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No one knows for sure right now how many of the estimated 14 million people who buy their own coverage are getting cancellation notices, but the numbers appear to be big. Some insurers report discontinuing 20 percent of their individual business, while other insurers have notified up to 80 percent of policyholders that they will have to change plans.

Even for those with the will and drive to pursue treatment, the process remains difficult, frightening and full of holes. Mental health advocates say little has come, on the federal level, from the task forces and promises that followed the Newtown shootings.

The Affordable Care Act included a sales tax on medical devices that is supposed to help pay for the expansion of health insurance coverage. But the tax is being levied on some devices, such as ultrasound scanners, that are used to diagnose and treat animals instead of humans.

Plans offering coverage that lasts 364 days can cost half as much as those that are in force for a year. But the savings may be illusory for people who need care for injuries or illnesses because the coverage can be skimpier.

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.

President Obama says he's pretty frustrated with the messed-up computer system for insurance enrollment under the Affordable Care Act. If he gets it fixed by mid-November all will be well, analysts say. But further delay could mean real trouble.

Over the next few months people across the U.S. will have to make decisions about health coverage. The questions about how that it will all work keep coming in, with people seeking details about available plans and the size of the penalties if they don't comply.

New federal guidelines say every child should be screened for high cholesterol once between the ages of 9 and 11 and again between 17 and 21. The testing aims to find kids with extremely high cholesterol caused by a genetic condition. But the testing will find others whose cholesterol may not need treatment.

Research suggests that patients in Canada do better when hospitals spend more on specialized tests and treatments. But the same may not be true in the U.S., where hospitals are already better equipped.