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    Doctor Who Gave Matthew Perry Ketamine Will Plead Guilty, U.S. Says

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    Dr. Salvador Plasencia, an urgent care clinic operator in the Los Angeles area, could face up to 40 years in prison in connection with the actor’s 2023 death.A doctor who illegally supplied the “Friends” actor Matthew Perry with the drug ketamine in the weeks leading up to Mr. Perry’s death in 2023 — traveling to his home and a parking lot to inject him — has agreed to plead guilty, according to court documents.The doctor, Salvador Plasencia, could face up to 40 years in prison and a $2 million fine on four criminal counts of distributing of ketamine, a powerful anesthetic, under the agreement, which was filed on Monday in federal court in Los Angeles.Dr. Plasencia, 43, an urgent care clinic operator in Calabasas, Calif., will become the fourth person to plead guilty in connection to Mr. Perry’s death, which the Los Angeles County medical examiner’s office determined was caused by the “acute effects” of ketamine. A court date has not been set.Mr. Perry, who publicly struggled with drinking and drug use for decades, was found floating face down in a hot tub at his Los Angeles home on Oct. 28, 2023. He was 54.An autopsy said that drowning, coronary artery disease and the effects of an opioid, buprenorphine, had contributed to his death.Ketamine, which has psychedelic properties, has emerged as increasingly popular alternative therapy for anxiety, depression, post-traumatic stress disorder and other mental health issues. It is also used recreationally.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      What to Know About the Effects of Ketamine

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      Elon Musk has said that he used ketamine as a treatment in the past, but he denied reports that he was taking it frequently and recreationally.News reports detailing Elon Musk’s drug use have prompted renewed attention to ketamine, a powerful anesthetic that has become increasingly popular as a therapy for treatment-resistant depression and other mental health issues.Although Mr. Musk has acknowledged using ketamine in the past to treat depression, he has denied suggestions that he is currently using ketamine — or any other drug.“I am NOT taking drugs!” he wrote last week in a social media post following the publication of an article in The New York Times that described reports of his use of drugs on the campaign trail last year. Those drugs included ketamine and other psychedelic compounds, among them MDMA and psilocybin mushrooms.Mr. Musk left the White House last week. Since then, he and President Trump have traded barbs on social media over the president’s domestic policy bill and have mentioned government contracts with Mr. Musk’s companies and Mr. Musk’s relationship to the White House.Mr. Trump, who was briefed on the article in The Times, has been telling associates in the last day or so that Musk’s “crazy” behavior is linked to his drug use, according to a Times report citing two people with knowledge of Mr. Trump’s private conversations. But later on Friday, Mr. Trump told reporters he did not want to comment on Mr. Musk’s drug use.The very public feud between the two men has once again drawn unflattering attention to ketamine, a drug that has become increasingly available at legal clinics across the country. It is also used recreationally and can be dangerous when misused.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Drug Overdose Deaths Plummeted in 2024, C.D.C. Reports

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      The progress comes as the Trump administration is proposing to cut funding for many programs believed to have contributed to the improvement.Overdose deaths in the United States fell by nearly 30,000 last year, the government reported on Wednesday, the strongest sign yet that the country is making progress against one of its deadliest, most intractable public health crises.The data, released by the Centers for Disease Control and Prevention, is the latest in a series of reports over the past year offering hints that the drug-related death toll that has gutted families and communities could be starting to ease.Public health experts had been carefully watching the monthly updates, with skepticism at first, and then with growing hope. Wednesday’s report was the most encouraging yet. Deaths declined in all major categories of drug use, stimulants as well as opioids, dropping in every state but two. Nationwide, drug fatalities plunged nearly 27 percent.“This is a decline that we’ve been waiting more than a decade for,” said Dr. Matthew Christiansen, a physician and former director of West Virginia’s drug control policy. “We’ve invested hundreds of billions of dollars into addiction.”Addiction specialists said that changes in the illicit drug supply as well as greater access to drug treatment and the use of naloxone to reverse overdoses seemed to be playing a role, but whether the country could sustain that progress was an open question.In announcing the new numbers, the C.D.C. praised President Trump, saying in a statement that since he “declared the opioid crisis a public health emergency in 2017” the government had added more resources to battle the drug problem.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Cartel Family Members Crossed Into U.S., Mexican Official Says

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      Mexico’s security secretary confirmed reports that 17 family members of Sinaloa Cartel leaders had crossed into the United States, likely as part of a deal with the Trump administration.A group of family members of Sinaloa Cartel leaders crossed into the United States last week, likely as part of a deal with the Trump administration, Mexico’s secretary of security said on Tuesday evening.For days, rumors had spread that 17 relatives, including the ex-wife of the crime boss known as El Chapo, had flown from a cartel stronghold to Tijuana, Mexico, and then crossed into the United States. A news outlet, Pie de Nota, reported that they had surrendered to U.S. federal authorities there, citing anonymous sources.The Sinaloa Cartel, co-founded by Joaquín Guzmán Loera, known as El Chapo, is one of the most powerful criminal groups in the world, although it has been divided by violence between rival factions as several of its leaders face prison and prosecution in the United States.When asked about reports that the family members had entered the United States on Monday, President Claudia Sheinbaum of Mexico said “there is no more information” than what she had seen.But the security secretary, Omar García Harfuch, then confirmed late Tuesday that relatives of the cartel leader Ovidio Guzmán López, one of El Chapo’s four sons, had surrendered to American authorities. Mr. Guzmán López was extradited to the United States in 2023.“It is evident that his family is going to the U.S. because of a negotiation or a plea bargain that the Department of Justice is giving him,” Mr. García Harfuch told the Mexican network Radio Fórmula.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump Says He Asked Mexico to Let U.S. Military In to Fight Cartels

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      President Trump confirmed on Sunday that he had raised the idea with his Mexican counterpart, Claudia Sheinbaum, who rejected it. President Trump confirmed on Sunday that he had pressed Mexico’s president to let U.S. troops into the country to help fight drug cartels, an idea she summarily rejected.Mr. Trump told reporters traveling with him aboard Air Force One from Palm Beach, Fla., to Washington that it was “true” he had made the push with President Claudia Sheinbaum. The proposal, first reported by The Wall Street Journal last week, came at the end of a lengthy phone call between the two leaders on April 16, The Journal said.Ms. Sheinbaum has also confirmed that Mr. Trump made the suggestion, and that she rejected it. Mexico and the United States can “collaborate,” she recalled telling him, but “with you in your territory and us in ours.”Mr. Trump said he proposed the idea because the cartels “are horrible people that have been killing people left and right and have been — they’ve made a fortune on selling drugs and destroying our people.”He said, “If Mexico wanted help with the cartels, we would be honored to go in and do it. I told her that. I would be honored to go in and do it. The cartels are trying to destroy our country. They’re evil.”He said, “The president of Mexico is a lovely woman, but she is so afraid of the cartels that she can’t even think straight.”Mr. Trump has had a better working relationship with Ms. Sheinbaum than with Canada’s leaders. But the relationships with both neighboring countries have been strained over trade and immigration. More

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      Ecuadorean President’s Opponent Contests His Re-Election Win

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      In a divisive election season, Daniel Noboa pledged to bring law and order. His opponent immediately contested the results.Ecuador’s president, who unexpectedly surged in the polls to secure a shortened term in 2023, was declared the victor of the presidential election with a decisive lead on Sunday in a race that showed voters’ faith in his vows to tackle the security crisis with an iron fist.Daniel Noboa, 37, defeated Luisa González, 47, the handpicked successor of former President Rafael Correa.Both candidates accused the other of electoral violations throughout the election season, and Ms. González said she would not recognize the results of the election, in a speech from the headquarters of her party, Citizen Revolution.“I want to be very clear and emphatic: The Citizen Revolution has always recognized a defeat in the last elections when polls, tracking and statistics have shown it,” Ms. González said. “Today, we do not recognize these results.”Mr. Noboa celebrated his victory from the coastal town of Olón.“This day has been historic,” he said. “There is no doubt who the winner is.”The day before the election, Mr. Noboa declared a state of emergency in seven states, most of them González strongholds, raising fears that he was trying to suppress the vote among her supporters. The declaration restricts social activities and allows police and military to enter homes without permission.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      $3.5 Million Settlement in Sacramento Jail Death

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      The fatal overdose of a homeless man at a Sacramento County jail is one of multiple deaths in which staff have been accused of medical neglect.The family of a man who died from an overdose in a Sacramento County jail after being left unattended for hours have agreed to a $3.5 million settlement.That man, David Kent Barefield Sr., 55, was dragged across a garage into the jail last May, not given a medical exam despite being visibly ill, handcuffed in a cart while awaiting booking and only offered medical aid in his final minutes, jail footage shows.Mr. Barefield’s relatives described the neglect in a civil case filed last December against the county’s Sheriff’s Office, its health department and the City of Sacramento police. The settlement was confirmed by the family’s lawyer and by a county spokeswoman; a copy of the document shows it was signed on March 5. The case with the city is still pending.The Sheriff’s Office investigated Mr. Barefield’s death and found that none of its employees violated any law or policy, according to a redacted report that was released to The New York Times and The Desert Sun on Thursday.Mr. Barefield being dragged inside the jail, as captured in surveillance footage.via Sacramento Sheriff Legal AffairsThe details of Mr. Barefield’s last hours are captured in surveillance and body camera video obtained by The Times and The Sun through a records request. The organizations previously reported some of that information, citing accounts from lawyers and medical experts who investigated the death and six others in the county’s jails last year as part of a federal court monitoring program. The court had appointed those monitors in a class-action lawsuit related to broader complaints about medical care in the facilities.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Why Rodrigo Duterte Was Arrested Now

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      Running parallel to Rodrigo Duterte’s transfer to the International Court of Justice in The Hague is a monthslong feud with the Philippines’ current president.The arrest warrant was delivered to President Ferdinand R. Marcos Jr. of the Philippines in Manila at 3 a.m. Monday. The person named on it: his predecessor, Rodrigo Duterte, the firebrand whose war on drugs left thousands of people dead.But acting on the warrant from the International Criminal Court was not straightforward, since the Philippines is not a member of the court. So at 6:30 a.m., Mr. Marcos’s government received another warrant for Mr. Duterte, this time from Interpol, which was acting on the court’s behalf and of which the Philippines is a member.Mr. Marcos recalled his next step in an address to the nation on Tuesday. “OK, we’ll put all our plans into place, and let’s proceed as we had discussed,” he relayed having told the head of his justice department.Just over 24 hours later, Mr. Duterte — who long seemed above the law — was arrested in Manila. By the end of Tuesday, he had been put on a plane bound for The Hague to face charges of crimes against humanity.It was a swift coda to a long chapter of impunity in the Philippines. Only a handful of people have been convicted in connection with the killings in Mr. Duterte’s drug war, in which as many as 30,000 are estimated to have died. Now, the man who publicly took credit for the carnage was being sent to a court of law to face justice, in part because of a shift in political winds.Mr. Marcos, the son of the dictator Ferdinand E. Marcos, rose to power after forming an alliance with Sara Duterte, a daughter of Mr. Duterte’s. Running on a platform of national unity, they won the presidency and vice presidency in 2022. But their marriage of convenience started unraveling quickly, driven by mistrust.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      The Sunday Read: ‘What Happened When America Emptied Its Youth Prisons’

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      Listen and follow ‘The Daily’Apple Podcasts | Spotify | Amazon Music | YouTube | iHeartRadioWhen David Muhammad was 15, his mother moved from Oakland, Calif., to Philadelphia with her boyfriend, leaving Muhammad in the care of his brothers, ages 20 and 21, both of whom were involved in the drug scene. Over the next two years, Muhammad was arrested three times — for selling drugs, attempted murder and illegal gun possession.For Muhammad, life turned around. He wound up graduating from Howard University, running a nonprofit in Oakland called the Mentoring Center and serving in the leadership of the District of Columbia’s Department of Youth Rehabilitation Services. Then he returned to Oakland for a two-year stint as chief probation officer for Alameda County, in the same system that once supervised him.Muhammad’s unlikely elevation came during a remarkable, if largely overlooked, era in the history of America’s juvenile justice system. Between 2000 and 2020, the number of young people incarcerated in the United States declined by an astonishing 77 percent. Can that progress be sustained — or is America about to reverse course and embark on another juvenile incarceration binge?There are a lot of ways to listen to ‘The Daily.’ Here’s how.We want to hear from you. Tune in, and tell us what you think. Email us at thedaily@nytimes.com. Follow Michael Barbaro on X: @mikiebarb. And if you’re interested in advertising with The Daily, write to us at thedaily-ads@nytimes.com.Additional production for The Sunday Read was contributed by Isabella Anderson, Anna Diamond, Frannie Carr Toth, Elena Hecht, Emma Kehlbeck, Tanya Pérez, and Krish Seenivasan. More