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发布时间: 2025-06-01 02:57:13北京青年报社官方账号
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CLEVELAND — Chuck and Angie Graham have been married 33 years.They have been through a lot together in that time, but perhaps their biggest challenge yet came in January.The Diagnosis"I woke up in the morning to go to work and I lost my balance a couple times and fell down," Chuck said.Angie said she heard something and yelled up to him if he was OK."He said he was falling and couldn't walk," Angie recalled, tearing up.An ambulance ride, and several tests and scans later, the Grahams had their answer — and it was devastating."She said that I had a very aggressive tumor in my brain and it was malignant," Chuck said.Such a diagnosis can make you feel so helpless, Angie said.The DenialThey say the next blow was just as unexpected.Their health insurance provider denied covering the procedure Chuck's neurosurgeon recommended to treat his cancerous brain tumor, saying it was "experimental" and "investigational."The laser ablation procedure was FDA-cleared a decade ago, but that does not guarantee coverage.The Grahams appealed the decision. Chuck was prepped for surgery hoping for a last-minute approval that never came, and he was sent home."Just the look on his face, broke my heart," Angie said."He's a veteran. He's a dad. He's a husband, a grandpa and a friend who would do anything for you. How could they not value him?"Fighting BackChuck's family took action.His daughter Jen Koons led the charge."They've just always been there for us," Jen said.And now she wanted to be there for them.Jen turned to the power of social media.She had previously sent the letter to the company before posting it to Facebook.It began: "An open letter to SummaCare and our health insurance industry..."Jen wrote about her father's fight with brain cancer and health insurance.The letter continued: "I hope thousands of people read this letter and understand that our physicians do not get to decide what's best for us, insurance companies do."Her post was shared nearly 3,000 times. Hundreds commented. Her message resonated.Fighting Back"I would say don't give up," Jen said.She learned about the right to an external review. It is a free service all health plan issuers must provide once the internal appeals process has been exhausted.An independent organization reviewed Chuck's case and overturned the denial.Two weeks after he had been sent home from the hospital, Chuck got the surgery his doctor had recommended."I just think we would've had a whole different scenario today if he hadn't had that surgery," Angie said.The external reviewer found Chuck's procedure "medically necessary" and "beneficial" for his condition."I just want people to understand their rights and to find their voice," Jen saidChuck's tumor is shrinking, and Jen is happy how things turned out for her dad, but angry, she says, for the people who don't have someone to advocate for them."There's how many people who go home and think, 'Oh, this is just the way it is,' " she said.In her open letter she wrote, "People deserve better. People deserve to count on their health insurance. They are more than a premium payment."Chuck's provider called the procedure "experimental and investigational." It was FDA-cleared a decade ago, but that does not guarantee coverage.There are not clear guidelines as to what defines "experimental and investigational."It can create a gray area where patients seeking innovative uses for a procedure are caught up."I'd like to see legislation around experimental procedures," said Tracy H. Porter of Cleveland State University.She said she'd like to see clarification and rules put in place, like with pre-existing conditions."I would also like to see something where we're educating patients more on their rights," Porter said.That is why Chuck and his family said they wanted to share their story; they want to help others navigate the often murky waters of a diagnosis and a denial.Jen has kept meticulous track of her father's paperwork. She has two bulky binders filled with research, correspondence with doctors, the hospital, insurance and notes from outside agencies.WEWS did reach out to SummaCare for this story.They provided us with this statement:"First and foremost, at SummaCare, we want what is best for our members in all cases. In accordance with federal privacy laws, we cannot discuss the specific medical care or associated claims of any of our members."ResourcesJen said she also found helpful resources through the 4465

  中山大便有血   

Every county in Florida is under a state of emergency as the state prepares for what may be the strongest hurricane to hit its east coast in nearly three decades.At 105 mph, Dorian is the strongest storm of the Atlantic hurricane season so far. If it makes landfall as a 283

  中山大便有血   

During a preliminary hearing Thursday, a Georgia Bureau of Investigation agents said that the man who shot and killed Ahmaud Arbery used a racial slur as he stood over Arbery's lifeless body.GBI Agent Richard Dial said Thursday that Roddy Bryan — one of the three men charged with murder in connection to Arbery's death — claimed Travis McMichael used a slur after he shot Arbery with a shotgun.Dial also testified Thursday that Bryan, Travis McMichael, his father, Gregory, repeatedly "boxed in" Arbery while he was jogging to prevent him from escaping.Watch the hearing live in the player below.Bryan and the McMichaels appeared in court via teleconference to a preliminary hearing in which the defense challenged the evidence that led to their arrest, WXIA reports.Kevin Gough, an attorney representing Bryan, told 830

  

Democrats concluded the second day of opening arguments in the impeachment trial of President Donald Trump on Thursday.Thursday marked the second of three eight-hour sessions in which House impeachment managers will explain why they feel President Donald Trump should be removed from office.On Wednesday, lead impeachment manager Adam Schiff walked Senators step-by-step through Trump's dealings with Ukraine, in which Trump withheld foreign aid for weeks in the hopes that it would encourage new Ukrainian President Volodymyr Zelensky to open an investigation into one of his political rivals."(The president) does not, under our laws and under our constitution, have a right to use the powers of his office to corruptly solicit foreign aid, prohibited foreign aid, to help his re-election," Schiff said during his remarks Thursday.Watch Thursday's session below:Democrats claim Trump abused the power of his office by withholding military aid to Ukraine — a U.S. ally and a key part of the U.S.'s defense against Russia — in exchange for opening an investigation that would be politically advantageous to Trump.Trump pushed Zelensky to announce that publicly that Ukraine was opening an investigation into Hunter Biden — the son of Democrat presidential candidate Joe Biden — and his role as a board member for the Ukrainian energy company, Burisma. While he was vice president, Joe Biden pushed for the firing of Ukrainian prosecutor Viktor Shokin, who was investigating Burisma. Obama administration officials maintain Shokin's firing was consistent with the U.S.'s strategy of rooting out corruption in Ukraine. During part of his remarks on Wednesday, Schiff pushed for Republicans to approve witnesses following opening arguments by both sides. "You should want the whole truth to come out. You should want to know about every player in this sordid business. It is within your power to do so," Schiff said.When setting rules for the impeachment trial, Republicans declined to include scheduled time for witnesses. Following opening arguments, senators most vote to approve additional witnesses with a majority vote. The Republican caucus currently holds a 53-47 advantage over the Democrat caucus, meaning four Republican senators would need to break party lines to approve witnesses.The Democrats' opening arguments will continue Friday when the trial resumes at 1 p.m. ET.Alex Hider is a writer for the E.W. Scripps National Desk. Follow him on Twitter @alexhider. 2487

  

Christmas is nearly two months away, but that hasn't stopped many Americans from starting their holiday shopping. According to data released by the National Retail Federation, 40 percent of Americans start their holiday shopping by Halloween. That is why many retailers begin holiday marketing in September, the NRF said.. In additional holiday shopping data released by the NRF this week, one piece of unknown data is whether prices will increase this holiday season due to tariffs. "Some holiday merchandise including apparel, footwear and televisions are subject to new tariffs that took effect on September 1, and other products will have tariffs applied on December 15," the NRF said. The NRF added that retailers will work to limit the impact of tariffs, but that many small businesses will be unable to absorb the costs. For this holiday season, the NRF expects retails to rake in 4 percent more revenue compared to 2018, with between 7.9 billion and 0.7 billion in total revenue.While spending on gifts for family is expected to decline, spending on gifts for non-family members could see a giant increase the NRF said. For the average consumer, they said they will spend ,047.83 this holiday season. Nearly 59 percent of consumers said they will shop for gift cards; 52 percent for clothing and accessories; 35 percent for books and other media; 29 percent for electronics; and 24 percent for home decor. Of the ,047.83, consumers said they'll spend 1 on gifts for the family, which is actually down from 6 from last year. Gifts for non-family is expected to see a jump from 6 in 2018 to 2 in 2019.Non-gift spending is expected to increase from 5 in 2018 to 2 this year, as consumers said they will take advantage of discounts offered during the holiday season. “Younger consumers are helping drive the spending increase this year,” Prosper Insights Executive Vice President of Strategy Phil Rist said. “They’re not just spending on their immediate family members, they’re also treating their larger circle of co-workers and friends to gifts.” More than half of shoppers between the ages of 25 and 34 (52 percent) plan to purchase gifts for co-workers, and 82 percent of those between 18 and 24 plan to purchase gifts for their friends. 2285

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