Science
‘Behind the times’: Washington tries to catch up with AI’s use in healthcare
Lawmakers and regulators in Washington are starting to puzzle over how to regulate artificial intelligence in healthcare — and the AI industry thinks there’s a good chance they’ll mess it up.
“It’s an incredibly daunting problem,” said Dr. Robert Wachter, chair of the Department of Medicine at UC San Francisco. “There’s a risk we come in with guns blazing and overregulate.”
Already, AI’s impact on healthcare is widespread. The Food and Drug Administration has approved 692 AI products. Algorithms are helping to schedule patients, determine staffing levels in emergency rooms and even transcribe and summarize clinical visits to save physicians’ time. They’re starting to help radiologists read MRIs and X-rays. Wachter said he sometimes informally consults a version of GPT-4, a large language model from the company OpenAI, for complex cases.
The scope of AI’s impact — and the potential for future changes — means government is already playing catch-up.
“Policymakers are terribly behind the times,” Michael Yang, senior managing partner at OMERS Ventures, a venture capital firm, said in an email. Yang’s peers have made vast investments in the sector. Rock Health, a venture capital firm, says financiers have put nearly $28 billion into digital health firms specializing in artificial intelligence.
One issue regulators are grappling with, Wachter said, is that, unlike drugs, which will have the same chemistry five years from now as they do today, AI changes over time. But governance is forming, with the White House and multiple health-focused agencies developing rules to ensure transparency and privacy. Congress is also flashing interest; the Senate Finance Committee held a hearing on AI in healthcare last week.
Along with regulation and legislation comes increased lobbying. CNBC counted a 185% surge in the number of organizations disclosing AI lobbying activities in 2023. The trade group TechNet has launched a $25-million initiative, including TV ad buys, to educate viewers on the benefits of artificial intelligence.
“It is very hard to know how to smartly regulate AI since we are so early in the invention phase of the technology,” Bob Kocher, a partner with venture capital firm Venrock who previously served in the Obama administration, said in an email.
Kocher has spoken to senators about AI regulation. He emphasizes some of the difficulties the healthcare system will face in adopting the products. Doctors — facing malpractice risks — might be leery of using technology they don’t understand to make clinical decisions.
An analysis of Census Bureau data from January by the consultancy Capital Economics found 6.1% of healthcare businesses were planning to use AI in the next six months, roughly in the middle of the 14 sectors surveyed.
Like any medical product, AI systems can pose risks to patients, sometimes in a novel way. One example: They might make things up.
Wachter recalled a colleague who, as a test, assigned OpenAI’s GPT-3 to write a prior authorization letter to an insurer for a purposefully “wacky” prescription: a blood thinner to treat a patient’s insomnia.
But the AI “wrote a beautiful note,” he said. The system so convincingly cited “recent literature” that Wachter’s colleague briefly wondered whether she’d missed a new line of research. It turned out the chatbot had fabricated its claim.
There’s a risk of AI magnifying bias already present in the healthcare system. Historically, people of color have received less care than white patients. Studies show, for example, that Black patients with fractures are less likely to get pain medication than white ones. This bias could get set in stone if artificial intelligence is trained on that data and subsequently acts on it.
Research into AI deployed by large insurers has confirmed that has happened. But the problem is more widespread. Wachter said UCSF tested a product to predict no-shows for clinical appointments. Patients who are deemed unlikely to show up for a visit are more likely to be double-booked.
The test showed that people of color were more likely not to show. Whether or not the finding was accurate, “the ethical response is to ask, why is that, and is there something you can do,” Wachter said.
Hype aside, those risks will likely continue to grab attention over time. AI experts and FDA officials have emphasized the need for transparent algorithms, monitored over the long term by human beings — regulators and outside researchers. AI products adapt and change as new data is incorporated. And scientists will develop new products.
Policymakers will need to invest in new systems to track AI over time, said University of Chicago Provost Katherine Baicker, who testified at the Senate Finance Committee hearing. “The biggest advance is something we haven’t thought of yet,” she said in an interview.
KFF Health News, formerly known as Kaiser Health News, is a national newsroom that produces in-depth journalism about health issues.
Science
Water from Boyle Heights warehouse fire carries foam into L.A. River, sparks testing
LOS ANGELES — All the water unleashed onto the warehouse fire in Boyle Heights — some of it 480 gallons at a time by helicopter — had to end up somewhere.
That somewhere is the Los Angeles River.
Los Angeles Fire Department crews ripped through 50-foot walls filled with foam insulation to get to the building’s steel skeleton and its storage racks.
Charred chunks of foam have been floating from the burn site, partially blocking storm drains. Now organizers from East Yard Communities for Environmental Justice are teaming up with scientists from UCLA and Columbia University to find out more about what’s in the runoff.
“The community here is really interested in knowing, ‘Are there any contaminants that are potentially making their way down to the L.A. River?’” said Yoshira “Yoshi” Ornelas Van Horne, UCLA assistant professor in environmental health sciences. “We really can’t answer that unless we actually have measures and samples analyzed.”
Water samples collected directly from the warehouse fire runoff have been shipped to Columbia‘s Multi-Element Trace Analysis Laboratory in New York, which has a spectrometer that can identify trace levels of elements. The lab also has relationships with researchers in Southern California.
1. Emmanuel Carrera Ruedas, left, and Casey Cooper prep containers to take water samples from the L.A. River. 2. Casey Cooper holds a water sample. (Christina House / Los Angeles Times)
The data will then come back to UCLA for analysis. For now, the scientists and community advocates only have the money to test for copper, lead and arsenic, Ornelas Van Horne said. Residents have expressed interest in testing for more contaminants.
As the water from the firefighting efforts trickles through the warehouse in rivulets, it forms a stream at the corner of S. Indiana and Noakes streets, that gushed into the storm drain. On a recent visit, the water traversed a smoky 10-foot canyon of charred foam and twisted wall panels on its way to the drain.
From there, the water flows to the L.A. River. Despite the fact that its concrete design is intended to whisk water out of the city as fast as possible, life stubbornly persists in the river and nearby. Recreational swimming is not permitted, yet anglers fishing for tilapia, largemouth bass and carp are a common sight along the rocky sides of the soft-bottom areas.
The L.A. River, and all it carries with it, meets the ocean in Long Beach.
The L.A. County Public Works Department said it has deployed three containment booms — floating barriers — on the L.A. River, and is continuing to monitor the water as it makes its way to the ocean.
Emmanuel Carrera Ruedas takes a water sample.
(Christina House / Los Angeles Times)
Before it gets there, the river passes through the Dominguez wetlands, where Public Works is removing some number of dead fish. The wetland has absorbed toxic runoff from a warehouse fire before, resulting in a fish die-off.
“For so long, the L.A. River has been used as a dumping ground for all kinds of chemicals,” said Emmanuel Carrera Ruedas, a community scientist and member of East Yard Communities for Environmental Justice.
Pollution has plagued the L.A. River, but it does have allies. In the 1980s, the Friends of the LA River pushed to address street runoff and trash that had made the water body infamous. Significant progress from advocacy and government initiatives improved water conditions, but these efforts have not been equally distributed.
Carrera said the samples represent “proof of what’s actually going on, and accountability, too, for the city, of not just what’s happening in our air, but what’s actually happening in our waterways.”
The first samples for the project were taken last Friday, the second day of the fire.
They were the first of 20 samples the research groups have agreed to test at no cost to see if any exceed regulatory standards and could pose a risk to people nearby.
The warehouse fire represents the latest environmental disaster for people in Boyle Heights and East L.A. Just four weeks ago, a telecommunications crew accidentally struck one of the many oil pipelines beneath the L.A. area, spilling 25,000 gallons of crude oil near Eastern and Cesar Chavez avenues — including into storm drains feeding to the L.A. River.
“I think it really is difficult to see disaster after disaster hit the communities here, with not a lot of talk about how we can move through these disasters together,” said Casey Cooper, a volunteer community scientist involved in the sampling. They were inspired, they said, by the response of neighbors, and how people were supporting one another.
Results from the laboratory analysis could be back to Ornelas Van Horne within a month.
Science
EPA touts crackdown on smuggled pesticides in L.A. visit
The U.S. Environmental Protection Agency is ramping up its enforcement of illegal pesticides smuggled through the ports of Long Beach and Los Angeles, officials said during a visit to L.A. on Thursday.
Since President Trump began his second term in January 2025, EPA has blocked more than 2.4 million pounds of illegal pesticides from entering the country, said Lee Zeldin, the agency’s administrator. Much of it comes from China, but some comes from Mexico and, on the East Coast, from Africa.
“We’re very alarmed by any chemical that anyone would seek to bring into this country that our own government hasn’t had the opportunity to vet, to research to fully understand,” Zeldin said. “That’s why it’s so important that these products get stopped at the border.”
The announcement came just hours after the Supreme Court handed a major victory to the makers of the weedkiller Roundup, shielding it from thousands of lawsuits from states alleging the company failed to warn people the product could cause cancer.
Speaking from a U.S. Customs and Border Protection warehouse in Carson, Zeldin pointed to a white bottle with a yellow label reading “SNIPER” — an illegal pesticide product commonly imported from abroad and sold online — that was recently intercepted at the Port of L.A. complex. Sniper contains dichlorvos, or DDVP, a highly toxic insecticide that is not registered or approved for use in the U.S. It is known to cause neurological problems, convulsions and comas, with children particularly at risk.
Illegal pesticides are cause for concern in California, where they are often associated with illegal cannabis operations. Last year, Siskiyou County declared a local emergency in response to the “escalating threat” posed by illegal pesticides, often fumigants, in illicit cannabis operations.
“These chemicals, when burned, create thick, poisonous smoke that presents serious risks to public health, the environment, waterways, and first responder safety,” the county said.
A 2024 Los Angeles Times investigation found that contraband Chinese pesticides used on cannabis farms is a growing problem in the state.
Customs and Border Protection seized containers of an illegal pesticide from China that were packed with legitimate items.
(Myung J. Chun/Los Angeles Times)
Much of the illegal product comes through the ports of L.A. and Long Beach, which together handle more than 30% of the nation’s container traffic, officials said. EPA works closely with Border Patrol officials, who flag suspicious cargo containers at the port for further inspection.
CBP spokesman Jaime Ruiz said the agency is using artificial intelligence tools to help scan incoming cargo manifests for potentially illegal items. Thousands of containers are flagged for inspection each year, although that number also includes drugs, counterfeit goods and other contraband in addition to pesticides, he said. He could not immediately say what percentage were illegal pesticides.
Illegal pesticides have at times been found in California agriculture and the California Department of Pesticide Regulation has taken enforcement action against violators. The DPR operates one of the nation’s largest pesticide residue testing programs, analyzing some 3,500 produce samples each year from wholesale and retail stores and other outlets. The state produces about half of the nation’s fruits and vegetables.
Jeff Hall, assistant administrator of EPA’s Office of Enforcement and Compliance, said the issue should be bipartisan.
“We cannot allow foreign actors to profit by sending toxic and poisonous products into the United States and poisoning American communities,” he said. “This is a message that we should all be able to agree on, especially for pesticides.”
However, the agency’s visit to L.A. arrived at a fractured moment for U.S. pesticide regulation and for the Trump-aligned Make America Healthy Again movement.
On Thursday, the Supreme Court ruled 7-2 in favor of Bayer’s Monsanto, the maker of the powerful weedkiller Roundup, shielding it from thousands of state lawsuits that allege the company failed to warn people the product could cause cancer.
Roundup contains glyphosate, which was classified by the World Health Organization as “probably carcinogenic” in 2015. But the Supreme Court found that the company can’t be sued in state courts because federal agencies — including the EPA — have determined that it’s not likely to cause cancer in humans when used as directed. The EPA has repeatedly approved a label for the product without a cancer warning.
“When people are exposed to pesticides, they deserve honest warnings about the risks,” said Bill Jordan, former deputy director of EPA’s Office of Pesticide Programs, in a statement. “The Court’s decision leaves families, workers, and communities with fewer tools to protect themselves and to recover damages when they are injured by a pesticide.”
Science
Drug overdoses in L.A County drop for third straight year. Here’s why
For the third year in a row, accidental drug-related overdose and poisoning deaths have dropped in Los Angeles County, a decline officials attribute to ongoing investments in prevention and harm reduction resources countywide.
There were 2,298 accidental drug overdose and poisoning deaths in 2025, down 6%, a relatively small drop from 2,438 the prior year but an overall substantial reduction from the all-time high of 3,220 deaths countywide in 2022, according to a recent report from the Los Angeles County Department of Public Health.
Drug overdoses continue to be the leading cause of accidental deaths countywide — surpassing the deaths due to vehicle crashes and firearms in 2017 combined — with methamphetamine and fentanyl most often involved in the overdoses.
The problem reached a historic high in 2022 when fentanyl surpassed methamphetamine as the most common drug listed as a cause of overdose deaths. At the time, the number of overdoses in general had increased across the board.
However, these accidental deaths have been on a downward trend, with a nearly 30% overall decrease in drug-related overdoses from 2022 to 2025. Fentanyl-related deaths dropped by 40% and methamphetamine-related deaths declined by 25% in that period.
Officials said in the report that the numbers are more modest compared with 2024, when accidental overdose deaths plunged overall by 22%, which they said “demonstrates sustained progress in the County’s efforts to address the overdose crisis.”
“Three consecutive years of fewer overdose deaths in LA County is proof that sustained investments in prevention, harm reduction, treatment, and recovery services saves lives,” Barbara Ferrer, director of the Los Angeles County Department of Public Health, said in a statement.
Ferrer credited the continued reduction to outreach workers and community partners who “are working every day to connect people to treatment, distribute lifesaving naloxone and meet people where they are without judgment.”
The department continues to invest in a coordinated spectrum of community-based overdose prevention efforts that include the Fentanyl Frontline — a multimedia campaign focused on the widespread distribution of naloxone — and ByLAforLA.org, a community-powered platform that connects residents to lifesaving services with an aim to reduce stigma.
The health department report also found:
- Los Angeles County overdose deaths declined across most age groups in 2025 but deaths among adults 65 and older increased by 14%.
- Although older adults accounted for only 11% of all overdose deaths, this increase contrasts with the broader downward trend observed across other age groups, according to the report.
- Those aged 40 to 64 remained the most affected group, accounting for 53% of overdose deaths last year.
- Communities with 30% of residents living below the federal poverty level had a higher rate of drug overdose deaths than areas with less than 10% of families living below the federal poverty level.
- By race, Black residents continued to experience the highest overdose death rates in 2025.
- By gender, a persistent disparity remains, with men accounting for most overdose deaths, nearly 1,800 compared with more than 500 deaths among women.
Nationwide, opioid overdose deaths have been on the decline since mid-2023, driven largely by decreases in fentanyl-related deaths, but the numbers remain above pre-pandemic levels, according to a recent report by KFF, a national health policy organization.
KFF said multiple policy actions have contributed to the decline, including efforts to expand access to treatment as well as overdose-reversal drugs and public awareness campaigns. At the federal level, there have been some efforts to mitigate the crisis including improving fentanyl detection at ports and borders.
“Despite progress, a range of more recent federal policy actions may affect future trends, including federal budget cuts, federal staffing reductions, and cuts to federal grants that support state and local programs; reduced Medicaid and Marketplace coverage; and a shift toward a more enforcement-focused approach, including the designation of illicit fentanyl as a ‘Weapon of Mass Destruction,’” according to the report.
Los Angeles County residents can access assistance for substance-use services 24 hours a day, seven days a week by calling (800) 854-7771, select Option 2 after the language prompt.
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