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If you're a pet owner, you know your furry friend can be expensive, especially when it comes to their medical bills. Last year, Americans spent billion at the vet. That's why more owners are now opting for pet insurance. But, is it worth it?"When you are presented with a ,000 bill for emergency surgery, you might only have to pay a couple hundred dollars," says Dr. Jessica Weeks, with BluePearl Veterinary Partner.   Routine care for a dog can be on average 7, and for cats, it’s around 2, according to the American Pet Product Association.  "Most people aren't prepared financially for those things that happen unexpectedly," says Dr. Weeks.Last year, there were 1.83 million pets insured, and experts say that number is climbing.   There are a few caveats with pet insurance, Dr. Weeks says. A majority of the plans do not cover shots and checkups. They only cover the big medical expenses, like treatments and surgery. Additionally, many plans will make you pay the bill in full and then they'll reimburse you after.   "There are similarities as far as pre-existing conditions,” says Dr. Weeks. “If your pet already has an illness and you try to get insurance, a lot of times insurance won't cover that."  That's why vets recommend you do your research. Dr. Weeks recommends owners with young pets get insurance.  As far as the best pet insurance goes, Consumer Watchdog’s top three picks include: Healthy Paws, Pet Plan and Embrace Pet Insurance.   "To be honest, when I have owners come in who have pet insurance, it's a huge relief on my part,” says Dr. Weeks. “So, I can offer standards of care of medicine and do the best that we can for those patients."  1756

HOUSTON (AP) — A federal appeals court on Friday cleared the way for the U.S. government to forbid Central American immigrants from seeking asylum at the two busiest stretches of the southern border in a partial legal victory for the Trump administration.The ruling from the 9th U.S. Circuit Court of Appeals allows President Donald Trump to enforce the policy in New Mexico and Texas, rejecting asylum seekers who cross from Mexico into either state. Under Friday's ruling, U.S. District Judge Jon Tigar's July 24 order stopping the policy would apply only in California and Arizona, which are covered by the 9th Circuit.The two busiest areas for unauthorized border crossings are in South Texas' Rio Grande Valley and the region around El Paso, Texas, which includes New Mexico. Nearly 50,000 people in July crossed the U.S. border without permission in those two regions, according to the U.S. Border Patrol.The policy would deny asylum to anyone who passes through another country on the way to the U.S. without seeking protection there. Most crossing the southern border are Central Americans fleeing violence and poverty, who would largely be ineligible. The policy would also apply to people from Africa, Asia, and South America who come to the southern border to request asylum.If the policy is implemented, ineligible migrants who cross in New Mexico and Texas could be detained and more quickly deported. The U.S. Department of Homeland Security did not immediately respond to a request for comment Friday.Under American law, people can request asylum when they arrive in the U.S. regardless of how they enter. The law makes an exception for those who have come through a country considered to be "safe" pursuant to an agreement between the U.S. and that country.Canada and the U.S. have a "safe third country" agreement. But the U.S. doesn't have one with Mexico or countries in Central America. The Trump administration has tried to sign one with Guatemala, but the country's incoming president said this week that Guatemala would not be able to uphold a tentative deal reached by his predecessor.The U.S. government is already turning away many asylum seekers at the southern border.About 30,000 people have been returned to Mexico to await asylum hearings under the government's Migrant Protection Protocols program. Tens of thousands of others are waiting in shelters and camps to present themselves to U.S. border agents at official ports of entry that have strict daily limits on asylum seekers.Mexico's asylum system is itself overwhelmed, and there are widespread reports of migrants being attacked and extorted . Border cities across from New Mexico and Texas include Juarez, Nuevo Laredo, and Reynosa, all of which are well-known for their violence and gang presence.Tigar had ruled the policy could expose migrants to violence and abuse, deny their rights under international law, and return them to countries they were fleeing.The appeals court ruled that Tigar's order hadn't considered whether a nationwide order was necessary and that there wasn't enough evidence presented yet to conclude that it was. The court instructed Tigar to "further develop the record in support of a preliminary injunction" extending nationwide.Judges Mark Bennett and Milan Smith voted to limit Tigar's order. Judge A. Wallace Tashima dissented.Tigar is a nominee of former President Barack Obama. Trump previously derided Tigar as an "Obama judge" after Tigar ruled against another set of asylum restrictions last year. That comment led to an unusual rebuke from Chief Justice John Roberts, who said the judiciary did not have "Obama judges or Clinton judges."Trump nominated Bennett, while Smith was nominated by former President George W. Bush. Tashima was nominated by former President Bill Clinton.The American Civil Liberties Union and other legal groups sued the Trump administration after it announced the restrictions last month."We will continue fighting to end the ban entirely and permanently," said Lee Gelernt, a lawyer for the ACLU.The Department of Justice declined to comment. 4105

HOUSTON (AP) — An appeals court has refused to allow the Trump administration to continue detaining immigrant children in hotel rooms before expelling them under rules adopted during the coronavirus pandemic. The 9th U.S. Circuit Court of Appeals on Sunday upheld a lower court’s order that would have required the U.S. to stop using hotels. Border agencies since March have held more than 600 children in hotel rooms before expelling them from the country without a chance to request asylum or other immigration protections. 533

In 2016, President Obama used the Affordable Care Act to extend federal sex discrimination protections to people who identify as transgender.But after a recent move by the Trump administration, some of those protections are now gone.“What happened with the recent Trump administration ruling is that they basically said they were taking out that definition of sex discrimination and stated that it only applied to a person’s birth sex and couldn’t be applied to their gender identity and that they were no longer going to enforce any protections on the basis of gender identity," said Dr. Eliabeth Kvach. “I think there’s something to be said, to think about what it’s like to be a person where the government says you don’t deserve to get accessible health care,” said Andrew MillerKvach and Miller both work at Denver Health in Colorado. Both call the recent rule change in DC a direct threat to the lives of transgender men and women.“We have for example, 300 patients on our list to be able to receive vaginoplasty or gender confirming surgery for transgender women. And if you’re waiting years to get that surgery and then all of a sudden you’re worried about whether your insurance is going to cover it, that is enormously psychologically devastating to people,” said Kvach.“I think that we’re already seeing that with cases coming out of hospitals denying care to transgender and non-binary folks," said Miller.“I certainly think that it is dangerous to the lives of transgender and non-binary people,” said Kvach.Denver Health is a LGBTQ+ Center of Excellence. For the health system it means any patient regardless of sexual orientation, gender identity, or other LGBTQ identification can receive treatment from any doctor for any health need“LGBTQ health care isn’t specialty care, it’s just health care,” said Miller.And while Miller is an employee at Denver Health, this is an extra important issue for him personally.“I identify as a transgender man, and as I said before, my pronouns are he, him, his. I was born female, and at a certain point in my life, I recognized that being a woman didn’t fit for me, it was like I was living this false life,” said MillerFor him, and many trans people, being called the wrong name or the wrong pronoun isn’t just a simple mistake“When we say hey, my name is Andrew, that’s what I go by, but you call me my birth name, what I hear is, 'It doesn’t matter that I told you my name.' You get to be more of an expert on me than I get to be on me. Why should I feel safe that you’re going to actually take care of me, if you can’t even call me my name?” Miller said.For trans people around the country, this rule change might mean they could be denied hormone therapy or gender reassignment surgery. Procedures the transgender and health care providers who treat them, deem medically necessary.“Medical treatment with hormones and with surgery help a person’s body align with who they are, with their gender identity,” Kvach said.But it also means they have to be worried about being denied treatment for anything from a sore throat to life saving surgery.“I’m from the south, I think about it all the time. What it would be like to go back home and have a medical emergency and not be able to get care. To be a person denied health care, and it’s terrifying,” said Miller.And that increased anxiety can lead to bad health outcomes from avoiding preventative treatment to suicide.A survey from the Trevor Project released this month shows that more than half of kids who identify as transgender and nonbinary have seriously considered suicide in the last 12 months.While this rule change may be disheartening to many, institutions like Denver Health reaffirm their commitment to treating transgender people, like people“I want folks to be able to go to the doctor and feel safe. I want my community to survive,” Miller said. 3878

IMPERIAL BEACH, Calif., (KGTV) — After six grueling days on the fire line, members of the San Diego-based Strike Team called to fight the Kincade Fire are back home. 10News met with the fire crew from Imperial Beach, who said this was the first time in 11 years that they were called to assist in Northern California. Today, they were back on duty, just hours after their arrival. It's just another day at the Imperial Beach firehouse. Fire Engineer Cory Cooper, firefighter Nick Morales, and Captain Ehren Kahle are cleaning up their ride, Engine 39, after a long trip up north. "It was just kind of a gentle immersion into chaos," Kahle said. Last Friday, the three were part of a large San Diego-based Strike Team called to assist in Sonoma County. As soon as they arrived, they headed straight to the fire line. "It started out with light smoke, which progressively got worse, to a point where my engineer had difficulty seeing the road at some point," Kahle said. Buildings had crumbled, citizens were in chaos. But they were there, fighting the explosive flames, seemingly non-stop."We rest when we can," Kahle laughed. Once the spread slowed down, the team headed back home. The men arrived at 11 p.m. on Thursday. While firefighters in larger departments are given a 24-hour rest period, these guys with the small Imperial Beach department are already back on shift."We're right back to our normal routine."It's day-to-day calls like these, as well as being part of a large Strike Team that reminds Captain Kahle of the true camaraderie of the fire service. "Although I may be going out on a Strike Team with men that I have never worked with or never even met in my entire life, you can probably take a firefighter off of an engine from San Diego, Coronado, National City, or Poway, throw them onto their engine, and they will drive right into that crew and be able to function," Kahle said. To follow current information on the Kincade Fire, click HERE. 1971

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