Art Diamond – Page 137 – artdiamondblog.com

David Ellison Took Flak for Hiring Cancelled Animation Innovator

(p. 1) Mr. Ellison, the son of Larry Ellison, a co-founder of Oracle, sure looked like “dumb money.” That is the Hollywood term for a gullible, affluent outsider bitten by the movie bug, the type of investor that studios have long counted on to keep their assembly lines running, despite it almost always ending poorly (for the newcomer). The young Mr. Ellison couldn’t stop talking about his love of cinema, in particular big-budget spectacles. He had just dropped out of the University of Southern California to act in a $60 million movie called “Flyboys,” a World War I aerial combat tale.

Partly financed with Ellison money, “Flyboys” arrived to a disastrous $6 million in ticket sales. But no matter: The scion was on Hollywood’s radar.

Along with his wallet.

Soon enough Mr. Ellison had given up acting and by 2010 had become a financier and producer for Paramount Pictures, pouring $350 million of equity and debt into movies like “Star Trek Into Darkness” and “Mission: Impossible — Ghost Protocol.” But Hollywood snickered at his effort to be taken seriously as a creative force, as did the news media.

. . .

(p. 10) Mr. Ellison . . . enraged half of Hollywood by abruptly announcing in January 2019 that John Lasseter, co-founder of Pixar, would join Skydance as animation chief. Mr. Lasseter (“Toy Story,” “Cars”) was radioactive at the time, having resigned seven months earlier as Disney’s chief creative officer amid #MeToo complaints about unwanted workplace hugging and imperious behavior. (Mr. Lasseter had apologized for “missteps” that made some Disney-Pixar staff members feel “disrespected or uncomfortable.”)

People like Mr. Ellison typically sulk off to some luxury hideaway at this point in the script to nurse their wounds. (Lanai, the Hawaiian island owned by his father, would do nicely.) Accustomed to floating through life, they seem unable to cope with anything less, especially if it means admitting missteps.

Instead, Mr. Ellison served up a major plot twist.

He raised $275 million by selling 10 percent of Skydance to investors like RedBird Capital, a private investment firm, and CJ Entertainment, the Korean company behind the Oscar-winning “Parasite.” He lined up $1 billion in revolving credit through JPMorgan Chase. And Skydance made a sharp turn toward streaming, selling attention-getting content to whichever service wanted to pay the most.

So far, the result has been nothing short of remarkable, in part because Mr. Ellison’s timing was fortuitous. The pandemic supercharged home entertainment.

For the full story, see:

Brooks Barnes. “Not Such ‘Dumb Money’ After All.” The New York Times, SundayBusiness Section (Sunday, June 20, 2021): 1 & 10-11.

(Note: ellipses added.)

(Note: the online version of the story has the date June 16, 2021, and has the title “Dumb Money No More: How David Ellison Became a Hollywood High Flier.”)

“No Sign” That World’s Largest Iceberg Is Due to Global Warming

(p. 16) An iceberg nearly half the size of Puerto Rico that broke off the edge of Antarctica last week is now the world’s largest, researchers said.

The iceberg, known as A76, following a naming convention established by the National Ice Center, naturally split from Antarctica’s Ronne Ice Shelf into the Weddell Sea through a process known as calving, the center said.

It measures about 1,668 square miles (4,320 square kilometers), making it larger than A23a, an iceberg that formed in 1986 and had a total area of more than 1,500 square miles (4,000 square kilometers) in January [2021].

Researchers sought to put the formation of A76 in context, saying that the forces that severed it from the Ronne Ice Shelf were part of the shelf’s normal life span and may not be directly related to climate change.

The iceberg will not add to sea level rise as it melts; as floating ice, it is already displacing the same volume of water it will add as it melts.

Christopher A. Shuman, a research professor at the University of Maryland, Baltimore County, likened the Ronne Ice Shelf’s calving process to a manicure: If it’s the white part of your fingernail that gets clipped off, it’s not a problem.

“There is really essentially no sign that this is an unusual event with climate significance,” Dr. Shuman said.

For the full story, see:

Claire Fahy. “World’s Largest Iceberg May Not Be a Result of Climate Change, Experts Say.” The New York Times, First Section (Sunday, May 23, 2021): 16.

(Note: bracketed year added.)

(Note: the online version of the story has the date May 20, 2021, and has the title “Iceberg Splits From Antarctica, Becoming World’s Largest.”)

Government Cover Ups

(p. 230) It’s hard enough to find out about the things the universe prefers to keep hidden without our government, which somebody you know must have voted for, covering up what has already been found. Sometimes, of course, it hides things to save its own neck and sometimes seemingly just for the hell of it.

Norman Maclean’s musings, quoted above, are from his wonderful prize-winning account of the Mann Gulch fire in which Wag Dodge spontaneously invented a way to save his life from the wall of fire speeding toward him:

Maclean, Norman. Young Men and Fire. Chicago: University of Chicago Press, 2017 [first edition 1992].

Entrepreneur Pan Leaves Communist China After Xi Arrests Human Rights Defender and Friend

(p. B1) China’s economy is on a tear. Factories are humming, and foreign investment is flowing in. Even so, the wealthy and powerful people atop some of the country’s most prominent companies are heading for the exits.

The latest are Pan Shiyi and Zhang Xin, the husband-and-wife team that runs Soho China, a property developer known for its blobby, futuristic office buildings. In striking a deal this week to sell a controlling stake to the investment giant Blackstone for as much as $3 billion, Mr. Pan and Ms. Zhang are turning over the company as high-profile entrepreneurs come under public and official scrutiny in China like never before.

. . .

(p. B5) “For big tycoons in China, nowadays they need to be careful in general,” said Ling Chen, who studies state-business relations in China at the School of Advanced International Studies at Johns Hopkins University.

. . .

Mr. Pan was . . . one of the first Chinese business leaders to recognize the power of the internet in marketing and public relations. He wrote a popular blog in the 2000s. Then, when the Twitter-like social media platform Weibo came along, he quickly became one of its most influential voices, amassing more than 20 million followers.

. . .

He was never too pointed in expressing his opinions. But he wanted China to learn from its mistakes, such as its cruel treatment of the moneyed and educated classes during the Cultural Revolution.

After Mr. Xi took office as China’s top leader in 2013, the authorities began going after businesspeople and intellectuals with big online followings. The police that year arrested Wang Gongquan, a friend of Mr. Pan’s and supporter of human rights causes, on charges of disrupting public order.

Mr. Pan and Ms. Zhang began selling off property holdings in China and spending more time in the United States.

For the full story, see:

Raymond Zhong. “A Chinese Power Couple Cashes Out.” The New York Times (Friday, June 18, 2021): B1 & B5.

(Note: ellipses added.)

(Note: the online version of the story has the date June 17, 2021, and has the title “As China Scrutinizes Its Entrepreneurs, a Power Couple Cashes Out.”)

To Extort U.S. Firms, Xi Passes Laws that Firms Cannot Obey

(p. B1) Doug Guthrie spent 1994 riding a single-speed bicycle between factories in Shanghai for a dissertation on Chinese industry. Within years, he was one of America’s leading experts on China’s turn toward capitalism and was helping companies venture East.

Two decades later, in 2014, Apple hired him to help navigate perhaps its most important market. By then, he was worried about China’s new direction.

China’s new leader, Xi Jinping, was leaning on Western companies to strengthen his grip on the country. Mr. Guthrie realized that few companies were bigger targets, or more vulnerable, than Apple. It assembled nearly every Apple device in China and had made the region its No. 2 sales market.

So Mr. Guthrie began touring the company with a slide show and lecture to ring the alarm. Apple, he said, had no Plan B.

“I was going around to business leaders, and I’m like: ‘Do you guys understand who Xi Jinping is? Are you listening to what’s going on here?’” Mr. Guthrie said in an interview. “That was my big calling card.”

His warnings were prescient. China has taken a nationalist, au-(p. B3)thoritarian turn under Mr. Xi, and American companies like Apple, Nike and the National Basketball Association are facing a dilemma. While doing business in China often remains lucrative, it also increasingly requires uncomfortable compromises.

That trend raises the question of whether, instead of empowering the Chinese people, American investment in the country has empowered the Chinese Communist Party.

. . .

Mr. Guthrie’s career arc and evolving view of China tell the story of Western industry’s complicated dance with the country over the past three decades. Mr. Guthrie and many executives, politicians and academics had bet that Western investment in China would lead the country to liberalize. It is now clear that they miscalculated.

“We were wrong,” said Mr. Guthrie, who left Apple in 2019. “The wild card was Xi Jinping.”

In recent years, China shut down Marriott’s website after it listed Tibet and Taiwan as separate countries in a customer survey. It suspended sign-ups to LinkedIn after the site failed to censor enough political content. And the Communist Party urged a boycott of Western apparel companies that criticized forced-labor practices in Xinjiang, a Chinese region where the government is repressing Uyghurs, the country’s Muslim ethnic minority.

. . .

In 2014, China’s so-called dispatch labor law went into effect, limiting the share of temporary workers in a company’s work force to 10 percent. From Day 1, Apple and its suppliers were in violation.

At a Foxconn plant in Zhengzhou, China, the world’s biggest iPhone factory, temporary workers made up as much as half of the work force, according to a report by China Labor Watch, an advocacy group. After the report, Apple confirmed that the factory broke the law.

Apple executives were concerned and confused, Mr. Guthrie said. They knew the company couldn’t comply because it needed the extra workers to meet periods of intense demand, such as the holidays.

. . .

“‘This is the point. You are supposed to be out of compliance,’” he said he had told them. “‘Not so they can shut you down, but so you’ll figure out what they want you to do and figure out how to do it.’”

Mr. Guthrie, who is often tucking his long, graying hair behind his ears, began giving his lecture on Apple’s risk in China around that time. Its extreme reliance on the country left it with little leverage to resist.

Apple continued to grapple with demands from the government.

. . .

To measure the success of their lobbying, Apple executives looked to the government’s annual corporate social responsibility scores, a proxy for the Communist Party’s view of a company.

. . .

Apple’s score steadily improved. From 2016 to 2020, its ranking among all companies in China rose from No. 141 to No. 30.

Apple didn’t always successfully resist the government’s demands. Over that period, Mr. Cook had agreed to store his Chinese customers’ private data — and the digital keys to unlock that data — on computer servers owned and run by the Chinese government.

For the full story, see:

Jack Nicas. “A Warning On China Is Prescient For Apple.” The New York Times (Friday, June 18, 2021): B1 & B3.

(Note: ellipses added.)

(Note: the online version of the story has the date June 17, 2021, and has the title “He Warned Apple About the Risks in China. Then They Became Reality.”)

Labrador Noses May Be Cheaper and More Accurate Than Rapid Antigen Test at Detecting Covid-19

(p. A1) . . . three Labradors, operating out of a university clinic in Bangkok, are part of a global corps of dogs being trained to sniff out Covid-19 in people. Preliminary studies, conducted in multiple countries, suggest that their detection rate may surpass that of the rapid antigen testing often used in airports and other public places.

. . .

(p. A6) . . . as a group, the dogs being trained in Thailand — Angel, Bobby, Bravo and three others, Apollo, Tiger and Nasa — accurately detected the virus 96.2 percent of the time in controlled settings, according to university researchers. Studies in Germany and the United Arab Emirates had lower but still impressive results.

Sniffer dogs work faster and far more cheaply than polymerase chain reaction, or P.C.R., testing, their proponents say. An intake of air through their sensitive snouts is enough to identify within a second the volatile organic compound or cocktail of compounds that are produced when a person with Covid-19 sheds damaged cells, researchers say.

“P.C.R. tests are not immediate, and there are false negative results, while we know that dogs can detect Covid in its incubation phase,” said Dr. Anne-Lise Chaber, an interdisciplinary health expert at the School of Animal and Veterinary Sciences at the University of Adelaide in Australia who has been working for six months with 15 Covid-sniffing dogs.

Some methods of detection, like temperature screening, can’t identify infected people who have no symptoms. But dogs can, because the infected lungs and trachea produce a trademark scent. And dogs need fewer molecules to nose out Covid than are required for P.C.R. testing, Thai researchers said.

The Thai Labradors are part of a research project run jointly by Chulalongkorn University and Chevron. The oil company had previously used dogs to test its offshore employees for illegal drug use, and a Thai manager wondered whether the animals could do the same with the coronavirus.

. . .

Dogs, whose wet snouts have up to 300 million olfactory receptors compared with roughly six million for humans, can be trained to memorize about 10 smell patterns for a specific compound, Dr. Kaywalee said. Dogs can also smell through another organ nestled between their noses and mouths.

Some research has suggested that dogs of various breeds may be able to detect diabetes, Parkinson’s disease, malaria and certain cancers — that is, the volatile organic compounds or bodily fluids associated with them.

Labradors are among the smartest breeds, said Lertchai Chaumrattanakul, who leads Chevron’s part of the dog project. They are affable, too, making them the ideal doggy detector: engaged and eager.

Mr. Lertchai noted that Labradors are expensive, about $2,000 each in Thailand. But the cotton swabs and other basic equipment for canine testing work out to about 75 cents per sample. That is much cheaper than what’s needed for other types of rapid screening.

For the full commentary, see:

Hannah Beech. “The Best Rapid Covid-19 Test Adores Treats and Belly Rubs.” The New York Times (Tuesday, June 1, 2021): A1 & A6.

(Note: ellipses added.)

(Note: the online version of the commentary has the date May 31, 2021, and has the title “On the Covid Front Lines, When Not Getting Belly Rubs.”)

The Promise of Gene Editing Is Greater Than the Peril

(p. C1) The Berkeley biochemist [Jennifer Doudna] had helped to invent a powerful new technology that made it possible to edit the human genome—an achievement that made her the recipient of a Nobel Prize in 2020. The innovation was based on a trick that bacteria have used for more than a billion years to fight off viruses, a talent very relevant to us humans these days. In their DNA, bacteria develop clustered, repeated sequences (what scientists call CRISPRs) that can recognize and then chop up viruses that attack them. Dr. Doudna and others adapted the system to create a tool that can edit DNA—opening up the potential for curing genetic diseases, creating healthier babies, inventing new vaccines, and helping humans to fight their own wars against viruses.

. . .

(p. C2) . . . the advances in CRISPR technology, combined with the havoc wrought by the Covid-19 pandemic, have pushed me to be more open to gene editing. I now see the promise of CRISPR more clearly than the peril. If we are wise in how we use it, biotechnology can make us more able to fend off lethal viruses and overcome serious genetic defects.

After millions of centuries during which evolution happened “naturally,” humans now can hack the code of life and engineer our own genetic futures. Or, for those who decry gene editing as “playing God,” let’s put it this way: Nature and nature’s God, in their wisdom, have evolved a species that can modify its own genome.

For the full commentary, see:

Walter Isaacson. “What Gene Editing Can Do for Humankind.” The Wall Street Journal (Saturday, Feb. 20, 2021): C1-C2.

(Note: ellipses, and bracketed name, added.)

(Note: the online version of the commentary has the date Feb. 19, 2021, and has the same title as the print version.)

Isaacson’s commentary is related to his book:

Isaacson, Walter. The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race. New York: Simon & Schuster, 2021.

Media Used “Censorship and Vilification” to Suppress Wuhan Lab-Leak Theory

(p. A23) If it turns out that the Covid pandemic was caused by a leak from a lab in Wuhan, China, it will rank among the greatest scientific scandals in history: dangerous research, possibly involving ethically dubious techniques that make viruses more dangerous, carried out in a poorly safeguarded facility, thuggishly covered up by a regime more interested in propaganda than human life, catastrophic for the entire world.

But this possible scandal, which is as yet unproved, obscures an actual scandal, which remains to be digested.

I mean the long refusal by too many media gatekeepers (social as well as mainstream) to take the lab-leak theory seriously. The reasons for this — rank partisanship and credulous reporting — and the methods by which it was enforced — censorship and vilification — are reminders that sometimes the most destructive enemies of science can be those who claim to speak in its name.

. . .

Was it smart for science reporters to accept the authority of a February 2020 letter, signed by 27 scientists and published in The Lancet, feverishly insisting on the “natural origin” of Covid? Not if those reporters had probed the ties between the letter’s lead author and the Wuhan lab (a fact, as the science writer Nicholas Wade points out in a landmark essay in The Bulletin of the Atomic Scientists, that has been public knowledge for months).

Was it wise to suppose that the World Health Organization, which has served as a mouthpiece for Chinese regime propaganda, should be an authority on what counted as Covid “misinformation” by Facebook, which in February [2021] banned the lab-leak theory from its platform? Not if the aim of companies like Facebook is to bring the world closer together, as opposed to laundering Chinese government disinformation while modeling its illiberal methods.

. . .

Yet the lab-leak theory, whether or not it turns out to be right, was always credible. Even if Tom Cotton believed it. Even if the scientific “consensus” disputed it. Even if bigots — who rarely need a pretext — drew bigoted conclusions from it.

Good journalism, like good science, should follow evidence, not narratives. It should pay as much heed to intelligent gadflies as it does to eminent authorities. And it should never treat honest disagreement as moral heresy.

Anyone wondering why so many people have become so hostile to the pronouncements of public-health officials and science journalists should draw the appropriate conclusion from this story. When lecturing the public about the dangers of misinformation, it’s best not to peddle it yourself.

For the full commentary, see:

Bret Stephens. “The Lab-Leak Theory and The Media.” The New York Times (Tuesday, June 1, 2021): A23.

(Note: ellipses, and bracketed year, added; italics in original.)

(Note: the online version of the commentary has the date May 31, 2021, and has the title “Media Groupthink and the Lab-Leak Theory.”)

Nanosatellites May Be a General Purpose Technology

(p. B4) Scientists who track the health of Adélie penguins on the ice-covered wastes of Antarctica are managing their cameras from thousands of miles away—via tiny satellites orbiting above our heads.

Energy companies are exploring using the same technology for monitoring hard-to-reach wind farms; logistics companies for tracking shipping containers; and agribusiness companies for minding cattle. It even helped National Geographic track a discarded plastic bottle from Bangladesh to the Indian Ocean.

In the near future, it isn’t unreasonable to imagine this evolving satellite technology could put a distress beacon in every automobile, allow remote monitoring of wildlife in any environment on earth, and track your Amazon shipment—not just when it’s on a truck, but backward, all the way to the factory that produced it. And it could be done at a fraction of the cost of earlier satellite tracking systems.

These novel networks of nanosats—aka cubesats—are a result of a number of factors.

First, the satellites themselves are smaller, cheaper and more capable than ever. The smartphone industry has miniaturized all electronics, benefiting everything from cars to drones. Then there are falling launch costs, due to companies like SpaceX, active national space programs like India’s, and an array of new launch technologies, from reusable boosters to 3-D-printed engines.

Just as important, there’s the rollout and adoption of new long-distance, low-power wireless communication standards that can work just as well in outer space as they do on the ground.

Like so many innovations in their early days, from the internet to the smartphone, no one is quite sure what low-cost, low-power data relays from space will enable—or whether there will be enough demand to sustain the many companies jostling to provide it. In the next year, hundreds of satellites from more than a dozen companies are set to launch.

For the full commentary, see:

Christopher Mims. “A March of Penguins and Progress.” The Wall Street Journal (Saturday, Jan. 9, 2021): B4.

(Note: the online version of the commentary has the date January 8, 2021, and has the title “The Tiny Satellites That Will Connect Cows, Cars and Shipping Containers to the Internet.”)

DNA Evidence Supports John Locke’s Vacuum Domicilium Argument for Europeans Claiming New World Land Ownership

(p. A21) The population size of “pre-contact” Hispaniola . . . [is] a contested issue until the present day, not least because of its profound emotional and moral resonance in light of the destruction of that world. Modern scholars have generally estimated the population at 250,000 to a million people.

Some of the arguments for large population numbers in the pre-contact Americas have been motivated by an attempt to counter a myth, perpetuated by apologists for colonialism like the philosopher John Locke, that the Americas were a vast “vacuum domicilium,” or empty dwelling, populated by a handful of Indigenous groups whose displacement could be readily justified. In a similar vein, some of the arguments for large population sizes have been motivated by a desire to underscore how disastrous the arrival of Europeans was for Indigenous people.

By any measure, the arrival of Europeans was catastrophic for Indigenous Americans. This is true whether the numbers of people were in the hundreds of thousands or millions — or for that matter, the tens of thousands. It is questionable to pin our judgments of human atrocities to a specific number. To learn from the past, it is crucial to be willing to accept new and compelling data when they become available.

In the case of the pre-contact population of Hispaniola, such data have arrived. By analyzing the DNA of ancient Indigenous Caribbean people, a study published in Nature on Wednesday [Dec. 16, 2020] by one of us (Professor Reich) makes clear that the population of Hispaniola was no more than a few tens of thousands of people. Almost all prior estimates have been at least tenfold too large.

. . .

The finding about the pre-contact population size in Hispaniola was made possible by a new scientific advance: We are now able to detect “DNA cousins” in ancient genomes — taking two people and determining whether they share large segments of DNA inherited from a recent ancestor. This is similar to what personal ancestry companies like 23andMe and Ancestry do with living people.

When the Reich team applied this method to 91 ancient individuals for whom it had sequenced enough of the genome to carry out this analysis, it found 19 pairs of DNA cousins living on different large islands or island groups in the Caribbean: for example, an individual in Hispaniola with a cousin in the Bahamas, and another individual in Hispaniola with a cousin in Puerto Rico. This meant that the entire population had to be very small; you wouldn’t find that random pairs of people had such a high probability of being closely related if the entire population was large.

For the full commentary, see:

David Reich and Orlando Patterson. “DNA Rewrites the Telling of the Caribbean’s Past.” The New York Times (Saturday, December 12, 2020): A21.

(Note: ellipses, bracketed word, and bracketed year, added.)

(Note: the online version of the commentary has the date Dec. 23, 2020, and has the title “Ancient DNA Is Changing How We Think About the Caribbean.”)

The paper in Nature mentioned above is:

Fernandes, Daniel M., Kendra A. Sirak, Harald Ringbauer, Jakob Sedig, Nadin Rohland, Olivia Cheronet, Matthew Mah, Swapan Mallick, Iñigo Olalde, Brendan J. Culleton, Nicole Adamski, Rebecca Bernardos, Guillermo Bravo, Nasreen Broomandkhoshbacht, Kimberly Callan, Francesca Candilio, Lea Demetz, Kellie Sara Duffett Carlson, Laurie Eccles, Suzanne Freilich, Richard J. George, Ann Marie Lawson, Kirsten Mandl, Fabio Marzaioli, Weston C. McCool, Jonas Oppenheimer, Kadir T. Özdogan, Constanze Schattke, Ryan Schmidt, Kristin Stewardson, Filippo Terrasi, Fatma Zalzala, Carlos Arredondo Antúnez, Ercilio Vento Canosa, Roger Colten, Andrea Cucina, Francesco Genchi, Claudia Kraan, Francesco La Pastina, Michaela Lucci, Marcio Veloz Maggiolo, Beatriz Marcheco-Teruel, Clenis Tavarez Maria, Christian Martínez, Ingeborg París, Michael Pateman, Tanya M. Simms, Carlos Garcia Sivoli, Miguel Vilar, Douglas J. Kennett, William F. Keegan, Alfredo Coppa, Mark Lipson, Ron Pinhasi, and David Reich. “A Genetic History of the Pre-Contact Caribbean.” Nature 590, no. 7844 (Feb. 4, 2021): 103-10.

Lack of Competition Allows Carlsbad Medical Center to Sue Thousands of Patients

(p. D1) An examination of court records by The New York Times found almost 3,000 lawsuits filed by Carlsbad Medical Center against patients over medical debt since 2015, more than 500 of them through August of this year alone. Few hospitals sue so many patients so often.

. . .

Carlsbad Medical Center is not the only hospital to have filed reams of lawsuits over unpaid bills. In Memphis, Methodist Le Bonheur Healthcare, a nonprofit hospital, filed 8,300 lawsuits from 2014 through 2018, including some against its own em-(p. D6)ployees, according to an investigation by the journalism nonprofit groups ProPublica and MLK50.

. . .

People across the country are coping with soaring medical costs, opaque pricing and surprise bills, but these issues are felt acutely in one-hospital towns like Carlsbad, where residents have few options for care — and must pay whatever prices the hospital sets.

“Hospitals that have little competition can negotiate higher rates, because the insurer wants that hospital in their network,” said Sara Collins of the nonprofit Commonwealth Fund.

. . .

Carlsbad Medical Center is owned by Community Health Systems, a chain of hospitals based in Franklin, Tenn. An investigation in 2014 by the Santa Fe New Mexican newspaper found that the three hospitals charging the highest prices in the state were all owned by that chain.

In 2015, the company paid $98 million to the federal government to settle charges that it had inflated revenue by admitting patients unnecessarily. Community Health Systems admitted no wrongdoing.

. . .

There are alternative hospitals near Carlsbad, but the closest is more than 40 minutes away, in the town of Artesia — which residents may find too far to drive to in an emergency.

. . .

Artesia General has no debt-collection suits against patients on record since 2015. Neither does Presbyterian Hospital in Albuquerque — which, at 450 licensed beds, is almost four times as large as the hospital in Carlsbad.

By contrast, other hospitals owned by Community Health Systems in New Mexico also regularly file suits over unpaid bills. Lea Regional Medical Center in Hobbs has filed almost 2,000 such suits since 2015. Mountain View Regional Medical Center in Las Cruces has filed about 2,000 suits against patients in that time; almost half of them came just this year.

In Carlsbad, these lawsuits flood the docket. District Judge Lisa Riley, who has been on the bench in Eddy County since 2011, estimated that about one-third of all civil cases that come across her desk involve unpaid medical debt.

. . .

She, too, was a target of the hospital before she became a judge. Her husband had been disputing emergency room charges when the hospital sued; the case was resolved and dismissed. (Judge Riley would not comment further, citing ethics restrictions that prohibit judges from making statements about matters that might appear in court.)

Judge Riley’s case and others from Carlsbad appear in an upcoming book called “The Price We Pay,” by Dr. Marty Makary, a surgeon at Johns Hopkins University who studies the costs of American health care and led the study of hospital suits in Virginia.

Debt collection is common in the health care industry, he said, but lawsuits are a traumatic way to force patients to pay. Normally hospitals simply refer unpaid bills to debt collectors; fewer file lawsuits and then garnish wages or place liens on homes.

In his study of Virginia, 36 percent of hospitals garnished the wages of patients owing money, with 10 percent doing so frequently. (Even his own institution, however, has come under fire for suing the poor.)

When seeking payment for medical bills, “Collections agencies may harass you with phone calls,” Dr. Makary said. “They may send a note to your credit bureau, but they’re not reaching into your paycheck.”

Many of these patients are low-paid workers with little savings. Dr. Makary’s study found that Walmart was the most common employer of those whose wages were garnished over medical bills. “These are hardworking Americans who did nothing wrong,” he said.

The cost of care differs from institution to institution, partly because hospitals have broad discretion in setting prices. Charges for the same services vary widely, even when hospitals have similar patient demographics, and the amounts billed have little relationship to quality.

If you are a hospital executive, “you could charge whatever you want,” said Dr. Makary. “You could charge $1 million for an X-ray.”