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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
EL CAJON (CNS) - A man accused of setting a bank ablaze and looting several stores following a contentious police protest in La Mesa pleaded not guilty today to nearly a dozen felony arson, burglary and vandalism charges.Ricky Bernard Cooper, 33, is charged with setting a fire inside the Chase bank branch at 4791 Spring St. and looting Sally Beauty, Play it Again Sports and the Vons supermarket at the La Mesa Springs Shopping Center.Deputy District Attorney David Vallero alleged that Cooper was one of several people who broke into businesses at the shopping center and took items on the night of May 30.The prosecutor said Cooper also admitted to burning papers inside the bank, though he claimed they ``didn't catch.'' Vallero alleged that several people lit fires inside the bank, which burned to the ground.``This defendant was engaged in very serious conduct which, probably from his perspective during this night, seemed like a night when there was going to be no laws and no rules,'' Vallero alleged. San Diego County Superior Court Judge John Thompson set Cooper's bail at 0,000. His next court date is a Nov. 30 readiness conference.Cooper's arrest was announced last week by the FBI, along with the arrest of 19-year-old Alexander Jacob King, who is also accused of arson and looting. County jail records show King is no longer in custody, though he's still expected to face charges.Protests that took place in La Mesa on May 29 and May 30 were sparked by the Memorial Day in-custody death of George Floyd in Minneapolis and the controversial arrest of another Black man, Amaurie Johnson, in La Mesa a few days prior to the protest. Johnson's rough arrest by a white La Mesa police officer was captured on video and proliferated over social media, prompting extensive backlash against the police department and a federal lawsuit filed by Johnson against the city.The May 30 protest began with demonstrators marching on Interstate 8 in the afternoon, before the group moved to the La Mesa police station. Though the protest began peacefully, confrontation broke out at nightfall, with some protesters throwing objects and officers firing beanbag rounds and tear gas to disperse the crowd.The Chase bank was set on fire, along with another bank and the Randall Lamb and Associates building on Palm Avenue. 2329
Dr. Anthony Fauci, the government's top infectious disease expert, said during a Senate hearing Tuesday that he was "very disturbed" by the recent spike in COVID-19 cases and said it's conceivable that the U.S. could see as many as 100,000 new infections a day should trends continue."We are now having 40,000+ new cases a day," Fauci said. "I would not be surprised if we go up to 100,000 a day if this does not turn around."Also during the hearing, Fauci said he's "concerned" about how some states have gone about reopening their economies and said he's observed some states "skipping steps" on federal government guidelines."I am also quite concerned about what we are seeing evolve right now in several states, Fauci said. "When states start to try and open again, they need to follow the guidelines that have been very carefully laid out with regard to checkpoints.""What we've seen in several states is several iterations of that. Perhaps, in some, going too quickly and skipping over some of the checkpoints," Fauci said.Fauci did not say which states he believed skipped checkpoints but singled out Arizona, California, Florida and Texas as containing more than 50 percent of new infections.The White House and Centers for Disease Control and Prevention have recommended that states follow a three-phase reopening plan and meet several criteria before proceeding to each phase. Those criteria include a downward trajectory of documented cases within a 14-day period and a downward trajectory of positive tests as a percent of total tests within a 14-day period.Fauci's comments came during a Senate Committee on Health, Education, Labor, and Pensions (HELP).Among the other health experts who attended the hearing were CDC Director Robert Redfield, FDA Director Stephen Hahn and Assistant Secretary for Health Adm. Brett Giroir.The hearing comes as several states struggle to contain the virus as they start to reopen amid a nationwide jump in case counts.The U.S. reported upwards of 40,000 new COVID-19 cases on Friday, Saturday and Sunday — some of the biggest daily spikes since the pandemic began.The increase is evident in more than half of the states in the nation. Florida, Texas and Arizona are getting hit especially hard.In the Sunshine State, beaches have closed for the upcoming Fourth of July holiday.For its part, Texas has begun scaling back the reopening of its economy. 2404
Dr. Anthony Fauci says he believes the worst is still yet to come in the coronavirus pandemic following the holiday season. “I share the concern of President-elect Biden that as we get into the next few weeks, it might actually get worse.” #CNNSOTU https://t.co/KsKyKgNAG6 pic.twitter.com/xwSdyNyyuG— State of the Union (@CNNSotu) December 27, 2020 362
Dr. Jill Biden is making history as the first first lady to have a full-time job in addition to her role in the White House.“I think this is an opportunity to bring the role of first lady into the 21st century,” Ohio University professor of history Katherine Jellison said.Jellison at Ohio University studies first ladies’ influence on gender ideology and how experiences of first ladies inform America's idea of U.S. family life.“We have a first lady who’s living a life more like the average American woman," Jellison said. "Who in our society in the year 2020-2021 balances her family life and her work life."Biden is an English professor at Northern Virginia Community College. Even though the pandemic has brought new challenges to teaching, she says she will continue her full-time job as an educator while standing alongside her husband in the White House next year.“She has said on many occasions ‘being a teacher isn’t what I do, it’s who I am,'” Jellison said.Kim Churches is the CEO of American Association for University Women. AAUW is an organization that works to advance gender equity for women and girls.“By seeing that Dr. Jill Biden is not only passionate about being a teacher, but really embraces it as part of her whole self, will really change the way that we think about women’s roles in all of society,” Churches said.Churches says Dr. Jill Biden is serving as a prime role model for young girls who want to create and sustain change.“For 231 years, we have seen a first lady as stepping back behind the president – her husband – in all of these roles," Churches said. "But now we’re in a time when women make up half of the workforce, and by Dr. Biden really emulating and showing that a woman’s place is in the family, and the woman’s place can be in the workforce – and she can choose both – is really allowing women to see themselves and how they’re operating in their families today.”Traditionally, when the position of first lady developed, her role was described as the pinnacle of advanced home making. Much of her attention was put toward fashion and entertaining guests. For the past few decades, Jellison says there’s been less focus on appearance, and more focus on substance like the professional strides she takes and her influence on politics.“Someone like an Eleanor Roosevelt, a Hillary Clinton, Michelle Obama have been real players in terms of advising their husbands on policies and also being major players in their own right," Jellison said. "Going out and championing important causes.”Considering Dr. Biden is an educator and a mother, Churches says she’s optimistic about her time in office.“I really hope that as Dr. Biden embarks on working and on her bold agenda as first lady, that we can also begin to center the incredible need for care giving and valuing caregiving in our nation," Churches said, "Flexible work schedules – look, women make up half the labor force, but many of them are having to choose between family or paychecks right now because of all the uncertainties the COVID pandemic has laid bare.”Whether working a full-time job or not, both Jellison and Churches say they would like to see first ladies in the future given more freedom to be themselves. 3230
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