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IMPERIAL BEACH, Calif. (KGTV) — Wednesday, Imperial Beach city leaders unanimously approved a one-cent sale tax measure for the November ballot.The city says, if enacted, the measure would, "enable the City to prepare for medical or catastrophic emergencies including preparing local first responder services, updating emergency communication systems and maintaining rapid 911 emergency response capacity."The potential one-cent sales tax increase would also support restoring the city's long-term emergency funding that is being used to address the coronavirus pandemic."Even through these challenging times, the City must continue to address challenges with clean, safe neighborhoods and addressing homelessness to maintain Imperial Beach as a quality community to live, work and raise a family for all residents," said Assistant City Manager, Erika Cortez-Martinez.The measure includes accountability and transparency requirements, including public disclosure of spending and independent audits, the city says.If approved it would go into effect in the spring of 2021. 1079

If you've ever had a surgical procedure, you know it can often mean a high hospital bill. Now, more people are turning to surgery centers for a lower cost.Sandi Bowen is one of those people.Something as simple as picking out a shirt is more challenging for Bowen than she ever thought it'd be. On Easter, she found a lump in her breast. Doctors told her it was cancer."It was very very very confusing," Bowen says. "It still is. It brings tears to my eyes, because I don't understand how I got it."Instead of a lumpectomy, she decided to remove her entire breast. And instead of going to a hospital for breast reconstruction, Bowen opted for the Kaiser Permanente Ambulatory Surgery Center, where she got the surgery. In less than 24 hours, she was back home recovering.  "I felt very special," Bowen says. "They were there every time I moved. They came in and talked to me, even goofed around with me."Dr. Mike Sawyer, the director at the center, says they've worked hard to address concerns regarding patient care."If it's a patient that just needs physicians to kind of come to the bedside, and maybe we have to have some kind of intervention, we're able to do that because are here and we are present," Dr. Sawyer says. "On site, as they say. If it's really something that requires a higher level of care, that again allows us to do a pretty quick transfer process over to one of our partner hospitals."Compared with hospitals, Kaiser Permanente says its patients are seeing an average cost savings of 30 percent on their procedures. It can be anything from simple orthopedic procedure to joint procedures.However, Dr. Sawyer says there are important questions you need to ask before determining if a surgery center is the best option for you."Does your physician feel comfortable with this operation there?" Dr. Sawyer says. "Have you and your physician discussed all the ramifications of that procedure? And then what sort of plans does that ambulatory surgery center have if you were required a higher level of care?" 2037

If you want to feel happier, then you'll need to move to Hawaii.According to WalletHub, Hawaii is the happiest state of 2020.Source: WalletHubResearchers at WalletHub looked at environmental factors, like economic, emotional, physical, and social health, often linked to how satisfied people are with life.They then compared how much people work to people's rates of depression and unemployment.With its gorgeous beaches, the fantastic weather, and the scenic views, it's no wonder the aloha state came out on top.West Virginia was ranked the least happy state. 569

Hurricane Michael is bearing down on the Florida Panhandle with frightening fury.The Category 4 storm is packing winds of 130 mph and may grow even fiercer before it makes landfall Wednesday, likely near Panama City Beach.Photos: Hurricane Michael to slam US coastIn terms of wind intensity, that would make it stronger than Hurricane Florence, which had winds of 90 mph when it blew ashore in North Carolina last month.Here are some other facts that show the power of this "monstrous storm." 500

In a private Instagram group chat, confessed school shooter Nikolas Cruz repeatedly espoused racist, homophobic and anti-Semitic views and displayed an obsession with violence and guns.Wednesday, 19-year-old Cruz opened fire at the school that expelled him, Marjory Stoneman Douglas High School in Parkland, Florida. Authorities say he killed 17 with his legally purchased AR-15.CNN, investigating comments the shooter may have left on a now-deleted YouTube channel, was added to the private Instagram group by one of the active members in it. The responding group members, who appear to be younger than 18, have refused to confirm their identities to CNN on or off the record.When asked for comment or whether they knew about the private chat group, the FBI directed CNN to the Broward County Sheriff's Office.Most of the conversation in the group since Cruz joined around August 2017 is between six people -- including Cruz."I hate jews, ni*****, immigrants" 968