The federal insurance program is the only player in the health-care game with a pure incentive to control costs. But political resistance keeps it from fulfilling this role. Gradually expanding the program could be the answer.

Nearly half of all rural counties had more deaths than births in the 12 months ending July 1, 2012. The number of births in the U.S. has declined during the recession — and the population is aging.

By focusing only on spending and short term results, Congress will have a harder time getting that wild cow, the deficit, out to pasture. Richard Oswald explains how the shortest way isn't always best.

Death rates in coal mining counties • Almost half of rural counties have natural population decrease • Rain is getting heavier