L.A. has ambitious climate goals, and deadlines are just around the corner. Officials should be redoubling efforts, not making excuses for why they can’t be met.

“Mr. Trump, it’s important to understand that the last thing I want to do is to put you in jail,” New York Supreme Court Justice Juan Merchan said at the trial.

When George Schappell came out as transgender in 2007, he joined a population at the center of medical and ethical controversy. Schappell was used to this. He had been born in West Reading, Pennsylvania, in 1961 with the left side of his face, some of his skull, and a portion of his brain conjoined with those of his sister, Lori. Following doctors’ advice, their parents put them in an institution for children with intellectual disabilities.At the time, children with “birth defects” were routinely consigned to what the activist Harriet McBryde Johnson termed the “disability gulag,” a network of facilities designed in part to care for such children and in part to keep them out of the public view. Conditions could be abysmal, but even better-maintained facilities cut residents off from society and deprived them of autonomy. In their early 20s, the twins fought their way out by enlisting the help of Pennsylvania’s first lady, whose stepson was disabled.[From the September 2023 issue: The ones we sent away]As George and Lori Schappell navigated independence, the growing disability-rights movement began to allow many other people with disabilities to do the same. Their physical bodies did not fit easily into the structures of a world that was not designed to receive them. George and Lori, who died last month at 62, spent their adult lives finding their way through that world. But American society is still struggling to determine whether to accommodate bodies like theirs—bodies that fail to conform to standards of gender, ability, and even individuality.In the 1980s and early ’90s, while the Schappells were establishing their independent lives, the American public was enthralled by a procession of sensationalized operations to separate conjoined twins. These experimental procedures could be brutal. Many conjoined twins did not come apart easily; in many cases they have an odd number of limbs or organs shared between them. Patrick and Benjamin Binder, whose 1987 separation at six months made a young Ben Carson a star, both sustained profound neurological damage from the surgery and never spoke. In 1994, surgeons sacrificed newborn Amy Lakeberg to save her twin, but Angela died less than a year later, never having left the hospital. Lin and Win Htut shared a single pair of genitals; in 1984 doctors designated the more “aggressive” of the 2-year-old boys to retain their penis, while the other was given a surgically constructed vagina and reassigned as a girl. By the time he was 10, he had reasserted his identity as a boy.Other twins’ separation surgeries were the subject of occasional controversy from the 1980s into the early 2000s. Doctors justified them as giving children a chance at a “normal” life, and usually portrayed them as well-intentioned even if they failed. But many were not clearly medically necessary. Ethicists such as Alice Dreger, the author One of Us: Conjoined Twins and the Future of Normal, argued against a risky medical “cure” performed on children who could not consent to it. Meanwhile, the Schappells were living in their own apartment. George’s spina bifida had impeded his growth, so he was much smaller than his twin; they got around with George perched on a barstool-height wheelchair so he could roll along beside Lori as she walked. Lori got a job at a hospital, and they pursued hobbies (George: country music; Lori: bowling) and made friends (Lori also dated). They kept pets, including a Chihuahua and a fish whom they named George years before George chose that name as his own. They went to bars, where a bartender once refused service to George because he looked underage, but agreed to pour drinks for Lori. They did not live “normal” lives: They lived their lives.[Read: Why is it so hard to find jobs for disabled workers?]But as the public became familiar with the model of separation for conjoined twins, the Schappells found themselves asked, repeatedly, to explain their continued conjoined existence. In 1992, they gave what seem to be their first interviews, to The Philadelphia Inquirer and the Philadelphia Daily News; the news hook was local doctors’ decision not to separate another pair of twins who were joined, like the Schappells, at the head. The Schappells initially explained to reporters that medical science hadn’t been advanced enough for separation when they'd been born. But later they would stress that they wouldn’t have wanted to be separated even if they had been given the choice. “I don’t believe in separation,” Lori told the Los Angeles Times in 2002. “I think you are messing with God’s work.”Not long after those first articles were published, the twins began appearing more frequently in the media. They did the rounds of the great 1990s freak shows—Maury, Jerry Springer, Sally, Howard Stern. They became the most visible non-separated conjoined twins of the era. Observers, journalists, and talk-show audiences tended to overwrite the Schappells with their own perceptions. The twins were inspirational, or pitiable; they epitomized cooperation, or individualism. I can’t imagine your lives, people would say, even as they proceeded to do just that. The Virginia Quarterly Review once published a poem written in Lori’s voice, in which the poet took it upon herself to warn an imagined observer: “You don’t know the forest / of two minds bound by weeds / grown from one to the other, / the synapses like bees / cross-pollinating / our honeyed brain.”The twins, though, did not seem overly concerned about whether others understood them, and they did not go out of their way to change the world. They were not activists. George pursued a career as a country singer; they traveled; they grew older. When their Chihuahua lost the use of its hind legs, George made it a tiny wheelchair. The world slowly changed around them. Institutionalization for disabled people is less common today, though it still happens.[From the March 2023 issue: Society tells me to celebrate my disability. What if I don’t want to?]Conjoined twins now occupy far less space in the public imagination. The pair currently most famous are Abby and Brittany Hensel, who have constructed their public image as so aggressively unexceptional that a reality show about their lives was, in at least one viewer’s words, “super boring.” (Their public performance of ordinariness is not always successful; earlier this year, when Today reported that Abby had gotten married, the reaction was predictable, mingling pity and prurience.)Separation surgeries are still performed today, but they are no longer the subject of intense public debate. Instead, one of the most visible medical controversies of our era, gender transition for young people, is related to another aspect of George’s identity. Although children who identify as trans aren’t eligible for medical interventions before the onset of puberty and only some choose hormones or surgery in their late teens, the idea of little kids receiving those treatments has helped inflame panic over whether they should be allowed at all, even for adults.In the case of 2-year-old Win Htut, surgical transition was seen as restoring “normality.” But today, medical transition is often seen as creating difference. When you consider that history, a devotion to “normality” seems to be the primary motivator behind a recent raft of state laws outlawing transition care for transgender youth. After all, most of these laws carve out exceptions for children born with ambiguous genitalia. “Corrective” genital operations are still a routine practice for intersex infants, despite the protests of intersex adults, who say they would not have chosen to be surgically altered.[Read: Young trans children know who they are]George didn’t say much publicly about being trans, and never mentioned running up against any anti-trans bigotry. But when the twins’ obituaries ran on the website of a local funeral home last month, they were described as their parents’ “daughters,” and George was listed under his birth name. Whatever the intent in doing so, the obituary posthumously obscured his identity by correcting his “abnormality”—despite the fact that, in life, the twins had never apologized for being different.

NFL Pro Bowl offensive lineman David Bakhtiari wrote on X that Tom Brady "killed PC culture" with his Netflix roast on Sunday. The special appeared to be a massive hit.

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AI-powered apps may be able to use your data (including selfies) to predict your current mental state. | Jaap Arriens/NurPhoto via Getty Images Emerging apps use AI to guess when you’ll be sad. Can they also help you feel better? If you have a sore throat, you can get tested for a host of things — Covid, RSV, strep, the flu — and receive a pretty accurate diagnosis (and maybe even treatment). Even when you’re not sick, vital signs like heart rate and blood pressure give doctors a decent sense of your physical health. But there’s no agreed-upon vital sign for mental health. There may be occasional mental health screenings at the doctor’s office, or notes left behind after a visit with a therapist. Unfortunately, people lie to their therapists all the time (one study estimated that over 90 percent of us have lied to a therapist at least once), leaving holes in their already limited mental health records. And that’s assuming someone can connect with a therapist — roughly 122 million Americans live in areas without enough mental health professionals to go around. But the vast majority of people in the US do have access to a cellphone. Over the last several years, academic researchers and startups have built AI-powered apps that use phones, smart watches, and social media to spot warning signs of depression. By collecting massive amounts of information, AI models can learn to spot subtle changes in a person’s body and behavior that may indicate mental health problems. Many digital mental health apps only exist in the research world (for now), but some are available to download — and other forms of passive data collection are already being deployed by social media platforms and health care providers to flag potential crises (it’s probably somewhere in the terms of service you didn’t read). The hope is for these platforms to help people affordably access mental health care when they need it most, and intervene quickly in times of crisis. Michael Aratow — co-founder and chief medical officer of Ellipsis Health, a company that uses AI to predict mental health from human voice samples — argues that the need for digital mental health solutions is so great, it can no longer be addressed by the health care system alone. “There’s no way that we’re going to deal with our mental health issues without technology,” he said. And those issues are significant: Rates of mental illness have skyrocketed over the past several years. Roughly 29 percent of US adults have been diagnosed with depression at some point in their lives, and the National Institute of Mental Health estimates that nearly a third of US adults will experience an anxiety disorder at some point. While phones are often framed as a cause of mental health problems, they can also be part of the solution — but only if we create tech that works reliably and mitigates the risk of unintended harm. Tech companies can misuse highly sensitive data gathered from people at their most vulnerable moments — with little regulation to stop them. Digital mental health app developers still have a lot of work to do to earn the trust of their users, but the stakes around the US mental health crisis are high enough that we shouldn’t automatically dismiss AI-powered solutions out of fear. How does AI detect depression? To be formally diagnosed with depression, someone needs to express at least five symptoms (like feeling sad, losing interest in things, or being unusually exhausted) for at least two consecutive weeks. But Nicholas Jacobson, an assistant professor in biomedical data science and psychiatry at the Geisel School of Medicine at Dartmouth College, believes “the way that we think about depression is wrong, as a field.” By only looking for stably presenting symptoms, doctors can miss the daily ebbs and flows that people with depression experience. “These depression symptoms change really fast,” Jacobson said, “and our traditional treatments are usually very, very slow.” Even the most devoted therapy-goers typically see a therapist about once a week (and with sessions starting around $100, often not covered by insurance, once a week is already cost-prohibitive for many people). One 2022 study found that only 18.5 percent of psychiatrists sampled were accepting new patients, leading to average wait times of over two months for in-person appointments. But your smartphone (or your fitness tracker) can log your steps, heart rate, sleep patterns, and even your social media use, painting a far more comprehensive picture of your mental health than conversations with a therapist can alone. One potential mental health solution: Collect data from your smartphone and wearables as you go about your day, and use that data to train AI models to predict when your mood is about to dip. In a study co-authored by Jacobson this February, researchers built a depression detection app called MoodCapture, which harnesses a user’s front-facing camera to automatically snap selfies while they answer questions about their mood, with participants pinged to complete the survey three times a day. An AI model correlated their responses — rating in-the-moment feelings like sadness and hopelessness — with these pictures, using their facial features and other context clues like lighting and background objects to predict early signs of depression. (One example: a participant who looks as if they’re in bed almost every time they complete the survey is more likely to be depressed.) The model doesn’t try to flag certain facial features as depressive. Rather, the model looks for subtle changes within each user, like their facial expressions, or how they tend to hold their phone. MoodCapture accurately identified depression symptoms with about 75 percent accuracy (in other words, if 100 out of a million people have depression, the model should be able to identify 75 out of the 100) — the first time such candid images have been used to detect mental illness in this way. In this study, the researchers only recruited participants who were already diagnosed with depression, and each photo was tagged with the participant’s own rating of their depression symptoms. Eventually, the app aims to use photos captured when users unlock their phones using face recognition, adding up to hundreds of images per day. This data, combined with other passively gathered phone data like sleep hours, text messages, and social media posts, could evaluate the user’s unfiltered, unguarded feelings. You can tell your therapist whatever you want, but enough data could reveal the truth. The app is still far from perfect. MoodCapture was more accurate at predicting depression in white people because most study participants were white women — generally, AI models are only as good as the training data they’re provided. Research apps like MoodCapture are required to get informed consent from all of their participants, and university studies are overseen by the campus’s Institutional Review Board (IRB) But if sensitive data is collected without a user’s consent, the constant monitoring can feel creepy or violating. Stevie Chancellor, an assistant professor in computer science and engineering at the University of Minnesota, says that with informed consent, tools like this can be “really good because they notice things that you may not notice yourself.” What technology is already out there, and what’s on the way? Of the roughly 10,000 (and counting) digital mental health apps recognized by the mHealth Index & Navigation Database (MIND), 18 of them passively collect user data. Unlike the research app MoodCapture, none use auto-captured selfies (or any type of data, for that matter) to predict whether the user is depressed. A handful of popular, highly rated apps like Bearable — made by and for people with chronic health conditions, from bipolar disorder to fibromyalgia — track customized collections of symptoms over time, in part by passively collecting data from wearables. “You can’t manage what you can’t measure,” Aratow said. These tracker apps are more like journals than predictors, though — they don’t do anything with the information they collect, other than show it to the user to give them a better sense of how lifestyle factors (like what they eat, or how much they sleep) affect their symptoms. Some patients take screenshots of their app data to show their doctors so they can provide more informed advice. Other tools, like the Ellipsis Health voice sensor, aren’t downloadable apps at all. Rather, they operate behind the scenes as “clinical decision support tools,” designed to predict someone’s depression and anxiety levels from the sound of their voice during, say, a routine call with their health care provider. And massive tech companies like Meta use AI to flag, and sometimes delete, posts about self-harm and suicide. Some researchers want to take passive data collection to more radical lengths. Georgios Christopoulos, a cognitive neuroscientist at Nanyang Technological University in Singapore, co-led a 2021 study that predicted depression risk from Fitbit data. In a press release, he expressed his vision for more ubiquitous data collection, where “such signals could be integrated with Smart Buildings or even Smart Cities initiatives: Imagine a hospital or a military unit that could use these signals to identify people at risk.” This raises an obvious question: In this imagined future world, what happens if the all-seeing algorithm deems you sad? AI has improved so much in the last five years alone that it’s not a stretch to say that, in the next decade, mood-predicting apps will exist — and if preliminary tests continue to look promising, they might even work. Whether that comes as a relief or fills you with dread, as mood-predicting digital health tools begin to move out of academic research settings and into the app stores, developers and regulators need to seriously consider what they’ll do with the information they gather. So, your phone thinks you’re depressed — now what? It depends, said Chancellor. Interventions need to strike a careful balance: keeping the user safe, without “completely wiping out important parts of their life.” Banning someone from Instagram for posting about self-harm, for instance, could cut someone off from valuable support networks, causing more harm than good. The best way for an app to provide support that a user actually wants, Chancellor said, is to ask them. Munmun De Choudhury, an associate professor in the School of Interactive Computing at Georgia Tech, believes that any digital mental health platform can be ethical, “to the extent that people have an ability to consent to its use.” She emphasized, “If there is no consent from the person, it doesn’t matter what the intervention is — it’s probably going to be inappropriate.” Academic researchers like Jacobson and Chancellor have to jump through a lot of regulatory hoops to test their digital mental health tools. But when it comes to tech companies, those barriers don’t really exist. Laws like the US Health Insurance Portability and Accountability Act (HIPAA) don’t clearly cover nonclinical data that can be used to infer something about someone’s health — like social media posts, patterns of phone usage, or selfies. Even when a company says that they treat user data as protected health information (PHI), it’s not protected by federal law — data only qualifies as PHI if it comes from a “healthcare service event,” like medical records or a hospital bill. Text conversations via platforms like Woebot and BetterHelp may feel confidential, but crucial caveats about data privacy (while companies can opt into HIPAA compliance, user data isn’t legally classified as protected health information) often wind up where users are least likely to see them — like in lengthy terms of service agreements that practically no one reads. Woebot, for example, has a particularly reader-friendly terms of service, but at a whopping 5,625 words, it’s still far more than most people are willing to engage with. “There’s not a whole lot of regulation that would prevent folks from essentially embedding all of this within the terms of service agreement,” said Jacobson. De Choudhury laughed about it. “Honestly,” she told me, “I’ve studied these platforms for almost two decades now. I still don’t understand what those terms of service are saying.” “We need to make sure that the terms of service, where we all click ‘I agree’, is actually in a form that a lay individual can understand,” De Choudhury said. Last month, Sachin Pendse, a graduate student in De Choudhury’s research group, co-authored guidance on how developers can create “consent-forward” apps that proactively earn the trust of their users. The idea is borrowed from the “Yes means yes” model for affirmative sexual consent, because FRIES applies here, too: a user’s consent to data usage should always be freely given, reversible, informed, enthusiastic, and specific. But when algorithms (like humans) inevitably make mistakes, even the most consent-forward app could do something a user doesn’t want. The stakes can be high. In 2018, for example, a Meta algorithm used text data from Messenger and WhatsApp to detect messages expressing suicidal intent, triggering over a thousand “wellness checks,” or nonconsensual active rescues. Few specific details about how their algorithm works are publicly available. Meta clarifies that they use pattern-recognition techniques based on lots of training examples, rather than simply flagging words relating to death or sadness — but not much else. These interventions often involve police officers (who carry weapons and don’t always receive crisis intervention training) and can make things worse for someone already in crisis (especially if they thought they were just chatting with a trusted friend, not a suicide hotline). “We will never be able to guarantee that things are always safe, but at minimum, we need to do the converse: make sure that they are not unsafe,” De Choudhury said. Some large digital mental health groups have faced lawsuits over their irresponsible handling of user data. In 2022, Crisis Text Line, one of the biggest mental health support lines (and often provided as a resource in articles like this one), got caught using data from people’s online text conversations to train customer service chatbots for their for-profit spinoff, Loris. And last year, the Federal Trade Commission ordered BetterHelp to pay a $7.8 million fine after being accused of sharing people’s personal health data with Facebook, Snapchat, Pinterest, and Criteo, an advertising company. Chancellor said that while companies like BetterHelp may not be operating in bad faith — the medical system is slow, understaffed, and expensive, and in many ways, they’re trying to help people get past these barriers — they need to more clearly communicate their data privacy policies with customers. While startups can choose to sell people’s personal information to third parties, Chancellor said, “no therapist is ever going to put your data out there for advertisers.” Someday, Chancellor hopes that mental health care will be structured more like cancer care is today, where people receive support from a team of specialists (not all doctors), including friends and family. She sees tech platforms as “an additional layer” of care — and at least for now, one of the only forms of care available to people in underserved communities. Even if all the ethical and technical kinks get ironed out, and digital health platforms work exactly as intended, they’re still powered by machines. “Human connection will remain incredibly valuable and central to helping people overcome mental health struggles,” De Choudhury told me. “I don’t think it can ever be replaced.” And when asked what the perfect mental health app would look like, she simply said, “I hope it doesn’t pretend to be a human.”

A Moscow court says a U.S. man has been jailed for drunkenly crashing through a kid's library window, as an American soldier is also detained.

A turncoat security officer is accused of working with Russia's FSB to take out top Kyiv officials, including Ukraine's leader and his spy chief.

"He got drunk, had a fight with his friends in a bar. ... Then he broke the window at a children's library, climbed inside and fell asleep," a source told REN TV of American tourist William Russel Nycum.

The university has presented itself as a national model for free expression on campus. Its president said that the encampment “cannot continue.”

The foray came after hours of whiplash in the Israel-Hamas war, with the militant group on Monday saying it accepted an Egyptian-Qatari mediated cease-fire proposal. Israel, however, insisted the deal did not meet its core demands.

The brothers' interactions have gone viral ahead of Harry's visit to Britain to attend an Invictus Games event.

Anti-Israel agitators at George Washington University in Washington, D.C., have repeated a demand for the school not to call the MPD to clear their encampment.

The New York Knicks escaped Game 1 with a win over the Indiana Pacers, but a controversial call in the latter seconds sparked a social media firestorm.

The "Baywatch" alum, who opted for Old Hollywood glamour on the red carpet Monday night, celebrated the "beautiful evening" via Instagram.

The attorney suggested Trump did not violate a court-imposed gag order by reposting comments by others on social media.

Santaquin Police Sgt. Bill Hooser, 50, started his law enforcement career eight years ago after first serving as an unpaid volunteer, his brother said.

Lawyers in the former president's hush-money trial are making Trump "look like he has something to hide," an analyst has said.

European Union countries have approved a $6.45 billion plan to assist Western Balkan states in accelerating reforms and economic growth with the aim of EU membership.

Abbott claimed the Biden administration is "making a power grab" with a move that would put some National Guard personnel under federal control.

Jake and Callum Robinson from Australia and American Jack Carter Rhoad were shot in the head, their bodies dumped in a covered well miles away.

Sen. Tim Scott, R-S.C., responded to a member of "The View" mocking him for his leadership in bringing Black voters over to the Republican Party.

Social Security funds won't be depleted until 2035, a year later than expected, thanks to the strength of the U.S. economy.

The group — the largest set of Americans retrieved from the war zone — was joined by a 9-year-old noncitizen whose brother is an American.

As a Marine Corps veteran who served in Iraq, Alvin Gauthier felt a personal connection to the wartime letters. “I had to find the family,” he said.

The university has presented itself as a national model for free expression on campus. Its president said that the encampment “cannot continue.”

President Biden called Israeli Prime Minister Benjamin Netanyahu over the phone on Monday, warning the prime minister against continuing with plans for an invasion of the Gaza city of Rafah.

The Russian leader began a record breaking fifth term on Tuesday, a day after announcing military exercises with tactical nuclear weapons.

Yulia Navalnaya, the widow of late Russian opposition leader Alexei Navalny said Tuesday that Putin's rule will "come to an end" ahead of his inauguration.

Russia noted the nuclear exercises would take place as Ukraine awaits U.S. missiles and American-made F-16 fighter jets.

IDF XIsrael’s military on Tuesday said it had seized control of the crucial Rafah crossing between southern Gaza and Egypt as part of what it called a “precise counterterrorism operation.”The move came just hours after Hamas said late Monday that it had accepted a ceasefire deal brokered by international mediators. A statement from the office of Israeli Prime Minister Benjamin Netanyahu said the Hamas proposal was “far from meeting Israel’s core demands” and that the war cabinet had unanimously decided to continue the operation in Rafah to “apply military pressure on Hamas.”The Israel Defense Forces shared images of its tanks on X and said its forces had established “operation control of the Gazan side of the crossing” in eastern Rafah after the military received intelligence that it was being “used for terrorist purposes.” It also claimed that mortars fired from the area on Sunday killed four Israeli soldiers.Read more at The Daily Beast.

Roosevelt Island residents are having a cow over an elusive muscle car that's been blaring annoying animal sounds across the neighborhood at all hours of the day.

Reagan-era classroom battles previewed today’s war on “woke.”

One person is reported dead after a tornado swept through the cities of Barnsdall and Bartlesville in northeastern Oklahoma late Monday, as dangerous storms swept across the Plains.

When Gian Neglia took over as sporting director of the Las Vegas Lights in February, the team had no coach, no players and no employees on the soccer side.

The Costa Mesa City Council is poised to approve the Raiders joining four other NFL teams holding training camps in Southern California.