New York state records show nearly half the state's 600-plus nursing homes hired real estate, management and staffing companies run or controlled by their owners, frequently paying them well above the cost of services. Meanwhile, in the pandemic's height, the federal government was giving the facilities hundreds of millions in fiscal relief. Maskot/Getty Images hide caption
Humira, the injectable biologic treatment for rheumatoid arthritis, now faces its first competition from one of several copycat "biosimilar" drugs expected to come to market this year. Some patients spend $70,000 a year on Humira. JB Reed/Bloomberg via Getty Images hide caption
The Westin St. Francis San Francisco on Union Square hotel hosted this year's JPMorgan Healthcare Conference �� the first since the onset of the coronavirus pandemic. (Darius Tahir/KHN) Darius Tahir/KHN hide caption
Jeff and Kareen King received a hospital bill for $160,000 a few weeks after Jeff had a procedure to restore his heart rhythm. Bram Sable-Smith/KHN hide caption
An investigation of more than 500 U.S. hospitals show that many use aggressive practices to collect on unpaid medical bills. More than two-thirds have policies that allow them to sue patients or take other legal actions against them, such as garnishing wages.This includes high-profile medical centers such as the Mayo Clinic. Kerem Yucel/AFP via Getty Images hide caption
In 2013, Grace E. Elliott spent a night in a hospital in Florida for a kidney infection that was treated with antibiotics. Eight years later, she got a large bill from the health system that bought the hospital. This bill was for an unrelated surgical procedure she didn't need and never received. It was a case of mistaken identity, she knew, but proving that wasn't easy. Shelby Knowles for KHN hide caption
Dr. Eckart Rolshoven examines a patient at his clinic in Püttlingen, a small town in Germany's Saarland region. Although Germany has a largely private health care system, patients pay nothing out-of-pocket when they come to see him. Pasquale D'Angiolillo for KHN hide caption
Lucy Greco (left), a web-accessibility specialist at the University of California, Berkeley, is blind. She reads most of her documents online, but employs Liza Schlosser-Olroyd as an aide to sort through her paper mail every other month, to make sure Greco hasn't missed a bill or other important correspondence. Shelby Knowles for KHN hide caption
Jerry Bilinski, a retired social worker who lives in Fayetteville, N.C., says he deserves a full explanation from his medical team of what led to a small gash on his forehead during his surgery for a cataract. Eamon Queeney for KHN hide caption
Many hospitals are now partnering with financing companies to offer payment plans when patients and their families can't afford their bills. The catch: the plans can come with interest that significantly increases a patient's debt. sesame/Getty Images hide caption
Dr. Nancy Caroline with paramedic Walt Brown in 1975 The National EMS Museum Archives hide caption