Dennie and Kathy Wright sift through a stack of medical bills at their home in Indian Valley, Calif. Pauline Bartolone for NPR hide caption

itoggle caption Pauline Bartolone for NPR

House Speaker John Boehner answers questions during a press conference at the U.S. Capitol Wednesday. The House is debating changes to the Affordable Care Act's employer mandate. Win McNamee/Getty Images hide caption

itoggle caption Win McNamee/Getty Images

Steven Brill is a journalist who also founded Court TV, American Lawyer magazine, 10 regional legal newspapers and Brill's Content Magazine. He teaches journalism at Yale. Courtesy of Random House hide caption

itoggle caption Courtesy of Random House

Palliative medicine physician Michael Fratkin gets off a plane after visiting a patient on the Hoopa Valley Indian Reservation. He's recently launched a startup to support this kind of work. April Dembosky/KQED hide caption

itoggle caption April Dembosky/KQED

Gov. Bill Haslam announces his proposal to expand Medicaid in Tennessee on Dec. 15. Under the plan, the hospital association would pay the state's portion of the program. Erik Schelzig/AP hide caption

itoggle caption Erik Schelzig/AP

Kevin Counihan (left) runs HealthCare.gov, and Michael Cannon, of the Cato Institute, is a prominent critic of Obamacare. Courtesy of Chion Wolf/WNPR; Courtesy of the Cato Institute hide caption

itoggle caption Courtesy of Chion Wolf/WNPR; Courtesy of the Cato Institute

Donna Giron wheels through the halls of the nursing home she's lived in since May. Finding an affordable home of her own has been difficult. Sarah Jane Tribble/WCPN hide caption

itoggle caption Sarah Jane Tribble/WCPN

Need a gift for a 20-something kid about to age out of the family's health plan? Juana Rivera (left) discusses insurance options with Fabrizzio Russi, an agent from Sunshine Life and Health Advisors, at the Mall of the Americas in Miami. Joe Raedle/Getty Images hide caption

itoggle caption Joe Raedle/Getty Images

Elisa Carrero assists Julian Gauiria, of Paterson, N.J., with enrollment in the health insurance exchange in November. Signups continue to be brisk, health officials say. Tyson Trish/North Jersey/Landov hide caption

itoggle caption Tyson Trish/North Jersey/Landov

Sandra Lopez (left) and her dog, Coco, greet hospice nurse Heather Meyerend last fall. In the weeks before Lopez died, Meyerend stopped by weekly to check her physical health, pain levels and medications. Amy Pearl/WNYC hide caption

itoggle caption Amy Pearl/WNYC

Valerie Davidson was appointed health commissioner by Alaska's Gov. Bill Walker to help him expand Medicaid in the state. She'll look for middle ground with Republicans to get it done, she says. Lori Townsend/Alaska Public Media hide caption

itoggle caption Lori Townsend/Alaska Public Media