A case involving a frozen embryo that’s at the center of a divorce dispute will not be heard by the Michigan Supreme Court. The court declined the case in an order released Friday.

The Supreme Court order leaves in place an appeals court decision that awarded the embryo to ex-husband David Markiewicz. The Michigan Court of Appeals ruled in December of 2023 that he would get custody because he has the closest biological connection to the embryo and should not be forced to have another child with his ex-wife, Sarah Markiewicz. The appeals court panel divided on the question, with one judge ruling the embryo should go to the ex-wife.

Sarah Markiewicz became pregnant three times through in vitro fertilization. The embryo at issue in the court case, as in Sarah’s other IVF pregnancies, was made with the ex-husband’s sperm, while the egg was donated by the ex-wife’s sister. The couple also has one child conceived naturally.

Sarah Markiewicz argued for possession of the frozen embryo because it could be her final opportunity to have another child. She also argued she was entitled to the embryo under the Michigan Reproductive Freedom for All amendment to the state constitution.

David Markiewicz said earlier he would either have the embryo destroyed or donated for scientific use if he won the case.

“My client is very happy and relieved that he can now put this chapter behind him,” said his attorney, Trish Haas, in an email to Michigan Public Radio. “His disposition of the pre-embryo will now be his personal choice.”

The Supreme Court order was unsigned, but Justice Brian Zahra wrote a concurring statement calling on the Legislature to enact standards to avoid future conflicts as IVF becomes more common.

“Broadly speaking, the primary issue is how the law should classify and treat human embryos, frozen or otherwise, which, at a minimum, have the potential to develop into autonomous human beings,” he wrote. “This question implicates some of the most perplexing debates in society, invoking deep-seated and conflicting beliefs about morality, ethics, religion, human life, and personal autonomy.” 

The United States spends more on health care costs than any other rich nation, yet maternal death rates remain alarmingly higher than comparable countries.

Those risks are much higher for Black women, who are three times more likely to die from a pregnancy-related cause than White woman, according the CDC. Racial disparities in quality health care, underlying chronic conditions and social determinants of health are all contributing factors to pregnancy-related complications.

Last week in honor of Black Maternal Health Week, leaders of the Congressional Mamas’ Caucus put up portraits of Black mothers who died from maternal health-related causes outside the offices of over 50 Congressional members at the U.S. Capitol Visitor Center.

The installation, titled “In Her Honor,” was created by Omari Maynard, a visual artist and educator whose partner, Shamony Gibson, died after giving birth in 2019.

Congresswoman Rashida Tlaib, chair of the Congressional Mamas’ Caucus,  joined The Metro to discuss the event and help shine a light on maternal health care disparities. Tlaib represents Michigan’s 12th Congressional District, which includes Detroit and Dearborn. 

Use the media player above to hear the full conversation.

Listen to The Metro weekdays from 10 a.m. to noon ET on 101.9 FM and streaming on-demand.

Gov. Gretchen Whitmer signed an executive directive Thursday calling on the state health department to create a report on how big proposed cuts to the federal Medicaid program would affect Michigan.

The executive directive instructs the Michigan Department of Health and Human Services (MDHHS) to create a report within 30 days detailing the effects of a congressional Republican proposal that could cut $880 billion from Medicaid over 10 years. Whitmer wants data and personal stories to help congressional Democrats shut down a Republican budget resolution if it includes Medicaid cuts. But she said it is already clear the impact in Michigan would be huge.

“Statewide, Medicaid covers 2.6 million people,” she said. “That’s over a quarter of our population. “That number includes a million children, nearly 170,000 seniors and 300,000 people with disabilities.”

Whitmer was flanked by health care workers as she signed the directive at a hospital in Royal Oak. She said hospitals, clinics and other providers would have to reduce services and find other ways to make up for lost funding if Medicaid is slashed.

Whitmer said rural hospitals, which are also large local employers, would likely be the hardest hit. She said using Medicaid cuts to extend tax cuts and reduce the federal budget is a bad deal for taxpayers.

“This won’t make government more efficient,” she said. “It’ll just raise your costs, eliminate local jobs and put lives in danger.”

Republican leaders have said they are not targeting Medicaid, but it is not clear how they would hit their rollback goals without big cuts to Medicaid and other entitlement programs.

“There’s simply no way to do it without drastic cuts to Medicaid,” said U.S. Rep. Debbie Dingell (D-Ann Arbor), who serves on the GOP-led congressional committee that is supposed to come up with health care cuts and savings. “And let me make this very clear, we will make sure every Republican is on record on what they are cutting.”

Over the weekend, the 17th annual Muslim Mental Health Conference took place at the Soho Banquet Center in Westland and online.

Aquila Hussain is on the board of directors and the chair of the volunteer subcommittee. She says it’s the longest-running academic conference dedicated to mental health care for Muslim communities.

“It’s very much on what is the research showing in clinical setting, what is the research showing behind the scenes, and really kind of bringing in a lot of academic merit to the study of this very diverse demographic,” she said.

Hussain said the conference helps to bring awareness to Muslim mental health needs.

“We want to get Muslim mental health practitioners, clinicians, researchers, medical professionals, to come together and talk about what is happening. We like to call it like the meeting of the minds, where we bring everyone together to kind of have these important conversations,” she shared.

Hussain said it’s also a chance for people to network.

This year the theme was resilience, resistance and collective care.

“We as a society, are resilient, and we can show resistance and very you know, it doesn’t have to be these grandiose gestures. It can be smaller gestures. And so bringing everyone together to kind of talk about that. And so this compassionate care and cultivating focusing on tradition,” she said.

Hussain said, despite a large Muslim population in Michigan, it isn’t reflected in the research.

“I think Muslims are very marginalized population, especially in Michigan. We make a large… make up a large percentage of the population, when looking at minority populations, yet we don’t really get representation equal to that,” she said.

Hussain said the conference allows diverse Muslim populations — Black, LatinX, South Asian, Arab American  — to discuss mental health in the Muslim community.

“The Muslim population is large enough. It’s a diverse group of us. We range all over the world, and we’ve had such different experiences and different ways of living that it’s hard to kind of just lump us into one large group and just say like this is what happens to Muslims,” she said.

Hussain said, although she doesn’t have stats, adequately she knows there’s a growing need for Muslim mental health counselors.

“I always have a wait list, and it’s almost always of Muslim people. So personally, yeah, I think like people are reaching out exponentially, especially people teens to like, mid-30s, are a lot more open to therapy, are a lot more interested in kind of understanding their line of thinking and reflecting on these things,” she said. “I think that has a lot to do with this conference and how the systemic like destigmatization of mental health in Muslim communities.”

She said it’s important to have safe spaces to discuss world matters.

The Muslim Mental Health Conference took place April 11-12.

The new state law that lifts Michigan’s 38-year-old ban on paid surrogate pregnancy contracts took effect Monday.

Michigan banned the practice after a Dearborn attorney gained nationwide notoriety in the 1980s for arranging surrogate contracts.

Surrogate parenting was new, controversial and misunderstood when it first became an option, said Stephanie Jones with the Michigan Fertility Alliance.

“And I really think people have changed their outlook on this significantly since then and it’s just become more of a norm,” she told Michigan Public Radio. “People have become more aware of infertility and the need for assisted reproduction to grow your family. So, I think it’s just become more palatable over the years and we, of course, want to be able to support people who need this to grow their families.”

The newly effective laws outline the legal rights and obligations of all parties to a surrogate arrangement. That includes automatic parental rights for couples without having to adopt after a child is born.

Advocates say that makes the arrangements enforceable and predictable. But some conservatives and faith groups say the development is not a welcome one.

Michigan Catholic Conference Vice President for Public Policy and Advocacy Tom Hickson said the church believes infertile couples should consider foster parenting or adoption. He said allowing surrogates to be paid will lead to exploiting vulnerable young women.

“That was the No. 1 amendment that we tried to get in was to strike the compensation aspect of this,” he said. “I mean that just really minimizes the dignity of motherhood and childbirth into a sale and delivery mechanism.”

Michigan joins the vast majority of U.S. states in allowing compensated surrogacy contracts.

Editor’s Note: This story is part four of a new four-part series from WDET’s Nargis Rahman called, “Shustho: Mind, Body, and Spirit,” exploring health care and health care access for Bangladeshi women.

Ayesha Tanjum moved to the U.S. about two years ago with her husband, an international student. Shortly after, she learned she was pregnant.  

“It was really tough for me in Michigan, because I didn’t have any friends or relatives around, and I was struggling to make friends,” she said. 

Tanjum said she was having mood swings due to hormonal changes and a complicated pregnancy.

“I had loneliness, frustrations, fear, anxiety, and I was alone. So I had a hyper, hypertension that time. And in the last time, my doctor figured it out that my baby’s baby’s growth is restricted,” she explained. 

Tanjum says she ultimately got the care and support she needed. She also read books to learn more about maternal health and nutrition, and began reaching out to old friends and connecting with new ones. That helped to improve her mental health. 

Speaking about mental health remains a taboo subject for many Bangladeshi women. 

Shuhrat Choudhury is a Bangladeshi American mental health counselor. She says stigma is the biggest reason many women don’t seek care — especially in older generations.

“I would be contacted by their sons, their daughters, their daughter-in-laws, that we need help for our mom or, like the older generation, but they are not OK. Like, they just, it’s that stigma around mental health, they go, ‘I’m not crazy,’” she said.  

Choudhury says younger Bangladeshi Americans struggle with navigating between American individuality and the Bangladeshi culture’s collective family expectations, in which personal boundaries do not exist in the same way in Bangladeshi culture.  

“When I transition to working someone with from our community, I have to find that balance. I just can’t advise them to move out, because you know that’s just not how it works in our culture,” she said. “I might use that terminology, but as long I’m explaining in our culture, it might not be feasible exactly the definition, but maybe a different version of it.” 

Choudhury said affordability is another barrier which can keep people from getting mental health care services. 

“Not a lot of our community members have access to better insurance plans, or they’re not financially stable. That when mixed with that stigma that we’re already trying to overcome, one obstacle on top of it, if it’s not financially feasible, then that just creates more delay in getting that help,” she added. 

There’s also a shortage of Bangla or Bengali speaking mental health professionals.  

“The need is much more than I could have ever anticipated, so I hope that more people join this field, from our community, and there is a need, and we desperately need to fill that.”

– Shuhrat Choudhury, Bangladeshi American mental health counselor

“I have been reached out by people from out of state, like someone in Michigan worked with me and their mom, brother, sister, someone’s like in Texas, but they just can’t find someone Bengali there,” she said.

Choudhury says she didn’t know there was such a need until she entered the field. She says she made that choice, in part, to give back to the community. 

“The need is much more than I could have ever anticipated,” she said. “So I hope that more people join this field, from our community, and there is a need, and we desperately need to fill that.”

Like Choudhury, Fariha Ghazi entered the mental health field to provide culturally competent care. Ghazi is a psychiatric physician assistant in Grand Rapids, who lives in the metro Detroit area and has telehealth options. 

She said she frequently sees Bangladeshi women struggling with anxiety, which manifests as physical symptoms first. 

“When they go see their general primary care provider, they’re often treated for things like stomach pain or acid reflux or, given sleep medication to help with sleep, a kind of root cause of a lot of those physical symptoms, it tends to be what I see being anxiety and trying to get them treatment for it,” she said. 

Ghazi says many women hesitate to discuss their mental health. She takes a creative approach to uncovering their struggles. 

“If someone has children, you know, I’d maybe ask her what are things that she thinks about in terms of her children, so if she’s always kind of like jumping to worst case scenarios, like thinking something bad’s going to happen to her child, or she kind of expresses that in our session, I’ll kind of note that as being, part of her symptoms.”  

Many women are also hesitant to take medication due to cultural taboos surrounding mental health treatment.

Ghazi said there is cultural taboo around taking medications to treat mental health, and part of her role is to explain treatment options and encourage self-advocacy, which she said plays a role in coverage. 

“If someone’s not fully aware of the terminology or what’s out there as resources, they’re not likely to get the health care that they need. They’re also much more willing to just kind of not question medical providers either. They’ll, be more complacent in their care,” she said. 

Choudhury and Ghazi say mental health is a vital part of caring for Bangladeshi women. They see a growing need for more Bangladeshi mental health professionals to serve their community.  

For now, they are using their language skills, cultural awareness, and lived experiences to provide better care. 

Read more from this series:

• Free health clinic aims to close insurance gap for Bangladeshi women in southeast Michigan  
• Bangladeshi women rely on culturally competent care for better health outcomes
• How language access affects health care for Bangladeshi women in Michigan