Miguel Lopez, largely paralyzed from the chest down, lies in his bed at home on November 9, 2009 in Denver, Colorado. Lopez, a Mexican immigrant whose three children were born in the United States and are American citizens, broke his neck last summer while playing with his daughters on a backyard trampolene. Formerly a construction worker, Lopez had no health insurance when the accident occurred. He receives home health care visits from Dominican Sisters Home Health Agency, a non-profit that performs some 25,000 home visits each year in the Denver area. It provides free home nursing care to patients with chronic diseases, helps them to better manage their disabling illnesses and provides custodial services with the aim of keeping patients in their homes and out of more expensive nursing home care. By John Moore/Getty.