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Can 70 Moms Save the Endangered North Atlantic Right Whale?

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Can 70 Moms Save the Endangered North Atlantic Right Whale?

Squilla took to motherhood. When she was first spotted with her new calf in January 2021 off the Georgia coast, mother and daughter stayed so close as they swam that they were touching. The baby rolled around in the water, as calves often do, and Squilla joined in, turning her belly to the sky.

Squilla and her young calf.

Clearwater Marine Aquarium Research Institute, photographed under NOAA permit #20556

The birth of Squilla’s calf was a momentous event for their species, the highly endangered North Atlantic right whale. As one of just 70 or so mothers, Squilla is part of a small group that represents the species’ last chance for survival. The fact that Squilla had a daughter made the birth more significant still, offering the possibility of a new generation of matriarchs.

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For decades, North Atlantic right whales were slowly recovering after being devastated by centuries of whaling. But in 2011, their numbers suddenly started dropping. Now, they are one of the most endangered species in the United States.

In 2017, so many dead and injured right whales turned up that federal officials declared an “unusual mortality event” that’s still underway.

While the situation is considered unusual, the reasons are well understood. A document from NOAA Fisheries put it simply: “North Atlantic right whales are dying faster than they can reproduce, largely due to human causes.”

Whales are being killed and injured in vessel collisions. They are getting tangled in fishing gear. And females are giving birth to fewer calves. Biologists think that’s partly because the stress of nonlethal collisions and entanglements takes such a toll, and partly because it’s harder for the whales to find food as climate change alters the oceans.

Many females of reproductive age are not having calves at all, researchers say.

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Some opponents of renewable energy say offshore wind projects along the East Coast are responsible for the increase in whale deaths, but so far there is no evidence to support that. Researchers say a better understanding of ocean noise is needed.

If the species is to recover, it will be because enough of the 70 or so mothers, Squilla among them, survive and bring more calves into the world.

“With the loss of a female, you’re losing her entire future of reproduction,” said Erin Meyer-Gutbrod, a marine ecologist at the University of South Carolina who studies right whales.

Squilla and her calf seemed to be off to a good start. Two months after they were first seen off Georgia, they were spotted some 700 miles north, in the waters off New York. They were still swimming side by side.

‘That’s a healthy calf’

When Squilla herself was a young whale, she spent summers feeding off the coast of New England and north into the Bay of Fundy, which stretches into Canada.

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But in 2010, when she was about 3, right whales started abandoning those waters. They had little choice, scientists would come to understand. If the whales were humans, we might call them climate migrants.

Right whales feed largely on copepods, a fatty crustacean smaller than a grain of rice. In the early 2010s, researchers have found, climate change fueled a shift in water temperature that caused copepod populations to crash in the waters where whales had long found them.

A young Squilla with her mother, Mantis, in 2007. Mantis has had at least seven calves, and Squilla’s baby was her first known grand-calf.

Clearwater Marine Aquarium Research Institute, photographed under NOAA permit #594-1759

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The whales appear to have set off in search of a new supply. And they eventually found it farther north, in the Gulf of St. Lawrence. But if the move helped fill their bellies, it came at a high cost: They had ventured into a busy shipping and fishing zone without protections.

The first time Squilla was spotted in the Gulf of St. Lawrence, she was 10. It was 2017, a terrible year for her species. Seventeen North Atlantic right whales would be found dead, about 4 percent of the estimated population. Twelve of those fatalities were around the Gulf of St. Lawrence. In the cases where researchers were able to investigate the cause of death, most were linked to vessel strikes.

Eventually, the Canadian government would implement speed restrictions there for vessels. But up and down the whales’ migration routes from Florida to Canada, collisions remain a grave threat. National Oceanic and Atmospheric Administration Fisheries has said current speed limits in U.S. waters don’t offer sufficient protection. Two years ago the agency proposed stricter rules, but they faced fierce pushback from sport fishermen, recreational boaters and harbor pilots. So far, the rules have not been adopted.

At times, the everyday act of swimming in the ocean can be like crossing a highway. This year alone in U.S. waters, three right whale carcasses have exhibited signs of vessel strikes. An orphaned calf is also presumed dead, a fourth casualty.

Despite the dangers, when Squilla took her calf to the Gulf of St. Lawrence in June 2021, mother and daughter appeared to be doing well. The scientists who monitor right whales, identifying them by scars and distinctive markings on their heads, hadn’t given the younger whale a name. Instead, they used a number: 5120.

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On a sunny day the next month, Gina Lonati, a doctoral student at the University of New Brunswick Saint John, came across 5120 while conducting research.

“That’s a healthy calf,” she recalled thinking as she looked at her drone videos. “She was chunky, which is a compliment to a whale.”

Researchers identified Squilla’s calf by a number, 5120.

Gina Lonati/University of New Brunswick

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And soon, 5120 would make it safely to her first birthday. At around that age, she was spotted off New York alone, now apparently separated from her mother, Squilla. She’d spend the next months in the Northeast, moving to Massachusetts and then back into Canada.

Out on her own

It was sometime in those months, during the spring or summer of 2022, that the young one got into trouble.

In late August, the Canadian authorities spotted a whale off the coast of New Brunswick with fishing gear wrapped around her tail. It was 5120.

Fishing gear tangled around 5120’s tail.

Fisheries and Oceans Canada Science Aerial Survey Team

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After reviewing photographs, NOAA biologists made a grim assessment. “As the yearling grows,” officials wrote, “the entanglement is likely to cause increasing harm and eventual death as it constricts the tail and other areas of the whale’s body.”

Experts compared it to a collar getting tighter and tighter around the neck of a growing puppy.

But hope was not lost. From Canada to Florida, there is a network of groups that makes dangerous excursions to try to free entangled whales. One, the Center for Coastal Studies, spotted 5120 from a plane in Cape Cod Bay in January 2023.

Disentangling a giant wild animal in the ocean requires bravery, grit and luck. Unlike with land mammals, you can’t just knock the whale out. Rescuers don’t get into the water; it’s too hazardous, and whales swim away too quickly, anyway.

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In January, in a frigid wind, a team spent two days at sea trying to disentangle 5120. They got as close as they could from a small boat. They threw custom-made hooks with razor-sharp blades designed to latch onto and sever thick fishing line. They spent hours trying to stay with her as she tried to flee, invisible under the turbid water.

A team spent two days at sea trying to disentangle 5120.

Center for Coastal Studies, filmed under NOAA permit #24359

With right whales, such efforts succeed about half the time, the group says.

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But not this time.

“Sunset came and we had to go home,” said Bob Lynch, who was on the boat. The team hoped for another chance to respond, but they never found her again.

“It’s a reminder of how much of a Band-Aid we are to the overall entanglement problem and how prevention is so clearly a better choice than relying on this kind of response,” said Mr. Lynch, operations manager for the center’s rescue team.

Most entanglements are thought to come from lobster and crab gear, because ropes connect traps on the ocean floor to buoys on the surface. In the mid-1990s, fishermen started switching to stronger ropes, which appears to have led to more severe entanglements for right whales. Separately, the population of lobsters started booming and people started catching them farther from shore.

“It’s just this perfect storm of all sorts of things ramping up: stronger ropes, more gear, more overlap with the whales,” said Amy Knowlton, a senior scientist at the New England Aquarium.

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For years, the federal government has been working with fisheries to mitigate these effects. Lobstermen have reduced the amount of rope in the water by concentrating more traps per buoy and by connecting those traps along the bottom with line that doesn’t float. For the buoys, they have switched to ropes that are easier for whales to break. In Massachusetts, Cape Cod Bay and surrounding waters are closed to lobster traps from Feb. 1 to April 30, when right whales typically congregate there.

But in Maine, which produces about 90 percent of the country’s lobster, right whale sightings have been more diffuse. The gear changes largely allowed the state to avoid seasonal closures.

Lobstermen care deeply about everything in the ocean and nobody wants to see right whales harmed,” said Patrice McCarron, policy director at the Maine Lobstermen’s Association, an industry group. “But they also very much feel like they’ve been overregulated and are implementing measures that are not necessarily benefiting the species, because we don’t have a significant amount of interaction with them.”

Scientists and environmentalists see a lot of promise in a type of new equipment, known as ropeless or on-demand gear, that releases a line or flotation bag only when the fisher is on hand to check the trap, sharply reducing the danger to whales.

Source: NOAA

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Marco Hernandez

But lobstermen have been skeptical, worried that this kind of gear will be inefficient and too expensive.

Just weeks before the failed effort to disentangle 5120, Maine’s congressional delegation added a provision to a huge federal spending bill. The move mandated a six-year pause on any new regulations for the lobster and Jonah crab fisheries related to right whales, and provided additional money for research.

“The fact is, there has never been a right whale death attributed to Maine lobster gear,” the Maine delegation and Gov. Janet Mills, a Democrat, said in a statement at the time.

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Squilla’s calf would change that.

Half a lifetime tangled in ropes

Her body washed up in the surf on Martha’s Vineyard early this year.

Billy Hickey for The New York Times

Sarah Sharp, a veterinarian with the International Fund for Animal Welfare, was assigned to lead the necropsy. Arriving at the beach, she was first struck by how young and small the whale was, just 3, far from grown.

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As she examined the carcass, she was astonished by the severity of the injury from the fishing lines encircling the base of 5120’s tail.

“They were so deeply embedded,” Dr. Sharp said. Inches of scar tissue had tried to heal over the wound. “The lines looked like they were coming out from close to her spinal column, and just coming out of the soft tissues.”

The wound could not heal, in part because the drag from the lines kept it open and bleeding. 5120 spent half her short life with that entanglement.

The Aquinnah Wampanoag Tribe received her body. In a ceremony, they said prayers and expressed gratitude for her life. Then they buried her.

“It hurt us very deeply,” said Cheryl Andrews-Maltais, chairwoman of the tribe. “It’s a child.”

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This month, NOAA Fisheries announced the official cause of death: chronic entanglement.

In the past, it’s been hard to know the origin of fishing lines involved in entanglements. But in recent years, NOAA started requiring certain fisheries in New England states to mark their gear with specific colors.

The rope that was pulled out of 5120 was marked with purple cable ties, indicating that it was from Maine.

Some of the rope that entangled 5120, including a purple tie.

NOAA

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Among the state’s lobstermen, the news was met first with shock, then sadness for the whale and fear over what the consequences could be for their livelihoods, Ms. McCarron said.

Even entanglements that don’t kill right whales can contribute to killing off the species. The lines create drag in the water, making it harder for whales to swim and driving up the number of calories they need to survive, researchers say. “On average, an entanglement energy cost is the equivalent cost of producing a calf,” said Michael Moore, a scientist with the Woods Hole Oceanographic Institution. “And so if you have an entanglement, you’re not going to get pregnant.”

Scientists believe North Atlantic right whales used to give birth every three years or so. But recently, it’s been “six, seven to 12 to never,” Dr. Moore said.

More than 85 percent of right whales have been entangled in fishing gear at least once, according to research funded by NOAA Fisheries. Squilla has been seen with entanglement scars three times. Squilla’s mother, Mantis, has been seen with them twice.

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Dr. Moore spotted Squilla this past spring, as he conducted research on right whales in Cape Cod Bay. Given her measurements, it is unlikely that she will give birth again this year.

But she wasn’t entangled. There were no signs of recent wounds. She was swimming strongly.

Squilla in March, in Cape Cod Bay.

Michael Moore and Caroyln Miller/Woods Hole Oceanographic Institution, photographed under NOAA permit #27066

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Note

The video and images of whales in U.S. waters in this article were taken by researchers with training and permits that allowed them to approach the endangered animals safely and legally. It is unlawful to get closer than 500 yards to a North Atlantic right whale in U.S. waters without a research permit.

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Torrance residents call for the ban of ‘flesh-eating’ chemical used at refinery

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Torrance residents call for the ban of ‘flesh-eating’ chemical used at refinery

Residents and advocates gathered Saturday to demand the ban of a chemical that’s used at a Torrance oil refinery and that they say has the potential to cause a mass casualty disaster.

Hydrofluoric acid is used in about 40 gasoline refineries across the United States, according to the National Resources Defense Council. The defense council states that “exposing as little as 1% of a person’s skin to HF (about the size of one’s hand) can lead to death. When inhaled, HF can fatally damage lungs, disrupt heart rhythms, and cause other serious health effects.”

The Torrance Refinery uses modified hydrofluoric acid, or MHF, which the refinery considers to be a safer alternative to HF, though the claim is disputed by advocates. Steve Goldsmith, president of the Torrance Refinery Action Alliance, which hosted the Saturday event, said that if MHF were to be been released into the air, it would create irreversible health effects within 6.2 miles of the refinery, trickling into other parts of Los Angeles County.

And in 2015, he said, this almost happened.

On Feb. 18, 2015, there was an explosion at the refinery, then operated by ExxonMobil, caused by the rupture of an eroded valve. The incident, which released flammable hydrocarbons, injured four workers and forced 14 schools into lockdown.

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The Saturday event, held at North High School’s Performing Arts Center in Torrance, marked the 11th anniversary of the explosion.

Goldsmith described the chemical as “murderous.”

Audience members participate in a “peace clap” at North Torrance High as they listen to speakers against the use of hydrofluoric acid in the Los Angeles region and across the country.

(Allen J. Schaben / Los Angeles Times)

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“Torrance Refinery had an enormous explosion, and a piece of equipment the size of a bus came within five feet of the hydrofluoric acid, causing a near miss,” Goldsmith said. “We’ve been working to get rid of it.”

Residents like Christopher Truman say replacing MHF with an alternative option is the least that can be done. His parents live near the refinery.

“I’m born and raised in the South Bay, and my family lives in, effectively, what would be the blast radius if another accident happened,” Truman said. “So just in that aspect, I’m very worried about it.”

MHF is also used to clean semiconductor surfaces and produce pesticides and herbicides in the agricultural and pharmaceutical industries, according to the Torrance Refinery.

County Supervisor Janice Hahn said residents should not assume “they will be lucky” if another refinery accident were to occur.

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“Only two refineries in California use MHF, Torrance Refinery and the Valero Refinery in Wilmington,” Hahn said. “MHF is simply too dangerous to use. It is a flesh-eating, low-crawling, toxic vapor cloud. Our communities will not be safe until this chemical is gone.”

Goldsmith said a Chevron refinery in Salt Lake City found an ionic-liquid alkylation process as an alternative to MHF. He added that the 2025 Chevron refinery explosion in El Segundo “would have been different if they had been using MHF.”

“They used another chemical that did not endanger the community,” Goldsmith said. “And that’s the thing about refineries, they have explosions. But that’s why you can’t have [MHF] around things that can blow up.”

U.S. Representative

Congressmember Maxine Waters appears on a video message explaining her legislation

U.S. Rep. Maxine Waters (D-Los Angeles) appears on a video message explaining her legislation, which she says will have a positive impact for communities in the Los Angeles region.

(Allen J. Schaben / Los Angeles Times)

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U.S. Rep. Maxine Waters, (D-Los Angeles), who represents the city of Torrance, greeted attendees in a prerecorded message, in which she reintroduced her bill, the “Preventing Mass Casualties from Release of Hydrofluoric Acid at Refineries Act,” which targets plants using MHF.

“I originally introduced this bill in December of 2024,” Waters said in the video. “I faced considerable opposition, especially from the United Steel Workers Union, [who were] concerned that if refineries converted to safer technologies, some of the refineries might close, leaving workers without jobs. They agreed with me that hydrofluoric acid is dangerous. But they still would not support my bill. So I decided to go ahead and reintroduce this bill, [without] union support.”

The bill would give refineries five years to find an alternative to the dangerous chemical. Violators may be subject to fines up to $37,000 per infraction.

Supervisor Janice Hahn speaks out against the use of hydrofluoric acid in the Los Angeles region and across the country

Los Angeles County Supervisor Janice Hahn speaks out against the use of hydrofluoric acid.

(Allen J. Schaben / Los Angeles Times)

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Some residents stressed the need for transparency from local officials.

Ian Patton, a Long Beach resident, said most parts of the investigation into the 2015 explosion were withheld.

“Why can’t they not make this report public? The [Torrance Refinery Action Alliance] has been asking for it for years,” Patton said. “The next step was to look at litigation under the California Public Records Act. It’s not something that we want to do, but the public deserves to know whether these plants are safe.”

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TrumpRx is launched: How it works and what Democrats say about it

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TrumpRx is launched: How it works and what Democrats say about it

The White House’s TrumpRx website went live Thursday with a promise to instantly deliver prescription drugs at “the lowest price anywhere in the world.”

“This launch represents the largest reduction in prescription drug prices in history by many, many times, and it’s not even close,” President Trump said at a news conference announcing the launch of the platform.

Drug policy experts say the jury is still out on whether the platform will provide the significant savings Trump promises, though it will probably help people who need drugs not commonly covered by insurance.

Senate Democrats, meanwhile, called the site a “vanity project” and questioned whether the program presents a possible conflict of interest involving the pharmaceutical industry and the Trump family.

What is TrumpRx, really?

The new platform, trumprx.gov, is designed to help uninsured Americans find discounted prices for high-cost, brand-name prescriptions, including fertility, obesity and diabetes treatments.

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The site does not directly sell drugs. Instead, consumers browse a list of discounted medicines, and select one for purchase. From there, they either receive a coupon accepted at certain pharmacies or are routed directly to a drug manufacturer’s website to purchase the prescription.

The White House said the reduced prices are possible after the administration negotiated voluntary “most favored nation” agreements with 16 major drugmakers including Pfizer, Eli Lilly and Novo Nordisk.

Under these deals, manufacturers have agreed to set certain U.S. drug prices no higher than those paid in other wealthy nations in exchange for three-year tariff exemptions. However, the full legal and financial details of the deals have not been made public, leaving lawmakers to speculate how TrumpRx’s pricing model works.

What does it accomplish?

Though the White House has framed TrumpRx as a historic reset for prescription drug costs, economists said the platform offers limited new savings.

But it does move the needle on the issue of drug pricing transparency, away from the hidden mechanisms behind how prescription drugs are priced, rebated and distributed, according to Geoffrey Joyce, director of health policy at the USC Schaeffer Center for Health Policy and Economics.

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“This has been a murky world, a terrible, obscure, opaque marketplace where drug prices have been inconsistently priced to different consumers,” Joyce said, “So this is a little step in the right direction, but it’s mostly performative from my perspective, which is kind of Trump in a nutshell.”

Still, for the uninsured or people seeking “lifestyle drugs” — like those for fertility or weight loss that insurers have historically declined to cover — TrumpRx could become a useful option, Joyce said.

“It’s kind of a win for Trump and a win for Pfizer,” Joyce said. “They get to say, ‘Look what we’re doing. We’re lowering prices. We’re keeping Trump happy, but it’s on our low-volume drugs, and drugs that we were discounting big time anyway.’”

Where does it fall short?

Early analyses by drug policy experts suggest many of the discounted medications listed on the TrumpRx site were already on offer through other drug databases before the platform launched.

For example, Pfizer’s Duavee menopause treatment is listed at $30.30 on TrumpRx, but it is also available for the same price at some pharmacies via GoodRx.

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Weight management drug Wegovy starts at $199 on TrumpRx. Manufacturers were already selling the same discounted rates through its NovoCare Pharmacy program before the portal’s launch.

“[TrumpRx] uses data from GoodRx, an existing price-search database for prescription drugs,” said Darius N. Lakdawalla, a senior health policy researcher at USC. “It seems to provide prices that are essentially the same as the lowest price GoodRx reports on its website.”

Compared to GoodRx, TrumpRx covers a modest subset of drugs: 43 in all.

“Uninsured consumers, who do not use or know about GoodRx and need one of the specific drugs covered by the site, might benefit from TrumpRx. That seems like a very specific set of people,” Lakdawalla said.

Where do Democrats stand?

Democrats slammed the program this week, saying it would not provide substantial discounts for patients, and called for greater transparency around the administration’s dealings with drugmakers. To date, the administration has not disclosed the terms of the pricing agreements with manufacturers such as Pfizer and AstraZeneca.

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In the lead-up to the TrumpRx launch, Democratic members of Congress questioned its usefulness and urged federal health regulators to delay its debut.

“This is just another Donald Trump pet project to rebrand something that already exists, take credit for it, and do nothing to actually lower healthcare prices,” Sen. Alex Padilla (D-Calif.) said Friday. “Democrats will continue fighting to lower healthcare costs and push Republicans to stop giving handouts to billionaires at the expense of working-class Americans.”

Three other Democratic senators — Dick Durbin, Elizabeth Warren and Peter Welch — raised another concern in a Jan. 29 letter to Thomas March Bell, inspector general for the Department of Health and Human Services.

The three senators pointed to potential conflicts of interest between TrumpRx and an online dispensing company, BlinkRx.

One of Trump’s sons, Donald Trump Jr., joined the BlinkRx Board of Directors in February 2025.

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Months before, he became a partner at 1789 Capital, a venture capital firm that holds a significant stake in BlinkRx and led the startup’s $140-million funding round in 2024. After his appointment, BlinkRx launched a service to help pharmaceutical companies build direct-to-patient sales platforms quickly.

“The timing of the BlinkRx announcement so closely following the administration’s outreach to the largest drug companies, and the involvement of President Trump’s immediate family, raises questions about potential coordination, influence and self-dealing,” according to an October 2025 statement by Democrats on the House Energy and Commerce Committee.

Both BlinkRx and Donald Trump Jr. have denied any coordination.

What’s next?

The rollout of TrumpRx fits into a suite of White House programs designed to address rising costs, an area of vulnerability for Republicans ahead of the November midterms.

The White House issued a statement Friday urging support for the president’s healthcare initiative, dubbed “the great healthcare plan,” which it said will further reduce drug prices and lower insurance premiums.

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For the roughly 8% of Americans without health insurance, TrumpRx’s website promises that more high-cost, brand-name drugs will be discounted on the platform in the future.

“It’s possible the benefits will become broader in the future,” Lakdawalla said. “I would say that the jury remains out on its long-run structure and its long-run pricing effects.”

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The loss of healthcare subsidies force Californians to pay more or go without

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The loss of healthcare subsidies force Californians to pay more or go without

For Mikayla Tencer, being self-employed already meant juggling higher taxes, irregular income and the constant pressure of finding her own health insurance. This year, it also meant rethinking how often she could afford to see a doctor.

The 29-year-old content creator in San Francisco paid $168 a month last year for a Blue Shield health plan through Covered California. This year — without enhanced federal subsidies that expired at the end of December — that same plan would have cost $299 a month, with higher copays.

“People assume that because I’m young, I can just pick the cheapest plan and not worry about it,” Tencer said. “But I do need regular care, especially for mental health.”

Tencer is among tens of thousands of middle-class Californians facing steep increases in health insurance costs after Congress allowed enhanced federal subsidies for Affordable Care Act plans to expire Dec. 31.

Those extra subsidies were enacted in 2021 as part of temporary, pandemic-era relief, boosting financial help for people buying coverage on state-run insurance marketplaces such as Covered California. The law also expanded eligibility to people earning more than 400% of the federal poverty level, about $62,600 for a single person and $128,600 for a family of four.

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Mikayla Tencer records a TikTok video featuring eyeliners. Her blog showcases Bay Area attractions and local businesses.

(Paul Kuroda/For The Times)

With the expiration of the enhanced subsidies, people above that income threshold no longer receive federal assistance, and many who still qualify are seeing sharply higher premiums and out-of-pocket costs. On top of the loss of the extra federal benefits, the average Covered California premium this year rose by 10.3% because of fast-rising medical costs.

Jessica Altman, executive director of Covered California, said that about 160,000 Californians lost their subsidies when the enhanced federal assistance expired because their incomes were higher than 400% of the federal poverty level.

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To lower her monthly bill, Tencer switched to the cheapest Covered California option, bringing her premium down to about $161 a month. But the savings came with new costs. Primary care and mental health visits now carry $60 copays, up from $35.

When she showed up for a psychiatric appointment to manage her ADHD and generalized anxiety disorder, she said, she learned her doctor was out of network.

“That visit would have been $35 before,” she said. “Now it’s $180 out of pocket.”

Because of the higher costs, Tencer said she has cut therapy from weekly to biweekly sessions.

“The subsidies made it possible for me to be self-employed in the first place,” Tencer said. “Without them, I’m seriously thinking about applying for full-time jobs, even though the market is terrible.”

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For another self-employed Californian, the increase was even more dramatic.

Krista, a 42-year-old photographer and videographer in Santa Cruz County, relies on costly monthly intravenous treatments for a rare blood disorder. She asked that her full name not be used but shared her insurance and medical documents with The Times.

Last year, she paid about $285 a month for a Covered California plan. In late December, she received a notice showing her premium would rise to more than $1,200 a month. The rise was due to her loss of federal subsidies, as well as a 23% increase in the premium charged by Blue Shield.

“It terrified me. I thought, how am I ever going to retire?” she asked. “What’s the point?”

Krista ultimately enrolled in a plan costing about $522 a month, still nearly double what she had been paying, with a $5,000 deductible. She said she cannot downgrade to a cheaper plan because her clinic bills her treatment to insurance at roughly $30,000 a month, according to medical statements.

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To cut costs and preserve the ability to save for retirement and eventually afford a place of her own, Krista decided to move into an RV on private land. The decision came the same week she received notices showing a rent increase and a steep jump in her health insurance premiums.

Mikayla Tencer, a marketing influencer, with her elder dog, "Lucky" at Alamo Square Park.

Mikayla Tencer, a marketing influencer, with her elder dog, “Lucky” at Alamo Square Park.

(Paul Kuroda/For The Times)

Krista said she had been planning for more than a year to find a long-term living situation that would enable her to live independently, rather than continue paying more for an apartment.

“Nobody asks to be sick,” Krista said. “No one should have their life ruined because they get diagnosed with a disease or break a leg.”

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Although overall enrollment in Covered California this year has held steady, Altman said, she worries that more people will drop coverage as bills with the higher premiums arrive in the mail.

Those fears are already playing out.

Jayme Wernicke, a 34-year-old receptionist and single mother in Chico who earns about $49,000 a year, said she was transferred from Medi-Cal to a Covered California Anthem Blue Cross plan at the end of 2023. Her premium rose from about $30 a month to $60, then jumped to roughly $230 after the subsidies expired.

“For them to raise my health insurance almost 400% is just insane to me,” Wernicke said.

Her employer, a small family-owned business, does not offer health insurance. Her plan does not include dental or vision care and, she said, barely covers medical costs.

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“At a certain point, it just feels completely counterintuitive,” she said. “Either way, I’m losing.”

Wernicke dropped her own coverage and plans to pay for care with cash, calculating that the state tax penalty is less than the cost of premiums. Her daughter remains insured.

Two other Californian residents told The Times that they also decided to go without coverage because they could no longer afford it. They declined to provide their full names, citing concerns about financial and professional consequences.

Under California law, residents without coverage face an annual penalty of at least $900 per adult and $450 per child.

One, a 29-year-old self-employed publicist in Los Angeles requires medication for epilepsy. Last year, she paid about $535 a month for a silver plan through Covered California. This year, the same plan would have cost $823.

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After earning about $55,000 last year, she calculated that paying for care out of pocket would cost far less. Her epilepsy medication costs about $175 every three months without insurance, and her annual doctor visits total roughly $250.

“All of that combined is still far less than paying hundreds of dollars every month,” she said.

Another, April, a 58-year-old small-business owner in San Francisco, canceled her insurance in December after her quoted premium rose to $1,151 a month for a bronze plan and $1,723 for a silver plan, just for herself. Last year, April said she paid $566 for both her and her daughter. This year, her daughter’s premium alone jumped from $155 to $424.

The bronze plan also carried a $3,500 deductible for lab work and specialist visits, meaning she would have had to pay thousands of dollars out of pocket before coverage kicked in, on top of the higher monthly premium.

“The subsidies were absolutely what allowed me to sustain my business,” April said. “They were helping me sustain my financial world and have affordable care.”

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She rushed to complete medical tests before dropping coverage and hopes to go a year uninsured.

“The scariest part is not having catastrophic coverage,” she said. “If something happens, it can be millions of dollars.”

Tencer, the content creator in San Francisco, believes that in order to make the nation healthier, affordable healthcare should be universal.

“Our government should be providing it.” she said. “People can’t go to the doctor for routine checkups, they can’t get things checked out early, and they can’t access the resources they need.”

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