Moore told me he had been accepted into the acting program at Emerson College in Boston and would go there next year after he graduates from high school. He told me he was one of five siblings who had been in foster homes, but it was their dad, a home care worker, who raised them. “I’m really proud of him,” he said.

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Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.