President Barack Obama’s victory cements the Affordable Care Act, expanding coverage to millions but leaving weighty questions about how to pay for it and other care to be delivered to an increasingly unhealthy, aging population.
An epidemic more deadly than coal dust is sweeping through the dogwood-dappled hollows of eastern Kentucky. The new threat: diabetes. In Kentucky and across the broad Appalachian region, a third of the population is estimated by health officials to have diabetes, double the rate for the country as a whole. Ads for diabetes counseling and testing clinics have replaced those for supermarkets as a major revenue source in local newspapers, and billboards urging middle-aged people to get tested appear almost everywhere there’s a straight stretch of highway.
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