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VALDOSTA, Ga. — In her bid to become the nation's first black female governor, Democrat Stacey Abrams told a heavily Republican south Georgia  she plans to impact all Georgians — not just more progressive Atlanta — if she becomes the next governor.

A more expansive checkup is part of a pioneering effort in Vermont to keep people healthy while simplifying the typical jumble of private and public insurers that pays for health care. The underlying premise is simple: Reward doctors and hospitals financially when patients are healthy, not just when they come in sick.