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In 2017, very little changed in net health insurance coverage, but below the surface, some significant shifts occurred in sources of coverage. In 2017, net enrollment in private and public coverage increased by only 191,000 people. The individual market, however, lost nearly 1.8 million enrollees in 2017—a decrease of 10.5 percent in a single year—dropping from 17 million people at the end of 2016 to 15.2 million at the end of 2017. That drop occurred almost entirely among people who did not qualify for Obamacare subsidies.

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