In New Jersey in March, Dianna Lopez of the Center for Family Services (right) speaks with Betsy Cruz, of Camden, N.J., about health insurance coverage during an Affordable Care Act information session. Lori M. Nichols/South Jersey Times/Landov hide caption

itoggle caption Lori M. Nichols/South Jersey Times/Landov

David Combs, an insurance broker in Kentucky, wound up benefiting from the Affordable Care Act, even though early on he had figured the law would put brokers out of business. Jenny Gold/Kaiser Health News hide caption

itoggle caption Jenny Gold/Kaiser Health News

Eric Bleeker and a partner respond to 911 calls in this vehicle. The medical team can run simple lab tests and prescribe some drugs, which may spare a patient a trip to the ER. Eric Whitney hide caption

itoggle caption Eric Whitney

Under Kevin Counihan, Connecticut's health insurance exchange used concerts and storefront offices to reach customers. Courtesy of Chion Wolf/WNPR hide caption

itoggle caption Courtesy of Chion Wolf/WNPR

The headquarters for University of Pittsburgh Medical Center and Highmark Blue Cross/Blue Shield dominate the Pittsburgh skyline much as they organizations have dominated health care in the region for decades. Jeff Brady/NPR hide caption

itoggle caption Jeff Brady/NPR

Residents fear that the economy of Belhaven, N.C., will collapse because its hospital closed. "How many people go retire somewhere where it doesn't even have a hospital?" asks the mayor. Hyun Namkoong hide caption

itoggle caption Hyun Namkoong