While driving down an East Texas country road I spotted this scene. The autumn trees and the late afternoon sun made these golden bales of hay shine just a little bit more. Fortunately I had my camera with me. (c) James Q. Eddy Jr.
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  • The technological trials for the online health insurance exchanges have turned an enrollment period that was supposed to be a leisurely three-month stroll into a last-minute sprint for millions of Americans. People who want coverage that starts at the beginning of 2014 need to sign up no later than Dec. 23.
  • The California health exchange has focused on drumming up interest in coverage during the first month of operation. Certified enrollment counselors can barely keep up with the requests for assistance that are rolling in.
  • The medical screening tests offered by churches and other nonprofits may sound like a great idea. But some of the tests, which are performed by for-profit companies, are not recommended by national organizations because they can lead to invasive testing and unnecessary treatment.
  • Even as Florida leads the Supreme Court challenge against the federal health law, a private and a public hospital both prepare for an influx of new patients if the law's Medicaid expansion survives.
  • As biotech investments and medical device development falters, hospitals are turning to other avenues to help cut costs: streamlining billing systems and investing in simpler medical products.
  • Until a national health insurance mandate takes effect in 2014, states run stopgap pools to cover people with pre-existing conditions. The federal funds to pay for the coverage are being stretched thin in many states.
  • The state legislature is now mulling a change to allow trained home care aides to administer medications to Medicaid patients while working under a nurse's supervision. If the proposal becomes law, it could save the state a bundle.
  • There was a party atmosphere at Affordable Care Act events both in California, where the law has been embraced by the state government, and in Virginia, where it has been resisted. But consumers will have very different experiences in the two states.
  • The president offered a fix for people whose insurance coverage has been canceled because it didn't meet the minimum standards of the federal health law. But will insurers follow through? And even if they want to, will state regulators let them?
  • Maryland-based Evergreen Health Co-op is one of nearly two dozen nonprofit insurers created by the health act. They will be owned by the policyholders and are supposed to add competition and lower prices for coverage. they're supposed to add competition and lower prices for medical coverage. But they can't do either without customers.
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