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The most important stories for you to know today
  • Investigation finds dangerous restraint still used
    Men, some in masks, carry a white coffin in a cemetery
    Shayne Sutherland’s brothers, brothers-in-law and best friend carry his casket at his funeral on Oct. 17, 2020 — the day before his 30th birthday.

    Topline:

    Since the 1990s, law enforcement officials and medical experts have cautioned about the dangers of police-prone restraint, especially when people are high on stimulants or experiencing a mental health crisis. Some California police officers haven’t been getting the message

    Why it matters: A new review of law enforcement data shows that, despite growing awareness of the dangers of prone restraint, in California, the problem is pervasive.

    How we know: After the passage of AB 71 in 2015, California began tracking data about when people died after police use of force. Between 2016 and 2022, at least 22 people have died in the state after being restrained stomach-down by law enforcement officers, according to a new analysis of currently available state use-of-force data by the California Reporting Project, The California Newsroom, and the Guardian.

    Keep reading... for more the full investigation and details about cases in Southern California.

    On a Thursday morning in October 2020, less than five months after George Floyd was held on his stomach by Minneapolis police until he died, Shayne Sutherland called 911 from a convenience store in Stockton, California, and asked for a taxi.

    This story was published in partnership with the Guardian.

    LAist is a member of the California Newsroom, which is a collaboration between major public media newsrooms in the state.

    When the operator told Sutherland he’d dialed 911, he said someone was trying to rob him.

    Stockton Police Officers Ronald Zalunardo and John Afanasiev arrived at the store about 15 minutes later. In the meantime, a store employee had called 911, saying Sutherland was threatening him with a wine bottle.

    In body camera footage that captured the officers’ response, Sutherland seems fidgety, and his speech is difficult to understand at times, but he doesn’t appear violent, and he isn’t armed. He cooperates with police, addressing Zalunardo as “sir” and sitting against a wall outside the store as instructed.

    The officers question Sutherland. When he tells them he can’t remember why he’s under court supervision, Afanasiev says, “The drugs probably have something to do with it.”

    “How long you been using meth,” Zalnunardo asks. Sutherland stutters and says he's been using cocaine.

    Sutherland briefly stands, then sits when ordered to do so. A minute later, he stands up again. This time, the officers tackle him to the ground and hold him belly-down — a position known as prone restraint. Thirty seconds later, his hands are cuffed behind his back.

    That could have been the end of the encounter. Experts say prone restraint can be a safe, effective way to subdue someone and get them into handcuffs — so long as they’re quickly placed in a “recovery position” on their side or in a seated position to allow them to breathe more easily.

    But Zalunardo and Afanasiev didn’t do that. The body camera footage shows them holding Sutherland belly-down for more than eight minutes. For nearly half that time, Afanasiev lays across Sutherland’s back. Sutherland panics, alternating between moaning and screaming for help as Zalunardo, who uses his baton and body weight to help keep Sutherland’s shoulder down, repeatedly tells him, “Relax!”

    “Please let me breathe,” Sutherland begs, his voice barely decipherable. In between shrieks and gasps, he calls out, “Mom!” He begs for help. “Please let me live.”

    Before the officers notice that he’s turning colors and losing consciousness, Sutherland, his mouth bloody from being slammed and scraped against the ground, sputters: “I’m f—ing dead.”

    Another five-and-half minutes pass before officers roll Sutherland onto his side and begin to render aid.

    Sutherland was declared dead 47 minutes later at a hospital.

    'Deeply concerning’ findings

    As far back as the 1990s, medical experts and law enforcement officials have been aware of the dangers of prone restraint. A number of organizations and law enforcement agencies, including the U.S. Department of Justice, the Chicago Police Department and the New Orleans Police Department, warned officers of these dangers and advised them on how to minimize risks.

    We really shouldn't have any of these deaths. Any time there's prolonged prone restraint, something's going wrong. It should not happen.
    — Seth W. Stoughton, former police officer

    Many training manuals have since been updated to address the risks of prone restraint and the importance of using the recovery position. Ohio State Police officers are forbidden from using prone restraint. A Nevada law forbids the practice. In California, a law that became effective in 2022, AB 490, bans any maneuvers that put people at risk of being unable to breathe due to the position of their body, or positional asphyxia, a common cause of death in prone restraint cases.

    But a new review of law enforcement data shows that, despite growing awareness of the dangers of prone restraint, in California, the problem is pervasive. After the passage of AB 71 in 2015, California began tracking data about when people died after police use of force. Between 2016 and 2022, at least 22 people have died in the state after being restrained stomach-down by law enforcement officers, according to a new analysis of currently available state use-of-force data by the California Reporting Project, The California Newsroom, and the Guardian. Our examination also included police reports, death investigations, district attorney reviews, body-worn camera footage, 911 calls and lawsuits.

    Other key findings:

    • Nineteen of the 22 people who died following prone restraint tested positive for meth.
    • Five died after May 2020, when Minneapolis police killed George Floyd.
    • Two of those people died after AB 490 went into effect.
    • All 22 cases involved people in crisis — either struggling with addiction, mental illness or otherwise behaving erratically.
    • Almost half of those who died were Latino, followed by white people — a trend that reflects larger use-of-force data in California. 
    • Two of those who died were armed, but not with guns.

    “We really shouldn't have any of these deaths,” said Seth W. Stoughton, a former police officer in Tallahassee, Florida, who teaches criminal law and procedure at the University of South Carolina’s Joseph F. Rice School of Law. “Any time there's prolonged prone restraint, something's going wrong. It should not happen.”

    “My general disgust [is] that we're still having to talk about this,” he said. ”It's a little depressing that we're coming up on 30 years of making the same mistake over and over again. That's really frustrating.”

    “It's deeply concerning to learn about the deaths of individuals in California due to positional asphyxia, even after it was banned by AB 490,” wrote California Assemblymember Mike Gipson, who was the primary author of the bill, in an emailed response to the findings. “These incidents underscore the urgent need for comprehensive training and accountability measures within law enforcement agencies.”

    Others who have died following prone restraint by California police officers between 2016 and 2022 include:

    ● Isabel De La Torre, died on March 26, 2022, after her partner, who was five months pregnant, called 911 in Clovis, California, because she believed De La Torre was unconscious, according to official records and court documents. When De La Torre awoke, her partner hung up the phone, but Clovis police officers responded anyway. De La Torre tried to turn the officers away, hiding in a bathroom, writhing and screaming, allegedly holding a knife. When she came out of the room, officers ordered a police dog to bite her, bringing her to the ground, where officers handcuffed her and held her in the prone position for more than three minutes. She died of positional and compressional asphyxia due to prone restraint, according to the Fresno County Sheriff-Coroner. Her family sued the department for wrongful death and is set to receive a $1.9 million settlement.

    ● Mario Gonzalez, who died on April 19, 2021, in Alameda, California. When police responded to a call about a man sitting in a park and talking to himself, officials said they found Gonzalez so intoxicated he couldn’t speak in full sentences. He refused to take his hands out of his pockets, according to official reports, leading two officers to hold him down on his stomach while another held his legs. Body camera footage of the incident shows officers repeatedly telling each other not to put too much force on him, but they continued to hold him prone after he was handcuffed. He died of the “toxic effects of methamphetamine” after suffering a cardiopulmonary arrest, according to the Alameda County Coroner's Bureau. His family sued the city of Alameda, the officers involved in Gonzalez’s death and the police chief at the time and won a settlement of $11 million. In 2023, the Alameda County district attorney reopened her office’s investigation into whether the officers acted criminally.

    ● Edward Bronstein, who died on March 31, 2020, in Altadena, near Los Angeles. California Highway Patrol officers had detained Bronstein in an L.A. County station on suspicion of driving under the influence. When Bronstein declined to give a blood sample, officers forced him face down onto a mat, at which point he said, “I’ll do it willingly,” a video of the incident shows. An officer can be heard saying, “It’s too late.” Five officers continued to pin Bronstein to the ground. As they drew blood, Bronstein screamed, “I can’t breathe” and "Let me breathe" multiple times before his breathing and pulse stopped. Officers performed CPR to no avail. In 2023, the Los Angeles County district attorney charged a CHP sergeant, six officers and a nurse with involuntary manslaughter and assault under the color of authority. His family was awarded a $24 million settlement in a civil wrongful death suit.

    And there may be more deaths beyond the 22 we found. While the state receives data from law enforcement agencies for deaths that occur after police use of force, it isn't necessarily complete. That’s because agencies don't always submit data to the state as they're required to do, or data is otherwise excluded from the state’s use-of-force database. For example, Angelo Quinto died in 2020 after Antioch police officers held him prone, but his case is not in the database. Gipson, the assemblymember, said Quinto's death was the impetus for the new legislation.

    Despite the passage of AB 490, training manuals for the Antioch Police Department, Stanislaus County Sheriff’s Department and the Sonoma County Sheriff’s Department say that positional asphyxia is "the subject of debate among experts and medical professionals.”

    A woman with light-tone skin and long hair sits in front of a tombstone with flowers flanking both sides
    Karen Sutherland sits by her son Shayne's gravesite at the Park View Cemetery in Manteca, Calif., on Feb. 24, 2024.
    (
    Beth LaBerge
    /
    KQED
    )

    The science of prone restraint

    When a person is lying prone on a hard surface, their chest cavity is compressed and breathing becomes difficult, especially when their hands are cuffed behind their backs. Add the body weight of one or more police officers, and compression increases, restricting the movement of the ribcage and diaphragm, which are vital for the inhalation of oxygen and exhalation of carbon dioxide. The lack of proper ventilation puts stress on many parts of the body, including the heart, as noted in a 2002 study by Disability Rights California.

    The warnings go even further back. In a 1995 bulletin, the U.S. Department of Justice cautioned law enforcement officers about the deadliness of positional asphyxia. “As soon as the suspect is handcuffed, get him off his stomach,” it reads.

    The bulletin outlines how subjects on drugs are at higher risk of death in the position, noting that “cocaine-induced bizarre or frenzied behavior… may increase a subject’s susceptibility to sudden death by effecting an increase of the heart rate to a critical level.” It also said that “drugs and/or alcohol” pose a “major risk factor” because “subjects may not realize they are suffocating.”

    The bulletin explains that suspects restrained in a prone position often appear to be resisting officers when, in fact, they’re fighting, perhaps involuntarily, to get oxygen and carbon dioxide in and out of their bodies as their chest is squeezed. As the memo reads: “The individual experiences increased difficulty breathing. The natural reaction to oxygen deficiency occurs — the person struggles more violently. The officer applies more compression to subdue the individual.”

    “It's horrible because you're just watching a preventable death, and you know the person's suffering,” said Dr. Alon Steinberg, a California cardiologist who studies prone restraint and has viewed hours of footage of people being held stomach-down by police.

    Steinberg, who serves as an expert witness, believes that cardiac arrests following prone restraint might be caused by more than just a lack of oxygen in the heart muscle. When someone can adequately breathe, the expulsion of carbon dioxide regulates the level of acid in the blood. But when breathing and blood flow are restricted, acid can build and cause cardiac arrest, as Steinberg and forensic pathologists Dr. Victor Weedn and Dr. Peter Speth proposed in a 2022 study.

    Dr. Daniel Wohlgelernter, a cardiologist who has also testified in a number of prone-restraint cases, agrees. He pointed out that putting someone in prone restraint when they are in a hyperactive state — as people often are when on stimulants or in crisis — can exacerbate acidosis and cause a “double whammy.”

    “We have carbon dioxide accumulation, development of lethal or potentially lethal metabolic acidosis at the same time that we have deprivation of oxygen,” he said.

    Despite widespread agreement about the dangers of positional asphyxia caused by prone restraint, some studies have argued that the restriction of airflow caused by prone restraint is not, in most cases, enough to kill.

    Medical and legal experts have pointed out flaws in the studies, which have been done on healthy, sober individuals in police-free environments and don’t duplicate a real-life prone-restraint scenario.

    “Studies like that, if they actually had the potential to kill anyone, would never be approved by an institutional review board,” said Joanna Naples-Mitchell, an attorney with Physicians for Human Rights. “So it's not something that's actually possible to model in the real world in a safe way.”

    A collage of photos shows a man from childhood through early adulthood,
    Karen Sutherland holds a photo collage of her son Shayne at Park View Cemetery, where he is buried.
    (
    Beth LaBerge
    /
    KQED
    )

    Sorting out causes of death

    Of the 22 deaths we found where people died after being held stomach-down, coroners and medical examiners attributed acute methamphetamine toxicity to 10 deaths. Coroners are usually elected, and few places require them to have a medical background.

    Wohlgelernter and Steinberg are skeptical of those determinations. Both were adamant that in the prone restraint cases they’ve reviewed, methamphetamine, on its own, was not to blame for deaths.

    “In no cases did I see that the individuals were destined to die on that day, if not for the interaction with law enforcement and the prone restraint compressive asphyxia,” Wohlgelernter said.

    Steinberg pointed out that while people can overdose on meth, those who wind up dead after being restrained face down were “alive and fine” before they had a run-in with police.

    “They're alive beforehand. They're alive for a few minutes in the prone position, and then after a prolonged episode of restraint, people die,” he said.

    Dr. Odey Ukpo, chief medical examiner-coroner for Los Angeles County, where seven deaths following prone restraint were attributed to meth use or toxicity, said it’s more complicated.

    “What some people don’t realize is that a cause-of-death [determination] is a medical opinion,” he said. “It’s based on deductive reasoning.”

    I think they fundamentally don't respect people they view as addicts or tweakers or whatever the pejorative might be, and treat them accordingly without respect for their lives.
    — Justin M. Feldman, Center for Policing Equity, speaking about police officers

    For instance, Ukpo said he looks for signs of petechiae, a dot-like pattern of blood in the eyes or on the gums, before ruling whether someone died of asphyxia.

    To Seth Stoughton, the University of South Carolina law professor and former police officer, who wrote an amicus brief about the dangers of positional asphyxia that was submitted to the U.S. Supreme Court in 2022, causes of death are beside the point. Prone restraint, he argues, is so easy to perform safely that it should never lead to deaths in the first place, no matter who’s being restrained.

    “Whether they're dying of oxygen deprivation or metabolic acidosis is irrelevant,” he said. “People are still dying! And if you flip them over to their side, they don’t!”

    Stoughton served as an expert witness in the case against Minneapolis police officer Derek Chauvin for the murder of George Floyd. He says that if officers take the proper precautions to manage the scene and protect themselves, someone in handcuffs on their side is not a great danger.

    “We're talking about literally the difference between taking someone from their stomach and rolling them 90 degrees onto their side,” he said. “If there is any increase in risk at all [to officers], it is so marginal that it is vastly outweighed by the potential of saving that person's life.”

    In addition to training officers to use the recovery position as a matter of routine, experts say officers can keep an eye out for warning signs when restraining people prone.

    Wohlgelernter says officers should watch for changes in alertness, speech or physical movements.

    Steinberg argues that the use of prone restraint should be limited.

    Justin M. Feldman, principal research scientist at the Center for Policing Equity, said that some incidents escalate because of officers’ bias against people who abuse drugs.

    “I think they fundamentally don't respect people they view as addicts or tweakers or whatever the pejorative might be, and treat them accordingly without respect for their lives,” Feldman said.

    For Peter Moskos, a criminologist with John Jay College of Criminal Justice and former Baltimore police officer, there should be a greater focus on preventing the events that lead people into the hands of police by getting them the help they need, such as jobs, housing, drug treatment and mental health care.

    “At some point, it would have been nice if someone could have pulled a switch track and diverted that person, whether it's community, family, other government agencies, anything,” he said. “But once you get to that point [of a police encounter], it's kind of too late to offer an ideal solution.”

    A grave marker has an image of a man with light-tone skin. A built-in urn holds lilies.
    Shayne Sutherland's tombstone.
    (
    Beth LaBerge
    /
    KQED
    )

    $41 million in civil suits 

                                                                                                             
    The San Joaquin County medical examiner’s office determined that Shayne Sutherland’s cause of death was cardiac arrest due to “acute methamphetamine toxicity” with a contributing factor of “physical restraint by law enforcement.” In other words, meth, not police, was primarily responsible for Sutherland’s death.

    Sutherland’s family wasn’t satisfied with the medical examiner’s findings or with the Stockton Police Department’s response to his death. In October 2021, they filed a federal civil rights lawsuit against the city of Stockton, Officers Zalunardo and Afanasiev and former Stockton Police Chief Eric Jones. The suit alleges wrongful death, excessive force and interfering with Sutherland’s constitutional rights by force.

    “They did not have that right to judge him that morning,” his mother, Karen Sutherland, said. “They did not have that right to do what they did.”

    Families of people in California who have died following prone restraint have won at least $41 million in civil suits across the state, according to court documents and press reports.

    In the year leading up to her son’s death, Karen managed to get Shayne into rehab for a stint, but finding mental health care and ongoing treatment was a struggle. When people like Shayne reach out for help, she said, “They're turned away, or they're told they have to wait.”

    “[But] when you have a mental health problem, you can't wait,” she said.

    Last December, Karen pulled into Park View Cemetery in Manteca — about 20 minutes south of Stockton — and walked to her son’s grave. Sitting on a blanket, she talked about Shayne’s life: his “teddy bear” lovability; the fishing and camping trips with his two kids, Shayne Jr., 8, and Demi, 7; coaching the Manteca Chargers youth football team.

    She talked about the hard times, too: the cocaine and meth addiction; the split with the mother of his children; the “little, petty, stupid, whatever crimes” that, she said, “are in no way in any comparison of any type of magnitude of the crime that those two police officers committed that day when they killed my son.”

    “I've always been able to handle things,” she said. “I'm a very strong person, but not when this happened. This broke me — completely shattered me.”

    After Shayne’s death, Stockton PD determined that Zalunardo and Afanasiev acted within policy. The only issue the investigation raised was that Zalunardo left his baton “unsecured on the ground near the suspect” when administering aid.

    The Stockton Police Department did not respond to our requests for comments and interviews with the officers.

    Karen has watched the footage of Shayne's final encounter with police. But she says she’ll never turn on the sound, because others have told her what she’d have to hear.

    “He knew he was dying,” she said. “He was being tortured. And knowing that tortures me every second, man. Every second.”

    Karen chose this particular grave site because of the morning sun that hits it each day. She’s come to believe that God reached down to stop Shayne’s suffering — not just at the hands of police, but in life.

    In the winter sunshine, the top of Shayne’s headstone reads: “God reached down and rescued me.”

    How we reported this story

    Since the 1990s, experts have warned that restraining someone prone, or on their stomach, can kill them. When someone is agitated, on stimulants or acting erratically, they are also more likely to die if officers use prone restraint, according to medical experts. Former police officers and criminologists say that putting someone on their side or seated after they’re handcuffed saves lives. In 2020, Antioch police officers held Angelo Quinto down on his stomach after responding to a call from his family. His death inspired California legislation, which went into effect in 2022, that prohibits officers from using techniques such as prone restraint that “involve a substantial risk of positional asphyxia.”

    The California Newsroom and The California Reporting Project wanted to better understand how many people were dying after officers used prone restraint in the Golden State.

    Since the passage of state law AB 71, California law enforcement agencies submit anonymized data to the state Department of Justice’s Use of Force Incident Reporting database when officers seriously injure or kill people. That data contains information listing the types of force officers used and whether someone died. Currently, the data includes incidents that occurred from 2016 to 2022. Although people can die from prone restraint after being otherwise injured, we wanted to focus on cases where the cause of death was more clear. We filtered the data to incidents where someone died and officers used a control hold but did not use a gun, Taser or carotid restraint. Outside of carotid holds, the data does not distinguish between specific types of restraint. To better identify the decedents, reporters then combined the use-of-force data with data from California’s Death In-Custody database. To ascertain whether officers specifically used prone restraint on those decedents, we used public record requests to obtain records and body camera footage from law enforcement agencies, district attorneys, medical examiner/coroners and oversight agencies about the incidents. We also obtained lawsuits in cases where loved ones sued local authorities. Two people reviewed those records, and an editor checked that work. We were unable to obtain enough records on four people’s deaths and excluded them from our analysis. Through our reporting, we determined five were incorrectly marked as not having been tased and removed them from our analysis. We also found that two people did not clearly die after a prone restraint and cut them from our analysis.However, we know that this data was incomplete because it did not include Angelo Quinto. We had records showing that officers used prone restraint, so we included him in our analysis despite his not appearing in the state’s use-of-force data.

    Justin Feldman, principal research scientist at the Center for Policing Equity, says that it’s not uncommon for prone restraint deaths to go unreported. In a study, he found that in more than half the cases when police kill someone, it’s not documented on the death certificate and so may not be properly recorded.

    Feldman said the “number one predictor” of misreported deaths was when officers didn’t shoot someone, such as when they used prone restraint or a Taser.

    Two police departments would not release police reports to the California Reporting Project because the death investigations found the men died of other causes, such as methamphetamine toxicity.

    Credits

    Additional reporting by Bella Arnold, Hanisha Harjani, Simmerdeep Kaur, Grace Marion, Adam Solorzano and Krissy Waite of Berkeley Journalism’s Investigative Reporting Program; Leila Barghouty, Jacqueline Munis and Camryn Pak of Stanford University's Big Local News; and Brian Krans of The California Newsroom.  

    The California Newsroom is a collaboration of public media outlets throughout the state, with NPR as its national partner. The California Reporting Project collected police records. 

    This project was completed with the support of a grant from Columbia University's Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures.  

  • Plans are being slashed. What to know
    Topline:
    A slew of Medicare Advantage plans are disappearing for next year, leaving seniors in many areas with fewer options. In 193 counties across the country, no plans are offered at all.
    Why it matters: More than half of the 70 million Americans in Medicare choose Medicare Advantage. It's popular because it covers services like vision and dental, often with lower premiums than traditional Medicare. It also often folds in the "Part D" drug benefit, simplifying that decision.

    Why now: Medicare's annual open enrollment period kicked off October 15 and runs until December 7, and seniors enrolled in those privatized Medicare plans that are closing in certain markets should carefully review their options.

    Read on to learn about options if your Medicare Advantage plan is ending.

    A slew of Medicare Advantage plans are disappearing for next year, leaving seniors in many areas with fewer options. In 193 counties across the country, no plans are offered at all.

    Medicare's annual open enrollment period kicked off October 15 and runs until December 7, and seniors enrolled in those privatized Medicare plans that are closing in certain markets should carefully review their options.

    Medicare Advantage means private insurers run Medicare for older Americans who choose it over traditional Medicare, where the federal government itself administers the program. More than half of the 70 million Americans in Medicare choose Medicare Advantage. It's popular because it covers services like vision and dental, often with lower premiums than traditional Medicare. It also often folds in the "Part D" drug benefit, simplifying that decision.

    But a downside of Medicare Advantage is that companies can pick and choose where they offer plans. If a certain community is not profitable, a company can leave that market. And that has been happening on an increasingly large scale the last three years, according to research published in JAMA.

    Who is affected

    Big swaths of rural America are losing Medicare Advantage choices and so are some major metro areas.

    Last year, 2.9 million seniors were in Medicare Advantage plans that closed up shop, according to JAMA. This year, an analysis of insurance company announcements by An Arm and A Leg podcast, shows at least 2 million people will be affected. Other preliminary estimates range from 3.2 million to 5 million seniors. About 35 million people are enrolled in Medicare Advantage.

    According to an analysis of federal data by the health policy research organization KFF, the 193 counties that will have zero Medicare Advantage plans are mostly rural. Last year that number was about 120 counties without a plan offered.

    KFF's numbers also show that there will be far fewer plans offered in some metro areas. Dallas, Minneapolis, Seattle, Houston and Portland all have between a quarter and a third fewer Medicare Advantage plans for seniors.

    What happens next

    If your plan is ending, and you don't choose another, the insurance company will assign you to another Medicare Advantage plan or the government will enroll you in traditional Medicare — but without a supplemental or drug plan.

    If you want to switch from Medicare Advantage to traditional Medicare and your plan is ending, you can enroll in a Medicare supplemental plan — also known as Medigap — without the same restrictions that you would normally have. If you have a pre-existing condition that has prevented you from enrolling in Medigap before, that could be good news.

    Another wrinkle this year is that insurance companies can cap enrollments on some of the Medicare Advantage plans that they do offer.

    Which means: If you wait to sign up, a plan you want might already be full.

    The companies are supposed to enroll people on a first-come, first-serve basis — and not cherry-pick customers based on health conditions, age, or demographics.

    Another reason not to delay is that with so many people on the hunt for new plans, it may take longer than usual to get help.

    How and where to find help

    Here are some tips for navigating Medicare open enrollment this year:

    • Find out if your plan is still offered: First, check your mail. Medicare Advantage plans that are closing should have sent letters the first week in October. You can also log in to your account on Medicare.gov to check your plan's status for next year.
    • Try calling your SHIP: There's a State Health Insurance Assistance Program — known as a "SHIP" — in every state to help seniors with Medicare. The name's not easy to remember or particularly descriptive, but it's free, mandated by the federal government, and the staff and volunteers are required to give you unbiased information on all available options. Find your state in the directory at shiphelp.org. Your county may have a specific number that you can find on your state's SHIP website.
    • Look for local Medicare counseling services: Friends, family, leaders at your place of worship, and the constituent services of your local elected officials may have the scoop on where you can get one-on-one help. The nonprofit Medicare Rights Center also has a national helpline, and a well-organized library of online guides.
    • Brokers can be helpful, but be savvy: You want a broker who's going to talk with you about all your options — including switching to traditional Medicare and a supplemental plan. Ask if they sell plans from all available insurance carriers. And ask if they answer questions about your plan year-round, because insurance never stops being confusing.
    • Double check what you see on Medicare.gov: Medicare's Plan Finder allows you to search plans online. But lists of doctors and drugs that are covered can sometimes be wrong. To be safe, double check with your doctor's office or a SHIP counselor, broker, or other Medicare assistor.
    • Don't share your personal information with services you find online: Be careful where you share your personal information like your phone number. Some online agencies will sell your information, leading to spam calls and potentially even scam artists.
    • Be mindful of the deadlines: Open enrollment for Medicare runs October 15, 2026 through December 7, 2026. The coverage starts January 1, 2027. If your plan is ending, you qualify for a "special enrollment period" to give you a little more time — until February 28, 2027. (For coverage that starts January 1, 2027, enroll by December 31.)

    Emily Pisacreta is the senior producer for An Arm and a Leg, a podcast about the cost of healthcare produced in partnership with KFF Health News and distributed by KUOW, Seattle's NPR member station. 

    Copyright 2026 NPR

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  • DoJ sent letters to multiple CA counties
    People wait in line to cast ballots during early voting at a polling station in Black Mountain, North Carolina, on Friday.
    People wait in line to cast ballots during early voting at a polling station in Black Mountain, North Carolina, on Friday.

    Topline:

    Federal prosecutors sent letters to county registrars across California on Friday demanding that local officials set aside and verify ballots that the Department of Justice said may belong to noncitizens, according to the Los Angeles County registrar and a letter obtained by The Associated Press.

    Why now: The letters are the latest escalation in a legal battle between California and President Donald Trump’s Department of Justice, which has recently focused on the state in its efforts to root out noncitizen voting ahead of the midterm elections. Data shows illegal voting by people who aren’t U.S. citizens is incredibly rare, difficult to prove and has not been shown to change the outcome of races.

    The backstory: The letters on Friday came on the heels of statewide sweep by federal authorities earlier in the week, where 28 people from the list of 20,000 were charged with illegally registering to vote. Some were also charged with illegally voting and lying on naturalization paperwork. Those charges could lead to years in prison.

    Federal prosecutors sent letters to county registrars across California on Friday demanding that local officials set aside and verify ballots that the Department of Justice said may belong to noncitizens, according to the Los Angeles County registrar and a letter obtained by The Associated Press.

    The letters are the latest escalation in a legal battle between California and President Donald Trump’s Department of Justice, which has recently focused on the state in its efforts to root out noncitizen voting ahead of the midterm elections. Data shows illegal voting by people who aren’t U.S. citizens is incredibly rare, difficult to prove and has not been shown to change the outcome of races.

    Earlier this month, the federal government targeted Los Angeles County and the California Secretary of State’s office in a lawsuit that aimed to block them from counting the votes of roughly 20,000 people who are “likely” noncitizen voters. A hearing on the case is scheduled for Tuesday.

    The Trump administration asked the 9th Circuit court of appeals to rule on the lawsuit barring a decision from the district judge assigned to the case. They set a deadline for Saturday.

    Now, according to the LA County registrar’s office, at least 18 counties across the state have received similar letters. They have been given a 48 hour deadline to provide identifying information corresponding with ballots that the federal government believes were sent to noncitizens illegally registered to vote. The letter requests that county officials also sequester any ballots where citizenship cannot be verified.

    “Any election official who knowingly processes the ballot of a noncitizen is opening themselves to legal jeopardy,” said First Assistant U.S. Attorney Bill Essayli.

    The Justice Department is asking counties to send information about the voters it suspects are noncitizens including social security numbers, ID information, a copy of their registration and more.

    That information can help the government and state quickly assess each person suspected of illegally registering to vote, said the letter sent to San Bernardino County voting officials. The letter says the government’s list of suspected noncitizen voters includes 1,133 people from the inland Southern California county.

    California’s secretary of state and the Los Angeles County registrar have opposed the federal government’s demands. In legal filings, lawyers for California say the request threatens to delay the certification of the vote and undermine the legitimacy of the November midterms. They have also argued that the federal government’s data is unreliable and that their demands risk disenfranchisement of citizens.

    Voting is underway in California, with the state’s more than 23 million registered voters receiving ballots in the mail earlier this month. The state said in legal filings that over 330,000 mail-in ballots have already been counted.

    The letters on Friday came on the heels of statewide sweep by federal authorities earlier in the week, where 28 people from the list of 20,000 were charged with illegally registering to vote. Some were also charged with illegally voting and lying on naturalization paperwork. Those charges could lead to years in prison.

  • Union asks for strike authorization
    A woman wearing jeans, purple sweatshirt and dark colored backpack rides a bicycle across a brick courtyard.
    A cyclist rides through campus at Cal State Long Beach in Long Beach on July 25, 2022.

    Topline:

    The California State University faculty union is asking its members to authorize a strike.

    Why now: This summer, the California Faculty Association declared an impasse after 16 months of negotiation with the CSU. The union’s president said university officials negotiating with the union have “not been honest agents.”

    Why it matters: The union, which represents 29,000 professors and other university employees, is seeking salary increases, changes to faculty workloads and protections related to the use of artificial intelligence.

    The California State University faculty union is asking its members to authorize a strike, as negotiations with the California State University system remain stalled.

    This summer, the California Faculty Association declared an impasse after 16 months of negotiation with the CSU. The union’s president said university officials negotiating with the union have “not been honest agents.”

    If a majority of members approve the strike authorization, voting from Oct. 26 through Nov. 19, CFA leadership would be authorized to call a strike.

    The union, which represents 29,000 professors and other university employees, is seeking salary increases, changes to faculty workloads and protections related to the use of artificial intelligence.

    In recent weeks, CSU has reached tentative agreements with three unions: the Statewide University Police Association, the United Auto Workers Local 4123 and Academic Professionals of California. Together, the agreements cover 14,000 university employees.

    The tentative agreements, which must be approved by union members and CSU’s Board of Trustees, include an 8% salary increase over two years, along with one-time raises negotiated by each bargaining unit.

  • A local social club wants to help
    A large group poses in front of the Universal Studios globe sign under a partly cloudy sky.
    Attendees of the 2026 Tall Clubs International convention in front of Universal City Walk.

    Topline:

    There's an international club for tall people that started in Los Angeles. It's also a little bit of a support group. And yes, it can be tough to be tall. I am 6 feet, hear me out.

    Why it matters: Complaining about being able to see over a crowd may sound silly, but height can be a love-hate relationship for many people, particularly towering women and children who feel like they just don’t fit in.

    Why now: Well, that’s where a worldwide social club for tall people comes in, but whether it'll survive to its 100th birthday is in question.

    Read on ... to learn more, including how to join.

    It can be tough to be tall. I am 6 feet, hear me out.

    And yes, complaining about being able to see over a crowd may sound silly. But height can be a love-hate relationship for many people, particularly towering women and children who feel like they just don’t fit in.

    Well, that’s where a worldwide social club for tall people comes in, but whether it’ll reach its 100th birthday is in question.

    Tall Clubs International is an organization spanning more than a dozen states and several countries that offers tall adults a chance to connect and commiserate. The original chapter, founded in Los Angeles in 1938, is called the California Tip Toppers.

    Tall Clubs International

    How to get involved

    • You can learn more about Tall Clubs International here, including the original 1938 article that sparked the organization.
    • You can find your nearest chapter and contact information here.
      • California Tip Toppers have higher height requirements than some of the other chapters.
    • You can learn more about becoming a “member-at-large” or starting a new tall club in your town here.

    Tall Clubs International also does philanthropic work.

    • You can learn more about scholarship opportunities for tall students here.
    • Tall Clubs International raises money for the Marfan Foundation. Marfan syndrome is a genetic connective tissue disorder that club officials say typically comes with tall people. You can learn more here.

    To get into the L.A. group, men have to be 6 feet 4 inches or taller, and women have to be at least 6 feet. One of the tallest members of the organization is 7 feet 2 inches, and honestly, I couldn’t help but perk up at the opportunity to feel short for once in my life.

    At 13, I was still growing at 5 feet 10, towering over almost every kid in my freshman high school class. One of the first questions people still ask me is whether I played volleyball or basketball, and I’ve learned to laugh at the look they get when I say I preferred theater.

    “People see how tall you are, they expect ‘Oh, you're going to be great on the basketball court,’” said Michele Cripps, a 6-foot-1 member of the California Tip Toppers, who joined in 1996. She's married to William Walter Wiseman II, a fellow member. “Well, I'm sorry, white girls can't jump sometimes, and I'm one of them.”

    Some of the tall club members are generational, encouraged to join by their parents or older relatives, which has started to pose its own problems as the chapters get older.

    What’s the big deal anyways?

    Two people smile together on a red carpet in front of a backdrop styled like an awards show entrance.
    William Walter Wiseman II and Michele Cripps at the 2026 Tall Clubs International convention in Hollywood.
    (
    Courtesy Michele Cripps and William Walter Wiseman II
    )

    The chapters became a way for tall people to trade practical tips, like which stores sold pants that actually covered your ankles or shoes that didn’t need to be specially made.

    “I was always being kidded about my pants being too short or my clothes not fitting correctly,” said Wiseman, who's nearly 6 feet 9 and also wasn’t much of a basketball player. “And as I grew as an adult, people are a little bit afraid to approach people that are tall.”

    Wiseman has a good sense of humor about his height, cracking jokes that I’ve added to my arsenal when answering “how’s the weather up there?” But he doesn’t gloss over the pain points either — Wiseman can’t fit into cars or roller coasters, hotel beds are never long enough, and airplanes can be an expensive nightmare.

    “It's not just the socialization of being tall, but it's also the physicality of it,” he said. “It's almost a handicap to be tall.”

    A group in formal attire poses together at an event, with one person seated on a stool at the center.
    Members of the Tall Club of Orange County at the 2026 convention.
    (
    Courtesy Michele Cripps and William Walter Wiseman II
    )

    Cripps said she was a skinny kid, but she couldn’t help but feel “huge” growing up a head above everyone else, which hurt her young self-esteem and made dating more difficult.

    The clubs gave them both a chance to see eye to eye with a room full of people for the first time, and potentially even find a partner. Wiseman’s parents met in the Dayton Altitudians tall club in Ohio, decades before Wiseman and Cripps met through their own California clubs.

    “The people that married inside the club stayed married,” said Wiseman, who lives in Torrance with Cripps. “The people that married outside of the club got divorced.”

    A 1958 newspaper clipping shows tall teenagers standing beside a small sports car and being measured by club members for a height-based social club.
    A Dayton Daily News clipping of William Walter Wiseman II's father measuring tall teens in the Dayton, Ohio area from November 19, 1958. 
    (
    Courtesy William Walter Wiseman II
    )

    Future of the club in question

    But now, the California Tip Toppers is having trouble bringing in new, younger members — a recruitment crisis that’s essentially dissolved groups in other areas, Wiseman said.

    A group poses in formal attire on a red carpet before a Hollywood-themed backdrop, one person wears a tracksuit with a small 'Hollywood' sign held in front of it.
    Members of the California Tip Toppers at the 2026 convention.
    (
    Courtesy Michele Cripps and William Walter Wiseman II
    )

    “We're facing the same challenges like all other clubs,” Cripps and Wiseman said, jumping in to finish each other’s thoughts. “Some of it could be generational. Some of it's that since COVID, the clubs have not been quite as active as they used to be. Some people [don’t have] homes to open up anymore … and we're all getting older.”

    The club is at a crossroads: Get new members on board or fade away. The couple seems to have made it a mission to rejuvenate the California Tip Toppers, but Cripps was frank when she said they’re not sure how to get more people involved, whether it's fresh events or outreach opportunities.

    At the end of the day, they’re hoping the club and the community it fosters can help others learn how to “stand tall” and be proud.

    “It’s a challenge, but it’s something that was given to us,” Cripps said. “I say as I've aged, I should have listened to my mother, I should have stood up tall.”

    Moms everywhere, mine included, rejoice.

    “Everybody wants to be something different than they have,” Cripps continued. “So, try and embrace what you have. Life is too short, and it goes too quick.”