吉林治疗包皮要多少费用吉林做包皮过长到底多少钱啊,吉林治疗包皮包茎疾病的医院,吉林男科医院的排名,吉林前列腺炎怎样影响性功能,吉林医院做割包皮需要住院吗,吉林感觉尿不尽,吉林男科医院哪家割包皮好

VISTA (CNS) - A professional photographer who sexually assaulted four teenage girls during modeling sessions at a rented Carlsbad residence where he had set up a temporary studio was sentenced to 25 years in state prison Friday.Robert Koester, 52, pleaded guilty last month to 23 felonies related to raping and inappropriately touching the teens -- some of whom were drugged and unconscious during the abuse -- as well as creating child pornography of the girls.Koester also faces federal charges locally, as well as charges in his home state of Oregon, where he's accused of assaulting additional victims.RELATED: Modeling photographer pleads guilty to sex crimes against teenagersDeputy District Attorney Dan Owens said the investigations against Koester began with one of his local victims, identified in court only as Jane Doe 1, who came forward regarding the abuse and "put a stop" to his ongoing crimes. Based on her statements, Koester was arrested Nov. 13, 2018, in Carlsbad."The victims in this case showed extraordinary strength in coming forward and speaking out against this man who victimized them," according to Owens, who said the case has had "a tremendous impact on the victims who were involved in this case, not only them, but their families."Koester, who had been hired as a contract worker by Carlsbad-based Frank Model Management, raped and took nude photographs of the girls, whose ages ranged from 15 to 17 during the San Diego County incidents. The FBI has stated that some of his alleged criminal acts date back to 1994.RELATED: Modeling photographer working in Carlsbad arrested for sexual assaultAuthorities say he worked under the aliases "Bert Kay," "Rhake Winter" and "Qitooly."He's due to be transferred to San Diego federal custody to begin his federal case, which involves creation of child pornography regarding two of the victims in the state's case. Part of his plea agreement would have any sentence he receives federally run concurrently with his 25-year prison term.He then likely will be extradited to Yamhill County in Oregon to face additional state and federal prosecution there. 2132

WASHINGTON (AP) — Elizabeth Warren’s proposal to gradually move the country to a government-funded health care system has further inflamed the debate over “Medicare for All,” likely ensuring the issue will play a significant role in this week’s Democratic presidential debate.The Massachusetts senator announced Friday that her administration would immediately build on existing laws, including the Affordable Care Act, to expand access to health care while taking up to three years to fully implement Medicare for All. That attempt to thread the political needle has roiled her more moderate rivals, who say she’s waffling, while worrying some on the left, who see Warren’s commitment to a single-payer system wavering.The divide could complicate plans by Democrats to turn health care into a winning issue in 2020. The party successfully took back control of the House last year by championing programs that ensure that people with preexisting medical conditions keep their insurance coverage while arguing that Republicans want to weaken such provisions. But the Medicare for All debate is more delicate as advocates including Warren grapple with concerns that a new government-run system won’t provide the same quality of coverage as private insurance — and would be prohibitively expensive.“The Medicare for All proposal has turned out to be a real deal-breaker in who gets the Democratic nomination,” said Robert Blendon, a Harvard University School of Public Health professor whose teaching responsibilities include courses on political strategy in health policy and public opinion polling. “This is not just another issue.”Warren’s transition plan indicates she’d use her first 100 days as president to expand existing public health insurance options. That is closer to what has been supported by former Vice President Joe Biden and Mayor Pete Buttigieg of South Bend, Indiana. Both Democratic presidential candidates have criticized Medicare for All for wiping out private insurance — something they say many Americans aren’t ready for.Warren insists she’s simply working to expand health insurance in the short term to people who don’t have it while remaining committed to the full plan in the long run.“My commitment to Medicare for All is all the way,” Warren said while campaigning in Iowa over the weekend.Still, the transition signified a step toward pragmatism and an acknowledgement that the government has ways to expand health insurance coverage before embracing a universal system — something that would be difficult for any president to get through Congress. Consider that current entitlements, such as Social Security and Medicare, were phased in over years, not all at once.“If she’s looked at it and decides the sensible thing to do in order to not cause too much disruption in employment situations and within the medical system is to gear up over three years, she's probably right,” said Cindy Wolf, a customer service and shipping manager who attended the California state Democratic Convention on Saturday in Long Beach.Still, the move may prove politically problematic for a candidate who has long decried others settling for consultant-driven campaigns seeking incremental changes at the expense of big ideas.Vermont Sen. Bernie Sanders is the original architect of Medicare for All and has made fighting for it the centerpiece of his 2020 White House bid. He tweeted following the release of Warren’s transition plan: “In my first week as president, we will introduce Medicare for All legislation.”Campaigning in Nevada on Monday, California Sen. Kamala Harris said, “I believe that government should not be in a position of taking away people's choice.”“Especially on one of the most intimate and personal decisions people can make,” Harris said, “which is about how to address their health care needs.”The criticism from others was far sharper. Top Biden adviser Kate Bedingfield dismissed Warren’s plan as “trying to muddy the waters” by offering “a full program of flips and twists.” Buttigieg spokeswoman Lis Smith said it was a “transparently political attempt to paper over a very serious policy problem.”It’s easy to see the issue spilling into Wednesday’s debate because Warren rode a steady summer climb in the polls to become one of the primary field’s front-runners — but no longer seems to be rising. Polls recently show her support stabilizing, though not dipping, as focus on her Medicare for All ideas intensifies.The last two debates featured Warren failing to answer direct questions on whether she would be forced to raise middle class taxes to pay for the universal health care system she envisions. That set up a plan released two-plus weeks ago in which Warren vowed to generate -plus trillion in new government revenue without increasing taxes on the middle class — but that’s been decried by critics who accuse Warren of underestimating how much Medicare for All would really cost.And, though Warren never promised to begin working toward Medicare for All on Day 1 of her administration, the release of the transition plan, which spelled out that the process will take years, has unsettled some.Una Lee Jost, a lawyer who was holding “Bernie” signs in Chinese and English at the California Democratic Convention, called any lengthy transition to Medicare for All “a serious concern.”“We should have implemented this decades ago,” she said.___Associated Press writers Kathleen Ronayne and Michael R. Blood in Long Beach, Calif., and Michelle Price in North Las Vegas, Nev., contributed to this report. 5566

WASHINGTON — As President Donald Trump continues to press his argument that the vote was rigged against him, the machinery of government and democracy is moving inexorably toward Joe Biden's presidency.As U.S. District Judge put it this week in throwing out a lawsuit challenging Biden's win in Michigan: "This ship has sailed."Trump has refused to recognize that fact and vows to press on with his challenges. On Wednesday, Trump tweeted a call to "#OVERTURN" the results of the election and has continuously tweeted baseless claims that he was the winner.But Biden is firmly on track to become president Jan. 20, after having won a decisive majority of the electoral vote.As of Tuesday, nearly every state has now certified the results of their elections, a process known as "safe harbor." With Biden's win certified, the electoral college will formally recognize Biden's win on Dec. 14.The Trump campaign and other Republicans continue to file lawsuits attempting to overturn election results on widespread fraud claims. But none of those lawsuits have proved any systematic fraud or consequential error in U.S. voting systems.Trump has also not been helped by the newly-conservative Supreme Court and the hundreds of federal judges that he's appointed. His repeated attempts to personally pressure election officials in Michigan and Georgia into delaying certification also amounted to nothing.Ultimately, Biden will be sworn in on Jan. 20 after receiving 306 electoral college votes — the amount of votes Trump won in his 2016 win over Hillary Clinton, which he has referred to as a landslide win. 1610

VISTA, Calif. (KGTV) — A pregnant mother who fell sleep at the wheel early Saturday morning crashed into a Vista building, causing an hours-long gas leak.San Diego Sheriff's deputies say the crash occurred at about 2:45 a.m. on South Santa Fe Ave., near Civic Center Dr., at a Battery World store.A family of five was in the SUV that crashed after the driver, identified as a 30-year-old pregnant mother by deputies, told deputies she fell asleep before she lost control of the vehicle, struck a telephone pole, and crashed into the building.A 40-year-old man, a 3-year-old boy, a 2-year-old boy, and a 9-month-old girl were in the SUV at the time of the crash. The driver sustained a bruise to her forehead. No one was seriously injured, deputies said. The family was taken to a nearby hospital as a precaution.The crash caused a gas leak in the damaged building. SDG&E crews have since fixed the leak. The utility company said the leak did not expose the neighborhood to dangerous levels of gas, but nearby residents were able to smell the gas.No one was inside the building at the time of the crash.S. Santa Fe Ave. was closed until at least 7 a.m. 1183

WASHINGTON — Presidential adviser Jared Kushner says President Donald Trump wants to help Black Americans, but they have to “want to be successful” for his policies to work.Kushner added that Trump administration policies will help Black people overcome problems that the community has been "complaining about.""President Trump’s policies are the policies that can help people break out of the problems that they’re complaining about, but he can’t want them to be successful more than they want to be successful," Kushner said.Democratic Rep. Don Beyer of Virginia accused Kushner of “casual racism.”Former Democratic National Committee Chair Donna Brazile says Kushner is “talking to folks who have suffered and endured systemic racism and historic tokenism.”White House press secretary Kayleigh McEnany says “internet trolls” took Kushner’s words out of context. 872