Science
Strangers in the middle of a city: The John and Jane Does of L.A. General Medical Center

He had a buzz cut and brown eyes, a stubbly beard and a wrestler’s build.
He did not have a wallet or phone; he could not state his name. He arrived at Los Angeles General Medical Center one cloudy day this winter just as thousands of people do every year: alone and unknown.
Some 130,000 people are brought each year to L.A. General’s emergency room. Many are unconscious, incapacitated or too unwell to tell staff who they are.
Nearly all these Jane and John Does are identified within 48 hours or so of admission. But every year, a few dozen elude social workers’ determined efforts to figure out who they are.
Too sick to be discharged yet lacking the identification they need to be transferred to a more appropriate facility, they stay at L.A.’s busiest trauma hospital for weeks. Sometimes months. Occasionally years.
That’s an outcome no one wants. And so hospital staff did for the buzz cut man what they do once every other possibility is exhausted.
Social workers cobbled together the tiny bit of information they could legally share: his height and weight, his estimated age, his date of admission, the place where he was found. They stood over his hospital bed and took his photograph.
Then they asked the 10 million people of Los Angeles County: Does anyone know who this is?
This unidentified patient arrived at L.A. General on Feb. 6 after being found unconscious in East Hollywood.
(Los Angeles General Medical Center)
-
Share via
Just before 8 a.m. on Feb. 16, paramedics responded to a medical emergency at 1037 N. Vermont Ave.
The man was face-down on a stretch of sidewalk lined with chain-link fences and sandbags, near a public restroom and the entrance to the Vermont/Santa Monica subway stop. Pink scrape marks blossomed above and below his right eye.
Paramedics estimated he was about 30 years old. Hospital staff guessed 35 to 40.
He had no possessions that might offer clues: no phone, no wallet, no tickets or receipts crumpled in his pockets.
He could not state his name or answer any questions. The hospital admitted him under a name the English-speaking world has used for centuries when a legal name can’t be verified: John Doe.
The vast majority of patients admitted as John Does leave as themselves. The unconscious wake up. The intoxicated sober up. Frantic relatives call the hospital looking for a missing loved one, or police arrive seeking their suspect.
None of these things happened for the man from North Vermont. When he finally opened his eyes, his language was minimal: a few indistinct words — possibly English, possibly Spanish — and nothing that sounded like a name.
Social workers wrote down everything they knew for sure about their patient: his height (4 feet, 10 inches), his weight (181 pounds), the color of his eyes (dark brown).
Then they started following the trail that typically leads to identification.
The ambulance crew didn’t recognize him, and the run sheet — the document paramedics use to record patients’ condition and care — had no revelatory details.
They checked Google Maps. Any nearby shelter whose manager they could call to ask about a missing resident? Nope. Was there an apartment building whose residents might recognize his photo? Nothing.

A second photo L.A. General released to the public in search of a name or next of kin for this unidentified patient found in East Hollywood.
(Los Angeles General Medical Center)
They clicked through county databases. His details didn’t align with any previously admitted hospital patient, or anyone in the mental health system. No missing-persons report matched his description; social workers couldn’t find a mention of someone like him in any social media posts.
An anonymous patient is an administrative problem. It’s also a safety concern. If a patient can’t state their name, they probably also can’t say if they have life-threatening allergies or are taking any medications, said Dr. Chase Coffey, who oversees the hospital’s social work team.
“We do our darndest to deliver safe, effective, high-quality care in these scenarios, but we run into limits there,” he said.
Federal law requires hospitals to guard patient privacy zealously, and L.A. General is no exception. But given that virtually every hospital deals with unnamed patients, California carves out an exception for unidentified people who can’t make their own healthcare decisions. In such instances, hospitals can go public with information that could locate their patient’s next of kin.
On March 3, nearly two weeks after the man’s arrival, a press release went live on the county’s website and pinged in the inboxes of reporters across the region.
“Los Angeles General Medical Center, a public hospital run by the L.A. County Department of Health Services, is seeking the media and public’s help in identifying a patient,” the flier said. In the photograph the man gazed up from his hospital bed, eyes fixed somewhere past the camera, looking as lost as could be.
The buzz cut man from North Vermont was not the only Doe in the hospital’s care.
On the same March 3 morning, the county asked for help identifying a wisp-thin elderly man with a grizzled beard and swollen black eye who’d been found in Monterey Park’s Edison Trails Park.
Three days later, it sent out a bulletin for a gray-haired Jane Doe picked up near Echo Park Lake. In her photo she was unconscious and intubated, a bruise forming on her forehead, wires curling around her.

L.A. General seeks identification for a female patient who arrived in late May.
(Los Angeles General Medical Center)
By the end of the month, L.A. General would ask the public to identify four more men and women found alone in parks and on streets across the county, people whose cognitive state or medical condition left them unable to speak for themselves.
All of the hospital’s Does are found in L.A. County. That doesn’t mean they live here.
L.A. General is 2 miles from Union Station, where buses and trains deposit people traveling from all over North America. A few years ago, Coffey and social work supervisor Jose Hernandez found themselves trying to place an elderly couple from Nevada, both suffering from cognitive decline, who arrived at the station and couldn’t recall who they were or where they meant to go.
Fingerprinting is rarely an option. The federal fingerprint database can be accessed only for patients who are dying or are the subject of a police investigation, hospital staff said.
Even if those criteria are met, the database will only yield a name if the person’s fingerprints are already in the system. And even that’s not always enough.
Late last year, law enforcement ran the prints of an unidentified female patient who had been involved in a police incident. The system returned a name — one the patient adamantly insisted was not hers.
“Now the question is, is she confused? Do we have the wrong fingerprints-to-name match? Is there a mismatch? Is there a person using a different identity?” said Coffey. “Now what do we do?”
In end-of-the-rope scenarios such as this, the hospital turns to the public.
The press releases are carefully phrased. The hospital can disclose just enough information to make the patient recognizable to those who know them, but not a word more. Federal laws forbid references to the patient’s mental health, substance use, developmental disability or HIV status.

The hospital is trying to find next of kin for a 26-year-old man admitted in March.
(Los Angeles General Medical Center)
The releases are posted on the county’s website and social media channels. Local media outlets often publicize them further.
In “the best outcome that we get, we send [the notice] out and we get a hit within a couple of days. We start getting calls from the community saying, ‘Oh, we know who this patient is,’” Hernandez said.
About 50% of releases lead to such positive outcomes. For the other half of patients, the chance of being named gets a little smaller with every day that the phone doesn’t ring.
“If we don’t know who you are after a month, that’s when it becomes decreasingly likely that we’re going to figure it out,” said Dr. Brad Spellberg, the hospital’s chief medical officer.
On April 9, nearly two months after the buzz cut man’s arrival at L.A. General, the hospital sent out a second release about him. His scrapes had healed. His black hair was longer. His stubble had grown into a wispy beard.
“Patient occasionally mentions that he lives on 41st Street and Walton Avenue,” the release said. “Primarily Spanish speaking.” But he still had no name.
It is possible for a person in this situation to be stuck at L.A. General for the rest of their lives.
One man hit by a car on Santa Monica Boulevard in January 2017 lived for nearly two years with a traumatic brain injury before dying unidentified in the hospital. As of late 2024, a few Does had been there for more than a year.
1. This woman, believed to be 55, was found outside Los Angeles General Medical Center. 2. This patient, who was found in Pasadena, has a tattoo of a small cross on his left forearm and small star tattoo on his left bicep. 3. This patient, believed to be about 50 years old, was found on East 5th Street in downtown Los Angeles. (Los Angeles General Medical Center)
If a patient has no identity, L.A. General can’t figure out who insures them. And in the U.S. healthcare system, not having a guarantee of payment is almost worse than not having a name.
Skilled nursing facilities, group homes and rehabilitation centers won’t take people who don’t have anyone to pay for them, Spellberg said. The county Public Guardian serves as a conservator for vulnerable disabled residents, but can’t accept nameless cases.
Unless a patient recovers sufficiently to check themselves out, they are stuck in a lose-lose scenario. They can’t be discharged from L.A. General, whose 600 beds are desperately needed by the county’s most critically ill and injured, but also can’t move on to a facility that provides the care they need.
“We’re the busiest trauma center west of Texas in the United States,” Spellberg said. “If our bed is taken up by someone who really doesn’t need to be in the [trauma] hospital but can’t leave … that’s a bed that’s not available for other patients who need it.”
L.A. General is staffed to handle crises, not long-term care of people with dementia or traumatic brain injuries.
Bedbound patients could get pressure sores if they aren’t turned frequently enough. Mobile patients could wander the hospital’s corridors, or fall and injure themselves.
“You’re trapping the patient in the wrong care environment,” Spellberg said. “They literally become a hostage in the hospital, for months to years.”
The man found in Edison Trails Park eventually left the hospital. So did the gray-haired woman, whose name was at last confirmed.
The man from North Vermont is still at L.A. General, his identity as much a mystery as the day he arrived four months ago.
The Does keep coming: An elderly man found near Seventh and Flower streets. A young man found near railroad tracks. A man with burn injuries and a graying beard; another unconscious and badly bruised.
All sick or injured, all separated from their names, all their futures riding on a single question: Does anyone know who this is?
If you have information about an individual pictured here, contact L.A. General’s Social Work Department from 8 a.m. to 5 p.m. Monday through Friday at (323) 409-5253. Outside of those hours, call the Department of Emergency Medicine’s Social Work Department at (323) 409-6883.

Science
Trump administration sues California over cage-free egg and animal welfare law
The Trump administration has sued California over the state’s voter-approved animal welfare law, which protects hens, pigs and calves from being kept in small cages, claiming the law has driven up egg prices and violates federal farming laws and regulations.
“California has contributed to the historic rise in egg prices by imposing unnecessary red tape on the production of eggs,” wrote lawyers in the lawsuit, which was filed in U.S. District Court in Los Angeles on Wednesday.
California Gov. Gavin Newsom and Atty. Gen. Rob Bonta vowed to defend the state law.
“Pointing fingers won’t change the fact that it is the President’s economic policies that have been destructive. We’ll see him in court,” Bonta said in a statement.
California’s animal-welfare law was approved by voters as Proposition 12 in 2018. The law was upheld by the U.S. Supreme Court in 2023.
“In a functioning democracy, policy choices like these usually belong to the people and their elected representatives,” wrote Justice Neil M. Gorsuch, a Trump appointee, in the lead opinion. He said that while many state laws may have economic effects in other states, they are only in violation of the Constitution if they were written with the intent to interfere with interstate commerce.
The Department of Justice contends the California law preempts federal laws, including the Egg Products Inspection Act, and that no state has the right to institute its own standards on the production or “quality, condition, weight, quantity or grade” of eggs that differs from those set by the federal government.
The law has been repeatedly challenged by the National Pork Producers Council and others. Just last month, the Supreme Court declined to accept a petition for certiorari from the Iowa Pork Producers Council.
In the suit filed Wednesday, the Justice Department contends that California’s egg standards “do not advance consumer welfare” and are “not based in specific peer-reviewed published scientific literature or accepted as standards within the scientific community to reduce human food-borne illness … or other human or safety concerns.”
Egg prices soared earlier this year, soon after Trump took office. Most experts pointed to the H5N1 bird flu epidemic as the cause of the spike, as millions of egg-laying chickens across the nation were euthanized to prevent the spread.
Prices have since moderated as the outbreak has diminished. In the last 30 days, there has been only one reported commercial flock infection in Pennsylvania. The birds were not egg layers.
In February, the U.S. Department of Agriculture’s Secretary Brooke Rollins, penned an op-ed in the Wall Street Journal suggesting the Trump administration would target the law.
California egg producers have in the past opposed changing the law.
Bill Mattos, president of the California Poultry Federation, said in an interview in February that California egg farmers had spent millions of dollars to upgrade and adapt their farms. Reversing the law would put California poultry farmers — and all the other egg producers that sell to California — at a huge economic disadvantage by requiring them to invest millions more dollars to buy cages and re-adapt their facilities for such operations.
Animal welfare advocates say the lawsuit is short-sighted and has the potential to hurt California’s egg-laying industry.
“With this ill-considered legal action, the Administration is dropping a set of stink bombs into the bosom of the egg industry,” said Wayne Pacelle, president of Animal Wellness Action and the Center for a Humane Economy.
He said California egg farmers are still recovering from the bird flu outbreak, and this suit, if successful, would disrupt the still fragile supply chain “and provide an opening for egg farmers from Mexico — which have no animal welfare standards at all — to access the California market.”
Science
Amid state inaction, California chef sues to block sales of foam food containers

Redwood City — Fed up with the state’s refusal to enforce a law banning the sale of polystyrene foam cups, plates and bowls, a San Diego County resident has taken matters into his own hands.
Jeffrey Heavey, a chef and owner of Convivial Catering, a San Diego-area catering service, is suing WinCup, an Atlanta-based foam foodware product manufacturing company, claiming that it continues to sell, distribute and market foam products in California despite a state law that was supposed to ban such sales starting Jan. 1. He is suing on behalf of himself, not his business.
The suit, filed in the San Diego County Superior Court in March, seeks class action status on behalf of all Californians.
Heavey’s attorney, William Sullivan of the Sullivan & Yaeckel Law Group, said his client is seeking an injunction to stop WinCup from selling these banned products in California and to remove the products’ “chasing arrows” recycling label, which Heavey and his attorney describe as false and deceptive advertising.
They are also seeking damages for every California-based customer who paid the company for these products in the last three years, and $5,000 to every senior citizen or “disabled” person who may have purchased the products during this time period.
WinCup didn’t respond to requests for comments, but in a court filing described the allegations as vague, unspecific and without merit, according to the company’s attorney, Nathan Dooley.
Jeffrey Heavey is suing foodware maker WinCup, claiming that it continues to sell, distribute and market foam products in California despite a state law that was supposed to ban such sales starting Jan. 1.
(Luke Johnson / Los Angeles Times)
At issue is a California ban on the environmentally destructive plastic material, which went into effect on Jan. 1, as well as the definition of “recyclable” and the use of such a label on products sold in the state.
Senate Bill 54, signed into law by Gov. Gavin Newsom in 2021, targeted single-use plastic in the state’s waste stream.
The law included a provision that banned the sale and distribution of expanded polystyrene food service ware — such as foam cups, plates and takeout containers — on Jan. 1, unless producers could show they had achieved a 25% recycling rate.
“I’m glad a person in my district has taken this up and is holding these companies accountable,” said Catherine Blakespear (D-Encinitas). “But CalRecycle is the enforcement authority for this legislation, and they should be the ones doing this.”
The intent of the law was to put the financial onus of responsible waste management onto the producers of these products, and away from California’s taxpayers and cities that would otherwise have to dispose of these products or deal with their waste on beaches, in rivers and on roadways.
Expanded polystyrene is a particularly pernicious form of plastic pollution that does not biodegrade, has a tendency to break down into microplastics, leaches toxic chemicals and persists in the environment.
There are no expanded polystyrene recycling plants in California, and recycling rates nationally for the material hover around 1%.
A Mallard duck swims in water with Styrofoam polluting the beach on Lake Washington, Kirkland, Wash.
(Wolfgang Kaehler / LightRocket via Getty Images)
However, despite CalRecycle’s delayed announcement of the ban, companies such as WinCup not only continue to sell these banned products in California, but Heavey and his lawyers allege the products are deceptively labeled as “recyclable.”
In his suit, Heavey includes a March 15 receipt from a Smart & Final store in the San Diego County town of National City, indicating a purchase of “WinCup 16 oz. Foam” cups.
Similar polystyrene foam products could be seen on the shelves this week at a Redwood City Smart & Final, including a 1,000-count box of 12-ounce WinCup foam cups selling for $36.99. Across the aisle, the shelves were packed with bags of Simply Value and First Street (both Smart & Final brands) foam plates and bowls.
There were “chasing arrow” recycling labels on the boxes containing cup lids. The symbol included a No. 6 in the center, indicating the material is polystyrene. There were none on the cardboard boxes containing cups, and it couldn’t be determined if the individual foam products were tagged with recycling labels. They were either obstructed from view inside cardboard boxes or stacked in bags which obscured observation.
Smart & Final, which is owned by Chedraui USA, a subsidiary of Mexico City-based Grupo Comercial Chedraui, didn’t respond to requests for comment.
Heavey’s suit alleges the plastic product manufacturer is “greenwashing” its products by labeling them as recyclable and in so doing, trying to skirt the law.
According to the suit, recycling claims are widely disseminated on products and via other written publications.
The company’s website includes an “Environmental” tab, which includes a page entitled: “Foam versus Paper Disposable Cups: A closer look.”
The page includes a one-sentence argument highlighting the environmental superiority of foam over paper, noting that “foam products have a reputation for environmental harm, but if we examine the scientific research, in many ways Expanded Polystyrene (EPS) foam is greener than paper.”
Heavey’s suit claims that he believed he was purchasing recyclable materials based on the products’ labeling, and he would not have bought the items had they not been advertised as such.
WinCup, which is owned by Atar Capital, a Los Angeles-based global private investment firm sought to have the case moved to the U.S. District Court in San Diego, but a judge there remanded the case back to the San Diego Superior Court or jurisdiction grounds.
Susan Keefe, the Southern California Director of Beyond Plastics, an anti-plastic environmental group based in Bennington, Vt., said that as of June, the agency had not yet enforced the ban, despite news stories and evidence that the product was still being sold in the state.
“It’s really frustrating. CalRecycle’s disregard for enforcement just permits a lack of respect for our laws. It results in these violators who think they can freely pollute in our state with no trepidation that California will exercise its right to penalize them,” she said.
Melanie Turner, a spokesoman for CalRecycle, said in a statement that expanded polystyrene producers “should no longer be selling or distributing expanded polystyrene food service ware to California businesses.”
“CalRecycle has been identifying and notifying businesses that may be impacted by SB 54, including expanded polystyrene requirements, and communicating their responsibilities with mailed notices, emailed announcements, public meetings, and workshops,” she said.
The waste agency “is prioritizing compliance assistance for producers regulated by this law, prior to potential enforcement action,” she said.
Keefe filed a public records request with the agency regarding communications with companies selling the banned material and said she found the agency had not made any attempts to warn or stop the violators from selling banned products.
Blakespear said it’s concerning the law has been in effect for more than six months and CalRecycle has yet to clamp down on violators. Enforcement is critical, she said, for setting the tone as SB 54 is implemented.
According to Senate Bill 54, companies that produce banned products that are then sold in California can be fined up to $50,000 per day, per violation.
According to a report issued by the waste agency last week, approximately 47,000 tons of expanded polystyrene foam was disposed in California landfills last year.
Science
How a Supreme Court win for public health bolstered RFK Jr. and threatens no-cost vaccines
WASHINGTON — Public health advocates won a big case in the Supreme Court on the last day of this year’s term, but the victory came with an asterisk.
The decision ended one threat to the no-cost preventive services — from cancer and diabetes screenings to statin drugs and vaccines — used by more than 150 million Americans who have health insurance.
But it did so by empowering the nation’s foremost vaccine skeptic: Health and Human Services Secretary Robert F. Kennedy Jr.
Losing would have been “a terrible result,” said Washington attorney Andrew Pincus. Insurers would have been free to quit paying for the drugs, screenings and other services that were proven effective in saving lives and money.
But winning means that “the secretary has the power to set aside” the recommendations of medical experts and remove approved drugs, he said. “His actions will be subject to review in court,” he added.
The new legal fight has already begun.
Last month, Kennedy cited a “crisis of public trust” when he removed all 17 members of a separate vaccine advisory committee. His replacements included some vaccine skeptics.
The vaccines that are recommended by this committee are included as preventive services that insurers must provide.
On Monday, the American Academy of Pediatrics and other medical groups sued Kennedy for having removed the COVID-19 vaccine as a recommended immunization for pregnant women and healthy children. The suit called this an “arbitrary” and “baseless” decision that violates the Administrative Procedure Act.
“We’re taking legal action because we believe children deserve better,” said Dr. Susan J. Kressly, the academy’s president. “This wasn’t just sidelining science. It’s an attack on the very foundation of how we protect families and children’s health.”
On Wednesday, Kennedy postponed a scheduled meeting of the U.S. Preventive Services Task Force that was at the center of the court case.
“Obviously, many screenings that relate to chronic diseases could face changes,” said Richard Hughes IV, a Washington lawyer and law professor. “A major area of concern is coverage of PrEP for HIV,” a preventive drug that was challenged in the Texas lawsuit that came to the Supreme Court.
By one measure, the Supreme Court’s 6-3 decision was a rare win for liberals. The justices overturned a ruling by Texas judges that would have struck down the popular benefit that came with Obamacare. The 2012 law required insurers to provide at no cost the preventive services that were approved as highly effective.
But conservative critics had spotted what they saw was a flaw in the Affordable Care Act. They noted the task force of unpaid medical experts who recommend the best and most cost-effective preventive care was described in the law as “independent.”
That word was enough to drive the five-year legal battle.
Steven Hotze, a Texas employer, had sued in 2020 and said he objected on religious grounds to providing HIV prevention drugs, even if none of his employees were using those drugs.
The suit went before U.S. District Judge Reed O’Connor in Fort Worth, who in 2018 had struck down Obamacare as unconstitutional. In 2022, he ruled for the Texas employer and struck down the required preventive services on the grounds that members of the U.S. Preventive Services Task Force made legally binding decisions even though they had not been appointed by the president and confirmed by the Senate.
The 5th Circuit Court put his decision on hold but upheld his ruling that the work of the preventive services task force was unconstitutional because its members were “free from any supervision” by the president.
Last year, the Biden administration asked the Supreme Court to hear the case of Xavier Becerra vs. Braidwood Management. The appeal said the Texas ruling “jeopardizes health protections that have been in place for 14 years and millions of Americans currently enjoy.”
The court agreed to hear the case, and by the time of the oral argument in April, the Trump administration had a new secretary of HHS. The case was now Robert F. Kennedy Jr. vs. Braidwood Management.
The court’s six conservatives believe the Constitution gives the president full executive power to control the government and to put his officials in charge. But they split on what that meant in this case.
The Constitution says the president can appoint ambassadors, judges and “all other Officers of the United States” with Senate approval. In addition, “Congress may by law vest the appointment of such inferior officers” in the hands of the president or “the heads of departments.”
Option two made more sense, said Justice Brett M. Kavanaugh. He spoke for the court, including Chief Justice John G. Roberts and Justice Amy Coney Barrett, and the court’s three liberal justices.
“The Executive Branch under both President Trump and President Biden has argued that the Preventive Services Task Force members are inferior officers and therefore may be appointed by the Secretary of HHS. We agree,” he wrote.
This “preserves the chain of political accountability. … The Task Force members are removable at will by the Secretary of HHS, and their recommendations are reviewable by the Secretary before they take effect.”
The ruling was a clear win for Kennedy and the Trump administration. It made clear the medical experts are not “independent” and can be readily replaced by RFK Jr.
It did not win over the three justices on the right. Justice Clarence Thomas wrote a 37-page dissent.
“Under our Constitution, appointment by the President with Senate confirmation is the rule. Appointment by a department head is an exception that Congress must consciously choose to adopt,” he said, joined by Justices Samuel A. Alito and Neil M. Gorsuch.
-
Business1 week ago
See How Trump’s Big Bill Could Affect Your Taxes, Health Care and Other Finances
-
Politics1 week ago
Video: Trump Signs the ‘One Big Beautiful Bill’ Into Law
-
Culture1 week ago
16 Mayors on What It’s Like to Run a U.S. City Now Under Trump
-
News1 week ago
Video: Who Loses in the Republican Policy Bill?
-
Science1 week ago
Federal contractors improperly dumped wildfire-related asbestos waste at L.A. area landfills
-
Technology1 week ago
Meet Soham Parekh, the engineer burning through tech by working at three to four startups simultaneously
-
World1 week ago
Russia-Ukraine war: List of key events, day 1,227
-
Politics1 week ago
Congressman's last day in office revealed after vote on Trump's 'Big, Beautiful Bill'