Julie Rovner

Kanyes, Kims, and Donalds—oh my! Narcissism is all around us, and research shows it's on the rise. Millennials are more likely than their parents to claim they're above average in just about every way, from their leadership skills to their academic achievements to their drive to succeed. And while more millennials are getting straight A's and making plans for graduate school than previous generations, there's no evidence that they're actually any more productive or educated than their elders.

Tim Duncan, the long-time star of the San Antonio Spurs, announced today that he is retiring. He helped the team win five NBA titles since he joined the franchise in 1997.

Duncan's reserved personality kept him largely out of the spotlight, despite his consistently stellar performances with the Spurs, who made the playoffs every year that Duncan played for the team. Duncan was voted most valuable player five times, two of them regular-season M.V.P. awards and three others for his performances in NBA finals.

In an epidemic, health professionals often struggle to answer two basic questions: Who is sick and where are they?

There are innovative digital strategies to help answer these questions.

Researchers have investigated how a spike in Google searches (for example, "What is flu?") can help them determine if a disease is spreading and how many people might be affected in a given area.

President Obama on Monday called on Congress to revisit the controversial idea of providing a government-run insurance plan as part of the offerings under the Affordable Care Act.

What's been described as the "public option" was jettisoned from the health law in 2009 by a handful of conservative Democrats in the Senate. Every Democrat's vote was needed to pass the bill in the face of unanimous Republican opposition.

There are some big companies out there that you've probably never heard of, that know more about you than you can imagine.

They're called data brokers, and they collect all sorts of information — names, addresses, income, where you go on the Internet and who you connect with online. That information is then sold to other companies. There are few regulations governing these brokers.

Updated at 7:20 p.m. with details of the shootings

Two bailiffs were killed and a deputy sheriff was wounded in a shooting Monday afternoon at a courthouse in southwestern Michigan, according to Berrien County Sheriff L. Paul Bailey.

The gunman was shot and killed. The deputy sheriff is in stable condition. One civilian was also wounded.

According to Bailey, the shooting took place on the third floor of the courthouse in St. Joseph, about 40 miles from the border with Indiana.

At least 25 people have died in clashes between militants and the Indian Army in the Himalayan region of Kashmir since Friday, according to the Associated Press.

Most of those killed were protesters, who took to the streets after the death of Burhan Wani, the young and charismatic leader of the region's largest rebel militia, Hizbul Mujahideen. Wani was killed by Indian security forces in a shootout on Friday, according to the AP.

Copyright 2016 NPR. To see more, visit NPR.

Copyright 2016 NPR. To see more, visit http://www.npr.org/.

Copyright 2016 NPR. To see more, visit http://www.npr.org/.

Pages

Julie Rovner is a health policy correspondent for NPR specializing in the politics of health care.

Reporting on all aspects of health policy and politics, Rovner covers the White House, Capitol Hill, the Department of Health and Human Services in addition to issues around the country. She served as NPR's lead correspondent covering the passage and implementation of the 2010 health overhaul bill, the Patient Protection and Affordable Care Act.

A noted expert on health policy issues, Rovner is the author of a critically-praised reference book Health Care Politics and Policy A-Z. Rovner is also co-author of the book Managed Care Strategies 1997, and has contributed to several other books, including two chapters in Intensive Care: How Congress Shapes Health Policy, edited by political scientists Norman Ornstein and Thomas Mann.

In 2005, Rovner was awarded the Everett McKinley Dirksen Award for distinguished reporting of Congress for her coverage of the passage of the Medicare prescription drug law and its aftermath.

Rovner has appeared on television on the NewsHour with Jim Lehrer, CNN, C-Span, MSNBC, and NOW with Bill Moyers. Her articles have appeared in dozens of national newspapers and magazines, including The Washington Post, USA Today, Modern Maturity, and The Saturday Evening Post.

Prior to NPR, Rovner covered health and human services for the Congressional Quarterly Weekly Report, specializing in health care financing, abortion, welfare, and disability issues. Later she covered health reform for the Medical News Network, an interactive daily television news service for physicians, and provided analysis and commentary on the health reform debates in Congress for NPR. She has been a regular contributor to the British medical journal The Lancet. Her columns on patients' rights for the magazine Business and Health won her a share of the 1999 Jesse H. Neal National Business Journalism Award.

An honors graduate, Rovner has a degree in political science from University of Michigan-Ann Arbor.

This time last year, federal officials were scrambling to get as many people enrolled in health insurance through HealthCare.gov as they could before the start of the program on Jan. 1.

Now, with the technical problems mostly fixed, they're facing a different problem: the possibility that the Supreme Court might rule that the subsidies that help people afford coverage are illegal in the 37 states where the federal government is running the program.

If you get health insurance at work, chances are you have some sort of wellness plan, too. But so far there's no real evidence as to whether these plans actually improve the health of employees.

One thing we do know is that wellness is particularly popular with employers right now, as they seek ways to slow the rise of health spending. These initiatives can range from urging workers to use the stairs to requiring comprehensive health screenings.

A Shots post earlier this week by NPR's John Ydstie detailed the "family glitch" in the Affordable Care Act. That's where people who can't afford their insurance at work aren't eligible for help in the new insurance exchanges. Many of these Americans, most of whom make middling incomes, will remain uninsured.

That story got us wondering: Who else is getting left out by health law? And who is getting coverage?

Exactly what would happen to the Affordable Care Act if the Supreme Court invalidates tax credits in three dozen states where the federal government runs the program?

Legal scholars say a decision like that would deal a potentially lethal blow to the law because it would undermine the government-run insurance marketplaces that are its backbone, as well as the mandate requiring most Americans to carry coverage.

Last year, the Republican playbook for keeping control of the House of Representatives in 2014 and winning the Senate consisted of a fairly simple strategy: Run against Obamacare.

But now that the 2014 races are starting to take shape, that strategy isn't looking quite so simple. Democrats are fighting back. They're focusing on Republican opposition to the health law's expansion of Medicaid as a part of their own campaigns.

Sometimes there really are economies of scale. And the nation's health insurance exchanges may be a case in point.

As rocky as the rollout of HealthCare.gov was, the federal exchange was relatively efficient in signing up enrollees. Each one cost an average of $647 in federal tax dollars, an analysis finds. It cost an average of $1,503 – well over twice as much – to sign up each person in the 15 exchanges run by individual states and Washington, D.C.

After months of focusing on how many people have or haven't signed up for health insurance under the Affordable Care Act, we now have a rough total (7.5 million), and everyone's keen to get to the bigger questions: How well is the law working? How many of those who signed up have paid their premiums and are actually getting coverage? How many were uninsured before they signed up? And just how big has the drop been in the number of uninsured people?

Unfortunately, the answers to some of these questions simply aren't knowable — or, at least, not knowable yet.

President Obama was thrilled last week when he was able to announce that more than 7 million people have signed up for insurance under the Affordable Care Act.

"This law is doing what it's supposed to do," the president said in the Rose Garden. "It's working."

The last day of sign-ups for health insurance on the HealthCare.gov website is turning out to have a lot in common with the first: lots of computer problems.

But there are some big differences, too. Back in October the not-ready-for-prime-time website was only able to enroll six people on its first day.

With this year's deadline to register for individual health insurance just a weekend away, much attention is being lavished on two numbers — the 6 million Americans who have signed up so far, and the percentage of those folks who are (or aren't) young.

But experts say the national numbers actually don't mean very much.

Pages