There's no question that the nation's health care system is in a state of change and unrest — and it looks like a good number of health insurance brokers are sick and tired of it.

Nearly half of America's brokers (45 percent) say they're considering exiting the health insurance business altogether, with the majority (51 percent) saying they are only slightly or not at all confident about the future of their firm and their industry, according to an Aflac WorkForces survey, out Wednesday.

Wide-ranging changes in health care — notably the Patient Protection and Affordable Act — and economic unrest are causing brokers' self-doubt, Aflac reported, just as employers and employees say they need brokers most.

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