The Brief

Los Angeles County has launched one of the most ambitious efforts in the nation to tackle medical debt, targeting hospitals for their role in feeding a $2.9 billion problem. For over a year, the nation’s most populous county has worked on a comprehensive plan to track patient debt and hospital collection practices; boost bill forgiveness for low-income patients; and buy up and forgive billions in medical debt — an effort helmed by its Department of Public Health.

Though L.A. County isn’t the first government entity to confront this crisis, what sets it apart is how it casts medical debt not as a political issue, but as an urgent public health threat as prevalent as asthma and diabetes.

“Nobody in the county of L.A. who is facing economic limitations should have that impact their ability to get the kind of health care, the kinds of services and support that we all need and are essential to optimal well-being,” public health department director Barbara Ferrer said at a medical debt symposium April 10.

Mona Shah of Community Catalyst, a national health equity and policy organization, called the county’s efforts bold — tackling the root causes of medical debt, in addition to providing immediate debt relief, with input and participation from health plans, hospitals, community organizations, and government partners. Shah said the county’s population of about 10 million adds to the significance of its initiative.

But on the eve of the symposium, the local hospital association called on the county to revise its plan.

“We believe the proposed DPH [Department of Public Health] debt relief program and data collection effort will only burden hospitals with unnecessary requirements, without ultimately helping to address the underlying issue,” wrote George Greene, CEO of the Hospital Association of Southern California, in a letter to the LA County Board of Supervisors.

Many of the county’s recommendations would require hospitals to change their processes and add reporting duties. For instance, the county is asking hospitals to inform it when patient debt is sent to collections and pressing hospitals to improve access to financial assistance programs. Although state law requires hospitals to provide assistance, patient advocates say many don’t make it easy for patients to access.

Adena Tessler, L.A. County regional vice president for the hospital association, told KFF Health News the industry provides ample financial assistance and that the county is putting too much emphasis on hospitals’ role in the debt crisis, when other sectors of the health care system, such as insurers, should share the blame.

Tessler said the county plan should include all players, including health plans, provider groups, and ambulance providers.

“Medical debt is a problem, and we want to be a part of the solution,” Tessler said. “But hospitals are not the only source of medical debt.” Medical debt affects 4 in 10 adults in the U.S., according to a KFF Health News analysis. L.A. County found, in its own analysis this year, that about 785,000 residents were burdened in 2022 with a total of $2.9 billion in medical debt.

The county analysis shows that medical debt disproportionately affects people of color, low-income people, and families with children. Having medical debt more than doubled the likelihood that patients would delay or forgo health care or prescriptions or be at risk of losing housing or going hungry. Nationally, a handful of states have passed rules to limit medical debt collection or bolster hospital financial assistance policies. Some jurisdictions have relieved residents of debt. Connecticut, Colorado, and New York enacted laws in the last two years to ban medical debt on credit reports, which can depress credit scores and make it harder for patients to get a job, rent an apartment, or secure a car loan. California lawmakers have proposed similar legislation, and the federal Consumer Financial Protection Bureau is also developing a set of rules.

“It’s a huge public health problem,” said Naman Shah, medical and dental affairs director at the public health department. “We in public health try to shift the determinants of health. Those are things that impact health deeply and impact people widely. Medical debt fulfills both of those. It’s important that we see this as a health issue, and not just a regulatory issue.” The department made initial recommendations last spring, then further developed them with the backing of the Board of Supervisors, which described medical debt as “pervasive” and “causing financial, mental, and physical harm … especially to those from historically marginalized communities.”

Shah said that while the department continues to take hospital input and has addressed some of the association’s “misunderstandings,” officials are moving ahead with the plan. Tessler agreed the focus is on collaboration, not halting the county plan.

Over the next several months, the county plans to score hospitals based on financial assistance accessibility and provide them with templates and guidelines to make financial assistance less confusing and less burdensome for patients.

States such as Washington, Oregon, and Maryland have developed similar materials for hospitals.

The county’s goals also call for other debt prevention strategies, including working with plans and providers to better educate consumers to avoid surprise billing and out-of-network charges.

Shah said he was surprised by the timing of the hospital association’s letter, especially since county officials and hospital representatives met several times before the April symposium. He agreed it is important to tackle all sources of medical debt but said hospitals are a reasonable place to start. Nearly 75% of adults with medical debt owe some or all of it to hospitals, according to a 2023 Urban Institute analysis.

“We want to get the most bang for our buck,” Shah said. “The largest bill that a patient receives is not a dental bill. It’s not an office bill. It’s a hospital bill.”

Federal immigration agents detained at least two people late Friday outside Adventist White Memorial Hospital in Boyle Heights, where protesters had gathered after reports of immigration enforcement activity, according to rapid response groups. Protesters remained at the hospital into the early hours of Saturday, where immigration agents maintained a large presence.

It appears the incident began after people witnessed someone being detained and taken into the hospital before a crowd of protesters came to rally against ICE agents, according to Raquel Roman, executive director of Proyecto Pastoral and member of the Boyle Heights Immigrant Rights Network.  

That’s when ICE agents detained two protesters who are U.S. citizens, Roman said. 

Video posted on social media appears to show one person being detained. In the video, at least three officers in tactical vests are seen detaining someone at the intersection of Boyle and Pennsylvania Avenues around 11:30 p.m.

A group of about six more officers in tactical vests and masks can be seen walking around the area as another, whose vest says “Police ICE,” yells at the person recording to “back up” and “do not impede with the arrest.”

“You’re arresting U.S. citizens,” the person recording says. “18 USC 111, they’re interfering,” the officer replies, referring to Title 18, Section 111 of the U.S. Code: Assaulting, resisting, or impeding certain officers or employees. 

In the video, a bystander who says the person being arrested is his brother can be seen speaking to the officer. 

“Your brother assaulted a federal agent. He’s being arrested for assaulting a federal agent; he’s coming with us,” the officer tells them. 

Boyle Heights Beat reached out to the Department of Homeland Security for more information about the incident but has not yet received a response.

The Los Angeles Police Department was first called to the scene at 11:59 p.m. to respond to a “large group causing a disturbance,” according to LAPD Officer Norma Eisenman. LAPD responded again at 2:24 a.m. as crowds continued to gather outside of the hospital. 

“Officers responded to maintain public safety and keep the peace. At no point did LAPD officers assist federal immigration authorities with enforcement activities or detain any individuals in connection with immigration enforcement,” Eisenman said. 

Video posted on social media by Izzy Ramirez shows a line of agents blocking the emergency loading dock around 2:30 a.m. as a crowd continues to shout at the agents and make noise.

“It was horrible for the local community. The ICE presence was a lot more than I’ve seen it visibly before,” said Roman. 

Japhet De Oliveira, corporate communications executive at Adventist Health, shared the following statement:

“Federal agents brought a person in their custody to our emergency department, and we cared for that patient with dignity and privacy, as we do for every patient. When agents formed a line across our ambulance entrance, which we did not request nor authorize, we diverted ambulances to nearby hospitals for about two hours to ensure every patient received timely care. White Memorial does not participate in immigration enforcement. We know last night frightened our neighbors. No matter what happens outside our doors, everyone who comes inside is our patient, and our focus will only be on that patient, and it will not change.”

Doctors at Adventist White Memorial last year reported that ICE agents were violating the privacy rights of detained patients and prohibiting contact with patients’ family members. While the hospital released guidelines to protect patients and support staff,  doctors and advocates have said they fall short.

Councilmember Ysabel Jurado, who represents Boyle Heights, said she was “deeply troubled” by the reports overnight and demanded answers from hospital leadership. 

“I am calling on Adventist Health White Memorial to publicly disclose its agreements with ICE and end any voluntary medical-services contract with the agency. Every patient, including anyone in federal custody, must continue to receive appropriate, uninterrupted medical care. Hospital leadership must take immediate, concrete steps to protect patient privacy, support healthcare workers who advocate for their patients, and ensure that medical decisions remain with patients and their care teams.”

The Boyle Heights Immigrant Rights Network will lead a protest against ICE outside White Memorial at 2 p.m. Saturday.

ICE activity was also reported near Mariachi Plaza at 5:50 a.m. Saturday, according to witnesses, and outside the East LA Sheriff’s Station, where agents have been seen detaining people in the LA County- designated ICE-Free zone.

This is a developing story and will be updated. 

The post ICE detains two U.S. citizens protesting outside White Memorial Hospital, rapid response groups say appeared first on LA Local.

People may have been getting high off cannabis earlier than previously thought — at least 2,800 years ago, a new study suggests.

Archaeologists who led a dig at a monumental tomb in Siberia said they turned up evidence of the earliest known use of cannabis for psychoactive purposes.

The findings point to cannabis consumption at least 300 years earlier than previously known use in neighboring China.

Ancient drug use has long intrigued scholars. The Greek historian Herodotus wrote about inhabitants of Central Asia smoking cannabis around 440 B.C., and recent archaeologists have found the seeds in tombs across its highlands.

The team from Germany, Russia, Sweden and Switzerland said analysis of hair in the royal tomb where cannabis seeds turned up sheds new light on the plant’s role in ancient societies.

“It’s extremely rare that we have both preserved plant parts and human soft tissue with the active compounds in it in the same context,” said co-author Gino Caspari, an archaeologist at the University of Bern.

It’s not clear whether the cannabis was consumed through inhalation or ingestion, he said.

The dig took place starting in 2017 at a large burial mound at the Tunnug 1 site in the Uyuk Valley of southern Siberia, home to one of the earliest monumental tombs showing material culture of the Scythians — ancient nomads who migrated from Central Asia to southern Russia and Ukraine.

The team, deployed “essentially out in the middle of nowhere,” lived in tents for months and faced a spring-to-autumn season that variously featured swamps, snowstorms, frosts and swarms of mosquitoes. Herds of horses ran freely across the grassy steppe.

Larger artifacts on the site include weapons in the burials, horse gear and animal-style motifs. But the team “struck gold” as it also found tiny black spots that turned out to be cannabis seeds along with preserved human hair, Caspari said.

“It’s only so often as an archaeologist that you do get to drug test a person that’s been dead for almost 3,000 years,” he said.

Radiocarbon dating on some of the more than 1,000 seeds helped establish the time of origin, and “they are not there by accident” but deposited within the tomb, suggesting that the plant material had significance in the community, he said.

Results were published Thursday in the journal Science.

Not all independent experts were convinced.

The hair analysis “is scientifically weak” and there’s not enough evidence to tell whether cannabis was used, wrote Volker Auwaerter, head of the forensic toxicology section at the University Medical Center in Freiburg, Germany, in an email.

“For a central part of the study, the article falls far short of what would have been possible,” Auwaerter said. “This matters because the hair data carry the abstract’s main claims (cannabis consumption and use for its psychoactive properties).”

Today, scholars don’t consider ancient accounts trustworthy without corroborating evidence. Because the cannabis plant has other uses — seeds are pressed for oil and fibers used for cloth — their presence alone doesn’t confirm drug use.

Auwaerter, who was not part of the study, said the data didn’t distinguish consumption from external exposure — in other words, the hair could have picked up traces of weed simply by being buried together with it. He said a lab test involving forensic toxicology expertise would have been advisable and easy to arrange.

But Elisa Guerra Doce of the University of Valladolid in Spain, who has written about use of consciousness-altering substances in European prehistory, said toxicological hair analysis was not new in archaeology and has been used to identify consumption of psychoactive substances. She was not involved in the study.

In an email, she credited the authors for showing, through their methodology, that “cannabis was not merely deposited as a funerary offering but was actually consumed by individuals associated with the burial rite.”

A California appeals court has found that “ER” and “The Pitt” have enough similarity that a lawsuit brought by the widow and estate of “ER” creator Michael Crichton alleging “The Pitt” is an unauthorized reboot can move forward.

A three-judge panel from California’s 2nd District Court of Appeal ruled unanimously on Wednesday that the trial court judge was correct to reject a motion to throw out the case from “The Pitt” production company Warner Bros. Television, which also produced “ER.” But the judges dismissed Noah Wyle — the star of both shows and a producer on “The Pitt” — as a defendant along with two other producers who worked on both series.

The lawsuit is a clash between the makers of multiple Emmy-winning TV series that were each among the most important and acclaimed shows of their eras.

Crichton, the author of “Jurassic Park” and many other novels that became hit movies and TV shows, wrote the pilot script for “ER,” the NBC show about a Chicago emergency room that redefined the medical drama genre and drew tens of millions of weekly viewers in its run from 1994 to 2009.

The lawsuit brought by Sherri Crichton was filed two years ago, before a single episode of “The Pitt” had aired. The HBO Max series that shows a real-time day in the life of a Pittsburgh emergency department has since become perhaps the most lauded series in television, winning two Emmys for best drama for its first two seasons and two best actor Emmys for Wyle.

Along with more technical legal issues, the judges had to decide whether the shows had at least the minimal similarity that would give the lawsuit enough merit to move forward. Their decision applies only to this early legal challenge and they did not rule on whether the plaintiffs had proved the “The Pitt” is derivative of “ER.”

The court agreed with the plaintiff that “both shows provide commentaries on the healthcare system; they focus specifically on the emergency room and the difficult conditions under which the medical staff operates. Both shows take place, with little exception, in the emergency room, as opposed to other medical shows which track patients as they move out of the emergency room, or indeed never enter it.”

The opinion also said that both feature “very fast pacing, and reactions to multiple overlapping crises. The fast-paced dialogue is (to a layperson) frequently incomprehensible shorthand and jargon, lending an air of immediacy and accuracy.”

Warner Bros. Television said in a statement that “WBTV continues to maintain that ‘The Pitt’ is an entirely original series and that the claims against it are without merit. Nothing in the Court of Appeal’s decision establishes otherwise, and WBTV looks forward to defending its position as the case proceeds.”

The defendants argued in legal filings that the shows have “generic similarities” that would exist in “any dramatic story” that features “overworked doctors and staff.”

The panel also unanimously dismissed as defendants Wyle, John Wells, who created “The Pitt” and worked on “ER,” and R. Scott Gemmill, a “Pitt” executive producer who also worked on both shows. The judges found there was no evidence the three men knew the provisions of the Crichton contract that the lawsuit alleges they interfered with.

Sherri Crichton’s lawsuit alleges “The Pitt” is a rebranded version of an unauthorized “ER” reboot that she had rejected.

Her husband had secured a coveted “frozen rights” provision in his contract for the series, prohibiting Warner Bros. from proceeding with any sequels, remakes, spinoffs or other productions derived from “ER” without Crichton’s consent, or his estate’s consent after his death from cancer in 2008.

After the production company could not reach an agreement with Sherri Crichton over a proposed “ER” reboot, the TV studio proceeded to develop and produce a series based on the same premise without permission, the lawsuit alleges.

Micki Boden wanted a wedding cake that checked off a couple of big boxes — personalized and tasty. Instead of a traditional tiered cake, the San Fernando Valley native went with a favorite from her school days.

“My favorite cake of all time is the coffee cake that I ate through my entire K-12 education going to LAUSD public school,” Boden said.

Boden attended elementary school in Studio City and middle school in Sherman Oaks before graduating from a Reseda high school.

Boden and her husband, Matt Stollman, met in 2016 while working on the reality television show Big Brother and eventually started dating. The two got engaged in 2025.

With the groom’s family traveling from the East Coast for their wedding in October, the couple wanted to provide a uniquely L.A. experience.

Micki Boden and Matt Stollman cut into their LAUSD coffee cake wedding cake.

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Micki Boden

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“We wanted something that was gonna be fun, that was gonna be memorable for people,” Boden said.

They held their wedding at the Valley Relics Museum in Van Nuys, surrounded by San Fernando Valley memorabilia, and got a California favorite — an In-N-Out truck — to serve guests.

The search for a cake that fit 

But when it came to the wedding cake, the couple struggled to find something suitable. Neither Boden nor Stollman liked frosting, and traditional wedding cakes didn’t excite them.

“We explored the more traditional tiered cake setup, and it just wasn’t meshing well,” Boden said.

Boden kept returning to the coffee cake she ate throughout her years in public school. Los Angeles Unified School District had published its official recipe online, but she wasn’t confident she could bake it herself. So she reached out to the district to ask for help.

The Stollman's wedding cake, decorated by the chef at Mulholland Middle School in Lake Balboa, sits in a pastry box.

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Micki Boden

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How LAUSD made it happen 

Thomas Cohen, a public relations representative at the district, and Manish Singh, the director of food services, arranged for a chef at Mulholland Middle School in Lake Balboa to prepare the wedding cake. The chef also shaped part of the cake into a heart just for the couple.

Singh said the district doesn’t take cake orders from the public — but made this exception.

“We were doing it just to make one of our Angelenos, an ex-LAUSD student, make her special day even more special,” Singh said.

For the bride, it was the icing on her big day.

“I think it’s all just part of being an L.A. student,” she said. “The fact that we have these amazing memories from childhood, I think it’s just so meaningful for a lot of people.”