From her cubicle at Vital Decisions in Cherry Hill, N.J., Kate Schleicher counsels people who are seriously ill. Emma Lee/WHYY hide caption

itoggle caption Emma Lee/WHYY

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