New tariffs and threats to annex Canada were the concerns small businesses at the last Mackinac Policy Conference. This year, those concerns persist, plus you can tack on the high cost of gas.

However, CEO of the Small Business Association of Michigan, Brian Calley, says the rising cost of employee healthcare is the looming giant for employers. He spoke to WDET about the issues surrounding small businesses and his views on how to support them.  

The following interview has been edited for length and clarity

McNamara: Last year when we talked, we were absorbing a fight with Canada and tariffs. This year it’s high oil prices, high gas prices. How are small businesses doing after one year of uncertainty? 

Calley: Uncertainty is always hard for small businesses to fight through, but I would add something to that list, which I think even eclipses the collective impact, and that is the rising cost of health care. If you’re to talk to a person who has employees and provides benefits to those employees, which is most small businesses, they are buckling under this year over year over year increased costs. We just did a survey with our members to ask, what does that mean, where are they at? They tell us it’s hindering their ability to grow and to add to their team. They put all their capital growth and their margin toward paying next year’s increases. The increase is on the order of what it would cost to bring on a new employee or two, and so that’s huge. But then now we’re finding 42% of our members in our last survey said that at the current rates they’re one to three years away from being able to offer it at all, and that’s a massive, massive change, and so we’re trying to raise the alarm on this. This is the most talked about thing by small business owners, at least those with employees that gets very little attention or discussion out there in the landscape. These other issues are difficult to deal with, but this one is widespread across this across the board. 

McNamara: Two questions: What can the state do, and what do you need from the federal level? 

Calley: At the state level, which seems to be the more realistic place to make something happen, at least at the moment. Couple of things: when insurance companies file for their rate increases, you can look under the hood, you can see exactly what’s driving the cost, and we know it’s utilization and the cost per service, so we need to look upstream from there. What is driving that? We need to be able to look under the hood of upstream costs, and we’ve seen definitely more consolidation among the health systems, where you have a handful of huge conglomerates that control most of the health care system, and vertical integration, so from your local doctor all the way through to very complex surgical cases, it’s all controlled by a very small number of entities, and with that consolidation, you’ve seen costs rise a lot faster than regular inflation, and so that’s something that we really need to get a handle on.

A lot of states have transparency rules, so they can make the appropriate adjustments and policy to deal with these cost increases. We need something like that here. The other thing that could be changed is to allow small businesses of multiple industries to band together to create their own insurance risk pools, like a big company does. So, if you have a large company, they might use an insurance company to manage their claims, but their employee base is their own risk pool. Small businesses are too small to do that. And so the law could be changed to allow unrelated businesses to pool together, and at least at that point they could have more control over plan design and cost containment and wellness initiatives and negotiation power with networks. This would be an important change that we’re hoping the state will consider. 

McNamara: Will Matt Hall listen? Will Governor Whitmer listen? Are you already planting the seeds for this with the current gubernatorial candidates? 

Calley: We’ve been talking to all the leadership about these issues, and there are things that are happening. We know that on the transparency side, Speaker Hall has indicated and talked a lot about moving forward with something in this arena. With the Senate Democrats, who are in control of that part of the legislature, have introduced legislation to allow that multi-industry pooling of small businesses. So, we do think that there’s good bipartisan support for this.

Small businesses is of those constituencies that, across the political spectrum, Republicans and Democrats appreciate in their community, and I think generally and genuinely want to be successful. We’re hopeful that even during these partisan times that initiatives that can help small businesses move forward and to grow and to sustain will be embraced by all of them. 

McNamara: What kind of feedback are you getting from Michigan’s congresspeople like Moolenaar, Dingle, McClain, Huizenga? What are they telling you? They listen to you. They know you. 

Calley: And I served with some of them in the state legislature, and this is an issue that I know they care deeply about, and there is legislation that same small business pooling, they call them association health plans at the state level, would be called a MEWA, or Multiple Employer Welfare Arrangement, those bodies of work enjoy support among our delegation. In fact, Congressman Walberg from Michigan has introduced legislation to do it at the federal level. It’s not a lack of will, it’s a lack of the ability of that system to move forward to make big changes in the health care arena. It just seems to be difficult to get it off the ground with the broader group, and that’s why our main focuses are at the state level, can kind of get your arms around that, and you can visit the capital, and all of those people represent folks in Michigan, and our delegation, they do a lot of great work, and they care a lot about small businesses, but there’s such a small fraction of the entire body that makes those decisions, and so it’s much harder to move things through that. I think if we are going to make changes that, in the short term, that impact small businesses is more likely to be at the state level. 

McNamara: Is there something else on the state level that can be done, at least in the short term to help these small businesses to deal with the transportation costs and the like? 

Calley: In terms of transportation costs specifically, it’s difficult to establish a state policy to reduce gasoline prices, for example, just because we’re talking about a global marketplace of commodities. But there is also bipartisan work that’s happening in the House and the Senate to move the Michigan Strategic Fund, which is the fund that does incentives for these big deals, to move the focus of that more to support for small businesses, and we think that that’s a smart bet. It’s one thing to try to convince somebody from someplace else to come in here and save us, but what we say is we don’t need that.

What we need is for those that are already here to do well. That’s our best bet, and people that have already made their lives here, they’ve already put their name and reputation and their mortgage of their house on the line in order to make this business go, they’re fully vested, and so their success is our best bet. Our entrepreneurship scorecard report showed yet again this year that when it comes to job growth, that the most reliable and dependable and consistent job creators are small and medium-sized businesses, and it makes a lot of sense, because in a lot of cases, they don’t even have options to go other places. This is where they’re at, this where they’re known, where they have their contacts and their customer base, and it’s not easily transferable to someplace else. If they’re successful, our communities will be successful, workers will be successful, the state will be successful. 

McNamara: So, instead of swinging for the fences, maybe settling for some singles and some doubles. 

Calley: I think that the small business support is the home run, because it’s more of a sure bet when you put the support and the resources here, when you create an environment of success around the people that are already here, it’s gardening. When you go out hunting, you may or may not see something, you may or may not get something, but when you’re gardening, if at least if you know what you’re doing, that’s going to pay dividends over the long term.

And by the way, even the big companies all started out as small companies. When you think about the corporate names that are known all over the world from Michigan, we’re so thankful to have them. Companies that started here, like Dow or Meijer or Kellogg or Gerber or Ford, Striker. These are huge corporate names around the world, but to us here in Michigan, those are family names. In many cases, the family’s still around and involved, which is incredible.

And so, at the Small Business Association of Michigan, we think of those companies as part of our heritage. They didn’t start out big, they made it big, and they changed the world. If you support small businesses, then the next one that makes it big is going to be somewhere in that group, and you can’t predict who it’s going to be, so you might as well just make the environment of success around all of them, instead of trying to pick which one, which industry. The government’s never been successful in knowing where the economy is going to go. 

McNamara: Too slow to react.  

Calley: Yeah, that’s the thing. When things move, they do move fast, and it’s about being well positioned to support people as they grow and they innovate and they change, as opposed to trying to decide ahead of time which one is going to grow and innovate and change in a way that makes a big difference in the economy. There’s so much research and data around economic gardening. When you create the environment of success around the entrepreneur, you will have more economic success collectively. 

Michiganders have been taking their pop bottles and cans back to grocery stores for nearly half a century to collect a deposit.  But that’s changing.

A recent study shows fewer people are returning those bottles and cans—even though the containers are still being recycled.

Bill Wild is the president of the Midwest Independent Retailers Association (MIRA). He spoke with WDET’s Jerome Vaughn last week at the Mackinac Policy Conference.

Wild says his organization is working to take retailers out of the recycling chain.   He says stores don’t want the hassle of having to process bottles and cans.  And he says they have concerns about contaminants that used containers can bring into their retail space.

Wild says there are several models that Michigan could use to more efficiently recycle cans and bottles. That includes using curbside recycling, or transitioning to central drop-off centers.

Reported Lyme Disease cases in Michigan nearly quadrupled between 2022 and 2025.

Blacklegged ticks (deer ticks), which transmit Lyme Disease hitch rides on hosts like white-tailed deer to migrate across the state. The disease is now endemic across much of southern Michigan, including Southeast Michigan.

In areas where Lyme disease is prevalent, it’s estimated up to 50% of adult deer ticks harbor the bacteria that causes Lyme Disease, Borrelia burgdorferi.

Blacklegged ticks are most commonly found in heavily wooded areas with lots of brush or dry leaf piles. 

Identification

There are several kinds of ticks in Michigan, including the dog tick. Only Blacklegged ticks (Deer ticks) carry Lyme disease, so identifying the species of tick, if possible, is an important part of diagnosis.

Prevention

There are several prevention methods that, used together, help reduce tick bites. Follow safety instructions with particular attention for children and pets.

• Daily tick checks after spending time outdoors where ticks are prevalent
• Apply EPA-approved insect repellents such as DEET, Picaridin, and Oil of Lemon Eucalyptus,
• Treat clothes with Permethrin
• Wear light-colored clothing and tuck your pants into your socks. 

Symptoms

Lyme disease symptoms may include rashes, muscle or joint pain, headaches, and even neurological issues such as Bell’s palsy (facial paralysis). If you’ve been bitten by a tick or suspect that you have, doctors can administer an prophylactic dose of doxycycline within 72 hours to reduce the chances of contracting Lyme.

However, if you miss this window, duration of treatment with antibiotics goes up as time from contracting illness and symptom severity increases.

Guests

• Dr. Jean Tsao, professor and tick researcher in Fisheries and Wildlife department at Michigan State University
• Dr. Peter Gulick, professor of Medicine at Michigan State University

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Democrats control the state senate and the governorship. The squeaky wheel is the Michigan House – controlled not just by Republicans but by Speaker Matt Hall who has often taken an antagonistic stance toward Democrats. 

House Democratic Leader Ranjeev Puri spoke to WDET about previous budget problems and Speaker Matt Hall.  

Puri: It’s going better than last year. Unfortunately, last year, noticeably, the speaker dragged the budget out well past the constitutional deadline into September, October. This year, I think there is a motivation to try to get it done on time. 

McNamara: So, what’s the difference there in the motivation? Is it embarrassment after last year, or is it more familiar with the process, or is there better communication? 

Puri: I think it’s a little bit more the former. I think he’s understood the pitfalls of trying to play political games with so much of the state’s resources, and resources that so many institutions count on, and so it’s hard for these groups to budget for the year, not knowing and having so much uncertainty of that money is actually coming through, and so I think they got an earful around the state about that, and then noticeably there is a big election around the corner, and it’s time to get out of Lansing and into your districts. 

McNamara: Right, so everybody can go out and campaign a little bit. So, what are the main priorities for Democrats in the state budget? 

Puri: We want to continue to fight for critical programs and making sure that the investment happens again. We have a pretty large state budget relative to other states, and we want to make sure that we’re funding programs that millions of Michiganders count on, so making sure that we’re continuing to do our best from a state standpoint to work against H.R.1 federally, the Big Beautiful Bill, and so just making sure that health care access is as strong as possible in the state of Michigan, making sure we’re funding our schools and doing whatever we can to put programs out there making sure that Michiganders can succeed around the state. 

McNamara: Speaker Hall likes to rail against waste, fraud and abuse. I’m guessing that your definition of waste, fraud and abuse is maybe a little bit different. Is there some compromise to be had, where you can see some pork to trim, as it were. 

Puri: I think every elected official, Republican or Democrat, wants to be stewards of the taxpayers’ dollars. I think that is an immense responsibility given to us, and no one wants to see government money spent inefficiently. I think the reality is to these conversations is that you can’t just take a sledgehammer to the budget and call it all waste, fraud and abuse. He took money away from newborns. If we’ve gotten to a place in our political discourse that’s saying that newborns are waste, fraud and abuse, we’re just not going to agree. And I think, unfortunately, the reality of the conversation is that there are so many non-negotiables out there of things that we need to be doing to make life easier for Michiganders, and if you just call everything in the budget waste, fraud and abuse, it doesn’t magically become true. And I think he learned the lesson the hard way last year, and so that’s why you’re seeing a little bit different of an approach—but of course, you know he loves the political gimmicks, and being able to call everything waste, fraud and abuse, and then just throws everything into that bucket as if it’s magically some cure-all. But the reality is that the budget is $80 some billion. That should be scrutinized where we spend it, but we don’t need to call every program waste, fraud and abuse. 

McNamara: Is there a hard line, something you refuse to go back down if the budget line on this is staying where it is? 

Puri: Again, same thing as last year, it’s the school meals. I think Michigan has set a standard around the country in terms of what we can do to provide access to making sure that a Michigan student in all corners of the state is guaranteed a meal, both breakfast and lunch, at their local public institution, and I think that’s something we should take a lot of pride in, just being able to make sure that kids are learning on a full belly. The speaker wanted to make that a political fight last year, and fortunately, we were able to come out on top, and that’s going to be another priority this year as well.  

McNamara: Part of that is addressing food insecurity for a lot of kids. The cost of living is going back up again. Gas prices have gone up considerably. The Trump administration and Congress have taken millions of people off of SNAP benefits. So, what is the state of Michigan doing to kind of help address that, even outside of the school meal program? 

Puri: It’s been a priority for the House Democrats. We introduced legislation to try to backfill some of that, but the reality is that the state’s treasury is never going to fill the government coffers, the federal government coffers, when they decide to do something, and a substantial amount of our state budget, I believe roughly 40, 41% of our state budget comes back from federal funds coming back to back to Michigan, so when the feds decide to decide to do something, it does have a very material impact to the way the state can operate, and so cutting SNAP benefits has affected millions of people in Michigan, and it is again one of those critical programs that I’m speaking of that we need to be doing whatever we can, and so I’m glad you brought that up. I tell people we need to be Trump-proofing our state. It’s a time when we need to put the Democrat-Republican hat down and making sure we’re fighting for Michigan. Unfortunately, Speaker and House leadership right now on the Republican side, we’ve seen them rubber-stamp everything out of DC, even when those policies can disproportionately affect Michigan. When they get into those economic trade policies, we have an auto industry that relies on foreign trade, so those things disproportionately affect Michigan. Those things might poll great in Oklahoma or Alabama, but Michigan, we take a lot of pride in who we are and what the state means, and so it’s about time we have people that are standing up for our state of Michigan. 

McNamara: How is your relationship with Matt Hall? I realize the Matt Hall you might get behind closed doors is a little bit different than the one that has his press conference, and he does tend to go on. However, can you go to him and just talk with him? 

Puri: I cannot. To his credit, he is the same, both on and off camera. Our relationship is largely nonexistent. 

McNamara: Gotcha. So, I know we’re at a place, and it seems like the theme of the Mackinac Policy Conference is always bridging a better tomorrow. Where can we find compromise in all that? Do you find sometimes the rhetoric that just kind of overlooks the reality of the current political climate? 

Puri: Yes, I think you can’t lose sight of civility and the need for things to get done in a better way. The voters in Michigan last year wanted split government, in ‘24 they voted for split government, and so we should be acting as such. The reality is that the House Democrats have a majority of 58-52 but our world and politics shouldn’t be binary. That shouldn’t give them exclusive control to dictate every single thing we do. They shouldn’t bring a lens, as if they are in some sort of Republican trifecta, to how they approach their work. There just hasn’t been a willingness from House leadership to work in a bipartisan manner, like I said, our relationship is largely nonexistent. I’ve from the start extended my hand trying to find a way to work for Michigan, team Michigan, and that hasn’t been the dynamic that the speaker has wanted, and so unfortunately we’re all human, and so you can pick up on that at some point, and we’ve been fighting again as House Democrats, we have been standing up for those values that we hold dear, like making sure that everyone has access to food and health care and education, and bringing down the affordability crisis, and being able to stand up against the federal administration when we think that it’s not acting in Michigan’s best interest, but the other reality is that we do have a pretty monumental election around the corner here in November, and as we get closer, more and more eyeballs are turning to November and looking for the dynamic to change in just a few months. 

McNamara: Does it seem like the political winds are blowing in a way they are nationally?  

Puri: As crazy as our political discourse becomes, I think one thing that we can all agree, you don’t mess with is gas prices. I don’t know how you defend $5 gas in Michigan, that’s just not me. Again, two or three weeks ago, there was a special election in Senate District 35. There was a 20-point correction from November just a couple months ago, and a 20-point swing in the Democrats’ favor. If you apply that statewide, that’s going to be massive, massive wins for Democrats up and down the ballot. So, I think there’s tremendous amount of tailwinds right now, and there’s a lot of excitement for trying to send a mandate out to Washington that again, the policies have just not been Michigan first. 

Access to mental health care for young people is an issue gaining more attention in the U.S.  Studies show social media use has changed the landscape for many adolescents.

Sarah Masad is a therapist at My Mental Wellness, a free mental health clinic located inside the Islamic Center of Detroit.

She says many girls come in with body issues stemming from social media usage.

“There’s a lot of depression that comes with that, a lot of family issues that come with that, feeling misunderstood, ” she explains.

She sees clients between 7 years old and 27 years old from Arab American and South Asian communities.

Masad says the clinic offers the option of incorporating faith-based therapy into sessions. 

“I do see that identity struggle a lot too, figuring out what they believe in, what their values are, with what they want to do, and then that struggle is like what they want to do versus what their family says, or what society says,” she shares.

Masad says a lot of people are also turning to ChatGPT, when they don’t have access to their therapist. She says this can be harmful for people who may be dealing with extreme delusions or other mental health issues. As a therapist, she tries to play a supportive role.

“I think that it’s like the struggle with dealing with the AI and social media, and being young, and then also trying to be their therapist, and make sure that they know that I’m with them and not against them, have some sort of like authority trying to make you a better person.” 

“The best thing I think for trauma is meeting them where they’re at, and also giving them autonomy.”

She works with clients to provide different strategies that may work for each client.

“Every single person is different…even if that person is dealing with these very, very similar trauma. The way that they are dealing with it and the way that they are coping with it is not the same.

Creating access to faith-based mental health care

The Islamic Center of Detroit opened the My Mental Wellness clinic in 2024 as a fully staffed mental health clinic to provide free services and remove stigma and barriers to accessing care. 

Masad says she was drawn to work in this space.

“I felt more fulfilled and allowing me to have the space to do support groups was another big thing, and creating these events for my clients, curating events for my clients, so that there’s a thing for everybody,” she says.

Previously, she’s held peer groups for young professionals who are the children of immigrants, exploring the toll it may take on people and their daily lives, and future career choices. 

She’s also starting a Sisters Stroll, a guided meditation with nature walks for people to meet new people and go outdoors together. 

“I have a deep passion for nutrition and health in the world, and teaching people how to take care of themselves even when they’re at their low point,” she explains.

Masad says she’s trying to teach people more about the connection between gut health and mental health. She says a lot of older clients come into therapy with physical symptoms of mental health. 

“I’m trying to fill that gap, trying to see how do I approach this with people who feel hopeless and helpless, and it’s not about solving, it’s about getting through whatever situation that they’re going through,” she explains.

The Bengali Mental Health Movement launched online as an anonymous online platform in 2018 to address mental health in Bengali and Bangladeshi communities.

Michigan is home to a significantly large population of Bangladeshis.

Tazin Banu and Riya Ahmed work with the New York based nonprofit to expand mental health conversations in communities that struggle with stigma and cultural sensitivities.

Banu is the founder, and Ahmed is the co-founder of BMHM.

“When we started off, we were, you know, just a group of volunteers doing grassroots work, and then we realized we needed more sustainable infrastructure.”

The group created transliterated and translated documents during the pandemic. 

“We want to take these mental health concepts and information and make it again accessible to our community,” Banu says.

One of their programs is Alaap, a therapeutic peer-led group, to create safe spaces to have discussions about mental health. 

“We wanted to give individuals a safe space where they felt comfortable to at least communicate some parts of their journey,” Ahmed says.

Alaap means conversations, referring to the need for more conversations around mental health.

The nonprofit has a wide reach, including a directory which has providers from all across the world. 

“It was great to see that there are communities and professionals all over the place that, like, again, just like wanted to be a part of part of BMHM in some way,” Banu shares.

Ahmed says it’s a validating experience to be a part of this large network.

“When you do work like mental health, and in a community that might not be so encouraging to have these conversations or be on in the supporting field, it’s very validating when you see the encouragement from all over. Right, it’s really nice to see how far the reach is, and how much it might be helping individuals that might have not seen this in their own community,” Ahmed says.

The group hopes to expand services, resources and put out a community needs assessment. 

They also hope to launch a self-care initiative called Joton: Aided and Embodied Self-Care Workshops soon. It’s a monthly free workshop to remove barriers to self care.

Ahmed says they also hope to expand language services to include younger and older generations.

“Language would help, when it comes to older generation, so that is the expansion. That would be wonderful to have that in Bangla,” she says.

Five years ago drug overdoses were killing more than 3,000 people a year in Michigan. It was the worst the state had seen. Behind that number were parents, sons and daughters — people who’d been trying to get well for years.

That number is coming down. By the state’s early count, last year had the fewest overdose deaths in more than a decade.

But the people who do this work are cautious about it. Fewer deaths may not mean fewer people in danger. 

Addiction touches lives in different ways. For many of us, it might be indirectly. One analysis put the cost to Michigan last year at $38 billion: lost work, lost wages, courts, treatment. 

Now there’s money to fight this—millions from the settlement with the maker of OxyContin, Purdue Pharma. Detroit gets a share, and it’s deciding how to spend it now.

Ali Abazeed leads Detroit’s health department, and founded Dearborn’s before that. He spoke to The Metro‘s Robyn Vincent about what the city is doing to reduce overdose deaths and help residents be healthier.

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May is Mental Health Month and a special symposium on the subject will be held at Wayne State University on Friday.  The event is called Breaking the Stigma and the underlying idea is to make people less reluctant to talk about mental health issues. 

Shantalea Johns is an assistant professor and director of continuing education at Wayne State’s School of Social Work. She says she hopes the symposium will provide Detroiters with a safe space to discuss mental health issues.  Jones would like attendees to take some action after the event ends and ask their loved ones how they’re doing.

The Breaking the Stigma symposium takes place at Wayne State University’s MacGregor Conference Center from 9 a.m. to 5 p.m.

Some public health researchers are turning to a new kind of prescription to address the problem. It’s called “social prescribing.” According to former U.S. Surgeon General Vivek Murthy, Americans are in the midst of a loneliness epidemic, and it’s a problem that only seems to be getting worse.

Around 40% of Americans ages 45 and up report being lonely, which puts them at higher risk for all kinds of serious health concerns like dementia and stroke. 

Some public health researchers are turning to a new kind of prescription to address the problem. It’s called “social prescribing.”

Dr. Mary Henningfield is the executive director of the Wisconsin Research and Education Network at the University of Wisconsin. She joined the show to discuss why is loneliness so common, why it is difficult for people to overcome, and how “social prescribing” can help the healthcare can system address loneliness, instead of only its negative consequences.

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A survey finds Michigan voters concerned about an issue that might surprise some political candidates: the use of vaccines.

The data comes from the group Communities United for Smart Policy (CUSP).

CUSP spokesperson retired physician and former Texas Republican Congressman Michael Burgess says Michiganders will have vaccines in mind when they cast a ballot.

The following interview was edited for length and clarity.

Michael Burgess: There is a significant percentage of Republican voters, 35%, who might be less likely to support a candidate if they perceive them as not going to make vaccines available. That is a real concern for people.

It’s the same problem for Republican, Democrat and independent candidates. If their constituents perceive them as someone who’s going to put obstacles in their way to receiving vaccines for them or their children, it’s going to have a very negative effect on the perception of that candidate.

Quinn Klinefelter, WDET News: There’s been a lot of vaccine hesitancy among some people, especially since COVID and when the pandemic erupted. How are you finding voters responding now as to whether or not they trust vaccines? Especially in light of the changes with the U.S. Health and Human Services department, where some vaccines have been pretty well slammed by the current secretary.

MB: COVID messed a lot of things up, I think it’s safe to say that. And when I discuss vaccines, I’m generally careful to separate the two issues. But there was a lot of loss of confidence in our public health system during COVID. And part of the job, as I see it, for people going forward is to regain that confidence.

You don’t do that by calling everything into question and saying nothing that you believed before is actually accurate.

This country has a pretty long history of successfully dealing with what are broadly termed as “vaccine preventable diseases.” And most of the public recognizes that and does not want to go back to a time when those vaccine preventable diseases are prevalent, because they don’t have to be. The vaccines are there, they’re safe and they’re effective. And they will protect against measles, mumps, rubella, meningitis, hepatitis B. There are a number of illnesses that just don’t generally cross the threshold of recognition for people because they haven’t had to worry about them for so long.

QK: As you look towards the midterm elections, there are a lot of people worried about affordability problems, rising prices, the war underway now with Iran, all sorts of other issues. Do you think whether or not someone believes a candidate will either push or put up obstacles to vaccine use is going to really make a difference in how they will vote?

MB: Yes, it will. Maybe not in every voter’s mind in every race, but it will make a difference. Everything’s all about the midterms right now. And there’s a reason for that, because depending upon how the midterms turn out, the direction of the country going forward could look vastly different. And it can hinge on a very few number of votes in selected states. So that’s why there’s so much emphasis on this.

QK: Again, I will hear some people say they just don’t trust what a particular government agency will put out, one way the other, in regards to vaccines and whether they’re usable or not. Do you see a way to rebuild trust in vaccines? Or is it good to have more of a skeptical look at them?

MB: Well, the lack of faith in institutions was going on even before the COVID years. That’s real, it’s significant, and guess what? These illnesses have not gone away. And that’s why you saw the numbers that you did in the polling that say “hey, I might not support someone who would prevent me from accessing what has been broadly perceived as protective for myself and my family.”

Editor’s Note: A typo in the top excerpt listed CUSP as “Communities United for Smart Politics”. It has been corrected to Communities United for Smart Policy” as of 5/8/2026. We apologize for the error. 

When you call 911 in Detroit, who’s paying for the ambulance? It’s a question that’s tripped up the Detroit City Council twice in two years… and the answer goes to a vote this afternoon.

Detroit pays three private ambulance companies between $500,000 and $600,000 each per year. That’s to keep a guaranteed number of rigs staged in the city.

Those same companies can also bill you — or your insurance — when they pick you up. Councilmember Angela Whitfield Calloway has called that “double dipping.” But The Detroit Documenters pulled the original 2023 contract documents and confirmed: that is how the deal is written.

So what is Detroit paying for? And what does it say about American healthcare that a city has to cut million-dollar checks just to guarantee an ambulance shows up?

Noah Kincade, coordinator for Detroit Documenters, joined Robyn Vincent on The Metro to walk through what’s in the contracts and what’s at stake in a city council vote on the matter.

Editor’s Note: After this segment aired, the Detroit City Council voted 4-3 to send the ambulance contracts back to committee rather than vote on them directly. Council President James Tate was absent, and President Pro Tem Coleman Young II presided. Young, Scott Benson, Latisha Johnson and Denzel McCampbell voted to send the contracts back. Mary Waters, Angela Whitfield-Calloway and Renata Miller voted no. The Public Health and Service Committee will take the contracts up May 4 at 10 a.m.

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For the first time in decades, more people are seeking talk therapy over medication. 

The good news is there’s less stigma preventing people from accessing care. The bad news: A lot of people struggle to access therapy. Some clinicians argue that one of the big issues is private equity. 

Private equity investments in health care have grown to over $750 billion over the past decade.

Linda Michaels says that’s had devastating consequences for both clients and clinicians. People are less likely to get the therapy they need. And therapists are in a worse position to offer it. 

That’s the premise of Michaels’ talk this Sunday at a local fundraiser for a metro Detroit clinic. She is a psychologist in private practice in Chicago and a co-founder of the Psychotherapy Action Network. She spoke with The Metro‘s Robyn Vincent.

The Metro reached out to two big health insurance providers, United Behavioral Health and Cigna. We wanted their perspective on how their administrative systems have complicated work for therapists, and made getting therapy harder. We did the same for several private equity groups. None of them offered a comment.

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It’s a Sunday night, and you’re sitting in the emergency room with your sick kid. The waiting room is packed — coughs and sneezes everywhere. Your child has a fever, so you wait. You worry.

Four months later, the health department calls. Your infant was exposed to measles that night. Now you’re facing weeks of medical monitoring.

That’s what happened to families at DMC Huron Valley-Sinai Hospital in Oakland County last December.

As more people opt out of vaccinating their kids, what are the costs of containing an outbreak?

In Washtenaw County, health officials have spent close to $100,000 containing seven measles cases. That’s more than $14,000 per case.

The system worked: They contained the outbreak, conducted contact tracing, and prevented it from escalating into hundreds of cases. But we are spending enormous resources to achieve what used to happen easily through herd immunity.

Oakland County saw two measles cases last year and handled them well. But the county is now spending an extra $300,000 on vaccines even as vaccination rates keep sliding — Oakland County’s childhood MMR rate sits around 81%, well below the 95% threshold needed for herd immunity.

Kate Guzmán, health officer for the Oakland County Health Division, joined WDET’s Robyn Vincent to talk about the hidden costs of outbreaks, and what communities lose when prevention falls behind.

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St. Clair County’s medical director, Dr. Remington Nevin, is re-shaping the county’s public health. He has helped lower the barrier for school vaccine waiver applications and fought to eliminate fluoridated drinking water in the county.

His positions on a number of public health issues reflect a growing skepticism of medical doctors, hospitals and pharmaceutical companies. They also reflect many of the views of Robert F. Kennedy Jr., head of the U.S. Department of Health and Human Services.

Nevin tells Bridge Michigan’s Eli Newman he welcomes the comparison. “To the extent that some residents may be comparing us, I would consider that a great compliment and honor. One underestimates him and the strength of his convictions at their peril.”

Nevin received medical training at Johns Hopkins University and has been the part-time medical director of St. Clair County since 2023.

Eli Newman, health reporter for Bridge Michigan, joined The Metro to share his reporting on Dr. Nevin and how he is changing public health policy and perceptions in St. Clair County.

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A 16-year-old student was kidnapped from a bus stop in Hamtramck at gunpoint this morning. Classmates tracked the student through their social media and cell phone.

Hamtramck Police located the student and made an arrest. Hamtramck Police Chief Hussein Farhat said that the incident happened at 7:08 a.m. He said a weapon was recovered.

Hamtramck School Board President Abdulmalik Algahaim says there will be additional measures for safety and security during pick-up and drop-off. The police department will also increase security measures. 

The kidnapper was caught within 30 minutes of the incident. 

Additional headlines for Monday, April 13, 2026

Joe Louis Greenway community meetings

Community meetings are being held regarding expansion of the Woodmere part of the Joe Louis Greenway. The next virtual meetings are April 21 and April 29.

The General Services Department is holding the meetings to discuss the designs and construction on Woodmere Street for a bike and walking connection between Fort Street and Vernor Highway.

The project has been funded through a $10 million grant and is expected to be completed in 2027. 

Outlier Earth Day event

The Outlier Media collective is hosting an Earth Day seed packing social this month. The hands-on volunteer event is in partnership with Keep Growing Detroit’s Garden Resource Program.

There will be free non-alcoholic beverages by the Gardenside Brewery and refreshments by Vámonos. The seed packing event takes place April 22nd from noon-2 p.m at Vámonos. 

Healthy Homes

The City of Detroit is hosting another Healthy Homes resource event. The next one takes place Saturday, April 18, from 10 a.m. to 3 p.m. Services will include HOPE application assistance, health screenings and more.

People can schedule a Lyft service to attend by calling 866-313-2520. 

Black & Arab Solidarity Lab

The Black and Arab Solidarity Lab + Political Discussion is an event co-hosted by Arab Americans for Progress, Dream of Detroit, Detroit Action and MI Working Family Party.

Guest speakers include Abraham Aiyash, former MI State Representative and House Majority Leader and Tomena Rawls, the Statutory Vice chair of the 12th Congressional District Democrats. 

The discussion will be held on April 25 at 11 a.m. 

Arab and Chaldean American Panel at WSU

The Arab American Women’s Business Council is hosting a panel this week. The networking mixer will host women leaders who will share insights on navigating the professional world as Arab and Chaldean women.

The event takes place on April 15 at Wayne State University Student Center, Room 775 from 11:30 a.m. to 1 p.m. 

Listen to the latest episode of the “Detroit Evening Report” on Apple Podcasts, Spotify, NPR.org or wherever you get your podcasts.

Detroit Mayor Mary Sheffield recently appointed Ali Abazeed as the city’s new Chief Public Health Officer, saying he would be a part of creating a “health in all policies” approach to government.

“We’re really excited to get up and going and also to continue the good work that the department has done over the years, but also to upgrade the software of what public health can look like in the city of Detroit,” he shares. 

Abazeed previously created and led the city of Dearborn’s health department. He also worked as a public health advisor at the National Institutes of Health (NIH). 

Past policies shape today’s health issues

He says health is impacted by housing quality and environment. He hopes to work with the department’s staff of 280 people to create better health outcomes for Detroiters.

“The challenges that Detroit faces from a health perspective, those aren’t inevitable…  they’re created by decades, if not centuries of decisions made by man, policies that have been excluding people from opportunities,” he says.

Abazeed says the city focuses on a harm reduction approach by working with all city departments to connect the dots for people who live in the city. He says part of that will include having more health department officials out in the city.

“90% of your life expectancy happens in the communities where you live, learn, work, worship, play…  then it requires us to take that 90% collaborative approach across everything that we do at the city,” he says. 

Abazeed says Detroiters face health burdens like asthma, which he says require a multifaceted response. 

He says everyone is entitled to good health. 

“Understanding who has been disqualified, who has been sort of pushed to the side, and whether that’s… in Washington or Dearborn and now in Detroit, I think the work is relatively the same, even if it does take on a little bit of a different scale,” he says. 

Michigan does not currently participate in a federal program that gives tax breaks to people for donating money to nonprofits that award scholarships for tutoring and private school tuition. Governor Whitmer is weighing whether to opt into the federal initiative.

If adopted, taxpayers in Michigan would receive a $1,700 tax break parents could use for private school tuition, tutors or after school programs. 

U.S. Education Secretary Linda McMahon recently stopped in Hamtramck to promote the program. 

Detroit Public Schools Superintendent Dr. Nikolai Vitti says the program might help kids on an individual basis,“But I would just continue to say, you know, as a nation, we have to think about at scale investments. How do we improve institutions that benefit the majority of our children, not isolated improvement?” 

Teachers unions and Democratic lawmakers have expressed concern that the program would funnel money into private schools, and away from public schools and their students. 

Vitti says funding public schools should be the priority. “I’d rather see us use taxpayer dollars and not decrease taxpayer dollars in investing in large scale systems that benefit the majority of American children, not individual children or families.” 

Right now, people in Michigan can still make the donation and get the tax break; however, students in the state would not be eligible for the scholarships. Using public money for private schools is prohibited by the state constitution. 

-Reporting by Russ McNamara

Additional headlines for Tuesday, April 7, 2026

Gas prices rise

Gasoline prices surged overnight. AAA said Michigan drivers paid an average of $4.01 for a gallon of regular unleaded this morning. That’s 15 cents higher than it was yesterday. The national average is $4.14 a gallon, the highest in almost 4 years. 

GasBuddy petroleum analyst Patrick DeHaan says escalations between the U.S. and Iran have intensified concerns about disruptions in oil shipments. He adds prices will likely remain high until Iran reopens the Strait of Hormuz.

Governor Gretchen Whitmer signed an order last week allowing Michigan gas stations to sell cheaper winter fuel blends through the end of June. 

Delta expands flights to Europe

Delta Air Lines is expanding flights from Metro Airport to Europe. The Detroit Free Press reports Delta will offer daily service to Rome in November and March, allowing passengers to take advantage of off-peak travel. 

Public Health Week

It’s Public Health Week in Detroit. The city’s health department is offering free services including health screenings, immunizations, lead testing, and overdose prevention resources.

Chief Public Health Officer Ali Abazeed says health department staff will host free events through Saturday at various community centers. The goal is to make it easier for residents to get health care by bringing it to them. 

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