Oregon Sen. Ron Wyden, a Democrat, (left) and House Budget Committee Chairman Paul Ryan, a Wisconsin Republican, present their plan for changing Medicare at the U.S. Capitol Thursday. Tom Williams/Roll Call/Getty Images hide caption

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Shirley Holden, 78, has been coming to Hood Memorial Hospital since 1971. She says if the hospital were to close, she'd mostly stay home. "I would not be going ... anywhere else unless I went on a stretcher." Jenny Gold/for NPR hide caption

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The Centers for Medicare and Medicaid Services says it will cover screening and counseling for obesity as a free preventive service for Medicare beneficiaries. M. Spencer Green/AP hide caption

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Triage nurses screen patients in the ER waiting room at the University of Chicago Medical Center in Chicago in late 2010. Patients in Chicago were among those least satisfied with their hospital care. M. Spencer Green/AP hide caption

itoggle caption M. Spencer Green/AP

Medicare beneficiaries who want to switch drug plans will have to make a decision earlier than usual this year.

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