UnitedHealthCare, the largest insurer in the country, isstarting to make good on its threat to ditch the Patient Protection and Affordable CareAct marketplace.

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

Few argue that UnitedHealth’s exit from the marketplace meansthe marketplace is doomed. Many worry, however, that others willfollow suit. Blue Cross Blue Shield, Aetna and others havesuggested that the current pool of people covered by PPACA policiesare unprofitable, due to high claims.

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