Iowa

https://www.nytimes.com/2017/10/23/health/iowa-waiver-obamacare-health-insurance.html?rref=collection%2Fbyline%2Fabby-goodnough&action=click&contentCollection=undefined®ion=stream&module=stream_unit&version=latest&contentPlacement=1&pgtype=collection
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High premiums have frustrated many customers, especially those who receive no subsidies. But these cheaper premiums would have come with a trade-off: higher out-of-pocket costs. The plan available would have been one with deductibles of $7,350 for a single person and $14,700 for a family. The proposal would also have reallocated federal dollars that lower costs for people with modest incomes, using the money to help even the wealthiest customers pay their premiums.
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“This is a case of the law’s guardrails protecting people and their coverage,” said Sarah Lueck, a senior policy analyst at the Center for Budget and Policy Priorities, a left-leaning group that had opposed the waiver. “Hopefully now Iowa can start looking at more practical and less disruptive solutions to deal with the challenges in its market.”
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he individual insurance market is particularly fragile in Iowa, partly because the state has allowed tens of thousands of healthy people to keep old plans that do not comply with the health law. Aetna and Wellmark Blue Cross & Blue Shield, the state’s most popular insurer, are both withdrawing at the end of the year.
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progressoid quote from #2

Fuck you Reynolds and the Iowa GOP.

I was going to post a more erudite response, but sometimes 'fuck you' is more satisfying.