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Michigan medical students fight to make climate change part of curriculum

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Michigan medical students fight to make climate change part of curriculum


  • Worsening air quality and warmer, stormier weather in the Great Lakes region caused by climate change are threatening human health
  • Michigan medical students are pushing for curriculum changes to address these health threats
  • As a result, more medical schools are teaching future doctors about climate change

Climate change is no longer a “backburner” issue for medical students like Sierra Silverwood. It’s essential to understanding human health when new and greater health threats are emerging because of climate change.

This story is part of a series by the Great Lakes News Collaborative that connects the region’s changing climate and abundant water to human health.

The collaborative’s five newsrooms — Bridge Michigan, Circle of Blue, Great Lakes Now and the Narwhal — are funded by the Charles Stewart Mott Foundation.

But integrating climate topics into an already “packed medical education” isn’t easy, said Michigan State University fourth-year medical student Silverwood.

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Despite the challenge, future doctors across Michigan and the nation are taking their education into their own hands — creating climate health curricula and calling on faculty to integrate the material into their programs.

“We’re starting to see how (climate change) impacts our patient care,” said Silverwood. “I think that’s really gotten individuals inspired to take action.”

‘The face of the climate crisis’

This story is part of a series by the Great Lakes News Collaborative that connects the region’s changing climate and abundant water to human health.

The collaborative’s five newsrooms — Bridge Michigan, Michigan Public, Circle of Blue, Great Lakes Now and the Narwhal — are funded by the Charles Stewart Mott Foundation.

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The urgency of climate health education for medical students is more apparent than ever with a dangerous heat wave hitting the Midwest this week.

Climate change is making these extreme heat waves hotter and more frequent.

In the Great Lakes region, average annual temperatures increased 2.3 degrees Fahrenheit since 1951 and are expected to rise several more degrees this century.

Along with extreme heat, flooding, wildfire smoke, air pollution and vector-borne diseases like Lyme disease are sending people to hospitals, sometimes killing people.

A 2019 study by U-M researchers estimated that the number of emergency room visits in Michigan caused by extreme precipitation may increase to 220 per year by 2070 from 170 historically. Deaths from extreme heat may increase to 240 from 33 per year in the same period.

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“Health is the face of the climate crisis,” said Dr. Lisa DelBuono, founder and president of Michigan Clinicians for Climate Action, which is why doctors need to be trained to recognize climate threats to better treat their patients.

But practicing doctors may be hesitant to acknowledge the environmental factors causing their patients to get sick because climate change was highly politicized — or maybe not talked about at all — while they were in medical school, said DelBuono.

A recently retired diagnostic pathologist herself, DelBuono understands these doctors’ concerns but thinks the health threats are too big to ignore.

“If they’re not prepared for what’s coming down the pike, then they’re not going to be able to do their job,” she said.

Current medical students are facing this reality, which is why they’re pushing for the integration of climate health topics in their curriculum.

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Preparing for a changing future

Efforts on the campus of the University of Michigan and Michigan State University are examples of how that can work.

Medical students at University of Michigan took action in 2019, forming White Coats for Planetary Health (WCPH), a group of 12 to 15 medical students pushing for increased education about climate health in their curriculum.

In 2022, the group successfully created a health and climate-change elective for third and fourth-year medical students.

The elective prepares students to recognize environmental impacts on health, such as how air pollution affects lung health and the relationship between extreme rainfall and water-related illnesses such as E. coli infections.

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Medical student Andrea McGowan, co-chair of education and curriculum for White Coats for Planetary Health, said the course is “pretty popular among students,” even though it’s not required.

“Med students like to be prepared,” said McGowan, “and a lot of students are starting to recognize that (climate change) might impact what they see in the clinic.”

U-M professor and WCPH mentor Alexander Rabin told students about the dozens of patients he saw last summer with breathing problems because of wildfire smoke.

Seeing and hearing about those impacts is motivating students to advocate for change, said Rabin.

Rabin got involved in climate advocacy when he was a medical student in 2018, and said students are “the lifeblood” of climate health advocacy.

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“They’re politically engaged, and they’re worried about their future,” he said.

What’s next for student advocacy

Students are continuing to advocate for climate health education at their schools.

U-M students earned a big win with the inclusion of the climate health elective, but they aren’t stopping there.

Medical student McGowan said the next step for WCPH is to fully integrate climate health into the existing four-year curriculum.

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For example, during a class about cardiovascular health and heart disease, students might watch a video lesson about how extreme heat can affect patients with existing heart conditions.

WCPH students are teaming up with faculty across the country to create such educational videos in partnership with Climate Resources for Health Education (CRHE), a global professional-led climate health initiative.

With summer break in full swing, McGowan said she’s not sure when the videos will be done, but the completed videos will be free and available on CRHE’s website.

Other medical schools in the region are also working towards integrating climate health into their curriculum.

MSU College of Human Medicine is close to adding a climate change course to its program, said Silverwood, who is working with the MSU curriculum committee to cement the change.

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Silverwood said the course would be a required introduction to climate change. From there, students can pursue research about climate health topics that interest them, like climate impacts on cancer or environmental justice.

Without specialized climate health courses at MSU, students will likely have to search for educational material about topics of interest from outside organizations.

CRHE is one such resource. Along with new climate health video material, the initiative provides 44 courses complete with learning objectives, slide decks and facilitator guides.

CRHE says all its resources are “evidence-based, expert-reviewed,” free and open-access.

In addition to CRHE, Medical Students for a Sustainable Future (MS4SF), a global, student-run climate health advocacy group, provides free educational resources like webinars and lectures on its website.

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The group also organizes research opportunities and training programs centered on the link between climate and health, which medical students can apply for.

Silverwood is the curriculum co-chair for MS4SF. She said the students who founded the organization in 2019 were “pioneers” in climate health advocacy, and since then, MS4SF has been crucial to driving change in medical schools across the country.

Efforts to integrate climate health into medical school curricula are fairly new — much of CRHE material is only two years old. Many medical schools, like U-M and MSU, have begun reforming their curricula, but others haven’t made any progress.

In fact, the American Medical Association found that 45 percent of U.S. medical schools don’t require climate health as a topic in their courses in 2022.

Medical students wanting to propose curriculum reform at their schools can use MS4SF’s curriculum guide, which takes students through writing a letter to their curriculum committee to create syllabi for climate health courses.

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Many schools still have a long way to go, but Silverwood said student efforts are only growing.

MS4SF’s regional chapters are starting to work together to push nationwide climate health education reform, said Silverwood.

“I feel like the organization is gaining a lot of momentum,” she said. “We’re excited to find new and better ways to facilitate curriculum integration for students.”





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Michigan

Michigan lawmakers approve $82.5B state spending plan for 2025

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Michigan lawmakers approve $82.5B state spending plan for 2025


LANSING — Michigan lawmakers early on Thursday passed an $82.5 billion state budget for the 2025 fiscal year, with just over $59 billion going to support state government agencies and about $23.4 billion going toward education.

After a session that spanned 19 hours, the spending plan was approved at 5:10 a.m. with immediate effect, despite nearly unanimous Republican opposition, and sent on to Gov. Gretchen Whitmer, who is expected to sign it into law.

It’s a bigger budget than the $80.7 billion spending plan Whitmer proposed in February, but state revenues and fund balances have improved somewhat since then.

The biggest drama surrounding the final budget plan related to school funding. The budget’s freezing of the K-12 per-pupil grant for 2025 at this year’s level of $9,608 created a split with sectors of the public school education community that has been one of Whitmer’s staunchest allies. Groups such as the Michigan Association of Superintendents and Administrators and the K-12 Alliance of Michigan spoke out strongly against the funding plan Wednesday and said it would result in layoffs. That’s despite the fact Whitmer’s administration insisted schools would have more money to spend in the classroom in 2025 than they did this year, due to a major cut in what school districts will have to pay to the school employee retirement fund.

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Without assurances that the one-time cut in retirement expenditures will be permanent, the budget “provides no long-term funding relief and will lead to layoffs this fall and in the future, as the funding for our schools will not be enough to keep up with inflation, rising health care costs, and the ending of federal relief dollars,” the association of superintendents and administrators said in a Wednesday action call to its members.

Charter schools, which don’t pay into the Michigan Public School Employees’ Retirement System, would receive a 3.9% increase to their per-pupil grants, according to an analysis of House Bill 5507 prepared by the House Fiscal Agency.

The education budget passed the House early Thursday in a 56-54 party-line vote and hours later passed the Senate 20-18, also along party lines. Senate Republicans did not try to fight immediate effect for the two budget bills, as they could have done, since neither had the required two-thirds support.

The Democratic-led House also passed Senate Bill 911, which would reduce school district contributions to the employee retirement fund not just for 2025, but for future years. Democrats say the reduction is justified because post-retirement health care for teachers is now fully funded, though other shortfalls in the pension fund continue.

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“Teachers and school employees have more than met their obligation to retiree health care and deserve to have their hard-earned dollars back,” said Rep. Regina Weiss, D-Oak Park, chair of the House Appropriations Subcommittee on School Aid and Education. “This legislation ends a decades-long policy that resulted in underfunded classrooms and a loss of pay for teachers.”

The main state government bill passed the Senate in a 20-17 vote, shortly before 4:30 a.m., with only Sen. Ed McBroom, R-Vulcan, joining Democrats in voting yes. The House then approved the spending plan in a 56-54 party-line vote.

Together, the bills fund the 2025 state fiscal year, which runs from Oct. 1, 2024 through Sept. 30, 2025.

The Whitmer administration and Democratic legislative leaders have framed the overall budget as one that continues her administration’s emphasis on improving education while reducing costs for Michigan families, takes steps to make Michigan more attractive for major manufacturing projects, and improves the equity of state government spending priorities to better benefit communities that have historically been underserved. Sen. Sarah Anthony, D-Lansing, chair of the Senate Appropriations Committee, said the budget is “fiscally responsible and also looks out for every Michigander.” State Budget Director Jen Flood has also characterized the budget as a return to normal after several years of sharply increased revenues, largely as a result of federal COVID-19 relief funding.

Republicans denounced the budget as bloated and accused Democrats of raiding retirement funds to find more dollars to spend, after quickly burning through a $9-billion state surplus. “They’ve created an unsustainable state budget and they want to play shell games to simply tread water,” said Sen. Thomas Albert, R-Lowell.

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As one would expect for a governor who enjoys a Legislature controlled, albeit narrowly, by members of her own party, Whitmer got much of what she wanted in the final budget plan. But she didn’t get everything.

Whitmer’s proposed $25 million Michigan Vehicle Rebate Program was among the budget items that ended up on the committee room floor, according to a summary of Senate Bill 747 prepared by the House Fiscal Agency. It would have provided point-of-sale rebates of $2,000 for the purchase of new electric vehicles and $1,000 rebates for the purchase of internal combustion vehicles, with an extra $500 thrown in for vehicles that were union-made.

Also not making the cut in the final budget plan was Whitmer’s controversial proposal to raise an extra $80 million by massively increasing Michigan’s landfill tipping fees to $5 per ton, up from 36 cents per ton. The extra money would have been used in part to hire more people in the Department of Environment, Great Lakes, and Energy to clean up the state’s contaminated sites.

The conference committee also axed a Whitmer proposal to raise extra money by requiring motorists to “opt out” of getting a recreation passport for state parks when they renew their vehicle registrations, rather than “opting in” for the extra charge, as they do now. Had it gone ahead, the change was expected to raise a little more than $17 million extra per year.

And Whitmer’s call in her January State of the State to accelerate Michigan’s move toward universal publicly funded pre-kindergarten, by removing all income requirements for families to qualify, didn’t quite get there, either. Under the budget, 4-year-olds in all Michigan families, regardless of income, are eligible for free pre-kindergarten. But in the event there is a shortage of spaces, priority will be given to families with incomes at or below 400% of the federal poverty level.

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Among the items included in the budget are:

  • $100 million to help the Michigan State Housing Development Authority increase housing stock and affordability through the construction of new single-family and multi-unit homes, renovation of existing units, and improvement of energy efficiency. This marks a $50 million reduction from what Whitmer called for in February.
  • $65.1 million to increase child care provider pay rates by 15%. This marks an increase from Whitmer’s February budget proposal, which called for a 10% pay hike, but it’s less than the 20% increase in child care provider rates in the version of the budget passed earlier by the Senate.
  • Creation of a Michigan Innovation Fund, assuming required state legislation is passed and signed into law, to support Michigan startups, including through direct funding, technical assistance and other services. The fund was initially proposed at $60 million.
  • An extra $15 million for the Pure Michigan tourism promotional campaign on top of the $25 million it received this year, with $14 million of the extra funding coming from remaining federal COVID-19 funding.
  • Close to $2.1 billion transferred to local road agencies from the Michigan Transportation Fund, which is an increase of $110 million from this year.
  • A 2.5% increase for operating costs at Michigan community colleges and public universities.
  • $45.5 million to assist businesses locating or expanding in Michigan, specifically around workforce needs. The money would also be used to support development of “customized talent solutions to help fill identified needs in certain industries.” This reflects an increase of the $20 million proposed for this purpose in Whitmer’s February budget proposal. Also, neither the House nor the Senate included any money under this line item in the budgets each passed earlier this year. Separately, the budget includes $2 million to increase the amount of high-tech talent in Michigan through various programs.
  • $335 million in one-time “enhancement grants,” including: $12.5 million for the planned Pine Rest Pediatric Behavioral Health Center of Excellence in Grand Rapids; $10 million for the Frankenmuth Youth Sports Complex; $10 million for Potter Park Zoo in Lansing; $7 million for Detroit Zoo infrastructure; $5 million for Mt. Clemens downtown redevelopment; $5 million for Plaza Roosevelt Park improvements in Grand Rapids; and $4 million for the Jim Crow Museum in Big Rapids.
  • $18 million in grants to museums, including $5 million to the Motown Museum in Detroit, $2 million to the Lakeshore Museum Center in Muskegon, $1 million to the Chaldean Cultural Center in West Bloomfield, and $1 million to the Michigan Flight Museum near Belleville. Another $9 million would be awarded on a competitive basis to museums and nonprofits that operate educational programs at museums or provide other support to them.
  • $6 million for Michigan orchestras, with $750,000 allocated for the Detroit Symphony Orchestra and the balance going to other orchestras through a needs-based program.
  • $1.5 million for renovation costs of a township hall in Brownstown Township.
  • $10 million to support minority-owned businesses, with funds to be awarded in a “geographically diverse” manner.

Soon after approving the budget, lawmakers adjourned for a summer break. They are next scheduled to meet at the end of July.

Contact Paul Egan: 517-372-8660 or pegan@freepress.com. Follow him on X, @paulegan4.



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Statewide ban on bump stocks for firearms proposed in Michigan

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Statewide ban on bump stocks for firearms proposed in Michigan


(CBS DETROIT) – A Michigan lawmaker wants to ban bump stocks across the state. Senate Bill 942 was proposed less than two weeks after the U.S. Supreme Court overturned a federal ban on bump stocks.

Bump stocks are attachments that enable a semiautomatic rifle to fire faster. The ban was put in place by the Trump administration after a gunman used bump stocks during the 2017 deadly shooting at a Las Vegas music festival.

“We don’t want to make it easy for people to hurt our citizens,” said Sen. Dayna Polehanki (D-Livonia).

Polehanki introduced the bill which would ban the purchase, possession, and manufacturing of bump stocks.

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“These are small devices, easy to manufacture. They could even, unfortunately, be 3D printed,” she said. 

Polehanki said she wants Michigan to join the other states that already have statewide bans on bump stocks in place.

“What’s the need for anyone to have a bump stock?” she asked.

Mac Mallah, a gun store associate at Tactical Edge Gun Shop in Dearborn, said he dislikes the question about why they are needed. 

“Why do you need a fancy car? Why do you need a helicopter? Why do you need a soda? You know what I mean? It’s more something I’d like to have, to have fun with it.”

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He said he is opposed to the proposed ban on bump stocks.

“I feel like Michigan has been passing all sorts of legislation that doesn’t really stop criminals from getting their hands on guns.”

Polehanki said she started drafting the bill minutes after the Supreme Court overturned the federal ban. She said she hopes to get bipartisan support. For now, the bill is being considered by the Senate Committee on Civil Rights, Judiciary and Public Safety. 

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Okemos’ Li, Patil into Thursday’s Michigan Girls Junior AM Semifinals

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Okemos’ Li, Patil into Thursday’s Michigan Girls Junior AM Semifinals


EAST LANSING, Mich. (WILX) – The city of Okemos could have two local winners when it’s all said and done at the 46th Michigan Girls Junior State Amateur.

Wednesday, both rising Okemos senior Alena Li and rising eighth-grader Saisha Patil won quarterfinal match play rounds to move into Thursday’s semifinal rounds in their respective divisions.

Li, also a match play semifinalist a year ago, is into the Final Four in the ‘Overall Division”.

Patil, who’s 15-years-old, is the semifinalist in the “15-and-under Division”.

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Li bounced rising Grand Ledge senior Isabel Kelly in Wednesday morning’s Round of 16 with a 6-and-5 winning score.

She then went on to play just 10 holes in the quarterfinal round, in which she birdied six of the holes, to dispatch of Petoskey’s Rachel Fay with a dominant 10-and-8 final score.

Li will take on stroke play runner-up, Traverse City’s Grace Slocum in Thursday’s semifinal at 8:10 a.m.

Patil, which won 5-and-4 in the quarterfinals, will play Grand Blanc’s Madilyn Sheerin Thursday morning with a tee time yet to be announced.

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