If you think this is just an industry story, think again. It's about manipulation, the co-opting of social justice movements, and more than a few vampires, both literal and figurative (she pretended Anna Paquin gave her a kidney).
The woman at the center of the fraud posted a lengthy apology the day the doc came out, so this isn't a Dancing For The Devil situation where we don't actually know what to believe. She did it.
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And it sounds like things were on the verge of toxic both inside the writers room and on set around 2017-2018, which is when fan favorite Sarah Drew, who'd played Dr. April Kepner for nine seasons, was abruptly let go, alongside co-star Jessica Capshaw, who played Dr. Arizona Robbins. “We were unceremoniously let go in a way that felt mean and unjust," Drew just spilled on the podcast that Capshaw hosts with current Grey's cast member Camilla Luddington, who plays Dr. Jo Wilson.
At the time of the double departure, Shonda Rhimes et al chalked it up to the “creative direction” of the show, with Drew saying that she was told her contract wasn't renewed because the always sprawling cast had too many characters and they apparently needed to downsize. Both Capshaw and Drew have made return appearances on the show since then, so probably no bad blood now, but back in the day… (eyes emoji).