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

Dr. Charu Sawhney examines patient Mang Caan. Sawhney supports the Affordable Care Act, but has been frustrated by how difficult it is to find specialists who accept some of the plans her patients bought. Carrie Feibel for NPR hide caption

itoggle caption Carrie Feibel for NPR

HIV/AIDS drugs like AZT are lifesavers for many people. But insurers' policies on paying for the drugs vary widely. Will & Deni McIntyre/Science Source hide caption

itoggle caption Will & Deni McIntyre/Science Source

Dudley Pratt (left) talks to reporter Jenny Gold at a gas station in Fenner, Calif. He's frustrated by all the paperwork related to his health insurance these days. Ilana Lipsett/Jenny Gold hide caption

itoggle caption Ilana Lipsett/Jenny Gold

Cigna's letter to Julie Rovner saying she had no proof of past coverage, so limitations based on pre-existing conditions could apply. (Highlights added.) Julie Rovner for NPR hide caption

itoggle caption Julie Rovner for NPR