care

WASHINGTON — At Immigration and Customs Enforcement detention facilities across the country, detainees go without medicine for serious health conditions, endure miscarriages while shackled and are dying in record numbers, a group of U.S. senators said.

In a letter sent Friday to Homeland Security Secretary Kristi Noem and ICE senior official Todd Lyons, 22 Democratic lawmakers alleged that a “dramatic” surge in deaths in federal immigration custody is a “clear byproduct” of the Trump administration’s mass deportation agenda and rapid expansion of detention.

“Each death in ICE custody is a tragedy and, based on the evidence available from agency records, 911 calls, and medical experts, many could have been prevented if not for this Administration’s decisions,” the senators wrote. The letter, released Tuesday, was led by Illinois Sen. Dick Durbin and signed by California Sen. Alex Padilla.

At least 32 people died in ICE custody in 2025, they asserted. That’s triple the previous year’s total and more deaths than were recorded during the entire Biden administration. ICE has reported seven deaths so far this year, as well as seven in December alone.

In the letter, the senators demanded detailed information about the agency’s death investigations, medical standards and oversight procedures.

The Department of Homeland Security, which oversees ICE, did not respond to the allegations but has repeatedly defended its detention standards. In a statement, ICE said it is “committed to ensuring that all those in custody reside in safe, secure and humane environments,” adding that detainees receive medical, dental and mental health screenings within 12 hours of arrival, full health assessments within 14 days and access to 24-hour emergency care.

The lawmakers’ warning comes amid mounting allegations that detention facility staff have withheld critical medication, delayed emergency responses and failed to provide adequate mental health care.

The agency came under flak recently after a Texas medical examiner ruled the January death of a Cuban immigrant a homicide after witnesses said they saw guards choking him to death.

In Calexico, Calif., Luis Beltrán Yanez-Cruz, 68, died after more than a month in detention, records show; the Honduran national’s family alleged that he repeatedly reported worsening stomach and chest pain but received only pain medication.

The recent rise in deaths coincides with a dramatic expansion of the detention system. Funding for ICE roughly tripled after Congress passed the One Big Beautiful Bill Act. The agency has used the funds to increase detention capacity, holding more than 67,000 people nationwide after reaching a historic high of approximately 73,000, many of whom have no criminal history, the letter says.

Last week, the Trump administration announced $38.3 billion in partnerships with private prison corporations, including GEO Group and CoreCivic, to further scale up detention space. One planned facility near Phoenix will cost $70 million and span the equivalent of seven football fields, according to the lawmakers. ICE has also reopened facilities that were previously shuttered over chronic staffing shortages and medical concerns.

Concerns about conditions have extended to California. Last month, Padilla and Sen. Adam Schiff toured a for-profit detention center in California City after reports of unsafe facilities, inadequate medical care and limited access to attorneys.

“It’s the tragic result of a system failing to meet the most basic duty of care,” Padilla said in a statement, citing reports of mold in food, unclean drinking water and barriers to medical care.

A federal judge recently ordered the administration to provide adequate healthcare and improved access to counsel at the facility, concluding that detainees were likely to “suffer irreparable harm” without court intervention.

In their letter, the senators argued that the rapid growth of the detention system has outpaced oversight and accountability. They cited internal audits documenting violations of detention standards, allegations that ICE failed to pay third-party medical providers for months and analyses of 911 calls from large facilities showing repeated cardiac events, seizures and suicide attempts.

“Rather than accepting responsibility for deaths in government custody and providing detailed facts about the circumstances of each death,” the senators wrote, “the Department of Homeland Security has attempted to smear deceased individuals’ reputations by emphasizing details about their immigration status and their alleged wrongdoing.”

As detention capacity continues to expand, the climbing death tallies underscore the extent to which the Trump administration has overhauled the immigration detention system, and Democrats say the results are fraught.

The opposition party has grown more unified after the fatal shootings of two U.S. citizens by federal agents in Minnesota, which coincided with reports of record high detention deaths in December.

Discord culminated in a partial government shutdown that began Friday when Senate Democrats refused to fund the Department of Homeland Security until the Trump administration agrees to reform at the agency.

Slowly, LeBron James put on a pair of ice bath toe booties and dipped his left foot and then his right foot into a bucket that had been prepared for him following a Lakers game at Crypto.com Arena. His longtime personal trainer and athletic performance coach, Mike Mancias, next wrapped both of James’ knees and his back in ice.

James closed his eyes for a few seconds and leaned back in his chair as the media gathered around him for his postgame interview.

This was just another step James has taken to care for his body, a step that shows the lengths he takes in the maintenance of his 6-foot-9 frame that has helped him have an illustrious 23-year career, longer than any player before him.

“Obviously I didn’t know it would be 23 years. I didn’t know that, but I know I didn’t want to have no six- or seven-year career. I can’t become legendary in six or seven years,” James told The Times. “I always had a mission. When I knew I could play this game at a high level, like, going to Chicago and playing with MJ [Michael Jordan] and all those guys when I was a sophomore [in high school]. And then when I went up to Cleveland and played against the Cavs when I was a junior and I was like, ‘Oh … I belong. I belong.’ I knew I still had to learn and I still had to continue to get my body right, continue to learn the game and nuances.

“But I was playing against NBA guys for a long time and I was like, ‘If I get the opportunity to crack the league, if I get the opportunity to showcase what I’m able to do, the only thing that can stop me is if I don’t take care of my body. The only thing that can stop me from being the greatest or one of the greatest to ever play this game is if I do not take care of myself.’ I did take care of my body. That’s it.”

James’ dedication to self care has become legendary in the sporting world. He is known to invest moire than $1.5 million annually for a comprehensive approach to keeping his body fine-tuned.

James considers himself a biohacker: someone who uses science and technology to make their body function better and more efficiently.

He talked about using Normatec leg compression boots, hyperbaric chambers to restore oxygen, cryotherapy, red-light therapy and other cutting-edge technologies to maintain elite performances and longevity at the age of 41.

He talked about prioritizing sleep and nutrition, avoiding artificial sugars and fried foods.

When he missed the first 14 games this season because of sciatica, James cut back on drinking wine, one of his passions, in order to get his body back to full health.

“Obviously it’s gotten even more detailed as me and Mike have built a program,” James said. “It’s been 22 years of our program.”

LeBron James jokes with trainer Mike Mancias while sitting out a game with the Cavaliers in 2010 to rest for playoffs.

(Mark Duncan / Associated Press)

It has worked for James to the highest order, as he has become the leading scorer in NBA history with 42,975 points.

Though his streak of being voted as a starter to the All-Star team was snapped at 21 years in a row, James still extended his NBA record to 22 selections when the coaches voted him in as a reserve for the tournament that will be played Sunday at Intuit Dome.

Over his career, James said, he’s received plenty of offers to try new ways to do his physical therapy. For the most part, he has said no.

“It’s all type of … that is presented to you,” James said, smiling. “[People] are always trying to get you to do s—. But once we got the connection, it wasn’t really many people that we allowed to come and be in what we do. We had a couple of guys obviously throughout the process that helped along the way. But, nah, we knew what we wanted to do.”

When James was growing up in Akron, Ohio, and it became obvious he was athletic, he said his uncle, Curt, encouraged him to start taking care of his body immediately. His mother, Gloria, advised him to listen.

“I used to stretch before I went to bed and when I woke up, when I was like 10 or 11 years old,” James said. “My uncle Curt, my mom’s younger brother, used to make me do 100 calf raises a day and he used to make me do 50 pushups and 50 situps a day.”

James shook his head and laughed recalling those moments.

LeBron James glides past Kings forward DeMar DeRozan for a reverse dunk during a game in December.

(Eric Thayer / Los Angeles Times)

“He told me I had to get my calves stronger if I wanted to be great,” James said, smiling. “I never knew what that meant, whatever. But yeah, my uncle used to tell me to do that, and then a good friend of mine used to always tell me to stretch before I got in the bed and after I got out of the bed when I woke up the next morning. I don’t know, man. I’ve been doing this for a long time.”

At no time during all this did James know what that advice would mean for his future.

“No, but I had people that I trusted,” James said. “I was icing after every game my rookie year. I was 18 years old. I was icing after games when I was a high school senior, a high school junior. Like, I was lifting [weights] my senior year.”

James told a story about playing in an AAU tournament with Kendrick Perkins when he was 14 and how some players were sitting in the stands eating fast food.

“They were eating McDonald’s,” James said, smiling, “and I was eating fruits.”

Jason Kidd, the Hall of Fame point guard who’s now coach of the Dallas Mavericks, was an assistant with the Lakers when James led them to the 2020 championship, and the two were teammates on the 2008 USA Olympic team that won the gold medal in Beijing.

Kidd has watched how James is averaging 22 points on 50.2% shooting, 7.1 assists and 5.8 rebounds this season and can’t help but marvel at how he continues to be a highly effective player with so many miles on his body.

“He’s had some injuries, but he’s taken care of his body, he’s always prepared himself for the marathon,” Kidd said. “But I think it’s the mental side. I think that’s the hardest part is to wake up and say, ‘Do I need to go play against a 20-year-old or a 19-year-old?’ He’s won championships, he’s been MVP, he’s been the face of the league. He’s a billion-dollar company.

“So, it’s the mental side. Understanding that he loves competition and he loves the game of basketball. So I think for him to do it at 41 is incredible.”

When the Lakers faced Kidd’s Mavericks on Thursday night, James was back in the lab early getting his body ready about six hours before tipoff.

LeBron James talks with assistant coach Jason Kidd during a 2020 playoff game.

(Associated Press)

It didn’t matter that it was the last game before the weeklong All-Star break. In James’ eyes, if you take care of your body, it will take care of you.

“I woke up this morning, went straight downstairs, got a stretch, did a little activation, like a little small lil’ lift” of weights, James said after the game. “Then I iced after that. Then I used the Normatec to pump my legs for an hour. Then I took a nap in the hyperbaric chamber for an hour and a half. Then I got in the cold tub, again, before I came here. So, I started my process here when I got here at 1:15 and prepared for a 7 o’clock game. It’s just around the clock.”

And as it turned out, all his work led to yet another record for James.

His triple-double of 28 points, 12 assists and 10 rebounds made him the oldest player to accomplish the feat, pushing him past Karl Malone, who was 40 when he did it in November 2003.

And now comes another record with the All-Star Game.

SACRAMENTO — As massive federal cuts are upending the healthcare system in California, analysts and healthcare professionals are urging state lawmakers to soften the blow by creating new revenue streams and helping residents navigate through the newly-imposed red tape.

“It impacts not only uninsured but also Medicare and commercially insured patients who rely on the same system,” said Dolly Goel, a physician and chief officer for the Santa Clara Valley Healthcare Administration. “People will die.”

Goel was among more than a dozen speakers this week at a state Assembly Health Committee hearing held to collect input on how to address cuts enacted by a Republican-backed tax and spending bill signed last year by President Trump. The committee’s Republican members — Assemblymembers Phillip Chen of Yorba Linda, Natasha Johnson of Lake Elsinore, Joe Patterson of Rockin, and Kate Sanchez of Trabuco Canyon — did not attend.

The so-called “Big, Beautiful Bill” passed by Republicans shifts federal funding away from safety-net programs and toward tax cuts and immigration enforcement. A recent report from the Legislative Analyst’s Office, which advises the state Legislature on budgetary issues, estimated this will reduce funding for healthcare by “tens of billions of dollars” in California and warned about 1.2 million people could lose coverage through Medi-Cal, the state’s version of the federal Medicaid program providing healthcare coverage to low-income Americans.

Congress allowed enhanced Affordable Care Act subsidies to expire, which is dramatically increasing the cost of privately-purchased health insurance. Covered California, the state’s Affordable Care Act health insurance marketplace, estimates hundreds of thousands of Californians will either be stripped of coverage or drop out due to increased cost.

Sandra Hernández, president of the California Health Care Foundation, said the federal legislation creates administrative hurdles, requiring Medicaid beneficiaries to meet new work or income requirements and to undergo the eligibility re-determination process every six months instead of annually.

“We are looking at a scenario where otherwise eligible working parents lose their coverage simply because they aren’t able to navigate a complex verification process in a timely way,” she said.

California should move aggressively to automate verification instead of putting the burden of proof on beneficiaries, Hernández said. She advised legislators to center new healthcare strategies around technology, like artificial intelligence and telehealth services, to improve efficiency and keep costs down.

“While the federal landscape has shifted, California has enormous power to mitigate the damage,” said Hernández. “California has had a long tradition of taking care of its own.”

Hannah Orbach-Mandel, an analyst with the California Budget and Policy Center, said legislators should establish new revenue sources.

“A common sense place to start is by eliminating corporate tax loopholes and ensuring that highly profitable corporations pay their fair share in state taxes,” she said, adding that California loses out on billions annually because of the “water’s edge” tax provision, which allows multinational corporations to exclude the income of their foreign subsidiaries from state taxation.

One proposal to raise money for state healthcare benefits already is raising controversy. Under the Billionaire Tax Act, Californians worth more than $1 billion would pay a one-time 5% tax on their total wealth. The Service Employees International Union-United Healthcare Workers West, the union behind the act, said the measure would raise much-needed money for healthcare, education and food assistance programs. It is opposed by Gov. Gavin Newsom, among others.

During last week’s legislative hearing in Sacramento, other speakers stressed the importance of communicating clearly with the public, collaborating with nonprofits and county governments and bracing for an influx of hospital patients.

Those who lose health insurance will skip medications and primary care and subsequently get sicker and end up in the emergency room, explained Goel. She said this will strain hospital staff and lead to longer wait times and delayed care for all patients.

The federal cuts come at a time when California is struggling with its own budgetary woes. The Legislative Analyst’s Office estimates the state will have an $18-billion budget shortfall in the upcoming fiscal year.

At the start of the hearing, Assemblymember Mia Bonta (D-Alameda) criticized the federal government for leaving states in the lurch and prioritizing immigration enforcement over healthcare.

The Republican-led Congress and the president provided a staggering funding increase to Immigration and Customs Enforcement, known as ICE. The agency’s annual budget has ballooned to $85 billion.

“The federal dollars which once supported healthcare for working families are now being funneled into mass deportation operations,” said Bonta, who chairs the committee. “Operations that resulted in tragic murders — this is where our healthcare funding is going.”