LINCOLN PARK, Mich. (Court TV) — A judge reluctantly agreed to accept a Michigan man’s plea agreement after calling him a “killer and a coward” at sentencing. Efrain Medina appears in court for sentencing on July 24, 2026. (Court TV) Efrain Medina, 47, pleaded guilty to manslaughter and weapons charges in the death of 36-year-old Natalie Ramstrom, bringing closure to a case that had dragged on for years. Medina stood trial three times in the cas…