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State regulators approve Edison’s wildfire prevention plan despite concerns

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State regulators approve Edison’s wildfire prevention plan despite concerns

The California Public Utilities Commission approved Southern California Edison’s wildfire mitigation plan Thursday, rejecting calls to delay action until more is known about what ignited the devastating Eaton fire.

Investigators are now looking into whether Edison’s equipment sparked the Eaton fire, which has killed at least 17 people and destroyed thousands of homes and other structures. The company’s transmission equipment may have also sparked the smaller Hurst fire, investigators say.

Michael Backstrom, Edison’s vice president of regulatory affairs, said Thursday that there were no conclusions yet about the cause of either fire. He said the company’s preliminary analysis of the Eaton fire found no anomalies that would suggest its equipment sparked the blaze.

At the meeting, William Abrams, a survivor of the North Bay wildfires of 2017, told the commission it would be “imprudent” to approve the wildfire mitigation plans of the state’s three biggest for-profit utilities — Edison, Pacific Gas & Electric and San Diego Gas & Electric — without knowing what ignited the deadly fires last week.

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The commission didn’t address Abrams’ concerns or those of other speakers who asked officials to do more to keep the utilities accountable for safely maintaining their electric lines, approving the three companies’ wildfires plans on a 5-0 vote without comment.

“No one is adequately policing this,” Peggy Ludington, a Southern California resident, told the commissioners. She pointed to some of the 11 areas of concern that safety regulators had detailed in their October approval of the company’s wildfire prevention plan.

Ludington noted that safety regulators had asked Edison last year for information on the problems they had found in the splices used to repair transmission lines.

The utility said in a response to regulators sent a week later that it would be difficult to gather that information.

The company told regulators that “given the high find rate” of problems with the splices, it was considering “forgoing the inspection and moving straight to remediation.” To do that, it said, it was considering a program to replace the splices, beginning in 2026.

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Edison said this week that it had been doing more work to prevent wildfires than the state has required.

“As we have been doing, SCE will continue to perform inspections in its high fire risk areas more frequently than is required,” the company said in a statement to The Times.

Backstrom said that delaying the approval of the company’s wildfire prevention plan until the causes of the fire are determined was not the right decision.

He said work that the company has done each year under the guidance of its plan has reduced the risk that its equipment will spark a wildfire by more than 85% than what it had been before 2018.

“It’s not right to freeze practices right now,” he said. “We need to execute.”

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Alice Reynolds, president of the commission, spoke about the wildfires at the meeting’s start.

“California has worked extensively to significantly reduce utility-involved wildfires,” she said, calling the three utilities’ wildfire mitigation plans “the most comprehensive in the country.”

“These measures come at a cost that is added to utility bills,” she said. “We can ask whether they are enough and if the utilities can do more or do better. This week we can see they are necessary.”

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The Next Threat to L.A.? Rainfall That Could Cause Landslides

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The Next Threat to L.A.? Rainfall That Could Cause Landslides

While winds and flames continued to ravage Los Angeles, small teams began creeping onto the charred soils left in their wake.

Roughly a dozen members of the California Watershed Emergency Response Teams and the United States Forest Service are studying the edges of the Eaton and Palisades fires to determine what patches of land burned most severely. Soon, they’ll issue hazard maps to help people prepare for what comes next: the near-certain threat of floods and landslides that will loom for days, months and even years while the city recovers.

“After a wildfire, the hazard to the public is not over,” said Jeremy Lancaster, California’s state geologist. He and his team spent Wednesday hiking in the steep canyons that flank the San Gabriel and Santa Monica Mountains. When it rains hard enough, the sediment on slopes like these can swiftly tumble downhill onto houses that increasingly push up against the fire-prone foothills.

The two major hazards after a wildfire are flash flooding and post-fire debris flows. While spongy soils typically absorb water, burned soils can become hard packed like concrete, repelling water as a raincoat would. Water then funnels downslope without much, or any, vegetation left after a fire to keep it in check.

Hazard maps use a combination of satellite images and field testing of soils to show where patches of moderately to severely burned soils could make these post-fire risks more likely. Recommendations for emergency services to engineer barricades against the danger accompany the maps.

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The Palisades burn map was released on Thursday, and the Eaton map is still under review. Experts said the Palisades fire had mostly low to moderate burn severity, while the Eaton fire was likely to have more moderate to high burn severity.

Debris flows require three ingredients — steep slopes, burned soils and rain — and they’re often more dangerous than floods because the sediment they draw in claws at the landscape, creating a snowball effect that pulls a tumult of trees, vegetation, soil, rocks and anything else in its way.

“A debris flow is like a flood on steroids,” said Jason Kean, a research hydrologist with the United States Geological Survey. “It’s all bulked up with rocks and mud and trees.” While floods often have a longer reach, water churns faster in debris flows, which are less common but more destructive.

After the Thomas fire in 2017, a debris flow in Montecito, Calif., killed 23 people and damaged or destroyed more than 400 homes.

Neither homeowners’ insurance nor federal flood insurance covers the impact to properties of debris flows, which are defined by the Geologic Survey as landslides.

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The fire-flood cycle is a long-studied relationship, but scientists say a warming planet has made the post-fire threat more likely. Fires burn bigger and more severely. Rains hit harder and more often. Those changes expand the target area for post-fire hazards, which could increase the size and the frequency of floods and flows.

“The fire scientists are telling us that wildfires are increasing in size and severity,” Dr. Kean said. “From that fact alone, you’re exposing more terrain and making more terrain vulnerable to post-fire problems.”

With a dangerous combination of very steep terrain, lots of sediment, high-fire activity and a lot of people pushed up against the mountains, Los Angeles faces an extreme risk.

“The Los Angeles area and Southern California are the world capital for post-fire debris flows,” Dr. Kean said.

Debris flows are so common in Los Angeles that at the edge of the San Gabriel Mountains, where the Eaton fire burned, the state has carved debris basins to collect waste from major flow events. In Southern California, more than two million people live on alluvial fans, landforms that are conducive to flash floods and debris flows, according to Dr. Lancaster.

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The National Weather Service in Los Angeles collaborated with the Geological Survey to start the nation’s first early warning systems for these post-fire hazards in 2005. The geological survey sets a rainfall threshold that could set off landslides, and the Weather Service issues a warning if the rainfall they expect nears or surpasses it.

Jayme Laber, a senior hydrologist with the Los Angeles forecast office, has spent the last two decades issuing such warnings. While there’s still no sign of rain in the seven to 10 day forecast he issued on Wednesday, a garden-variety rainstorm that Angelenos see at least once or twice a year could be enough to kick off the next wave of hazards, which can develop within minutes.

“In a burned area, the kind of rain that would not cause problems would be a really light drizzly rain that just goes on and on,” Mr. Laber said. But at some point this winter, he added, “we’re going to get rainfall that has the potential to cause flash flooding and debris flows in these newly burned areas.”

This video of a small debris flow from 2016, which is close to the site of the current Eaton fire, shows how quickly large objects, like a six-foot boulder, can be sent rushing downhill.

Mr. Laber advised residents to prepare in case of a future evacuation, monitor the forecast and pay attention to local emergency officials if a warning is issued.

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UnitedHealth’s Revenues Rise, in First Earnings Report Since CEO’s Killing

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UnitedHealth’s Revenues Rise, in First Earnings Report Since CEO’s Killing

UnitedHealth Group reported on Thursday that it earned less than expected this past quarter, citing higher medical costs and pressure on its insurance division at a time when the company is still reeling from the shocking murder of a top executive last month.

Revenues for UnitedHealth Group amounted to $100.8 billion for the fourth quarter, below what analysts had predicted but still 6.8 percent higher than in the same quarter the year before. The company’s full-year revenue for 2024 rose to $400.3 billion. For UnitedHealthcare, the insurance division, full-year revenue increased to $298.2 billion, up 6 percent from 2023.

The results were the company’s first since Brian Thompson, the chief executive of UnitedHealthcare, was gunned down in front of a Midtown Manhattan hotel.

The murder unleashed public outrage aimed at big health insurers, over lack of access to health care and denials of coverage and insurance claims.

Some shareholders have urged UnitedHealth to issue a report on its practices that “limit or delay access to health care.”

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Andrew Witty, UnitedHealth Group’s chief executive, said on a call with analysts on Thursday that frustrations about claims, including delays in receiving care and coverage, were “key areas for us to work hard at to improve.”

A successor to Mr. Thompson has not been named yet. Mr. Witty did not share details about filling the post, nor did he directly address the recent shareholder campaign.

But he and other executives discussed the loss of Mr. Thompson at the top of the call.

“He devoted his time to helping make the health system work better for all of the people we’re privileged to serve,” Mr. Witty said.

UnitedHealth’s results, which disappointed Wall Street, in many ways reflected broader trends and lingering issues for the industry. For several quarters, U.S. health insurers have taken hits to their earnings from high medical expenses and a tightening of government payment policies.

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John Rex, the company’s chief financial officer, pointed to cutbacks in government rates in the payment system for Medicare Advantage program, the private insurance arm of the federal coverage for people 65 and over. UnitedHealth has substantial business in these Medicare private plans.

Medicare Advantage performance has declined throughout the industry recently, partly because of regulatory changes meant to prevent overcharging and following increased health spending among some older populations.

Mr. Witty also said there were costs associated with changes in Medicaid, the federal-state insurance program for the poor.

The company’s medical cost ratio, a measure of the cost of providing care, came in higher than expected in the most recent quarter, which could add fuel to investors’ concerns that increased costs for delivery of care might linger, said John Boylan, an analyst at Edward Jones, an investment firm.

UnitedHealth, however, kept its full-year guidance for 2025 intact, unaltered by recent pressure. Analysts at Morgan Stanley said in a research note that the company had set “reasonably prudent targets” for this year.

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“Overall, our view is that United is well positioned to navigate the evolving health care landscape due to its diversified business model,” Mr. Boylan said.

UnitedHealth’s stock fell 6 percent on Thursday as investors digested the weaker-than-expected results. UnitedHealth’s results, often seen as a bellwether for performance across the industry, pushed down shares of its rivals, including CVS Health, which is the parent of the insurer Aetna.

UnitedHealth Group also owns Optum Rx, one of the country’s largest pharmacy benefit managers, which employers and government programs hire to oversee their prescription-drug benefits.

Optum Rx has faced scrutiny from regulators over concerns that it has raised drug prices, prioritizing its own interests above those of patients, employers and taxpayers. Just this week, the Federal Trade Commission released a report detailing how P.B.M.s could be inflating drug costs.

The agency criticized Optum Rx and two other major benefit managers — CVS Health’s Caremark and Cigna’s Express Scripts — for raising prices on generic drugs for cancer, heart disease and other illnesses as high as 1,000 percent of national average costs.

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Mr. Witty, the UnitedHealth Group chief executive, defended Optum’s practices, stressing that 98 percent of the rebates were passed to customers. By 2028, he said, all rebates would be passed on. Drug prices in the United States, Mr. Witty argued, are “de novo set too high relative to any other price in the world,” and shifted the blame to drug companies.

“The P.B.M. acts on behalf of the ultimate payer — the employer, the union, the state,” Mr. Witty told analysts.

Mr. Witty did not address investigations by the Justice Department or lawsuits seeking to block its proposed acquisition of Amedsys, a large home care and hospice company.

Beyond rising medical costs and increasing use of health care services, UnitedHealth executives pointed to the widespread ransomware attack in 2024 that weighed on the company’s full-year profits. The cyberattack forced the shutdown of the company’s sprawling billing and payment system, Change Healthcare. The company has estimated that the data breach of health and privacy information affected more than 100 million people, and said this week that a review of personal information involved in the incident was “substantially complete.”

Luigi Mangione, 26, has been charged with multiple state and federal counts of murder as well as weapons and stalking offenses. He has pleaded not guilty.

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UnitedHealth and the police have said that neither he nor his parents had medical insurance through UnitedHealth.

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Cancer’s New Face: Younger and Female

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Cancer’s New Face: Younger and Female

More Americans are surviving cancer, but the disease is striking young and middle-aged adults and women more frequently, the American Cancer Society reported on Thursday.

And despite overall improvements in survival, Black and Native Americans are dying of some cancers at rates two to three times higher than those among white Americans.

These trends represent a marked change for an illness that has long been considered a disease of aging, and which used to affect far more men than women.

The shifts reflect declines in smoking-related cancers and prostate cancer among older men and a disconcerting rise in cancer in people born since the 1950s.

Cancer is the second leading cause of death in the United States, but the leading cause among Americans under 85. The new report projects that some 2,041,910 new cases will occur this year and that 618,120 Americans will die of the disease.

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Six of the 10 most common cancers are on the rise, including cancers of the breast and the uterus. Also on the rise are colorectal cancers among people under 65, as well as prostate cancer, melanoma and pancreatic cancer.

“These unfavorable trends are tipped toward women,” said Rebecca L. Seigel, an epidemiologist with the American Cancer Society and the report’s first author.

“Of all the cancers that are increasing, some are increasing in men, but it’s lopsided — more of this increase is happening in women.”

Women are also being diagnosed at younger ages. Cancer rates are rising among women under 50 (so-called early-onset cancer), as well as among women 50 to 64.

Despite increases in some early-onset cancers, like colorectal cancer and testicular cancer, “overall rates are flat in men under 50 and decreasing in those 50 to 64,” Ms. Seigel said.

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Several other troubling trends are outlined in the report. One is an increase in new cases of cervical cancer — a disease widely viewed as preventable in the United States — among women 30 to 44.

The incidence of cervical cancer has plummeted since the mid-1970s, when Pap smear screening to detect precancerous changes became widely available. But recent surveys have found many women are postponing visits to their gynecologists.

A Harris Poll survey of over 1,100 U.S. women last year found that 72 percent said they had put off a visit with their doctor that would have included screening; half said they didn’t know how frequently they should be screened for cervical cancer.

(The current recommendation is a bit complicated: Get a Pap smear every three years starting at age 21, or a combined Pap smear and test for the human papillomavirus, which can cause cervical cancer, every five years.)

Another disturbing trend started in 2021 when, for the first time, lung cancer incidence in women under 65 surpassed the incidence in men: 15.7 cases per 100,000 women under 65, compared with 15.4 per 100,000 in men.

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Lung cancer has been declining over the past decade, but it has decreased more rapidly in men. Women took up smoking later than men and took longer to quit.

There have also been upticks in smoking in people who were born after 1965, the year after the surgeon general first warned that cigarettes cause cancer.

Smoking continues to be the leading cause of preventable death in the United States, accounting for almost 500 cancer deaths daily in 2025, mostly from lung cancer, the American Cancer Society said.

“There is growing concern that e-cigarettes and vaping may contribute to this burden in the future, given their carcinogenic potential and wide popularity,” the report said.

Breast cancer rates have also been inching up for many years, increasing by about 1 percent a year between 2012 and 2021. The sharpest rise has been seen in women under 50, and there have been steep increases among Hispanic American, Asian American and Pacific Islander women.

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The increases are driven by detection of localized tumors and certain cancers fueled by hormones.

Some of the rise results from changing fertility patterns. Childbearing and breastfeeding protect against breast cancer, but more American women are postponing childbirth — or are choosing not to bear children at all.

Other risk factors include genetics, family history and heavy drinking — a habit that has increased in women under 50. In older women, excess body weight may play a role in cancer risk.

Uterine cancer is the only cancer for which survival has actually decreased over the past 40 years, the A.C.S. said.

Death rates are also rising for liver cancer among women, and for cancers of the oral cavity for both sexes.

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Pancreatic cancer has been increasing in incidence among both men and women for decades. It is now the third leading cause of cancer death. As with many other cancers, obesity is believed to contribute.

Little progress has been made in the understanding and treatment of pancreatic cancer. Death rates have been rising since record-keeping started, rising to 13 per 100,000 in men and 10 per 100,000 in women today, up from about five per 100,000 in both men and women in the 1930s.

The lack of progress has frustrated many scientists and physicians. The cancer is often fairly advanced when diagnosed, and the five-year survival rate is only 13 percent.

“We need to make progress in specifically understanding what’s driving pancreatic cancers to grow, what treatment will then stave off these cancers, what can prevent it in the first place, and how we can screen for it early,” said Dr. Amy Abernathy, an oncologist who co-founded Highlander Health, which focuses on accelerating clinical research.

Some experts are beginning to acknowledge that environmental exposures may be contributing to early-onset cancer, in addition to the usual suspects: lifestyle, genetics and family history.

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“I think that the rise in not just one but a variety of cancers in younger people, particularly in young women, suggests there is something broader going on than variations in individual genetics or population genetics,” said Neil Iyengar, an oncologist at Memorial Sloan Kettering Cancer Center.

“It strongly points to the possibility that environmental exposures and our lifestyles in the U.S. are contributing to the rise of cancers in younger people.”

Public health efforts aimed at reducing risky lifestyle behaviors have focused on people at higher risk and at older Americans, who still bear the brunt of cancer’s burden, he noted.

But the risk factors in young people may be different.

Emerging research hints that maintaining regular sleeping patterns, for example, may also help to prevent cancer, he said.

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Lifestyle and behavioral changes can reduce the risk for many cancers, Ms. Siegel said.

“I don’t think people realize how much control they have over their cancer risk,” she said. “There’s so much we can all do. Don’t smoke is the most important.”

Among the others: Maintaining a healthy body weight; not consuming alcohol or consuming in moderation; eating a diet high in fruits and vegetables, and low in red and processed meat; physical activity; and regular cancer screenings.

“There are all these things you can do, but they’re individual choices, so just pick one that you can focus on,” she said. “Small changes can make a difference.”

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