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EL CAJON, Calif. (KGTV) - An El Cajon man says a new spinal procedure changed his life, but the Army veteran is now locked in a battle with his military health insurance plan which refuses to cover it.Ronald Maddern says he can't understand why TRICARE, his secondary insurance, would deny coverage of the procedure after his primary insurance, Medicare, agreed to cover 80 percent of the cost. Both insurance plans are run by the federal government."Makes me feel like a second-rate citizen after I served in the military for so many years," he said.The denial by TRICARE left him with a bill of ,756.Maddern had the Vertiflex procedure in 2017 to treat spinal stenosis, which had largely confined him to a wheelchair for 17 years. Maddern is now able to walk with help from a cane for balance."It was a drastic success," said the 71-year-old. "My quality of life now is very, very good."The procedure, developed by a Carlsbad company, was approved by the FDA in 2015. It has been performed thousands of times across the country, said Maddern's surgeon Dr. Michael Verdolin."It is extremely frustrating that one arm of the government says yes and the other portion, really the pinky, says no," he said.In a letter of denial, TRICARE argued Vertiflex is an "unproven procedure," despite its FDA approval."There have been 15,000 cases across the US. It's been cleared for use," Verdolin said. "There is no question to be asked about its efficacy."TRICARE did not immediately respond to requests for comment by 10News.Ronald Maddern's insurance case is now before an administrative law judge. He's hoping the judge's ruling will convince TRICARE to conform its benefits with other federal agencies, so more veterans can get the procedure. 1746
Edwin Medina embodies what the Christmas spirit is all about. He just received 0, but this college student is not buying Christmas gifts for his family or saving for his spring break trip. He is helping his mother.“She doesn’t have to decide if she is going to put food or a roof over our head for December,” Edwin Medina said. “We can enjoy the holidays.”Medina’s mother was infected with COVID-19 in April and was out of a job for about a month.“The debt piled up quickly, and ,400 became ,000 in debt,” said Medina.Edwin was one of the hundreds of college students in the United States who received the emergency grant from the Hispanic Alliance for Career Enhancement (HACE).The recipients were all impacted by the COVID-19 pandemic. 752
During the second national lockdown in the United Kingdom, the country’s coronavirus cases dropped by about 30 percent, according to a new study.The report, from the Real-time Assessment of Community Transmission (REACT) program in the UK, looked at swab tests on more than 105,000 people between November 13 and 24.Researchers found about .96 percent of the sample tested positive for coronavirus. This compares to about 1.32 percent positive swab tests of a similar sample in a November 2 report.“Three weeks into the second national lockdown in England there has been a ~30% proportionate reduction in prevalence overall,” the REACT report concluded. However, “average absolute prevalence remains high at ~1%. Continued monitoring of the epidemic in the community remains essential until prevalence is reliably suppressed to much lower levels, for example, through widespread vaccination.”An estimated one in 100 people have coronavirus in the UK, according to the study.The UK’s lockdown started on November 5, and data has indicated there was a spike in cases right after, according to the BBC, as symptoms started to show before the effects of the lockdown.The four-week lockdown is set to be lifted Wednesday in the UK, and regions will fall into one of a few tiers based on the rate of infections in that area. The study’s authors said the latest round of test results show a higher prevalence of positive coronavirus tests in school-aged children, however they note schools have stayed open. The UK’s second lockdown kept schools open while the majority of other businesses closed and residents were asked to stay home and not socialize. The country has been paying 80 percent of employee wages during lockdown. They also found a higher prevalence of positive tests from healthcare workers compared to the October data.Researchers estimate the so-called coronavirus reproduction rate, or number of people who will contract the virus from one infected person, has dropped to about .88. Roughly, this means less than one person contracts the coronavirus from each infected person. 2095
EL CAJON (CNS) - One person was shot and another stabbed at a house party in El Cajon late Saturday night, police say. Several 911 calls came in to police at about 11:50 p.m. Saturday reporting a fight at a party on Andover Road just east of South Second Street, El Cajon Police Lt. Eric Taylor said.Callers reported that multiple people had been kicked out and drove off in a silver car before turning around and firing shots at partygoers who were still outside, Taylor said. One person, a woman in her 20s, was shot in the abdomen.She was taken to a local hospital and was undergoing surgery in stable condition, Taylor said.No one else was hit by gunfire, but when police arrived at the home, they found a man in his 50s had also been stabbed in the buttocks, according to Taylor.The suspects had already left by the time officers arrived, and no one was in custody as of Sunday afternoon. 902
DUBLIN, Calif. (AP) — Authorities say actress Felicity Huffman has been released from a federal prison in California after serving 12 days of a 14-day sentence for her role in the college admissions scandal.The U.S. Bureau of Prisons says the "Desperate Housewives" star was released from the low-security prison for women in the San Francisco Bay Area on Friday morning.Under prison policy, inmate scheduled for weekend release are let out on Friday.Huffman reported to the prison on Oct. 15, with one day of credit for the time she spent in jail on the day she was originally arrested. 595