Iowa's health insurance exchange this week became the poster child for self-fulfilling prophecies.
In just 72 hours, Iowa's version of the Affordable Care Act, or Obamacare, crumbled under its own weight and the additional heft a Republican White House with no interest in supporting it.
Wellmark Blue Cross and Blue Shield and Aetna last week both announced departures from Iowa's exchange in 2018, citing mounting financial losses and continued "uncertainty." That leaves Iowa's exchange with just one provider, Medica, which has yet to make its future intentions known. Wellmark and Aetna represent a majority of the Iowa exchange's total plans.