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NCAA tournament live updates, scores: No. 1 Duke handling No. 2 UConn; Michigan routs Tennessee; UCLA, UConn women advance to Final Four
NCAA tournament live updates, scores: No. 1 Duke battling No. 2 UConn; Michigan routs Tennessee; UCLA, UConn women advance to Final Four
NCAA tournament live updates, scores: Follow Michigan vs. Tennessee, Duke vs. UCLA; UConn routs Notre Dame in women's March Madness
NCAA tournament live updates, scores: Follow UConn vs. Notre Dame, Michigan vs. Tennessee as March Madness continues Sunday
Escambia County school employees push for more mental health counselors
ESCAMBIA COUNTY, Fla. -- A study done by KFF shows 18% of students across the nation used mental health services at schools in 2025.
Clemson loses first basketball player to NCAA transfer portal
Clemson's first loss in the 2026 NCAA transfer portal is a big one.
One or Two Health Systems Controlled the Entire Market for Inpatient Hospital Care in Nearly Half of Metropolitan Areas in 2024
This analysis examines the competitiveness of markets for hospital care and finds that nearly half of metropolitan areas across the country had only one or two hospitals or health systems providing general inpatient hospital care in 2024.
Give and Take: Federal Rural Health Funding Could Trigger Service Cuts
States are rolling out plans for their share of a $50 billion fund meant to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
LGBT People Experience Widespread Concerns and Challenges When it Comes to Health Care Affordability
This analysis highlights the health care affordability challenges facing LGBT adults, a growing population that faces health related disparities. Findings from KFF Health Tracking Polls show that LGBT adults face more widespread concerns with affording basic necessities, including health care, compared to non-LGBT adults.
New KFF Tracking Poll on Health Information and Trust Finds One in Three Adults Have Used AI Chatbots for Health Advice — The Monitor
KFF's latest Tracking Poll finds that one-third of the public report using AI chatbots for health information and advice in the past year. And a federal judge suspended, for now, the appointments of thirteen members of ACIP, halting a scheduled meeting and staying recent, widely debated, changes to the childhood vaccine schedule.
A $50 billion fund to help rural hospitals could actually lead to closures and cuts
States are rolling out plans for their share of a $50 billion fund established by Congress to improve rural health care. In some states, the money may provoke rural hospitals to cut services.
Deaths and Health Care Issues in ICE Detention Centers Under the Second Trump Administration
This brief provides an overview of deaths in ICE custody and detention centers under the Trump administration based on KFF analysis of ICE detainee death reporting and news releases and reviews recent reports of health care issues in detention centers.
Poll: 1 in 3 Adults Are Turning to AI Chatbots for Health Information, Equaling the Share Who Use Social Media for Health
About a third (32%) of adults nationally say they have turned to artificial intelligence (AI) chatbots in the past year for health information, a new KFF Tracking Poll on Health Information and Trust finds. Most who turned to AI for health information say they were in search of quick and immediate advice, though challenges affording and accessing health care also play a role, particularly for younger adults.
KFF Tracking Poll on Health Information and Trust: Use of AI For Health Information and Advice
This poll finds that about as many adults are turning to AI for health information as social media, with health care costs and access driving many users, particularly younger users.
Blog explains why context matters in discussions on health care spending
An AHA blog published March 24 responds to a recent KFF brief on the role of hospital care in recent health care spending growth.
Rising Health Costs Push Some Middle-Aged Adults To Skip the Doc Until Medicare
Adults ages 50 through 64 faced some of the steepest increases in out-of-pocket costs for Obamacare plans after a set of federal subsidies expired at the end of December. Some say they are putting off care or considering dropping health insurance coverage until Medicare picks up the bill.
Many Americans plan to cut food to afford ACA health insurance, new poll shows
About 8 in 10 Americans who re-enrolled in Affordable Care Act marketplace coverage say their health care costs are higher this year, according to a new survey from the health care research nonprofit KFF.
What Americans are giving up to afford ACA health insurance, according to a new poll
A new KFF survey shows many Americans who had Affordable Care Act marketplace health insurance last year are struggling with high health costs. The findings come three months after the expiration of enhanced tax credits that had offset most enrollees' monthly premiums.
Poll shows Americans are cutting back on basics to afford health care
A new KFF survey shows many Americans who had Affordable Care Act marketplace health insurance last year are struggling with high health costs.
Oz Says California’s Not Fighting Health Care Fraud, but Data Shows It’s Part of a Larger Battle
Trump administration officials say the state allows rampant fraud and have promised to investigate, blaming the “Russian, Armenian mafia” in the hospice and home health care industry. But data shows hotbeds of health care fraud throughout the country, with California outperforming most other states in recovering fraud dollars.
Watch: Affordability Plagues Health Care in Its Shift From Nonprofit to Profit Machine
On “What the Health? From KFF Health News,” distributed by WAMU, chief Washington correspondent and host Julie Rovner sat down with Drew Altman, president and CEO of KFF, to talk about the likelihood of a national health care debate.
Psychiatrists’ Use of Biomarkers Could Open a New Window Into Mental Health Diagnoses
The world’s largest professional psychiatry organization is preparing for the day when biological indicators can help diagnose and treat mental illness.
Oz Says California’s Not Fighting Health Care Fraud. Data Shows a Larger Battle
By Don Thompson | KFF Health News SACRAMENTO, Calif. — For weeks, Mehmet Oz has been waging a public feud with California leaders over health care fraud, accusing the blue state of failing to adequately combat such abuse. Oz, who heads the U.S. Centers for Medicare & Medicaid Services, alleged that
In Switching to Original Medicare, Beware of Medigap Plan Refusals
Open enrollment season lasts until March 31 for people enrolled in Medicare Advantage who want to switch to original Medicare, but there’s a potential hitch.
Child and Adolescent Firearm Deaths: National Trends and Variation by Demographics and States
This brief analyzes the latest youth mortality data from the CDC, finding that nearly 22,000 children and adolescents died by firearm in the past decade. More information on trends over time, type of firearm deaths, and how these deaths vary by demographic and state are available in this brief.
Primary Care Is in Trouble. So Doctors Band Together To Boost Their Market Power.
Thousands of primary care practices are fighting to remain financially viable and independent. Many are banding together to form Independent Physician Associations, or IPAs, to increase their market power.
More Kids Are in ERs for Tooth Pain. Trump Cuts and RFK Jr.’s Anti-Fluoride Fight Aren’t Helping.
Dentists, hygienists, and researchers say a shortage of rural dental care professionals and worsening oral hygiene since the covid-19 pandemic mean more kids are ending up in the emergency room for tooth decay.
Reckoning With State and Federal Cuts, L.A. Safety-Net Clinics Push for a New Tax
By Bernard J. Wolfson | KFF Health News LOS ANGELES — Mia Angulo, who is pregnant and due in May, is living in a tent with her boyfriend in the predominantly Latino neighborhood of Boyle Heights. Lingering pain from a car crash two months ago, on top of an already hardscrabble life, has Angulo ...
Newsom Picks a Dogfight With Trump and RFK Jr. on Public Health
Scientists are cheering California Gov. Gavin Newsom as he builds a public health bulwark against health secretary Robert F. Kennedy Jr.’s anti-vaccine stance and President Donald Trump’s withdrawal from the World Health Organization. Still, federal cuts have sapped morale and left local health departments less prepared for outbreaks.
KFF Health News: Rural Health Transformation Fund Allocation
KFF Health published a story March 4 detailing concerns from hospital leaders and lawmakers across the country about how states plan to spend new federal rural health funding.
Listen: What To Do When Health Insurance Slips Out of Reach
2026 has been a challenging year to buy health insurance. Contributing factors include changes to the Medicaid program and hikes to the cost of Obamacare plans. But doctors and researchers say there are ways people without insurance can find affordable care.
When ICE came, Minneapolis created underground health networks. Should other cities?
The Trump administration's immigration crackdown in Minneapolis forced some families into hiding and catalyzed informal medical networks to deliver critical health care services inside homes.
Felon on probation accused of killing employee who interrupted crime outside Minneapolis business
Charges say the man was shot while intervening as two people were stealing from a co-worker’s SUV.
Lawmakers, Health Groups Resist Their States’ Rural Health Fund Plans
Some Republican state lawmakers and state health associations are pushing back against spending plans under the Trump administration’s $50 billion federal rural health fund. Federal administrators already approved states’ plans, but in many cases, state lawmakers must greenlight spending.
Even Patients Are Shocked by the Prices Their Insurers Will Pay — And It Costs All of Us
Health care prices are on the rise, and patients are flummoxed that even insurance companies aren’t doing more to control costs.
Health and Health Care Experiences of Immigrant Parents and Their Children During the Second Trump Term
This brief provides data from the 2025 KFF/New York Times Survey of Immigrants on the health and health care experiences of immigrant parents and their children in the U.S. amid the current policy environment.
‘Kind of Morbid’: Health Premiums Threaten Their Nest Egg. A Terminal Diagnosis May Spare It.
Chaz and Jean Franklin were facing a sevenfold increase in their health premium payments with the expiration of enhanced federal subsidies for Affordable Care Act plans at the end of 2025. Then Jean received a crushing diagnosis that will claim her life but save the couple money.
Opioid Overdose Deaths: National Trends and Variation by Demographics and States
Opioid overdose deaths fell sharply from 2023 to 2024 (79,358 to 54,045), driven largely by decreases in fentanyl-involved deaths. Even after these declines, deaths remained above 2019, the year before opioid deaths increased sharply during the pandemic.
Hospitals Fighting Measles Confront a Challenge: Few Doctors Have Seen It Before
As the number of cases grows to about 1,000 in the Carolinas, health care workers who’ve never seen the vaccine-preventable disease can get caught by surprise.
Prior authorization is a top health care burden, KFF poll finds
About 32% of Americans say prior authorization requirements are a major burden, more than billing confusion or finding appointments, according to the January 2026 survey.
State Lawmakers Seek Restraints on Wage Garnishment for Medical Debt
At least eight states are considering legislation to curtail wage garnishment over unpaid medical bills, as health care costs rise and more people become underinsured.
When It Comes to Health Insurance, Federal Dollars Support More Than ACA Plans
Questions of fairness came up in last year’s congressional debate about extending Obamacare’s enhanced subsidies. Critics wondered why the federal government should underwrite coverage costs for people with ACA coverage. In truth, though, almost all health insurance in the U.S. comes with some federal help.
Nevada Debuts Public Option Amid Tumultuous Federal Changes to Health Care
The state recently became the third to offer a public option health plan through its Affordable Care Act marketplace. But researchers said it’s unlikely to fill the gaps left by sweeping changes at the federal level.
Red and Blue States Alike Want To Limit AI in Insurance. Trump Wants To Limit the States.
A revolt is afoot in both red and blue states against the use of artificial intelligence in health insurance determinations — and against efforts led by President Donald Trump to tie states’ hands.
Wyoming Wants To Make Its Five-Year Federal Rural Health Funding Last ‘Forever’
State officials believe they’ve found a way to extend the life of federal Rural Health Transformation Program money Wyoming is receiving as part of last summer’s One Big Beautiful Bill Act — by investing most of it.
Trump Required Hospitals To Post Their Prices for Patients. Mostly It’s the Industry Using the Data.
Politicians have pushed for price transparency in health care. But instead of patients shopping for services, it’s mostly health systems and insurers that are using the information, as fodder for negotiations over pay.
Researchers to study universal health care, as Coloradans face $1 billion in medical debt
Colorado residents owe about $1 billion in medical debt. The sky-high number is a small portion of the nation’s medical debt estimated around $220 billion, according to a 2024 analysis by Peterson Center on Healthcare and KFF, formerly the Kaiser Family Foundation. As more people nationally are expected to lose their health insurance following planned […]
St. Louis Board of Alderman take up effort to finalize downtown sports and entertainment district
City of St. Louis aldermen are looking to tap into a state resource approved last year to make Downtown a destination.
Trump promised RFK Jr. would ‘restore faith in American health care.’ A year in, trust has plummeted
Trust in government health agencies has plummeted, according to health policy and research group KFF, with declines across the political spectrum. And experts told CNN that they fear things could get worse.
RFK Jr. Made Promises in Order To Become Health Secretary. He’s Broken Many of Them.
Before being confirmed to lead the Department of Health and Human Services, Robert F. Kennedy Jr. told U.S. senators he would not cut funding for vaccine research or change the nation’s official vaccine recommendations. He did both.
Spring Training open thread: February 12
Good evening, y’all! Here’s a random clip and now the floor is yours:
Hospital Spending Accounted for 40% of the Growth in National Health Spending Between 2022 and 2024
This data note analyzes the extent to which hospital spending has contributed to the growth in national health expenditures in recent years and over the long term using data from the Centers for Medicare & Medicaid Services (CMS) National Health Expenditures Accounts (NHEA).
Classic rock legends are coming to Hershey for a concert
The group is one of the highest-charting bands in Billboard history, with Top 40 albums in six consecutive decades.
Public Health Workers Are Quitting Over Assignments to Guantánamo
U.S. Public Health Service doctors and nurses are being deployed to Guantánamo and other detention centers as President Donald Trump escalates mass arrests in his campaign to curb immigration. Some have resigned in protest. Others offer a rare look into bleak conditions.
Tacoma health system says it lost $1.2M after billing vendor ‘dropped the ball’
The vendor denied wrongdoing in an answer to a lawsuit filed by MultiCare.
Journalists Describe Drivers of High Health Costs and Spell Out the Science of Protein
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
Journalists Describe Drivers of High Health Costs and Spell Out the Science of Protein
KFF Health News journalists made the rounds on national and local media recently to discuss topical stories. Here’s a collection of their appearances.
Comparing States’ Rural Health Fund Allotments to Medicaid Spending Cuts Can be Misleading
This issue brief explains why it can be misleading to compare the first year of Rural Health Transformation Program allocations with estimated Medicaid cuts, which will be implemented on a gradual basis and not fully take effect until 2027, after the rural health fund is exhausted.
With ICE Using Medicaid Data, Hospitals and States Are in a Bind Over Warning Immigrant Patients
The Trump administration’s move to give deportation officials access to Medicaid data is forcing hospitals and states to consider alerting immigrant patients that information from emergency medical coverage applications could be used in efforts to remove them from the country.
KFF Tracking Poll on Health Information and Trust: Trust in the CDC and Views of Federal Childhood Vaccine Schedule Changes
Weeks after the Trump administration reduced the number of childhood vaccine recommended for routine use, public trust in the CDC is at its lowest since the COVID-19 pandemic, and less than half are confident in federal agencies' ability to make such recommendations. Among those who have heard about the revised recommendations, more say they expect the changes to have a negative impact than a positive one on children’s health.
Potential Impacts of Trump Administration H-1B Visa Policies on the Health Care and Social Assistance Industries
This issue brief provides an overview of the H-1B visa program, analyzes trends in H-1B visa approvals for the health care and social assistance industries using data from the U.S. Citizenship and Immigration Services, and discusses potential implications of recent policies impacting the H-1B program on the U.S. health care workforce.
When the Doctor Needs a Checkup
The physician workforce is aging fast, and some hospitals now require that older clinicians undergo testing for cognitive decline. Many have resisted.
Survey finds prior authorization viewed as greatest hurdle in navigating health care
A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms of issues people viewed as a “major burden,” prior authorization was highest at 32%, followed by understanding their bill or what they owe at 23%.
Poll: People View Prior Authorization as Greatest Burden in Navigating the Health System
New KFF polling explores the challenges beyond costs that people with insurance face in navigating the health care system. People cite prior authorization review as their top problem by a wide margin, with a third (32%) saying prior authorization requirements are a “major burden.
KFF Health Tracking Poll: Prior Authorizations Rank as Public’s Biggest Burden When Getting Health Care
KFF's health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizations are burdensome, and a third (34%) choose prior authorizations as their single biggest health care burden.
It’s 2026 and You’re Uninsured. Now What?
Many Americans are expected to lose ACA or Medicaid coverage in coming months and years as a result of the One Big Beautiful Bill Act and the expiration of enhanced pandemic-era subsidies that helped people afford Obamacare plans. Doctors and researchers say there are still ways to find affordable care.
When Health Insurance Costs More Than the Mortgage
As health care costs skyrocket and federal lawmakers pull back help on insurance premiums, more middle-income families are facing tough choices on health care.
Habs' New Defensive Pairing of Hutson and Dobson Delivers Results
Here are the Montreal Canadiens news items, stories, and content you may have missed on Thursday. Montreal Canadiens News Don’t […]
Paying for health care is now Americans' top financial worry, KFF poll finds
Abortion Pill Safety Decisions by FDA Were Science-Based, New JAMA Study Finds — The Monitor
A new study found the FDA’s abortion pill decisions followed scientific evidence, as misleading claims about the drug’s safety continue to shape public understanding. And Google removed some health AI summaries after a Guardian investigation reported that AI-generated summaries contained false and potentially dangerous health information.
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments
Proposed Trump administration changes to federal Medicare Advantage payments would stop health insurers from mining patient data for extra medical diagnoses that generate more bills to taxpayers even without treatment.
Health Care Costs Tops the Public’s Economic Worries as the Runup to the Midterms Begins; Independent Voters Are More Likely to Trust Democrats than Republicans on the Issue
Heading into this midterm election year, the cost of health care tops the public’s economic anxieties and more than 4 in 10 voters say the issue will have a major impact on their vote, this KFF Health Tracking poll finds.
KFF Health Tracking Poll: Health Care Costs, Expiring ACA Tax Credits, and the 2026 Midterms
Looking ahead to the midterm elections, health care costs are the public’s top economic concern, and many voters say the issue will have a major impact on their vote. On health care issues, including the cost of health care, voters currently trust Democrats more than Republicans, though neither party has an advantage on addressing the overall cost of living. Following the expiration of the ACA enhanced tax credits, two-thirds of the public say Congress did the “wrong thing” by not extending them.
WSOC-TV & KFF Health News Win Prestigious duPont-Columbia Award
The SSA's practice left millions of Americans, including some in the Carolinas, facing unexpected financial hardship and prompted sweeping policy changes in the nation’s capital.
Our Darwinian Approach to Health Care Costs
In his latest column, President and CEO Dr. Drew Altman presents his Venn diagram of health care cost problems and shows how, in our fragmented health system, reducing one health cost problem often makes another worse.
These 3 Policy Moves Are Likely To Change Health Care for Older People
By Paula Span | KFF Health News Month after month, Patricia Hunter and other members of the Nursing Home Reform Coalition logged onto video calls with congressional representatives, seeking support for a proposed federal rule setting minimum staff levels for nursing homes. Finally, after decades of ...
These 3 Policy Moves Are Likely To Change Health Care for Older People
Two Trump administration regulatory rollbacks affect nursing home staffing and home care workers, and a new AI experiment in Medicare has alarmed eldercare advocates and congressional Democrats.
Farmers Now Owe a Lot More for Health Insurance
More than a quarter of the agricultural workforce purchases health insurance through the individual marketplace, a much larger share than the overall percentage of U.S. adults. After a tough year for farmers, the loss of enhanced ACA subsidies is putting health insurance out of reach for many.
The ‘Great Healthcare Plan’ Leaves Open Questions for People with Pre-existing Conditions
President Trump announced a health care framework that leaves open key questions, including those about out-of-pocket costs, premiums, federal spending, and health coverage for people with pre-existing conditions.
GOP Cuts Will Cripple Medicaid Enrollment, Warns CEO of Largest Public Health Plan
Martha Santana-Chin, a daughter of Mexican immigrants, last year took the helm of L.A. Care, the nation’s largest publicly operated health plan. She warns that looming federal cuts will push up to 650,000 people off L.A. Care’s Medicaid rolls by the end of 2028.
States Race To Launch Rural Health Transformation Plans
Every state will receive at least $100 million annually from the federal Rural Health Transformation fund, but some scored millions more based on how the Centers for Medicare & Medicaid Services judged the “quality” of their plans and willingness to pass policies embracing "Make America Healthy Again" initiatives.
RFK Jr.’s MAHA Movement Has Picked Up Steam in Statehouses. Here’s What To Expect in 2026.
“Make America Healthy Again” policies driven by HHS Secretary Robert F. Kennedy Jr. have made major strides in state legislatures, with food additives among the most common targets. The trend is expected to continue this year.
The America First Global Health Strategy and Pooled Procurement
To help inform the U.S. America First Global Health Strategy, which includes an emphasis on commodities and pooled procurement, we reviewed eight existing global and regional pooled procurement mechanisms
The 2026 Golden Globes start now: How to watch tonight, start time, TV channel, full nominee list and more
Hosted by comedian Nikki Glaser, the 83rd installment of the awards ceremony tonight. Are you ready?
Journalists Update Listeners on Expiration of Insurance Subsidies and New Rural Health Funding
KFF Health News journalists made the rounds on local and regional media recently to discuss topical stories. Here’s a collection of their appearances.
New Year, Same Health Fight
Congress returned from its break facing a familiar question: whether to extend the expanded subsidies for Affordable Care Act health plans that expired at the end of 2025. Meanwhile, HHS Secretary Robert F. Kennedy Jr. broke a promise to Bill Cassidy, the chairman of Senate health committee, by overhauling the federal government’s childhood vaccine schedule to reduce the number of diseases for which vaccines will be recommended. Sarah Karlin-Smith of Pink Sheet, Alice Miranda Ollstein of Politico, and Lauren Weber of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more.
First-Year Rural Health Fund Awards Range From Less Than $100 Per Rural Resident in Ten States to More Than $500 in Eight
This policy watch evaluates state awards through the rural health fund in 2026, the first year of the program. The analysis shows relatively modest variations in total awards this year across states but wide variation in how much states will receive per rural resident.
On the Hook for Uninsured Residents, Counties Now Wonder How They’ll Pay
Millions of people gained health coverage under the Affordable Care Act, reducing pressure on counties in states that fund care for the uninsured. With federal policies expected to reverse that trend, county officials wonder how they will fill the gap — and who will pay for it.
Policy Changes Bring Renewed Focus on High-Deductible Health Plans
Policy changes, anticipated increases in premium costs for enrollees, and new standards for health savings accounts may encourage consumers to seek out plans with lower premiums but higher deductibles. This issue brief explores the features of bronze and catastrophic plans, coverage and costs, and the complicated choices consumers face.
To Knock Down Health-System Hurdles Between You and HIV Prevention, Try These 6 Things
It’s been more than 10 years since the FDA first approved an HIV prevention drug. Today, people who could benefit from preexposure prophylaxis often struggle to access the lifesaving medicine or run into doctors without the education or empathy to offer affirming care. And those lapses can produce billing headaches.
Video Health costs to skyrocket for millions losing ACA subsidies
ABC News’ Trevor Ault spoke with KFF vice president Cynthia Cox about the higher costs 20+ million Americans will face starting today with the expiration of ACA subsidies.
Khawaja to retire after fifth Ashes Test
Australia batter Usman Khawaja will retire from international cricket following the fifth Ashes Test against England in Sydney this week.
One Big Beautiful Bill Act complicates state health care affordability efforts
This article first appeared on KFF Health News. As Congress debates whether to extend the temporary federal subsidies that have helped millions of Americans buy health coverage, a crucial underlying reality is sometimes overlooked: Those subsidies are merely a band-aid covering the often unaffordable cost of health care. California, Massachusetts, Connecticut, and five other states […]
Google Now Allows Users to Change Your @gmail.com Email Address
For years, one of the most persistent frustrations for Google users has been the inability to alter their primary email address without creating an entirely new account.
Medicaid Health Plans Step Up Outreach Efforts Ahead of GOP Changes
Even as President Donald Trump and GOP lawmakers say the One Big Beautiful Bill Act targets waste, fraud, and abuse, Medicaid health plans are hosting events across the U.S. to prevent low-income families from losing health insurance and food benefits next year.
What lawmakers advanced, and stalled, on health care this week
Julie Rovner, chief Washington correspondent for KFF Health News, on Congress's healthcare stalemate and what it means for ACA marketplace shoppers.
Steam Deck's biggest competitor is now just $489 — Enjoy Xbox and PC titles on the go with this gaming handheld for Christmas
Even as a modest, non-X sibling, the Xbox Ally is a great Windows alternative to Steam Deck, ideal for cloud gaming and more.
Health and Health Care for American Indian or Alaska Native People: Key Issues
Due to a combination of lower coverage rates, additional access barriers, and historical and ongoing discrimination, AIAN people continue to face significant disparities in health and health care.