UnitedHealth Group, based in Minnetonka, Minn., says it expects to lose $650 million on health exchange plans this year. Many people who bought the plans are in relatively poor health, the company says.
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Blue skies in San Juan, Puerto Rico belie the U.S. territory's struggle with massive debt. The islands have a generous health care program that covers nearly everyone, but economists say it has never been adequately funded.
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