Side Effects

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In 2015, Indiana expanded its Medicaid program under the Affordable Care Act. The Healthy Indiana Plan, or HIP 2.0, extended coverage to about 250,000 low-income Hoosiers who were not previously eligible. Amid the turmoil in Washington over what to do with Obamacare, Indiana has applied to keep the program running for three more years.

Bram Sable-Smith / KBIA/Side Effects Public Media

When Tim Rushing turned 50 last year, his doctor called him in for a check-up. They did a physical, ran some tests, and found out that Rushing had Type 2 diabetes.

“No surprises there,’ Rushing says. “Both my parents are Type 2 diabetics.”

He knew from watching his parents that monitoring his blood sugar would be essential to managing the disease. What Rushing didn’t realize was how much that monitoring would cost.

Turns out, it’s a lot.

Rebecca Smith / KBIA/Side Effects Public Media

When Joe Morris had a heart attack last Easter and had to be rushed to the ER, it was the first time he’d been to the doctor in more than 40 years — since high school.

Back home in the small community of Neosho, Mo., Morris needed follow-up care to manage his heart disease and diabetes, but he didn’t have a doctor — or insurance.


Jake Harper/Side Effects

Indiana’s new governor, Eric Holcomb, vowed to tackle the state’s drug addiction epidemic in his first State of the State address on Tuesday. But he has also said he supports Congress’s plans to repeal and replace Obamacare.

Jake Harper / Side Effects

If she’s confirmed, Indiana policy consultant Seema Verma will start work as Donald Trump’s pick to lead the Centers for Medicare and Medicaid Services. She’ll bring her experience designing Indiana’s unique Medicaid expansion to the national policy conversation.

In Betsy Irish’s room, it’s all about the music. There is a big boom box in the corner, framed CD jackets and a special box just for Christmas music.

She’s hanging out with her dad, David Irish, at her group house in a suburb of Rochester, N.Y. They’re doing one of their usual activities — reading the dictionary.

Seth Herald/for NPR

Charlie Oen's battle with addiction started when he was 16 and his family moved to Lima, Ohio. It was the last stop in a string of moves his military family made — from Panama to North Carolina, Kentucky, Texas and Germany.


Karen Shakerdge

Attorney Ann Williams meets her 33-year-old client for the first time at a legal clinic in Rochester, NY.

She asks him questions about what it’s like to have one name and gender legally and another name and gender in his daily life.


frankieleon / Flickr

Caroline Brown, a sophomore at the University of Missouri got a fever over Thanksgiving break. Soon it became painful to bite down, and her cheek began to swell. A trip to her physician confirmed it – Caroline had the mumps.

“Mumps kind of sounds like this archaic thing,” Brown said. “We get vaccinated for it - it just sounds like something that nobody gets.  So I just didn’t think that it was possible that I would get it.”


Courtesy of Seema Verma

President-elect Donald Trump has picked Seema Verma, a healthcare consultant who has helped shape health policy in Indiana, for a key role in the federal government. Verma will head the Centers for Medicare and Medicaid Services, the part of the Department of Health and Human Services that includes Medicare, Medicaid, and the Children’s Health Insurance Program.  

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