As long as Bernie Sanders isn't elected president, it's unlikely that health insurers will ever not be one of the most influential business interests on Capitol Hill. 

But there appear to be indications that the insurance lobby is fragmenting, though it's far from certain whether that means it is becoming weaker. 

The greatest blow to AHIP likely came earlier this year, when UnitedHealth, the nation's largest insurer, announced it was leaving the organization, saying that the trade group's strategy did not fit with UnitedHealth's "diversified portfolio" of interests. 

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