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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
Dickson County, Tennessee boy, Joe Clyde Daniels, was beaten to death by his father before his body was disposed of, court documents have revealed. Over the weekend, Joseph Ray Daniels was arrested and charged with one count of criminal homicide in the 5-year-old’s disappearance.According to court documents, Daniels admitted to striking Joe Clyde "repeatedly... with [a] closed fist" until the boy died. He received injuries to his upper torso, head and face. Daniels then allegedly placed his body in the trunk of his car and disposed of it in a rural area.Joe Clyde had been reported missing last week, prompting the Tennessee Bureau of Investigation to issue an endangered child alert. After several days of searching, the elder Daniels was charged.The boy’s body has not yet been found.Joe Clyde’s grandmother spoke with Scripps station WTVF in Nashville over the weekend, saying that she has been cooperating with law enforcement after her stepson was arrested in the case.“It’s shocking because you raise a child from way back, and you think you know him. You don’t think your child could kill his own baby," said Belle Daniels. More Stories: 1217
EL CAJON, Calif. (KGTV) -- A former Uber driver who pleaded guilty to raping a female passenger and sexually assaulting as many as 14 others was sentenced in court Wednesday.A judge sentenced John David Sanchez, 53, to 80 years in prison. Sanchez pleaded guilty in August to 34 charges including rape and sodomy of an unconscious person.Sanchez was initially arrested about a month after a woman told police she was raped by Sanchez in February of 2016.RELATED: Uber driver accused of rape to be arraignedSanchez was fired by Uber. Investigators later found a number of other women who said they were also sexually assaulted by Sanchez in 2007, 2011 and 2013, but had not reported the attacks.Most of the victims told investigators they were unconscious from drugs or alcohol when the attacks occurred, according to police in El Cajon.RELATED: Uber driver accused of sexual assault faces more chargesAccording to their website, Uber completes background checks on all its drivers. Read the policy from Uber’s website below:“All drivers wanting to use the Uber app are required to undergo a screening process, like motor vehicle record and background checks, to ensure safety and compliance with our criteria. [4]What leads to you losing access to your account? We will permanently deactivate a driver’s account if a routine motor vehicle record or background check uncovers a violation of Uber’s safety standards or of other criteria required by local regulators.”Safety officials recommended several tips to USA Today on staying safe while riding in an Uber. See the tips below: 1628
EL CAJON, Calif. (KGTV) – Two people died after being struck by an oncoming vehicle along I-8 Sunday morning.According to the California Highway Patrol, a single vehicle was involved in a crash on I-8 near El Cajon, California just before 1:30 a.m.Following the crash two good Samaritans stopped to help the man out of his vehicle.While the crash victim and one of the good Samaritans were talking on the side of the road, another vehicle failed to see both victims and struck them, according to CHP.Authorities say the investigation is ongoing but haven’t ruled out drugs or alcohol being factors in the crash. 624
EL CAJON, Calif. (KGTV) -- The family and friends of the 31-year-old man accused of gunning down his wife and their kids in Paradise Hills over the weekend spoke Monday about the tragedy. Police say Jose Valdivia killed his wife, Sabrina Rosario, and their three children, 3-year-old Enzi, 5-year-old Zuriel, and 11-year-old Zeth. Valdivia also shot his 9-year-old son who survived but is in the hospital on life support. Family and friends say they do not agree with what Valdivia did, adding that they are also grieving the loss of their loved one, his wife, and their children. RELATED: Document details chilling text messages sent to woman killed in Paradise Hills murder-suicideValdivia's brother and two close friends asked to speak but not show their faces, only agreeing to record their voices during the interview. "We do not agree with what he did but as family and friends, we love him," said close friend Gavino Pinal.His friends called him a loving father and a hard-worker. RELATED: Parents, 3 children killed in Paradise Hills murder-suicide"He was a loving dad, he easily could have won father of the year, a couple years honestly, in my opinion," added Pinal. The family had candles and flowers set up in the home, surrounding pictures of Sabrina, her children and their father.Valdivia's brother, Raul Perez, says the family knew the couple was separated and that he would have intervened had he known the severity of the situation. Perez did not know Valdivia had a weapon. RELATED: Family of Paradise Hills murder-suicide victims speaks about tragedy"For him to do that, it hurt us deep down -- hurt everybody. Not only did I lose my brother, my nephews, but I also lost a sister," said Perez. Rosario's family has set up a GoFundMe page for medical and funeral expenses. If you'd like to donate, click here. 1840