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.
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.
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
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