David Maxwell for The New York Times
Usually bustling with orders for Christmas cookies, the Archway plant in Ashland, Ohio, has filed for bankruptcy protection.
The crisis is on display here. Starla D. Darling, 27, was pregnant when she learned that her insurance coverage was about to end. She rushed to the hospital, took a medication to induce labor and then had an emergency Caesarean section, in the hope that her Blue Cross and Blue Shield plan would pay for the delivery.