Joe Monti’s real name is Joe Montalbano. But when he started in the car business, he didn't want to lose a sale because a customer couldn’t keep his name straight so he simplified it for the job.

This American Life producer Sarah Koenig reports on a very surprising reason why insurance companies dump members, and how this reasoning contradicts President Obama's argument for what will lower health care costs.

Or maybe the insurance companies are to blame? Producer Sarah Koenig reports.