The Brief

Standing on a busy street in Skid Row on a recent sunny day, Mary Marfisee tried to block out street noise as she popped her stethoscope into her ears. Dozens of people were milling about. Dogs barked. Music blared. A constant thrum of cars drove past.

But Marfisee is used to the commotion.

"I'm going to listen to your lungs and see if they're ok. Is that ok?" Marfisee asked Hermione, a nervous woman in her twenties who declined to give NPR her full name out of fear for her safety. She was pushing a stroller loaded with plastic bags, stuffed with her belongings.

Marfisee pressed the stethoscope onto the back of Hermione's oversized sweatshirt.

"Your lungs are tight," Marfisee said with concern after a few beats. "Are you having trouble breathing?" she asked.

Everything about Marfisee's approach is slow and deliberate. Before touching Hermione's arm, she hovers her hand over it and makes eye contact. Then, she lowers her hand gently. It's a deliberate, patient approach she's developed over her long career as a family medicine physician.

Hermione's worried expression relaxed. She explained that she has asthma and her inhaler was running low on medicine. She also lost her emergency EpiPen, she said. But when Marfisee offered information about a few nearby clinics that would be able to take her as a walk-in patient, Hermione turned it down.

"Maybe later. They have a bed for me at the Union Rescue Mission," Hermione said, and Marfisee's face bloomed into a smile.

That's because Marfisee, an assistant professor of medicine at UCLA, is also the family medical services director at the Union Rescue Mission. The Christian organization operates a four-story homeless shelter that is one of the oldest and largest homeless missions in Southern California. She told NPR she's coming up on 20 years tending to the more than 5,000 men, women and children who come through the doors of the shelter every year. Over that span, she's also become a recognizable figure throughout Skid Row on regular walking rounds of "street medicine" delivered to unhoused people where they are.

The interaction with Hermione is a classic example of what typically happens with her patients — both inside the mission or on city sidewalks, Marfisee said.

"Their top priority" is finding stable housing. "Their health is at the bottom of the list," she explained.

As a result, small problems, such as infections, cuts or chronic health issues often fester and become much more serious, she said.

Christmas decorations adorn the walls at the Union Rescue Mission in Los Angeles. December 15, 2025.

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Zaydee Sanchez for NPR

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Women experiencing homelessness face unique health challenges with few resources

Los Angeles' Skid Row is an epicenter of the homelessness crisis — not just in California, but also the nation. According to a 2025 Los Angeles Homeless Services report, an estimated 43,695 city residents were homeless at the time of an annual count of the homeless population in February. Less than half — 16,723 — live in shelters while the rest are unsheltered.

Meanwhile, a 2024 study on homelessness in Los Angeles from the nonprofit research organization RAND found that Skid Row's unsheltered population continues to skew older and female. Data also shows that this group of women has significantly lower physical and mental health than those who are sheltered, due to factors such as lack of insurance and transportation. That's particularly true for basic services such as gynecological and prenatal care.

The homeless women Marfisee works with face even more challenges than men due to a lack of services, she said.

"There are clinics on Skid Row for general health services but nothing specifically set up to address women's health needs."

Union Rescue Mission's internal studies found that about 87% of women were not up to date with their preventative pap smear or mammogram health screenings.

And when women from shelters do try to get preventative care, they're often faced with a variety of challenges. Marfisee recounted one instance in which a patient who had a family history of breast cancer was trying to schedule a mammogram. After hours of calls, Marfisee said, the earliest appointment her team was able to schedule was nine months out. Then, there were more obstacles.

"She had to come in with her proof of Medicare. Well, she not only didn't have her medical card, she'd moved from address to address, didn't even have an I.D. anymore. So we had to start that whole process," Marfisee said.

Dr. Mary Marfisee and two UCLA medical students lead a cancer awareness talk in the Union Rescue Mission chapel in Los Angeles, educating women residents about cancer prevention and care.

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Another of her patients, a woman who had suffered from lower abdominal pains for decades, faced similar setbacks. When she wasn't in crisis mode — moving from one place to another, and in and out of shelters — the woman went from clinic to clinic seeking help, Marfisee said. But finding the root cause was difficult without consistent care from a doctor to see the case through.

It wasn't until Marfisee and her staff conducted an hours-long history that they learned she had had an IUD placed 32 years prior.

"We could correlate the pain to the birth of her daughter, who was 32 years old, and who was also [living at URM] with her," Marfisee said.

The team scoured their contacts and arranged an emergency appointment for the woman at a county hospital. That's where they confirmed that the forgotten IUD, which can last from 3 to 10 years, had never been removed and was "incarcerated into [her] lower uterine wall," Marfisee said.

She described it as a devastating and eye-opening moment that propelled her into action.

"We felt like we were doing Band-Aid women's health," Marfisee said. "We would just treat an infection or treat a problem, but not really get to the screening issues."

A resident at the Union Rescue Mission reviews a flyer providing information on different types of cancers and their risks. December 15, 2025

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Zaydee Sanchez for NPR

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Potential solutions meet red tape

It lit a fire in Marfisee to provide more resources for the 150 or so women who find themselves living at the shelter at any given time. Marfisee began contacting other clinics in the area but soon realized that they were not equipped to offer those services either.

"But I'm great at research," she boasted — and dogged, too.

In December she launched the first phase of a new women's health initiative at the shelter. Alongside some medical student interns, she leads regular town halls to raise awareness about important screenings, including cervical and breast cancer check ups. They encourage the women who attend to ask questions and talk about their own health.

But it's the next phase of the initiative that Marfisee believes will make the greatest difference in these women's lives. URM has partnered with a local hospital to bring a mobile health van to the shelter twice a month. That will allow Marfisee and other volunteer physicians to offer free pap smears and mammograms to the shelter's residents. She estimates they'll be able to provide up to 100 breast exams per visit.

"One of the things that [people who work with homeless women] always say is that these women are so resilient. And I understand why they say that," she said. "But I started to rethink that because they are not really able to take care of their gynecological health needs on their own. They can't really self-treat. They need to be told that this lump that they may have been palpating in the breast is something significant."

The van could be life saving, Marfisee said. Studies show that homeless women die from breast cancer at nearly twice the rate of the general population, largely due to a lack of access to adequate care and the fact that they are more likely to be diagnosed at a later, more advanced stage of the disease.

Unfortunately, she said, the plan to provide mobile health to these women hit a few red-tape and logistical snags, and is three months behind schedule; the van driver's schedule is booked up and the shelter needs to figure out how they'll be dumping any medical waste.

Marfisee, a self-described optimist, estimates they'll overcome the challenges and begin screening patients by February.

"No matter what it takes, we'll get it done. We just have to," she said.

UCLA medical students, working alongside Dr. Mary Marfisee, walk the streets of Skid Row in downtown Los Angeles, offering medical care to women in need. December 15, 2025.

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Zaydee Sanchez for NPR

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Meanwhile, the work continues

Back out on the street, in a small, neglected park about a block away from URM, Marfisee turns onto San Julian Street, which she calls "one of the roughest streets in the city."

There are more than a dozen adults at the park, in various states of alertness; some are in groups, others are alone. One of them is an older woman in a wheelchair. Her hands are gnarled, frozen in what looks to be a painful position.

She's got a scowl on her face as Marfisee and her students approach. But after a few minutes she warms up to them. They go over their set of screening questions: Any aches and pains? Skin issues? Cuts or bruises?

The woman's responses are quiet and mostly monosyllabic, but after a few minutes, she reaches out and takes Marfisee's hands into her own.

She's Marfisee's last street patient of the day. Heading back toward URM, Marfisee makes a note.

"Let's keep her in mind and make a note of where she hangs out, so we can follow up with her," she said.

Marfisee headed into the shelter where she'd jump right into seeing other patients. Maybe, she hoped, that might include Hermione.
Copyright 2026 NPR

Dr. Mary Marfisee and UCLA medical students Rashna Soonavala (right) and Jessica Menjivar Cruz (left). December 15, 2025.

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Zaydee Sanchez for NPR

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In an attempt to resolve evictions before they go to trial, the Los Angeles County Superior Court has launched new programs that seek to facilitate settlements by providing free attorneys to tenants and financial relief to landlords who are owed back rent.

Presiding Judge Sergio Tapia said these pilot programs are designed to stem the tide of evictions, which have risen sharply since the COVID-19 pandemic.

“We're trying to show litigants across the board, whether it’s tenants or landlords, that the court is the opportunity to try to find resolution faster,” Tapia told LAist.

Both tenant and landlord attorneys agree that settlements can often be the best path for both parties.

One program launched last month in downtown L.A.’s Stanley Mosk Courthouse gives tenants the right to request a mandatory settlement conference overseen by a court-appointed settlement officer.

These tenants, who rarely come to court with legal representation, will be given a free attorney to guide them though the settlement conferences, as long as they earn less than 125% of the federal poverty level.

But lawyers who represent landlords say their clients often feel local government is increasingly putting money toward helping renters, while leaving property owners struggling.

Where does funding come from?

Facing eviction without a lawyer “puts people at such an enormous disadvantage, when landlords normally have lawyers,” said Conway Collis, president of the Mayor’s Fund for Los Angeles, a nonprofit that is helping to fund the Mosk program’s free attorneys.

Other funding comes from Stay Housed L.A., a legal aid partnership funded by the county of L.A. and the city of L.A. through its “mansion tax.”

Landlords will be required to notify tenants about the program in the eviction paperwork they serve to tenants.

Settlement officers come from the court’s pool of temporary judges, who handle lower-level cases, such as traffic infractions. Other officers are retired judges or trained lawyers.

The settlement conferences are being held on the same day as regularly scheduled court hearings, one floor down from the Mosk courthouse’s eviction department.

How are the conferences working so far?

Elena Popp, the executive director of the Eviction Defense Network, which is providing lawyers for the program, said that on one recent day, landlords and tenants were able to reach mutually agreeable settlements in about half the conferences.

“We settled one,” Popp said. “We are very close to settling a second one. The other two are way further apart because the tenant really wants to stay on, but the landlord really wants them to go.”

Settlement deals look different in each case, Popp said. Sometimes they involve landlords letting tenants stay if they pay overdue rent. In other cases, tenants are given additional time to find new housing before they must leave. When settlements are reached, cases are sealed so that evictions won’t be visible on a tenant’s record, a black mark that makes it very difficult to find new housing.

When settlements can’t be reached, landlords and tenants go back upstairs to resume their normal proceedings, Popp said.

No matter how cases are resolved, she said, tenants can’t be expected to navigate legally complex processes on their own.

“One of the things that we stressed when we were setting this up is that you absolutely have to have a lawyer,” Popp said.

Compton program pairs settlements with money to landlords

Another pilot program launched last month at the Compton courthouse offers up to $10,000 to cover rent owed to landlords in cases that settle. Landlords will be required to inform tenants about the settlement conferences. To qualify, either the tenant or the landlord must earn no more than 120% of the area’s median income.

The settlement conferences at the Compton courthouse are overseen by Community Legal Aid of Southern California, and rent relief funding is administered by L.A. County’s Department of Consumer and Business Affairs.

Attorney Aaron Kohanim, who represents landlords, said he advises his clients to settle whenever possible, because going to trial is “a casino — you don't know if you're going to win.”

But he also said landlords generally view taxpayer-funded attorneys for tenants as unfair.

“Only one side gets a piece of that pot,” Kohanim said. “Landlords have to pay out of pocket for their attorneys. And on top of that, they are not allowed to collect rent in the middle of the case, so they're getting beaten by two different angles, versus a tenant who is just living there rent-free and they get a free lawyer.”

Tapia said the programs are currently limited to the Mosk and Compton courthouses because of funding constraints and limited resources. But the judge said if they prove successful, they could be expanded county-wide.

“If we're able to show success, that will allow us to recruit a more robust set of settlement officers to perhaps expand,” Tapia said. “We need to see how this pilot plays out first.”

Electric vehicle batteries are a lot like people, in one important respect: They're most comfortable in temperatures around 65 to 75 degrees Fahrenheit.

When the weather gets much colder or hotter than that, a battery works less efficiently. It has to work harder, too, to keep the vehicle's cabin comfortable for its equally picky human occupants.

The result? Electric vehicles can't drive as far or as efficiently in extremely hot or cold weather.

AAA has been testing exactly how big an effect temperatures have on modern EV batteries. In its latest research, shared exclusively with NPR, it found that hot temperatures reduced range by an average of 8.5%. Cold weather cut vehicles' range by a whopping 39%.

AAA ran similar tests back in 2019 with a different vehicle lineup. Back then, the cold weather hit to range was approximately the same, while the high-temperature range loss was higher, 17%. The different slate of vehicles complicates direct comparison, AAA warns, but does suggest some improvements in how EVs handle the heat.

But not the cold. "There's been a lot of technology changes," says Greg Brannon, the director of automotive engineering at AAA. New battery chemistries; more efficient EV designs; fancier software. But when it comes to winter range performance, "the electric vehicles actually didn't change all that much from back in 2019."

Greg Brannon, the director of automotive engineering at AAA, at the Automotive Research Center in Los Angeles.

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These results show that drivers need to be prepared for their real-world range to shrink in the winter — and to a lesser extent, at the height of summer. EVs can still be practical choices in hotter or colder climates, as long as drivers adjust for predictable range loss. "It can be overcome," says Brannon. "But you have to plan for it."

A treadmill in a freezer

AAA conducts these tests at its own expense, part of a slate of research the group does into emerging vehicle technology for the benefit of auto club members. The tests are carried out at its Automotive Research Center in Los Angeles. Specifically, inside the historic headquarters of the Automobile Club of Southern California: a Spanish Revival-style building, all stucco and red tiles, built around a century-old Moreton Bay fig tree, with a courtyard filled with oranges, palm trees and fountains.

It's possibly the most picturesque place for a California driver to get a smog check. (Yes, AAA offers that here.) But it's not, at first glance, a likely spot for testing how vehicles perform in extreme temperatures, especially not on an April day in the mid-60s. (The locals complained about it as "jacket weather.")

The Automotive Research Center in Los Angeles, located inside the historic headquarters of the Automobile Club of Southern California.

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But tucked away inside this building is a room that's heavily insulated and packed with powerful heaters and coolers. It can be cranked down to 20 degrees Fahrenheit, or up to 95.

Inside, there's enough space for a single vehicle, parked very carefully on top of two giant steel rollers — each of them 4 feet in diameter — that are hidden beneath floor level.

This is a chassis dynamometer, or "dyno" for short. "For lack of a better term, I guess it's kind of like a treadmill for a car," says Megan McKernan, who manages the research center.

For each test, the two rollers are carefully positioned to match up with the wheels of the test vehicle. Then the car is driven right on top of them, making sure the wheels touch nothing else. The vehicle is tied down with heavy, bright-pink chains, so it can't move forward off the "treadmill."

A test vehicle is positioned on a chassis dynamometer. "For lack of a better term, I guess it's kind of like a treadmill for a car," says Megan McKernan.

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Now, it's time for Richard Gonzalez to "drive" the vehicle — without actually going anywhere. Once he gets inside and presses the accelerator, the wheels make those giant rollers turn. For hours.

This is about as fun as it sounds. Gonzalez much prefers other parts of his job, like track tests, where AAA evaluates how well cars can, say, automatically brake to avoid pedestrians. But podcasts help pass the time.

The point is to see how far the battery can go, under these controlled conditions, at a certain temperature.

Once the car's battery is drained so much that it can't maintain highway speeds, the test is over. And AAA has a new data point showing how well a certain model's battery can take cold or heat.

A small hit in the summer, a big one in the winter

EVs are not the only kinds of cars that suffer in the cold. AAA also tested hybrids this time around and found a nearly 23% average loss in fuel economy in the 20 degrees F test.

"Internal combustion engine vehicles also lose range in extreme cold weather," points out Ed Kim, the chief analyst with the research group AutoPacific, who was not involved in AAA's research. The Environmental Protection Agency has estimated a 10% to 30% drop in gas vehicle fuel economy in cold weather, depending on the type of trip. "This isn't a problem that's exclusive to EVs. This happens to basically any kind of vehicle when it gets really cold."

In some colder parts of the world, EVs have already become dominant, despite the challenge of winter range loss. Norway has the highest rate of EV adoption in the world — 98% pure battery-electric in March 2026, according to the latest numbers. And Norway is hardly balmy.

Electric vehicles are parked in Geiranger, Norway. The country has the highest rate of EV adoption in the world.

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Martin Berry/UCG/Universal Images Group via Getty Images

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But in the U.S., it's a different story. Kim says that EVs have taken off much more in states where temperatures are warm or mild than in the chilly Midwest. State policies and charger availability also play a role, but Kim says fears about winter range — both valid concerns and misinformation-fueled myths — are a factor.

Still, Kim says even with a significant amount of range loss, many drivers in cold-weather regions would still find an EV more than sufficient for their daily needs. "How many people are actually driving more than 200 miles in a day?" he asks rhetorically.

Tips for getting the most from a battery, year-round. 

Range loss from extreme temperatures is inevitable, but EV drivers can prepare for it.

First, pick the right vehicle to battle the temperatures where you live. Some are better than others at handling cold or heat. There are several guides; the most fun comes from a Norwegian auto club that does a head-to-head test every year on a wintry mountain.

A little forward planning helps, too, Kim and Brannon both say. For an EV driver who charges at home overnight and has a typical commute, reduced winter range likely won't affect daily driving at all. But if you don't have a home charger or you're going on a long trip, factor range reduction in when you think about when and where you'll charge. And if you're fast-charging, try to do it on a battery that's been warmed up; charging is slower on a cold battery.

Brannon also recommends that drivers start their climate control while their vehicle is still plugged in. "Pre-conditioning" like that means that when you warm up the car's battery and its interior, you pull power from the grid, not your battery. That saves your vehicle's juice for your drive.

McKernan notes that if you have heated or ventilated seats, using those instead of the air conditioning or heater can be a big boost. The AC and heat are a surprisingly big draw on a vehicle's energy.

And keep your tires inflated to the manufacturer-recommended level and drive at moderate speeds. That boosts your vehicle's efficiency no matter whether it runs on gas, a giant battery or both — and no matter the temperature.
Copyright 2026 NPR

This story first appeared on The LA Local.

While deciphering posted parking regulations around L.A. lately, you may have noticed new signs.

“This property is owned or controlled by the city of Los Angeles,” the shiny red-and-white placards say. "It may only be used for its intended purpose and not used for immigration enforcement as a staging area, processing location, or operations base.”

The LA Local recently spotted them at Hollenbeck Park’s parking lot and at various parking lots close to Echo Park. The mayor’s office told The LA Local the city has installed 500 of them at various locations, including at MacArthur Park, Lafayette Park, the Los Angeles Zoo and Metrolink stations.

The city has received no reports that agents have used the city-owned spaces since the signs were installed. A spokesperson for the mayor’s office said that the city could sue for a restraining order if federal agencies violate the prohibition.

Why were the signs posted?

Mayor Karen Bass ordered that these signs be posted on all city-owned property in February as part of her Executive Order 17. A spokesperson for the mayor’s office said they placed the signs in locations “identified as more likely to be used for [Immigration and Customs Enforcement] operational activity.”

Since the federal government began sweeping operations in Los Angeles last year, immigration advocates and community members have called for the city to do more to keep immigrant residents safer.

In response, Bass issued Executive Order 17, saying the “City must and can do more to protect our City and all who live, work and visit the City of Angels.”

A sign at MacArthur Park prohibits federal agents from using city-owned property to stage for immigration enforcement operations.

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Courtesy City of Los Angeles

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How have federal immigration operations involved city property and employees?

In July 2025, about 100 federal agents conducted an operation in MacArthur Park. Days later, Bass issued a separate executive order clarifying the city’s property and resources could not be used for federal immigration enforcement. 

Meanwhile, LAPD Police Chief Jim McDonnell has made repeated statements that he doesn’t agree with or plan to enforce various state laws requiring federal agents to identify themselves and do their work without a mask. (After the Trump administration filed lawsuits, courts have blocked various provisions of those state laws in court anyway.)

Some advocates and Angelenos have called on LAPD to draw a clearer line between the local policing work they are responsible for and the immigration enforcement federal agents do.

Bass’ February order requiring the signs be installed came soon after.

The city has also prohibited its employees from working second jobs with federal immigration enforcement.

What else does Executive Order 17 do?

The order states that unless federal agents have a warrant or court order, they are not allowed to use city-owned or operated property to stage for operations. It also requires LAPD officers to identify federal agents and record their interactions with them. The police commission has since started to publicly report basic details about those interactions.

What happens if federal agents use the city spaces anyway?

The order does not establish what penalties federal agents could face if they are found to be using city property for staging. A spokesperson for the mayor’s office said that the city could sue or pursue a restraining order if federal agencies violate the prohibition.

“Any necessary response will be handled in accordance with the Executive Order and applicable City protocols,” the city statement said.