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NORFOLK, Neb. -- Something as simple as going for a walk with family, Troy Bowers doesn’t take for granted, considering he hasn’t been able to do it for years.Bowers broke his ankle multiple times and went through a series of surgeries that caused endless pain.“I was to the point where I was potentially going to lose the lower part of my leg and my foot just because it hurt so bad,” Bowers said.But then a local doctor gave him hope. Dr. Demetrio Aguila III is the founder, CEO and president of Healing Hands of Nebraska.Healing Hands of Nebraska is a medical and surgical practice that focuses primarily on the surgical management of chronic pain. Dr. Aguila says a program called the M25 Program is the heart and soul of their practice – inspired by his time serving as a combat flight surgeon in Afghanistan.“The M25 program is a mechanism by which patients and doctors and communities work together to invest in each other to get the care that they need without causing a financial burden,” Dr. Aguila said.If somebody can’t afford a surgery, the M25 Program gives them the opportunity to pay for their procedure through community service hours. Healing Hands of Nebraska collaborates with multiple organizations where patients can volunteer.“You volunteer your time, and then they call me up, ‘she’s finished all the hours you asked for. Ok, send her over’. We’ll do her surgery… no charge… zero charge.”The M25 Program is what saved the Bowers' family from going into debilitating medical debt.“We were basically bankrupt, and luckily, when we needed it the most, I guess God was looking out for us and Dr. Aguila was willing to help,” Bowers said.Bowers chose the Orphan Grain Train for his community service – a Christian volunteer network that ships donated food, clothing, and medical items to people in need throughout the U.S. and world.“Through I believe like 450 community hours, I was able to have three procedures by Dr. Aguila to finish up my nerve repair. And I don’t even know what that would have cost… thousands, I mean a lot,” Bowers said.But due to his pain, he wasn’t able to do too many hours. So, he asked his church, Grace Lutheran, for help.“We had a group of kids of about 6-12 every week pitching in for about an hour a week, and those service hours really added up,” Grace Lutheran Pastor Chris Asbury said.Every Wednesday, Pastor Asbury and a group of middle schoolers – called Happy Helpers – donated their time to help Bowers.“Them young people helped me walk, and I got to save my leg because of them and other volunteers," Bowers said. "They made that difference.”Every time they volunteered, they prayed that they could be a blessing to the Bowers' family.“As Christ loved us, we love the people around us," Pastor Asbury said. "And we don’t just talk about it, but we find everyday ways to do that. It doesn’t have to be big. Most of the time it’s never newsworthy, but this certainly is.”You may be wondering, how is this all even possible? Well, it’s more simple than you think.“We offer significantly discounted fees for our services here compared to what you would find at other practices because we don’t involve the insurance companies,” Dr. Aguila said.According to Dr. Aguila, patients know exactly what they’re getting into financially when they enter the office. Without insurance involved, there’s no administrative costs for the patient. Dr. Aguila says they can pay everything up front, split up payments over time, or go through the M25 Program.“Last year, two thirds of all individual bankruptcies in the United States were tied to medical debt,” Dr. Aguila said.And of those two thirds of people, Dr. Aguila says three fourths had medical insurance.“We’re gonna work outside the system in order to build a better system that’s fair to patients, that’s transparent,” Dr. Aguila said.When people use the M25 program, Dr. Aguila doesn’t get paid for his professional fees. However, the office says they don’t look at it as a financial hit. Rather, they look at it as a way to give back to the community, calling it medical mission work in their own backyard.“Who loses? Nobody. Who wins? Everyone,” Dr. Aguila said.Now, Bowers can go on with his life, spending time with his family.“Riding horses with my daughter, fishing with my son, we’re doing great.”Dr. Aguila says doctors have reached out from all over the world trying to figure out how they can implement their own program. He says he’d like to see M25 change the conversation about healthcare, restore the doctor-patient relationship, and spur a resurgence of volunteerism in the U.S.“It is my fervent hope, that we will rekindle, reignite in the soul of the American people a desire to volunteer and help their neighbors,” Dr. Aguila said. 4762

NEW YORK CITY — Police say they have arrested a man after he allegedly pushed a woman onto subway tracks as a train was arriving at the Union Square station Thursday morning.The NYPD said a call came in just before 8:30 a.m. local time after a woman was shoved off the subway platform and onto the tracks of the No. 4, 5 and 6 subway lines.Surveillance video shows the suspect waiting and then suddenly push the woman, 40, onto the tracks in front of the oncoming train.The FDNY rushed to the scene and helped the victim off the tracks, while a New York City Transit platform controller subdued the suspect, holding him down until police arrived, authorities said.The woman was taken to a nearby hospital and only suffered minor injuries, authorities said.NYPD Chief of Transit Kathleen O'Reilly said on Twitter that "charges are forthcoming and this case will be prosecuted to the fullest extent."The incident caused delays and service impacts along the No. 4? and ?5? train lines, the MTA said. 1004

No one likes to step in the "you-know-what" that dogs leave behind. Thanks to science, some Wisconsin apartment complexes are finding out exactly what dog, and what owner is responsible for those unattended piles. "It resolved issues immediately," said Ed Muisenga, the property manager at Prairie Grass Living in Pewaukee. He says they implemented the dog DNA policy from the beginning. It's built into their pet policy so when dogs move in, their cheeks are swabbed and their DNA stored in a registry through the company PooPrints Wisconsin.Then if Muisenga finds any waste that hasn't been picked up, they can send it to a lab to be tested, and eventually matched to one of the resident's dogs. "A lot of people thought it was a cool idea, I do too," he said. "It was kind of something I thought was funny in the beginning but it made a lot of sense." Diane and Frank Busateri don't live in a complex with this policy but nearby. They said most dog owners in their community are responsible. "It's kind of weird," said Diane. "I think it's unnecessary if people are willing to cooperate with each other," added Frank. If the DNA test proves an owner didn't pick up their dog's poop, the Prairie Grass Living complex imposes a fee that's between 0 and 0. But for the most part, the policy leads to more accountability, according to Anna Schloesser, the owner of PooPrints Wisconsin. She says they have 60 properties in the state using this service and most property owners have reported very little issue with waste left behind. "You have 'he said she said' and you can't figure out who did it," she said. "This is just an easy way to pinpoint where it came from and solve the problem."The company says some municipalities are even considering implementing a similar policy, so waste left behind in parks or other public places could also be tracked.  1942

New coronavirus cases in the U.S. have surged to their highest level in two months and are now back to where they were at the peak of the outbreak.The U.S. on Tuesday reported 34,700 new cases of the virus, according to a tally compiled by Johns Hopkins University that was published Wednesday. There have been only two previous days that the U.S. has reported more cases: April 9 and April 24, when a record 36,400 cases were logged.New cases in the U.S. have been surging for more than a week after trending down for more than six weeks. While early hot spots like New York and New Jersey have seen cases steadily decrease, the virus has been hitting the south and west. Several states on Tuesday set single-day records, including Arizona, California, Mississippi, Nevada and Texas.Cases were also surging in other parts of the world. India reported a record daily increase of nearly 16,000 new cases. Mexico, where testing rates have been low, also set a record with more than 6,200 new cases.But China appears to have tamed a new outbreak of the virus in Beijing, once again demonstrating its ability to quickly mobilize vast resources by testing nearly 2.5 million people in 11 days.In the U.S. state of Arizona, which on Tuesday reported a record 3,600 new infections, hundreds of young conservatives packed a megachurch to hear President Donald Trump’s call for them to back his reelection bid.As he did at a rally in Oklahoma over the weekend, Trump referred to the virus with a pejorative term directed at its emergence in China.Ahead of the event, the Democratic mayor of Phoenix, Kate Gallego, made clear that she did not believe the speech could be safely held in her city — and urged the president to wear a face mask. He did not. Trump has refused to wear a mask in public, instead turning it into a red-vs.-blue cultural issue.Earlier Tuesday, Dr. Anthony Fauci told Congress that the next few weeks are critical to tamping down the surge.“Plan A, don’t go in a crowd. Plan B, if you do, make sure you wear a mask,” said Fauci, the infectious disease chief at the National Institutes of Health.In China, an outbreak that has infected more than 200 people in the capital this month appeared to be firmly waning. China on Wednesday reported 12 cases, down from 22 the day before. Beijing reported seven new cases, down from 13.Officials in Beijing said they tested more than 2.4 million people between June 12 and June 22. That’s more than 10% of the capital’s population of about 20 million.Authorities began testing people at food markets and in the areas around them. They expanded that to include restaurant staff and the city’s 100,000 delivery workers. China also said it used big data to find people who had been near markets for testing, without specifying how.The vast majority have tested negative, though one courier delivering groceries from supermarkets tested positive.A single inflatable mobile lab in one district was capable of conducting 30,000 tests a day, the official Xinhua News Agency said.South Korea, which successfully tamed its first wave of infections, is seeing another rise. While the first outbreak was centered in its fourth-largest city, the current outbreak is in the Seoul region, where most South Koreans live. Authorities reported 51 cases Wednesday. Its increase of 40 to 50 cases every day over the past two weeks comes amid increased public activity and eased attitudes on social distancing.In India, with a population of more than 1.3 billion, the densely populated cities of Mumbai and New Delhi have been hardest hit. The country has reported more than 450,000 cases of the virus, including more than 14,000 deaths.The situation in New Delhi is a rising concern, with the federal government criticizing its poor contact tracing and a lack of hospital beds.Mexico reported nearly 800 new deaths on Wednesday. The country has recorded more than 190,000 cases and more than 23,000 deaths, although officials acknowledge both are undercounts due to extremely low testing rates. Mexico has performed only about half a million tests, or about one for every 250 inhabitants.Worldwide, more than 9.2 million people have contracted the virus, including more than 477,000 who have died, according to figures compiled by Johns Hopkins University.___Perry reported from Wellington, New Zealand. Associated Press reporters around the world contributed.Follow AP coverage of the virus outbreak at https://apnews.com/VirusOutbreak and https://apnews.com/UnderstandingtheOutbreak. 4528

Nevada, Oregon and Washington have all agreed to join California in its plan to allow an independent group of health experts to review the safety and efficacy of any COVID-19 vaccines before they're approved for use in their states.Nevada Gov. Steve Sisolak, Oregon Gov. Kate Brown and Washington Gov. Jay Inslee — all of them Democrats — said Tuesday that they had agreed to join fellow Democrat, California Gov. Gavin Newsom, in subjecting any COVID-19 vaccines approved for emergency authorization use to further review by a panel of scientists and health experts.According to a press release from Sisolak's office, the group's goal is that the additional review would not cause a delay in the distribution of vaccines."When the time comes, Nevadans will be able to feel confident in the safety of the vaccine knowing that an independent review by experts across the West gave it their seal of approval," Sisolak said in a statement."The FDA has made public information about the data required for authorizing a vaccine. That, combined with two independent federal groups, and our own Western States review process, should give the public pretty high confidence on the safety and efficacy of a COVID-19 vaccine," Inslee said in a statement. "When a safe vaccine is available, Washington state is going to be ready to distribute it in a way that is equitable, efficient, and most importantly, safe."The announcement comes just over a week after Newsom said he was committed to further reviewing vaccines for safety after they have been approved by the FDA.That panel will now expand to include representatives from Washington, Oregon and Nevada.Most health experts believe several COVID-19 vaccines could be granted emergency approval by the end of the year. Should that timeline hold true, vaccines would be first distributed to essential workers and people in high-risk populations first and would then would be made available to the general public later in 2021.In contradiction with his top health experts, President Donald Trump has at points promised that a vaccine could be approved ahead of election day, raising fears that Trump administration officials may be rushing the process for political reasons.Nine drug companies have already signed a joint pledge, saying that they will not allow COVID-19 to be distributed if they're not proven to be safe.Polling from earlier this year indicates that about half of Americans would not take a COVID-19 vaccine should one be made available — well below the level health experts say the country needs to reach to control the virus. 2593