Heartland Regional Medical Center in St. Joseph, Mo., is changing its name to Mosaic Life Care. It was the focus of an NPR and ProPublica investigation into its billing practices. Steve Hebert for ProPublica hide caption

itoggle caption Steve Hebert for ProPublica

McArthur Edwards' driver's license was suspended for two years because he was unable to pay a $64 fine. He's using this bus stop to commute. Joseph Shapiro/NPR hide caption

itoggle caption Joseph Shapiro/NPR

Desiree Seats, 23, lost her license for two years before she even got it because of an unpaid fine. Without a license, she couldn't find the jobs she needed to start earning money. Joseph Shapiro/NPR hide caption

itoggle caption Joseph Shapiro/NPR

Marian Grunwald (from left), Earl Elfstrom and Verna Matheson bounced a balloon back and forth with nursing assistant Rick Pavlisich on Dec. 13, 2013, at an Ecumen nursing home in Chisago City, Minn. Glen Stubbe/Star Tribune, Minneapolis St. Paul hide caption

itoggle caption Glen Stubbe/Star Tribune, Minneapolis St. Paul

NPR's analysis of government data found that harsh penalties are almost never used when nursing home residents get unnecessary drugs of any kind. Owen Franken/Corbis hide caption

itoggle caption Owen Franken/Corbis

Antipsychotic drugs aren't necessary in the vast majority of dementia cases, gerontologists say. The pills can be stupefying and greatly raise the risk of falls — and hip fracture. iStockphoto hide caption

itoggle caption iStockphoto

An American Red Cross worker stands on an inundated Brooke Avenue following heavy rains and flash flooding Aug. 13, in Bay Shore, N.Y. Andrew Theodorakis/Getty Images hide caption

itoggle caption Andrew Theodorakis/Getty Images

Jim Justice owns Southern Coal Corp., which has 71 mines that have racked up thousands of violations and millions of dollars in fines. Scott Halleran/Getty Images hide caption

itoggle caption Scott Halleran/Getty Images

Don Blankenship, former CEO of Massey Energy, is accused of thwarting mine safety enforcement and conspiring to violate mine safety law. Massey Energy owned the Upper Big Branch mine in West Virginia, which exploded in 2010, killing 29. Jacquelyn Martin/AP hide caption

itoggle caption Jacquelyn Martin/AP