusive healthcare community, improving training programs is essential. Hospitals should implement cultural competency training for their staff, equipping them with the skills to understand and respect diverse practices and beliefs. This training can help alleviate fears among immigrants and refugees about accessing services, particularly in maternal and infant health. Partnering with individuals from immigrant and refugee communities to serve as liaisons or community health workers can further enhance inclusivity. These trusted individuals can bridge communication gaps and build trust, encouraging community members to seek the care they need without fear or hesitation.
The findings from the Washtenaw County Health Department’s immigrant health needs assessment reveal pressing challenges that require our immediate attention. Language barriers and unfamiliarity with the U.S. healthcare system pose significant risks for immigrants and refugees, often preventing them from accessing essential care. That’s why I encourage healthcare providers to prioritize cultural competency training, which helps ensure immigrant children and pregnant individuals have the insurance access they deserve.
I firmly believe everyone deserves equitable access to medical care, regardless of their background or language proficiency. It’s crucial to amplify the voices of those who often go unheard, ensuring their needs are recognized and addressed within our healthcare system.
Porter Martone becomes first teenager to score game-winning goals in his first two NHL playoff games.
Porter Martone becomes first teenager to score game-winning goals in his first two NHL playoff games.
Three Michigan State recruits will represent Team USA at the world U18 hockey championships in Bratislava and Trencin, Slovakia.
The U.S. opens against Czechia on Wednesday (10 a.m., The Hockey Network).
The future Spartans are: defenseman Nick Bogas (Royal Oak), defenseman Tyler Martyniuk (Washington Township) and forward Brooks Rogowski (Brighton).
Other local commits include: defenseman Abe Barnett (University of Michigan) and goalie Luke Carrithers (Western Michigan).
Team USA’s head coach is Nick Fohr (Dexter) with Kevin Porter (Northville) and Dan Darrow (Livonia) among the assistant coaches.
The tournament features 10 countries with the final scheduled for May 2.
Bruins tie series with Sabres
The visiting Boston Bruins scored three second-period goals and held off a late Buffalo Sabres rally to post a 4-2 win on Tuesday and even their Eastern Conference quarterfinal playoff series at one victory apiece.
Viktor Arvidsson scored in the last two periods, giving the Bruins 1-0 and 4-0 leads. Morgan Geekie and Pavel Zacha also lit the lamp for Boston, which heads home for Game 3 of the best-of-seven series on Thursday.
Jonathan Aspirot, Casey Mittelstadt and David Pastrnak each dished out two assists for the Bruins, and Jeremy Swayman made 34 saves.
Bowen Byram and Peyton Krebs scored as Buffalo climbed within 4-2 in the closing minutes.
Sabres goalie Ukko-Pekka Luukkonen allowed four goals on 19 shots before Alex Lyon entered in relief following Arvidsson’s second marker, which came just 16 seconds into the third period.
Buffalo had a 36-26 shot advantage, including 20-8 in the third period, but its power play went 0-for-5. Boston finished 1-for-6 on the man advantage.
The physical contest featured 47 penalty minutes for each team.
Following a scoreless opening period, the Bruins took over in the second, scoring on three of their 11 shots against Luukkonen.
Arvidsson broke the deadlock 4:54 into the middle frame, taking Aspirot’s lob pass in ahead of the defense and beating Luukkonen five-hole with a backhander from the left circle.
A gaffe by Luukkonen helped Boston double its lead with 3:31 left in the period, as Geekie’s high backhanded dump from the far side of center ice eluded him over the glove.
The Bruins’ power play got in on the action 1:41 later. After Geekie’s one- handed keep-in at the blue line extended the play, Zacha tipped in Pastrnak’s shot from the top of the right circle while stationed in the bumper position.
Arvidsson made it 4-0 early in the third, prompting Sabres coach Lindy Ruff to change goaltenders. Aspirot banked a long feed off the boards to set up the play, leading Arvidsson down the left wing to score on a 2-on-1 rush with Zacha.
The Sabres struck twice in a 1:14 span to make things interesting. Byram accepted Beck Malenstyn’s back pass for a wrister from the top of the right circle to break Swayman’s shutout bid with 6:06 left.
Krebs soon made it 4-2, batting down and scoring the rebound of a Rasmus Dahlin point shot that caromed off the post and back into the crease.
Detroit Red Wings received six A’s in The Detroit News’ final grades for the 2025-2026 season.
Grades and key takeaways for Finnie, Gibson, Seider, Larkin, Raymond and DeBrincat after the Wings’ late collapse.
Michigan mother of three talks about how she broke her kratom addiction
Melanie Clark, 35, of Kincheloe in Michigan’s Upper Peninsula, has fought a four-year-long addiction to kratom, the so-called “gas station heroin.”
Michigan lawmakers are debating a complete ban on the sale of kratom products in the state, citing cases of addiction and instances of death from people consuming the herbal supplement known as the “gas station heroin.”
Here is what to know about this unregulated herbal substance commonly sold in convenience stores, gas stations and tobacco shops across Michigan:
What is kratom?
Kratom is a tropical tree native to Southeast Asia whose leaves contain compounds that can produce stimulant effects at low doses and opioid-like effects at higher doses. It is manufactured and sold in different forms: liquid tonics, tablets, gummies, powders and capsules.
What is kratom used for?
Kratom is marketed as a herbal supplement for energy, mood, pain relief or opioid withdrawal, though the U.S. Food and Drug Administration has not approved any of those uses. Some kratom users take it to get off heroin or fentanyl, according to University of Michigan researchers.
How is kratom pronounced?
Kratom is pronounced KRA-tum. The letter “a” takes a short “a” sound, as in crab or crack.
What is 7-OH?
7-hydroxymitragynin, or 7-OH, is an alkaloid found in kratom leaves. It is manufactured in a synthetic form to produce an opioid-like sensation of pain relief or sedation. It is more potent than pure leaf kratom and sometimes referred to as the hard liquor version of kratom (if pure leaf kratom were considered beer, which typically has a much lower percentage of alcohol by volume compared with distilled liquor).
Is kratom an opioid or addictive?
Kratom users, substance abuse counselors and doctors report symptoms of dependence and withdrawal from the substance, particularly when users exceed the recommended serving size.
The Drug Enforcement Agency has warned that kratom has “sedative effects” that “can lead to addiction.”
On July 29, the U.S. Food and Drug Administration moved to declare certain 7-hydroxymitragynine synthetic kratom products a Schedule I controlled substance, the same class of drugs as heroin, ecstasy and peyote. As of April 9, the substance had not yet been formally added to the list of Schedule I drugs, which would effectively ban 7-OH nationwide.
Does kratom have side effects?
The FDA has warned that kratom use can lead to liver toxicity, seizures or substance use disorder.
Withdrawal from the substance can lead to increased anxiety, insomnia and psychiatric episodes, according to University of Michigan researchers.
Dr. Eliza Hutchinson, a family physician based in Ann Arbor who is a clinical instructor at UM, said her substance abuse patients describe withdrawal from kratom as “the worst influenza of your life — times 10.”
CARE Southeastern Michigan, a recovery advocacy group, has reported some individuals experiencing psychotic episodes after taking 7-OH, the synthetic form of kratom.
The FDA has also said kratom is “not appropriate for use as a dietary supplement” and unsafe as an additive to food. The powder and liquid forms of kratom are sometimes marketed as an additive to shakes and smoothies.
Does kratom show up on a drug test?
Yes, if it’s part of a specialized screening of narcotics and other substances that looks for active ingredients in kratom products.
Some substance abuse clinics in Michigan are starting to test for it, said Madison Lauder, a counselor at The Guidance Center in Southgate.
“We see you so often, we have added into our (drug test) panel,” Lauder said.
Is there any age restriction on buying kratom in Michigan?
No, Michigan has no laws governing the sale of kratom and related synthetics, such as 7-OH.
But retailers set their own rules. Some stores won’t sell to anyone under age 21.
Some of the 7-OH kratom products on the shelves of stores are labeled “21+.”
But there’s no law on the books in Michigan requiring buyers to show a photo ID when buying kratom, as is required to purchase alcohol, tobacco or marijuana.
Which states have bans on selling kratom?
Alabama, Arkansas, Indiana, Rhode Island, Vermont and Wisconsin have outright bans on the sale of kratom.
In December, Ohio’s Board of Pharmacy used the state’s controlled substance laws to ban the retail sale, distribution and possession of 7-OH and other synthetic forms of kratom, board spokesman Cameron McNamee said.
The Ohio Board of Pharmacy has a separate proposal to ban natural kratom products that remains in the rulemaking process, McNamee said.
Some cities and counties across the country have imposed varying local sales bans, including Anaheim, Calif., Spokane, Wash., and the New York City suburbs of Nassau County on Long Island, according to published reports.
What’s the status of legislation to ban kratom in Michigan?
On March 18, the Republican-controlled Michigan House voted 56-48 on legislation that would completely ban the sale of kratom products in Michigan. All 46 Democrats and two Republicans opposed the legislation.
Democrats cited a lack of any committee hearings on the legislation.
“There is no question of the growing concern around this product, and no one is saying, with this vote or otherwise, that the concern isn’t justified,” the House Democratic caucus said in a statement. “What we are saying is an outright ban, without any testimony or dialogue, is not the solution.”
The bill moved to the Democratic-controlled Senate, where Majority Leader Winnie Brinks, D-Grand Rapids, assigned it to her Government Operations Committee.
Some kratom industry interests and individual users have advocated for a ban on just the 7-OH synthetic form of kratom.
Sen. Kevin Hertel, the St. Clair Shores Democrat who chairs the Senate Health Policy Committee, said the House’s passage of a total ban on kratom has changed the debate toward prohibition, which he favors until the FDA can further study the substance and its impact on the human body.
clivengood@detroitnews.com
Staff Writers Anne Snabes and Beth LeBlanc contributed.
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