UnitedHealthCare, the largest insurer in the country, is starting to make good on its threat to ditch the Patient Protection and Affordable Care Act marketplace.

After losing $475 million on its Obamacare business last year, the company will be scrapping most of the insurance plans it offers through the state and federal marketplace in 2017, it announced this week. Its plans will remain available in only a “handful” of states.

Few argue that UnitedHealth’s exit from the marketplace means the marketplace is doomed. Many worry, however, that others will follow suit. Blue Cross Blue Shield, Aetna and others have suggested that the current pool of people covered by PPACA policies are unprofitable, due to high claims.

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