With some 45 million Americans uninsured, how to pay for medical treatment is a big issue in this year's presidential election.
Now officials in Oregon say they have come up with a fair way of providing coverage for some of those who cannot afford it.
In her comfortable home in Portland, Oregon, Louanne Moldovan sifts through a pile of papers.
They are unpaid medical bills, stretching back a year, arising from treatment for Crohn's Disease, the chronic intestinal condition she suffers from. She thinks she owes nearly $15,000 (£7,500) in all...
http://news.bbc.co.uk/1/hi/health/7321500.stmI knew Louanne when I lived in Portland, and what the article doesn't mention is that she also has a daughter with Type 1 diabetes.