SAINT-DENIS, France – In the parlance of the next Summer Olympics host city, Los Angeles’ portion of the Paris Games’ closing ceremony Sunday night was a coming attraction, a global trailer for what International Olympic Committee and local officials hope is the blockbuster hit of the summer of 2028.

“Our chance to give a glimpse to the world of what to expect in 2028,” said sports and entertainment mogul Casey Wasserman, the chairman of LA 28.

So actor Tom Cruise repelled into Stade de France to the theme of “Mission Impossible,” grabbed the Olympic flag, hopped on a motorcycle and rode off through the streets of Paris to an awaiting plane.

“I’m on my way,” Cruise said, talking on a cell phone before boarding the plane in a pre-filmed segment in which he attaches the Olympic rings to the Hollywood sign.

While Cruise’s arrival showed that Los Angeles still knows how to make an entrance it upstaged a moment that was significant in multiple ways.

When Paris mayor Anne Hidalgo presented Karen Bass, the mayor of Los Angeles, accompanied gymnast Simone Biles, the Olympic flag, the first ever such handoff between two female mayors, Los Angeles, seven years after being awarded the city’s third Olympic Games, was officially on the clock.

“It’s both symbolic and historic,” Wasserman said. “But for me and the LA 28 organization, it’s the signification that it is our turn. We are no longer on deck. We are in the batter’s box and ready to go.”

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And with all the swagger of Hollywood and emboldened and inspired by the Paris Games, Wasserman and Los Angeles intend to swing for the fences.

“The opportunity to have one of the great sporting cities in the world showcase the greatest sporting event in the world and the place where the world comes to tell their stories,” Wasserman said, “we think is a really powerful opportunity.”

The Paris Olympics have both presented Los Angeles with a tough act to follow and have taken Wasserman and LA 28 off the hook.

“He doesn’t have to save the Olympic movement,” Rick Burton, a Syracuse sports marketing professor and the former chief marketing officer for the U.S. Olympic and Paralympic Committee, said of Wasserman.

Paris took care of that.

The first Games not held in COVID-forced isolation since 2018, Paris rebooted – many would indeed say saved – an Olympic movement undercut by decades of corruption, sexual abuse and doping scandals, widespread criticism that the IOC in doing business with authoritarian regimes in Russia and China has prioritized its bottom line over human rights abuses, and the billions in cost overruns by host cities with a trail of white elephant venues stretching from Sydney to Athens to Sochi that became obsolete almost from the moment the Olympic flame was extinguished.

Parisian venues were sold out from track and field to gymnastics to table tennis. Paris sold an Olympic record 8.6 million tickets, generating $2.83 billion. The opening ceremony drew 28.6 million viewers across the NBC and Peacock platforms, up significantly from the 17.9 million who tuned into Tokyo’s opening night three years earlier. If the 17-day Olympics were an original series they would have been the summer’s second most-watched series, averaging 33 million viewers per day.

“The appeal of these games has been absolutely undeniable in every metric, viewership engagement, tickets,” Wasserman said, “and that provides a great deal of momentum for us as we head to Los Angeles in just four years.”

Those numbers were driven by a galaxy of generational stars. Cruise was far from the biggest superhero to land in Paris. It only seemed like Biles could leap tall buildings in a single bound on her way to winning gold medals in the all-around, vault and team competition and further cementing her as history’s greatest gymnast.

American hurdler Sydney McLaughlin-Levrone raced herself into any conversation about the greatest athletes in the world with her sixth 400-meter hurdles world record in three years.

Hometown hero Leon Marchand gave the French plenty to cheer about, capturing five swimming medals, four of them gold. Marchand won the 200 butterfly and 200 breaststroke in less than two hours, becoming the first Olympic swimmer to win two individual events on the same day since 1976.

“A full stadium every day, both morning and evening sessions, countries winning their first-ever Olympic gold medals, incredible performances, shock upsets, world and Olympic records, three marriage proposals, a couple of GOATs and a Snoop Dogg,” said Jamie Fox, director of communications for World Athletics, track and field’s global governing body, referring to the rapper ever-present on NBC.

But the real hero of these Games was Paris itself and the most iconic and historic settings and venues in Olympic history, all them anchored by the Eiffel Tower from which the five Olympic rings lit up the city each night.

“The truth north of these Olympic Games, being Games wide open,” Wasserman said, “I think really opened the eyes of the world to how spectacular the Olympics are and how successful they have been, not just in the city of Paris but for the whole world to experience. The appeal of these Games has been absolutely undeniable.”

The lesson of the Paris Olympics, he said, is to not be afraid to take chances.

Dozens of LA 28, Los Angeles city, county and state officials spent the Games shadowing Paris 2024, local and national government and law enforcement officials in preparation for the 2028 Games which open July 14.

“Bastille Day,” Wasserman said laughing.

“What I learned here and I give the French team a great deal of credit for is they were willing to do things differently and take chances and it didn’t mean they were all going to be perfect or work, although most of them did,” Wasserman said. “But they really thought outside the box, obviously starting with the opening ceremonies, which was spectacular, but in every facet of their delivery they took a step back and said how can we do things differently and do things that’s right for our city and our communities and it’s not the way that other Games have done them. They were doing it for them and I give them a lot of credit because the easy thing to do has been to do what has been done before.

“But they have taken chances and those chances have been rewarded. And they have been spectacular and I still think it’s incumbent upon us in an appropriate way for Los Angeles to think about what we can do to do things differently for our communities in our city.”

For Los Angeles that means working within a $6.8 billion budget with a $615.8 million contingency fund in case the Games are postponed or canceled, adding sports like cricket, lacrosse and flag football to Olympics that will be held almost exclusively at existing or previously planned venues and holding to what Bass vowed would be “No Cars Games,” despite the region’s lack of a mass public transportation system comparable to recent Summer Olympic hosts like Paris, Tokyo and London.

“As we’ve seen here in Paris, the Olympics are an opportunity to make transformative change,” Bass said. “It’s our top priority to ensure that the Olympic preparations benefit Angelenos for decades.”

While LA 28 will submit an updated budget to the city later this year, the organizing committee has a projected goal of generating $2.5 billion in domestic sponsorship revenue, and Wasserman has said that the 2028 Games have already attracted more contracted revenue from sponsors such as Coca Cola, Delta and Visa than the Paris Games will have in total revenue.“American sponsors are coming back in and wanting to be part of the movement,” Burton said.

In naming Los Angeles host of the 2028 Games in September 2017 as part of an unprecedented double award in which Paris received the 2024 event, the IOC agreed to pay LA 2028 at least $2 billion, up from $1.7 billion had the city hosted the 2024 Games and the largest payout ever to an Olympic host city.

As part of that agreement, the IOC paid LA 28 $180 million up front in 20 quarterly $9 million payments starting on January 1, 2018.”We feel very good about where we are today,” Wasserman said. “And it’s our job to stay really diligent.”

Longtime Olympic observers and sports economists are optimistic that LA 28 will stay within its budget.

“There’s a potential problem of mission creep, that’s the military version of it, or the upgrades creep,” said Victor Matheson, a Holy Cross economics professor who has written extensively on Olympic finances.

“That’s the concern and we’re hoping that LA stays with its good reputation of having actual competent and rational people running the Games like Ueberroth did back in the old days,” Matheson continued, referring to Peter Ueberroth, chairman of the 1984 Los Angeles Olympic organizing committee. “The initial numbers look pretty good but again, just like in Paris, what remains to be seen is do those good numbers finally hold up when the final books are closed?

“At least they’ve got a shot. You don’t have anybody over there saying, ‘Oh, you know what would be really cool is a permanent 80,000 stadium just for track? Don’t think that would be cool?’ We’re not even getting a hint of that.”

LA 28 has used that money to help fund a $160 million youth sports program in Los Angeles, what Wasserman calls “the single biggest investment in youth sports in the history of America in one city.”

“Your zip code is no longer a barrier to entry to participate in sports,” he said.

The federal government will pick up the cost of security, which is expected to exceed $2 billion. The Games received national special security event designation last January.

LA 28 will borrow a page from the London Games in 2012 and use local sporting events as dry runs to train both law enforcement and the military and educate the public on what to expect security-wise at the Olympics. In London’s case, they used a day at Wimbledon a year earlier for a dry run for security and the public.

“So just to be ready we could take a Dodgers game and enact on a Thursday night in 2027 and tell people what it’s going to be like so that we can practice,” Wasserman said, “They can practice and we can learn.”

The 2028 Games will only be accessible by public transportation. While the region continues to expand its public transportation lines and hubs, Bass acknowledged “that’s not going to be enough. We’re going to need over 3,000 buses.”

A significant portion of those buses – and their drivers – will come from other U.S. cities. Atlanta implemented a similar program for the 1996 Games with mixed results.

Paris, following an approach taken by previous Olympic host cities, removed the homeless from the city during the Games. Bass didn’t directly answer when asked in Paris if Los Angeles would implement a similar program in 2028.

Los Angeles County reported 75,518 homeless persons in 2023, a nine percent year-over-year increase with the City of Los Angeles reporting 46,210 homeless, a 10 percent increase, according to the Los Angeles Homeless Security Authority.

“We are going to get Angelenos housed,” Bass said. “That is what we have been doing and we’re going to continue to do that. We will get people housing, we will get them off the street. We will get them into temporary housing, address the reasons why they are unhoused and get them into permanent housing.”

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Bass will board a Delta flight Monday for LAX, the Olympic flag now in her care, with the lessons of 17 glorious days in Paris and the knowledge that any issue facing Los Angeles will be played out on a global stage and that the clock is ticking.

“The day after the Olympics and everybody is back in town and they roll up their sleeves it’s going to be about is A) Is there anything to be gleaned from Paris and then B), Let’s go,” said David M. Carter, a sports marketing professor at USC’s Marshall School of business and founder of the Sports Business Group, a sports and entertainment consulting firm. “We need to start hiring. We need to start getting these Games in the right position and I think they’ve got a lot of this at the gate.

“The day afterwards is where they’ve been at for years, it’s just that it’s going to go from a jog to a sprint.”

Wasserman said he is ready.

“So we’ve learned a lot here,” he said Saturday. “We are focused on the road ahead. It’s about 14,135 days to the opening ceremonies. But who’s counting?”

IT’S A BIRD. IT’S A PLANE. IT’S TOM CRUISE! #ParisOlympics | #ClosingCeremony pic.twitter.com/5v4j8pOwBF

— NBC Olympics & Paralympics (@NBCOlympics) August 11, 2024

By Stephen Battaglio, Los Angeles Times

The Paris Olympics have brought some joie de vivre to NBCUniversal.

For the first 13 days of the Games, the Comcast Corp.-owned media company averaged 32.2 million viewers across its TV and streaming platforms, according to data from Nielsen and Adobe Analytics. The figure combines the live coverage shown during the day and the taped highlights telecast and streamed in the evening.

The Paris number is 76% higher than the audience for the Games in Tokyo, which were delayed a year and held in 2021 because of the COVID-19 pandemic. Olympics content streamed on NBC’s Peacock platform surpassed 19.1 billion minutes viewed, more than the 16.8 billion minutes watched on the service for all previous Olympics, winter and summer, combined.

The contrast with Tokyo three years ago could hardly be more stark.

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At that time, the pandemic still loomed large and the biggest U.S. star, gymnast Simone Biles, departed early from much of the competition due to mental health issues. Those who competed did so in front of empty spectator stands, depriving viewers of the emotion and passion that family members and fans provide during the Games.

In 2021, NBC had to give commercial time away to advertisers when the ratings came in lower than expected. The network typically holds back commercial time in the event that audience levels fall short of what brands are promised.

But this year, the ratings performance exceeded NBC’s expectations, and the network is reaping the benefits.

NBC was able to sell its reserve of commercials at an even higher price than the inventory purchased before the Games began. Among the major takers was the presidential campaign of Vice President Kamala Harris, who abruptly became the presumptive Democratic nominee last month and needs to quickly introduce herself to the public.

“It’s a nice piece of business for us,” Lazarus said in a telephone interview.

Eliud Kipchoge of Team Kenya, Gabriel Gerald Geay of Team Tanzania, Jie He and Shahoui Yang of Team People’s Republic of China run past Eiffel Tower during the Men’s Marathon during day fifteen of the Olympic Games Paris 2024 at Esplanade Des Invalides on August 10, 2024 in Paris, France. (Photo by David Ramos/Getty Images)

The additional sales helped push NBC’s ad revenue well past the previous record of $1.25 billion it took in during 2021. The final number for Paris will be the largest ad revenue take for any TV event in history, an NBC representative said. (Super Bowl Sundays typically generate about $1 billion for the network carrying the game.)

NBC may have been fortunate that the Paris Olympics came along at a time when a deeply politically divided country could use a break.

Two weeks before the Games began, former President Donald Trump barely escaped an assassination attempt at a Pennsylvania rally. Not long after, President Joe Biden made the stunning decision to pull out of his reelection campaign. Tensions are running high over Israel’s war with Hamas, creating fear over a larger military conflict in the Middle East.

Brent Magid, chief executive of the media research firm Magid, said a celebratory collective viewing experience may have been just what the public needed.

“The Olympics are an in-the-moment activity that happens to be very positive in a world that is thinking very negatively,” Magid said. “Consumers are looking for escape in their lives and this brings it in spades.”

A general view as inside the stadium as athletes participate in the parade during the Closing Ceremony of the Olympic Games Paris 2024 at Stade de France on August 11, 2024 in Paris, France. (Photo by Luke Hales/Getty Images)

Having the City of Lights as a backdrop also helped. Athletes have been shown having fun on their off days, cheering on their competing comrades and hanging out with the network’s breakout Olympics coverage star, Snoop Dogg. Celebrities from Tom Brady to Lady Gaga have turned up in the crowd.

Peacock, which trails other major streaming platforms with around 34 million subscribers, is a major beneficiary from the success. NBC Sports President Rick Cordella said new subscribers sign-ups have surpassed expectations, although the company has not revealed that number yet.

Peacock streamed every sport live, including all 329 medal events. NBCUniversal enhanced the Peacock streaming experience by offering exclusive elements such as the addictive “Gold Zone” feature, which guided users to decisive moments in a variety of events as they happened, sometimes using multiple boxes on the screen.

Shamier Little, Sydney McLaughlin-Levrone, Gabrielle Thomas and Alexis Holmes of Team United States celebrate winning the Gold medal in the Women’s 4 x 400m Relay Final on day fifteen of the Olympic Games Paris 2024 at Stade de France on August 10, 2024 in Paris, France. (Photo by Patrick Smith/Getty Images)

Making a multitude of events available on demand satisfied the streaming audience that wanted the choice and convenience of on-demand viewing. But the Games’ performance also proved that people will show up for traditional TV if there is compelling drama they have to see in real time.

The gold-medal-winning performance of Biles and the U.S. women’s gymnastic team was watched by 12.7 million people across NBC’s platforms on July 30, even though it ran smack in the middle of the workday. The figure was an all-time high for a daytime Olympics event and topped the average audience for this year’s NBA Finals, which aired in prime time on ABC.

The number may have been helped by a behavioral shift left over from the COVID-19 lockdowns. More people are working at home — and what’s the harm of having some gymnastics playing in the background?

“It’s the content that’s precious, not the time of day,” said Lazarus. “If you exhibit in a way that’s interesting, people will show up.”

A general view of the Paris 2024 Olympic Games Cauldron, air balloon prior to the Closing Ceremony of the Olympic Games Paris 2024 at Stade de France on August 11, 2024 in Paris, France. (Photo by Maja Hitij/Getty Images)

John Rood, chief marketing officer for Magid, said consumers’ willingness to turn on the TV at all hours will continue to benefit the Olympics as time goes on. “One’s ability to watch on their laptop or phone is only going to get more common in every passing four-year span,” he said.

NBCUniversal has the rights to the Games through 2032. The next Summer Games will be held in Los Angeles in 2028. The next Winter Games are in Milan in 2026.

Gymnastics has long been a strong draw for female viewers. But the Paris Olympics may also be benefiting from an overall increase in interest in women’s sports.

The wild popularity of Caitlin Clark, now with the WNBA, helped drive a record audience of 17 million viewers for NCAA women’s basketball championship game in March. (Clark’s exclusion from the women’s U.S. Olympic basketball team became a national topic of discussion.)

A Magid study conducted that same month showed that 60% of consumers said they are paying more attention to women’s professional sports. The figure was 57% for women’s college sports.

Karen Bass, Mayor of Los Angeles, waves the Olympic flag as Thomas Bach, President of International Olympic Committee, applauds during the Closing Ceremony of the Olympic Games Paris 2024 at Stade de France on August 11, 2024 in Paris, France. (Photo by Carl Recine/Getty Images)

NBC was also able to integrate entertainment figures into its Olympics coverage without generating a lot of pearl-clutching from sports purists. It helped the network deliver audiences of 13 million or higher in prime time, even though all of the competition shown was on tape.

Viewers embraced Snoop Dogg’s feel good vibe as he wandered through the events as the No. 1 U.S. Olympics team cheerleader. His role is long in the making.

The legendary rapper was part of the network’s Tokyo coverage in 2021. He has also developed a relationship with NBC by co-hosting a competition series, “The Great American Song Contest,” and serving as a coach on the upcoming season of “The Voice.”

Executive producer Molly Solomon and her team saw the potential to expand his role this year. “He obviously came these Olympics with an enthusiastic optimistic point of view,” said Lazarus. “Molly Solomon calls him the ambassador of happiness.”

©2024 Los Angeles Times. Visit latimes.com. Distributed by Tribune Content Agency, LLC.

By WAFAA SHURAFA and SAMY MAGDY Associated Press

DEIR AL-BALAH, Gaza Strip (AP) — The Israeli military ordered more evacuations in southern Gaza early Sunday, a day after a deadly airstrike on a school-turned-shelter in the north killed at least 80 Palestinians, according to local health authorities. The airstrike was one of the deadliest attacks in the 10-month war.

Hamas appeared to push back against resuming negotiations on Thursday on any new cease-fire proposals. In a statement, it urged mediators United States, Egypt and Qatar to submit a plan to implement what was agreed on last month, based on U.S. President Joe Biden’s proposal, “instead of going to more rounds of negotiations or new proposals that provide cover for the occupation’s aggression.”

Hamas has been designated as a terrorist organization by the United States, Canada and the European Union.

Israel has repeatedly ordered mass evacuations as its troops return to heavily destroyed areas where they previously battled Palestinian militants. The vast majority of Gaza’s population of 2.3 million people have been displaced, often multiple times, in the besieged territory 25 miles (40 kilometers) long by about 7 miles (11 kilometers) wide.

The latest evacuation orders apply to areas of Khan Younis, Gaza’s second-largest city, including part of an Israeli-declared humanitarian zone from which the military said rockets had been fired. Israel accuses Hamas and other militants of hiding among civilians and launching attacks from residential areas.

The humanitarian zone has steadily shrunk during the war with the various evacuation orders. Hundreds of thousands of people have crammed into squalid tent camps with few public services or sought shelter in schools, though the United Nations says hundreds of those have been directly hit or damaged.

Khan Younis suffered widespread destruction during an air and ground offensive earlier this year. Tens of thousands fled again last week after an evacuation order.

The new order came in leaflets dropped from the sky. As smoke rose on the horizon, hundreds of families carrying belongings in their arms left homes and shelters, seeking elusive refuge. One child carried a stuffed Hello Kitty doll as others walked through rubble-filled streets.

“We don’t know where to go,” said Amal Abu Yahia, a mother of three, who had returned to Khan Younis in June to shelter in their severely damaged home. It was the fourth displacement for the 42-year-old widow, whose husband was killed when an Israeli airstrike hit their neighbors’ house in March.

She said they went to Muwasi, a sprawling tent camp along the coast, but couldn’t find space.

Ramadan Issa, a father of five in his 50s, fled Khan Younis with 17 members of his extended family, joining hundreds of people walking toward central Gaza.

“Every time we settle in one place and build tents for women and children, the occupation comes and bombs the area,” he said, referring to Israel. “This situation is unbearable.”

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Gaza’s Health Ministry, which doesn’t distinguish between civilians and combatants, says the Palestinian death toll from the war is approaching 40,000. Aid groups have struggled to address the staggering humanitarian crisis, while international experts have warned of famine.

The war began when Hamas-led terrorists burst through Israel’s defenses on Oct. 7 and rampaged through farming communities and army bases near the border, killing around 1,200 people — mostly civilians — and abducting around 250 people. Of the roughly 110 remaining hostages, Israeli authorities believe around a third are dead.

The conflict has threatened to trigger a regional war, as Israel has traded fire with Iran and its militant allies across the region. “I hope that they will think this through and won’t get to a point where they will force us to cause significant damage and increase the chances of war breaking out on additional fronts,” Israeli Defense Minister Yoav Gallant said Sunday.

U.S. Defense Secretary Lloyd Austin spoke to Gallant on Sunday, reiterating America’s commitment to defend Israel and noting the strengthening of the U.S. military force posture and capabilities in the region, according to the Defense Department. It noted Austin has ordered a guided missile submarine to the Middle East and is telling the USS Abraham Lincoln aircraft carrier strike group to sail more quickly to the area. The Lincoln was expected in the region by month’s end.

In Lebanon, the Health Ministry said an Israeli strike near the southern town of Taybeh killed two people, without giving details. Israel’s military said it struck a cell of the Lebanese militant group Hezbollah. Hezbollah announced the deaths of three militants, without details, and said it conducted rocket and artillery attacks on Israeli military positions.

In the Israeli-occupied West Bank, which has seen increased violence since the war began, Israel’s military said that an Israeli civilian was killed and another was wounded in a drive-by shooting. Hamas claimed the attack, saying it was a response to the strike on the school in Gaza.

Israel’s airstrike on Saturday hit a mosque inside a school in Gaza City where thousands of people were sheltering. The Israeli military said it killed 19 Hamas and Islamic Jihad militants. Hamas and Palestinian activists disputed that, saying two of the 19 were killed in earlier strikes and others were known to be civilians or opponents of Hamas.

Northern Gaza has been surrounded by Israeli forces and largely cut off from the world, and it wasn’t possible to independently confirm accounts from either side. European leaders and neighbors of Israel condemned the strike.

Samy Magdy reported from Cairo. AP journalists Lolita C. Baldor in Washington and Kareem Chehayeb in Beirut contributed to this report.

By AMANDA SEITZ Associated Press

WASHINGTON (AP) — Bleeding and in pain, Kyleigh Thurman didn’t know her doomed pregnancy could kill her.

Emergency room doctors at Ascension Seton Williamson in Texas handed her a pamphlet on miscarriage and told her to “let nature take its course” before discharging her without treatment for her ectopic pregnancy.

When the 25-year-old returned three days later, still bleeding, doctors finally agreed to give her an injection intended to end the pregnancy. But it was too late. The fertilized egg growing on Thurman’s fallopian tube would rupture it, destroying part of her reproductive system.

That’s according to a complaint Thurman and the Center for Reproductive Rights filed last week asking the government to investigate whether the hospital violated a federal law when staff failed to treat her initially in February 2023.

“I was left to flail,” Thurman said. “It was nothing short of being misled.”

Even as the Biden administration publicly warned hospitals to treat pregnant patients in emergencies, facilities continue to violate the federal law. The issue became a focus for the administration following reports of women being improperly treated in emergency rooms after the Supreme Court’s decision to overturn the constitutional right to an abortion more than two years ago.

More than 100 pregnant women in medical distress who sought help from emergency rooms were turned away or negligently treated since 2022, an Associated Press analysis of federal hospital investigations has found.

Two women – one in Florida and one in Texas – were left to miscarry in public restrooms. In Arkansas, a woman went into septic shock and her fetus died after an emergency room sent her home. At least four other women with ectopic pregnancies had trouble getting any treatment, including one California woman who needed a blood transfusion after she sat for nine hours in an emergency waiting room.

The White House says hospitals must offer abortions when needed to save a woman’s health, despite state bans. Texas is challenging that guidance and, earlier this summer, the Supreme Court declined to resolve the issue.

Abortion bans complicate risky pregnancy care

In Texas, where doctors face up to 99 years of prison if convicted of performing an illegal abortion, medical and legal experts say the law is complicating decision-making around emergency pregnancy care.

Although the state law says termination of ectopic pregnancies is not considered abortion, the draconian penalties scare Texas doctors from treating those patients, the Center for Reproductive Rights argues.

“As fearful as hospitals and doctors are of running afoul of these state abortion bans, they also need to be concerned about running afoul of federal law,” said Marc Hearron, a center attorney. Hospitals face a federal investigation, hefty penalties and threats to their Medicare funding if they break the federal law.

The organization filed two complaints last week with the Centers for Medicare and Medicaid Service alleging that different Texas emergency rooms failed to treat two patients, including Thurman, with ectopic pregnancies.

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Another complaint says Kelsie Norris-De La Cruz, 25, lost a fallopian tube and most of an ovary after an Arlington, Texas, hospital sent her home without treating her ectopic pregnancy, even after a doctor said discharge was “not in her best interest.”

“The doctors knew I needed an abortion, but these bans are making it nearly impossible to get basic emergency healthcare,” she said in a statement. “I’m filing this complaint because women like me deserve justice and accountability from those that hurt us.”

Conclusively diagnosing an ectopic pregnancy can be difficult. Doctors cannot always find the pregnancy’s location on an ultrasound, three separate doctors consulted for this article explained. Hormone levels, bleeding, a positive pregnancy test and ultrasound of an empty uterus all indicate an ectopic pregnancy.

“You can’t be 100% — that’s the tricky part,” said Kate Arnold, an OB-GYN in Washington. “They’re literally time bombs. It’s a pregnancy growing in this thing that can only grow so much.”

Texas Right to Life Director John Seago said the state law clearly protects doctors from prosecution if they terminate ectopic pregnancies, even if a doctor “makes a mistake” in diagnosing it.

“Sending a woman back home is completely unnecessary, completely dangerous,” Seago said.

But the state law has “absolutely” made doctors afraid of treating pregnant patients, said Hannah Gordon, an emergency medicine physician who worked in a Dallas hospital until last year.

“It’s going to force doctors to start creating questionable scenarios for patients, even if it’s very dangerous,” said Gordon. She left Texas hoping to become pregnant and worried about the care she’d get there.

Gordon recalled a pregnant patient at her Dallas emergency room who had signs of an ectopic pregnancy. Because OB-GYNs said they couldn’t definitively diagnose the problem, they waited to end the pregnancy until she came back the next day.

“It left a bad taste in my mouth,” Gordon said.

“Oh my God, I’m dying.”

In Thurman’s case, when she returned to Ascension Seton Williamson a third time, her OB-GYN told her she’d need surgery to remove the fallopian tube, which had ruptured. Thurman, still heavily bleeding, balked. Losing the tube would jeopardize her fertility.

But her doctor told her she risked death if she waited any longer.

“She came in and she’s like, you’re either going to have to have a blood transfusion, or you’re going to have to have surgery or you’re going to bleed out,” Thurman said, through tears. “That’s when I just kind of was like, “oh my God, I’m, I’m dying.”

Ascension Seton Williamson declined to comment on Thurman’s case, but said in a statement the hospital “is committed to providing high-quality care to all who seek our services.”

In Florida, a 15-week pregnant woman leaked amniotic fluid for an hour in Broward Health Coral Springs’ emergency wait room, according to federal documents. An ultrasound revealed the patient had no amniotic fluid surrounding the fetus, a dangerous situation that can cause serious infection.

The woman miscarried in a public bathroom that day, after the emergency room doctor listed her condition as “improved” and discharged her, without consulting the hospital’s OB-GYN.

Emergency crews rushed her to another hospital, where she was placed on a ventilator and discharged after six days.

Abortions after 15 weeks were banned in Florida at the time. Broward Health Coral Springs’ obstetrics medical director told an investigator that inducing labor for anyone who presents with pre-viable premature rupture of membranes is “the standard of care, has been a while, regardless of heartbeat, due to the risk to the mother.”

The hospital declined to comment or share its policies with the AP.

In another Florida case, a doctor admitted state law had complicated emergency pregnancy care.

“Because of the new laws … staff cannot intervene unless there is a danger to the patient’s health,” a doctor at Memorial Regional Hospital in Hollywood, Florida, told an investigator who was probing the hospital’s failure to offer an abortion to a pregnant woman whose water broke at 15 weeks, well before the fetus could survive.

Troubles extend beyond abortion ban states

Serious violations that jeopardized a mother or her fetus’ health occurred in states with and without abortion bans, the AP’s review found.

In interviews with investigators, two short-staffed hospitals – in Idaho and Washington – admitted to routinely directing pregnant patients to drive to other hospitals.

A pregnant patient at a Bakersfield, California, emergency room was quickly triaged, but staff failed to realize the urgency of her condition, a uterine rupture. The delay, an investigator concluded, may have contributed to the baby’s death.

Doctors at emergency rooms in California, Nebraska, Arkansas and South Carolina failed to check for fetal heartbeats or discharged patients who were in active labor, leaving them to deliver at home or in ambulances, according to the documents.

Nursing and doctor shortages that have plagued hospitals since the onset of COVID-19, trouble staffing ultrasounds around-the-clock, and new abortion laws are making the emergency room a dangerous place for pregnant women, warned Dara Kass, an emergency medicine doctor and former U.S. Health and Human Services official.

“It is increasingly less safe to be pregnant and seeking emergency care in an emergency department,” she said.