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Consumers will be faced this year with not only big premium increases but also with a declining number of insurers participating, and that will lead to a tumultuous open enrollment period, said Larry Levitt, who tracks the health care law for the nonpartisan Kaiser Family Foundation. Republicans pounced on the numbers as a warning that insurance markets created by the 2010 health overhaul are teetering toward a death spiral. Sign-up season starts Nov. 1, about a week before national elections in which the GOP remains committed to a full repeal. Its over for Obamacare,Republican presidential candidate Donald Trump said at a campaign rally Monday evening in Tampa, Florida. Trump said his Democratic rival, Hillary Clinton, wants to double down and make it more expensive and its not gonna work. preparing for interviewsOur country cant afford it, you cant afford it. He promised his own plan would deliver great health care at a fraction of the cost. The new numbers arent too surprising, said Sen. Orrin Hatch, R-Utah, who chairs a committee that oversees the law. It does little to dispel the notion we are seeing the law implode at the expense of middle-class families. HHS essentially confirmed state-by-state reports that have been coming in for months. Window shopping for plans and premiums is already available through HealthCare.gov. Administration officials are stressing that subsidies provided under the law, which are designed to rise alongside premiums, will insulate most customers from sticker shock.

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