Four-year-old Violet (right) supervises as her mom Margaret Siebers pours a first-ever spoonful of honey for 1-year-old Frances to try. Siebers spent much of the end of her pregnancy with Frances confined to bed rest at her home in Milwaukee. Sara Stathas for NPR hide caption

"Most of us are ecstatic" about Medicaid expansion in Utah, said Grant Burningham, of Bountiful. "We were all together and hugging and kissing last night." Kim Raff for NPR hide caption

Open enrollment for 2019 health plans begins Nov. 1 on HealthCare.gov and on most state insurance exchanges. Healthcare.gov via Screenshot by NPR hide caption

Grant Burningham, who lives in Bountiful, Utah, worked to get a referendum on Medicaid expansion on the Utah ballot in November. Kim Raff for NPR hide caption

Drug addiction is a big concern to rural Americans, according to a new poll from NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health. Alice Goldfarb/NPR hide caption

"The biggest challenge for me was to see how I would be a father again," says Dr. Naveed Khan, who was injured while driving an all-terrain vehicle. "With two able-bodied parents at home, it was easier." Shelby Knowles for NPR hide caption

Despite the political uncertainties, insurance companies have started to learn how to make a profit on the plans they offer through the Affordable Care Act. Erik McGregor/Pacific Press/LightRocket via Getty Images hide caption