Susan Mull is a substitute teacher in Lancaster County, Pa. She's lived with HIV for 21 years, the past 13 without health insurance. She says an expansion of Medicaid in Pennsylvania would be "life-changing." Jeff Brady/NPR hide caption

itoggle caption Jeff Brady/NPR

One Amish family in Lancaster County, Pa., has three horse-pulled buggies they store in a barn. They all have electric lights powered by rechargeable batteries. One of the buggies even has battery-powered windshield wipers. Jeff Brady/NPR hide caption

itoggle caption Jeff Brady/NPR

Sara Busch of Havertown, Pa., owns a Chevy Volt, an electric hybrid. Like a lot of Americans, she's buying less gasoline than she used to, which means she's paying less in gas taxes. Jeff Brady/NPR hide caption

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Penn State hopes to reduce its health care costs by helping employees become healthier. But some faculty members complain that charging them $100 a month for refusing to participate in a health improvement program is unfair. Jeff Brady/NPR hide caption

itoggle caption Jeff Brady/NPR

Advocates for gay marriage in gather outside the New Jersey Statehouse on Thursday. Mel Evans/AP hide caption

itoggle caption Mel Evans/AP

"A œGift for the Grangers" was a recruitment poster for the National Grange printed in 1873. Grange membership around this period was estimated by some to be as high as 2 million. Today it'™s less than 200,000. National Grange of the Order of Patrons of Husbandry hide caption

itoggle caption National Grange of the Order of Patrons of Husbandry