The Brief

As AI expands into every facet of society, a California company is testing whether the technology can help improve the health of people living on the streets.

Akido Labs, a Los Angeles-based health care technology company that runs clinics and street medicine teams in California, plans to start using its AI model on homeless and housing insecure patients in the Bay Area next month. The program generates questions for outreach workers to ask patients and then suggests diagnoses, medical tests and even medication, which a human doctor then signs off on remotely. The idea is to save doctors time and allow them to see more patients.

The new model, called Scope AI, is addressing a very real problem: There aren’t nearly enough doctors visiting encampments and shelters. At the same time, homeless Californians are in much poorer health and are dying earlier than the general population.

“There are individuals who haven’t seen doctors for years. There are individuals who haven’t seen a dentist ever,” said Steve Good, president and CEO of Five Keys, which is partnering with Akido to launch the AI technology in its San Francisco homeless shelters. “There just aren’t enough resources to go in there and find out the needs these individuals have.”

Experts who research AI told CalMatters that if done right, the technology has the power to increase access to care for homeless and other marginalized communities. But while many health care providers already are using AI for administrative duties, such as transcribing patient visits, using it to help diagnose people is still a relatively new field. It brings up concerns around data privacy, biases and patient outcomes, which are particularly pressing when the technology is being used on homeless patients and other vulnerable groups.

“We don’t have perfect solutions to a lot of these challenges yet,” said Angel Hsing-Chi Hwang, an assistant professor at USC who researches human-AI interaction.

How Scope uses AI to diagnose homeless patients

Scope AI essentially allows non-medically trained outreach workers to start the intake and diagnosis process before a patient sees a doctor.

An outreach worker goes out into the field with Scope on their tablet or laptop. As they start interviewing a patient, Scope suggests questions the outreach worker should ask. Scope listens to, records and transcribes the interview, and as the interaction progresses, it suggests new questions based on what the patient says.

When it has enough information, Scope suggests diagnoses, prescriptions and follow-up tests. That information is then sent to a human doctor, who reviews it (usually the same day) and either signs off on the prescriptions, makes changes, or, if it’s a more complex case, arranges to see the patient to get additional information. The medical care is paid for by Medi-Cal through its CalAIM expansion into social services.

Dr. Rishi Patel from the Akido street medicine team checks on an unhoused man living in a vineyard in Arvin on May 28, 2024. Street medicine teams throughout California are increasingly using long-acting injectable antipsychotic medication to stabilize the mental health of people living in homeless encampments.

(

Larry Valenzuela

/

CalMatters/CatchLight Local

)

Dr. Rishi Patel from the Akido street medicine team checks on an unhoused man living in a vineyard in Arvin on May 28, 2024. Street medicine teams throughout California are increasingly using long-acting injectable antipsychotic medication to stabilize the mental health of people living in homeless encampments. Photo by Larry Valenzuela, CalMatters/CatchLight Local In demonstrating the technology to CalMatters, using an imaginary 56-year-old female patient who complained of trouble breathing, Scope asked several follow-up questions to drill down on her symptoms. Then, it made suggestions that included: a diagnosis of COPD or chronic bronchitis, a chest x-ray and spirometry breathing test, and a prescription of an albuterol inhaler.

The Scope AI technology is already being used in a few target areas. Akido’s street medicine teams began using it in homeless encampments in Los Angeles County in 2023, where it has since seen more than 5,000 patients. Akido also uses AI in encampments in Kern County, clinics in California and Rhode Island, and to treat ride-share workers in New York.

Scope lands on the correct diagnoses within its top three suggestions 99% of the time, according to Akido.

Other studies have called into question the reliability of diagnoses made by artificial intelligence. A 2024 study, for example, found that AI was significantly more likely to misdiagnose breast cancer in Black women than in white women.

The infiltration of AI into homeless services has sparked concern from some critics who argue homeless patients, because of their increased vulnerability, need a human health care provider.

“We should not experiment on patients who are unhoused or have low incomes for an AI rollout,” Leah Goodridge, a tenants rights attorney and housing policy expert, and Dr. Oni Blackstock, a physician and executive director of Health Justice, wrote in a recent opinion piece for the Guardian.

Brett Feldman, director of USC Street Medicine, agrees. When someone is homeless, much of their health status is dependent on their living environment, he told CalMatters. For example, he recently treated a patient with scabies. Typically, he would prescribe a shampoo or body wash, but this patient had no access to a shower — a key detail that AI might not know to ask.

Instead, he prescribed an oral medication. The patient needed one dose right away, and another dose in a week. He had to decide whether to give the patient the second dose now and trust that it wouldn’t get lost or stolen, ask the patient to travel to a pharmacy to pick up the second dose, or try to find the patient again in a week to deliver the dose. AI couldn’t make that complex calculation, and neither could a doctor who hadn’t met the patient and seen their living situation, Feldman said.

And any missteps the AI makes could have outsized consequences when a patient is homeless, Feldman said. If the patient has an issue with the medication prescribed, they likely don’t have an easy way to contact the doctor or have a follow-up appointment.

“I would say, in general, that this would not work for this population,” Feldman said.

Akido argues the benefit of AI is clear: better efficiency and improved access to health care.

Before introducing AI, each of Akido’s street medicine doctors in LA and Kern counties could carry a case load of about 200 homeless patients at a time, said Karthik Murali, head of safety net programs for the company. Now, it’s closer to 350 patients per doctor, he said, because doctors spend less time asking routine questions and filling out paperwork.

That means more patients get access to care and medication more quickly, Murali said.

Nearly a quarter of homeless Californians surveyed by the UCSF Benioff Homelessness and Housing Initiative reported needing medical care that they couldn’t get in the six months prior to the study. Only 39% said they had a primary care provider. Nearly half of homeless Californians surveyed reported their health as poor or fair — a rate about four times higher than the general U.S. population.

Good, of Five Keys, hopes the technology also will let clinicians build trust and deeper relationships with their clients. An outreach worker using Scope will have time to form a bond with the patient and better respond to their individual needs, as opposed to a doctor who is rushing through the visit to get to the next patient, he said.

His organization hopes to roll out the technology in some of its San Francisco homeless shelters next month.

Partnerships and access

Akido also plans to work with Reimagine Freedom and the Young Women’s Freedom Center to use the AI technology at four centers — in San Francisco, Oakland, Richmond and San Jose — that serve women and girls who are or have been incarcerated. The clients they serve often had poor access to health care while in jail or prison, or had their medical concerns ignored, said Reimagine Freedom President Jessica Nowlan. Many have no trust in the medical system.

Currently, the centers offer health education. This new AI technology will allow them to provide actual medical care, Nowlan said.

“Our guess is we will see a huge increase in women being able to access health and care for themselves,” she said.

Reimagine Freedom started testing Scope AI at its Los Angeles clinic in November. So far, “it’s going really well,” Nowlan said.

Akido plans to partner with additional homeless service providers who can help it roll out its AI technology in more places throughout the Bay Area. That partnership is being spearheaded by the Future Communities Institute, which is also developing metrics to judge the effectiveness of Akido's program.

If providers who serve vulnerable patients are left out of the AI race, any benefits in the technology will go to wealthy communities instead — further widening the gap between the haves and have-nots, said Stella Tran, who researches AI companies for a California Health Care Foundation investment fund. That’s why social service providers need to be involved in testing this technology and developing the ground rules and safety checks, she said.

But that doesn’t mean Tran doesn’t have concerns. For example, AI works differently on different communities. An algorithm that produced accurate diagnoses for patients in Los Angeles might not work as well in the Bay Area, she said. And while AI has the potential to be less racially biased than human doctors, it all depends on how the algorithm is constructed.

“I think there is a potential to increase access if we do it right,” Tran said, “with the right set of guardrails and being thoughtful about safety, transparency to patients, consent, all of that.”

This article was originally published on CalMatters and was republished under the Creative Commons Attribution-NonCommercial-NoDerivatives license.

Some government funding streams for L.A. County’s public health system are drying up, and officials are turning to private philanthropy to fill the gap.

A new privately funded foundation launched Thursday to strengthen public health services after $50 million in federal, state and local funding cuts to the county’s Department of Public Health since early last year.

“It is really a hard day for our community when we have to ask for private donations to fund a public good, but unfortunately, we've lost too much money to not take this important step,” said Public Health Director Barbara Ferrer.

In February, the county’s Public Health Department closed seven clinics, with six remaining open. About half of the patients seen in those clinics are uninsured, according to county officials. The department also cut hundreds of staff positions.

Ferrer is on the board of the new foundation, The Fund for Advancing Public Health LA, which held its first meeting Thursday.

She said the fund will help the county maintain its basic public health infrastructure, including disease prevention, health promotion, environmental health, and emergency response efforts.

Other board members include several health insurance executives, as well as actors Sean Penn and Danny Trejo. Board member Saree Kayne of the R&S Kayne Foundation pledged $150,000 to the fund Thursday. Kayne said she hopes the donation encourages others to give.

The foundation aims to raise $2 million this year.

More cuts expected

L.A. County Supervisor Holly Mitchell said it’s crucial to have an alternative funding stream to protect services for the county's most vulnerable residents.

“We are saving public health,” Mitchell said. “This fund represents a new approach, one that brings together government philanthropy in the private sector to invest in community-based solutions, protect vulnerable populations, and strengthen our public health infrastructure.”

Officials say more public health cuts are coming, through the federal budget law known as the "Big Beautiful Bill," which slashes funding for Medi-Cal.

The county Department of Public Health anticipates losing up to $300 million in revenue over the next three years because of the federal budget bill and other potential funding freezes. Federal funding accounts for almost 50% of the public health budget, according to county officials.

Mitchell also led an effort to put a half-percent county sales tax increase to fund public health on the June ballot.

If approved by voters, that proposal, known as Measure ER, is expected to raise about $1 billion a year for county safety net health services, including about $100 million for the public health department.

Board members

The Fund for Advancing Public Health LA announced its founding board of directors, which includes:

• Dr. Barbara Ferrer, LA County Department of Public Health director
• Debbie I. Chang, Blue Shield of California Foundation CEO
• Sean Penn, actor and co-founder of Community Organized Relief Effort (CORE)
• Martha Santana-Chin, LA Care Health Plan CEO
• Saree Kayne, R&S Kayne Foundation CEO
• Danny Trejo, actor and restaurateur
• Jarrett Barrios, an executive at the American Red Cross
• Dr. Deborah Prothrow-Stith, Charles R. Drew University College of Medicine Dean
• Kristin McCowan, an executive at the Los Angeles Dodgers

The Rose Bowl in Pasadena may be a centenarian, but it’s holding up pretty well as it continues to host events on its way to a starring role in the LA28 Olympics.

But before it can host the soccer final, it needs fixes, especially to the infrastructure serving the bathrooms and drinking fountains. Fears of a toilet backup while in the world’s spotlight led Rep. Laura Friedman to seek federal funds for upgrades. On Thursday she announced she secured just over $1 million.

“Two years from now, athletes around the world are going to compete for gold right where we are standing. This is not the time to find out whether or not these pipes are up to the task,” Friedman said.

The planned work, she added, will lead to improved water flow capacity and water drainage, eliminating the risk of backups and emergency maintenance.

The funds came from the House of Representatives Interior and Environment subcommittee. The fixes, an official said, will be completed by the LA28 Olympics.

The funds, however, are a drop in the bucket when it comes to what’s needed to make needed improvements to the Pasadena venue.

Officials, including (left to right) Rose Bowl Legacy Foundation President Dedan Brozino, Deputy Fire Chief of the City of Pasadena Tim Sell, Congresswoman Laura Friedman, and Rose Bowl Stadium CEO Jens Weiden announced infrastructure funding for the 103-year old Rose Bowl.

(

Adolfo Guzman-Lopez/LAist

)

“Over the  next 20 years there's about $200 million that we need to put in and that's everything from updating light fixtures to updating gas, water, wastewater lines, etc.,” said Dedan Brozino,  president of the Rose Bowl Legacy Foundation, the nonprofit that supports the Rose Bowl stadium's preservation and enhancement.

Getting venues ready will be expensive

The money is a much-needed win at a time when elected officials in city, county, state and federal offices have been struggling to find the funds to get L.A.-area venues ready for the global Olympic stage in two years.

The entrance to a men's bathroom at the Rose Bowl.

(

Adolfo Guzman-Lopez/LAist

)

A $360 million proposal to spruce up asphalt in parking lots around Exposition Park won’t be done in time for the Olympics, as originally planned. Meanwhile, just up the street, there’s concern that a $2.6 billion expansion of the L.A. Convention Center, which is hosting Olympic wrestling, fencing and judo in 2028 won’t be ready for the Olympics.

Additionally, to save money, LA28 organizers moved Olympic diving to the Rose Bowl complex last year because it has two Olympic-sized pools, while the Exposition Park complex doesn't and would need expensive upgrades.

Topline:

About the chick: The chick hatched March 14. The zoo opened its Cape vulture enclosure in February 2025 after years of planning to encourage the birds to roost and nest, welcoming a new breeding pair that year. When it grows to be an adult, it’ll have a wingspan of 8 1/2 feet.

About the enclosure: The L.A. Zoo said it spent years developing the vulture habitat, which was designed to mimic the vultures’ natural environment in South Africa and nearby countries. Dominick Dorsa II, the zoo’s director of animal care, said in a statement the successful hatching is “a testament to the design and construction” of the habitat.

How to see the chick: You can’t for the time being. Zoo officials are keeping it away from visitors until the chick matures, though you can still see adult Cape vultures at the zoo’s enclosure.

Though visitors will have to wait until the chick matures to see it in the enclosure, you can still take in the impressive eight and a half foot wingspan of the adult Cape vultures.

(

Courtesy Jamie Pham/L.A. Zoo

)

What zoo officials are saying: “Welcoming a Cape vulture chick is a thrilling moment for our team and a beacon of hope for African vultures,” the L.A. Zoo’s curator of birds Rose Legato said in a statement. “Vultures are one of nature's most misunderstood marvels, and I cannot wait for our guests to eventually watch this chick grow and learn just how vital they are to our ecosystems.”

About the species: Cape vultures are listed as a vulnerable species due to human activities and encroachment. According to the L.A. Zoo, African vultures are more closely related to eagles and hawks than vultures native to the Americas, like the zoo's California condors that hatched last year.

This story first appeared on The LA Local.

What should have been a celebration for formerly incarcerated youth completing a reentry program at the Boyle Heights Arts Conservatory (BHAC) last week instead ended with seven students and two staff members detained by the Los Angeles Police Department, according to witnesses. 

Now, nearly a week later, BHAC staff and city officials are demanding answers from the LAPD, with some accusing officers of racial profiling. 

According to the LAPD, officers observed a large group gathered on the corner of Cesar E. Chavez Avenue and Mott Street around 4:16 p.m. on March 26. Authorities then requested backup for what they described as “a large group surrounding officers,” LAPD Public Information Officer Tony Im said. 

The group, classified by police as an “aggressive gang group,” consisted of seven 18-year-old students from the BHAC’s Bridge Academy Movement (BAM) program and two BHAC staff members.

The BAM program pays formerly incarcerated youth to complete 200-250 hours in media and visual arts training to prepare them for creative careers. That day, students were set to showcase their work at the BAM program graduation for families and community members. 

Rene Weber, a teaching artist at the BHAC, had been with the students setting up for the ceremony minutes before the incident occurred. 

According to Weber, the students had gone to coffee across the street at Milpa Kitchen as they often did, when staff were alerted that they were being detained. 

Weber said he arrived to find students and a staff member pressed against the wall in handcuffs. 

Video from the scene, taken by a staff member at the BHAC, shows multiple officers surrounding the group. At one point, an officer orders a person to “get on the wall” and displays a stun gun.  

“No, none of that, these are kids right here,” the staff member replies.

Another staff member, Teotl Veliz, recorded a large police response.  

“I counted 12 cop cars, that’s at least 25 cops, and they had a helicopter,” Veliz said. “It was just so comedic, tragically comedic, that it was on their graduation day too.”

Officers established a perimeter with yellow tape along the side of Ashley’s Beauty Salon as local business owners and witnesses gathered around the students. 

“I was just incredibly disappointed in LAPD… because it became so apparent to everybody, all at the same time, that it was racial profiling and nothing else,” Veliz said.

Weber said officers gave shifting explanations for the stop at the scene, including blocking the sidewalk and possible underage vaping. After Weber told the officers that all of the students were 18, they said they would investigate whether the group had any gang affiliation. 

Police have not responded to questions about what led officers to believe that the group was gang-affiliated. 

Weber recalled pleading with the officers to let the group go and explaining to them that they worked across the street. Community members and local business owners also stepped in to vouch for the students. 

“Our job is to help them gain a new perspective on life,” Weber said. “They’re coming out of juvenile detention and they’re turning their lives around. We can do our part in keeping them off the streets and keeping them doing better but what does it mean if they’re going to be profiled and treated exactly the same way?” 

In total, seven 18-year-old students and two staff members were detained. BHAC staff said one student and one staff member were taken to Hollenbeck Community Police Station and released less than two hours later after advocacy from community members and Councilmember Ysabel Jurado.

The incident ultimately resulted in an infraction for smoking a cannabis e-vape on a public sidewalk, according to a photo of the infraction shared with the Beat. LAPD did not provide details about the people taken to Hollenbeck Station or the infraction. 

The graduation ceremony was cancelled that night and is expected to be rescheduled in April. 

“Graduation should be a moment of pride and possibility — not fear,” Jurado said in a statement. “I’m seeking answers about what occurred, and this underscores the need for stronger relationships between law enforcement and community organizations so moments like these are protected, not disrupted.”

Carmelita Ramirez‑Sanchez, the conservatory’s executive director, said she was grateful to the community and Jurado for advocating for the students’ release. Jurado met her at Hollenbeck Station within 20 minutes of being alerted to the incident, she said. 

“They had store owners, señoras, barbers, that ran out and were trying to explain to the police who our kids were,” Ramirez‑Sanchez said. 

Still, she said the incident tarnished what should have been a joyous celebration.

“I imagine that what this does is derail this entire idea that you can be an active participant in your own restorative growth,” she said.