health exchanges health exchanges

Major changes to individual health coverage provided through the Obamacare marketplaces won't happen overnight. PhotoAlto/Frederic Cirou/Getty Images hide caption

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PhotoAlto/Frederic Cirou/Getty Images

Alina Nurieva (right) sat with Gabriela Cisneros, an insurance agent from Sunshine Life and Health Advisors, and picked an insurance plan at the Mall of the Americas in Miami last November. Joe Raedle/Getty Images hide caption

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Joe Raedle/Getty Images

Mark Bertolini, CEO of Aetna, told the Justice Department in July that the insurer would walk away from many health exchanges if the government opposed the company's proposed deal for Humana. On Tuesday, Aetna followed through. Andrew Harrer/Bloomberg via Getty Images hide caption

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Andrew Harrer/Bloomberg via Getty Images

Aetna is the latest big health insurer to retreat from the exchanges established under the Affordable Care Act. Jessica Hill/AP hide caption

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Jessica Hill/AP

Aetna Joins Other Major Insurers In Pulling Back From Obamacare

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When deductibles and copays are high, quite a few people with insurance turn to free clinics for care. Jens Magnusson/Ikon Images/Getty Images hide caption

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Jens Magnusson/Ikon Images/Getty Images

People with diabetes who sign up for an Aetna insurance plan focused on diabetes care can get blood sugar meters and test strips free of charge. iStockphoto hide caption

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iStockphoto

Secretary of Health and Human Services Sylvia Burwell talks before a Capitol Hill hearing Wednesday with Rep. Paul Ryan, R-Wis., as Rep. Pat Meehan, R-Pa., looks on. Getty Images hide caption

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Getty Images

People protesting against the Affordable Care Act rallied outside the Supreme Court in March, before arguments in the second major challenge to the law. Jim Lo Scalzo/EPA/Landov hide caption

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Jim Lo Scalzo/EPA/Landov