Weill Cornell Medicine has reached a settlement with Manhattan federal prosecutors to resolve a criminal investigation into allegations that the institution failed for years to prevent a physician’s sexual abuse of patients. The matter, handled by the U.S. Attorney’s Office for the Southern District of New York, is notable not only because of the underlying misconduct allegations, but because prosecutors trained their focus on the institution’s response — or lack of response — to warning signs and complaints.

That distinction matters.

A federal judge in New York has authorized payment of roughly $5.8 million to E. Jean Carroll, moving to satisfy the 2023 civil judgment that found Donald Trump liable for sexually abusing and defaming her. The order marks a consequential enforcement step in one of the highest-profile civil cases in the country, showing that even while post-trial challenges and appellate efforts continue, prevailing plaintiffs can still press toward collection.

The underlying case, Carroll v. Trump, arose from Carroll’s claims that Trump sexually abused her in the 1990s and later defamed her by denying the accusation.