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Aetna announced this morning that it's not going to sell health insurance in the Iowa Obamacare marketplace next year — just days after Wellmark Blue Cross and Blue Shield, the state's dominant insurer, said it was pulling out. In a statement, Aetna spokesman T.J. Crawford said the insurer is withdrawing because of "financial risk and an uncertain outlook for the marketplace." He said Aetna is still deciding whether to participate in other states.

Why it matters: It's just one state, but the withdrawal of two major insurers in the same week could be a sign of an Obamacare meltdown there — and a bad sign for other states where insurers are on the fence. The decision leaves at least two other insurers in the Iowa Obamacare marketplace — Medica and Gundersen Health Plan, per the Gazette.

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Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 12 a.m. ET: 33,282,969 — Total deaths: 1,000,867 — Total recoveries: 23,066,203Map.
  2. U.S.: Total confirmed cases as of 12 a.m. ET: 7,148,009 — Total deaths: 205,069 — Total recoveries: 2,794,608 — Total tests: 102,342,416Map.
  3. Business: Companies are still holding back earnings guidance.
  4. Health: Trump announces plan to distribute 150 million rapid tests —The childless vaccine.
  5. Media: Fauci: Some of what Fox News reports about COVID-19 is "outlandish"
  6. States: Cuomo extends New York moratorium on evictions until 2021.
  7. World: More than 1 million people have now died from coronavirus — India the second country after U.S. to hit 6 million cases.

Bob Woodward: "I was not going to hide" my opinion on Trump

Bob Woodward didn't want to join Senate Republicans in privately condemning President Trump but declining to do so publicly, he told Jonathan Swan in an interview for "Axios on HBO."

Why it matters: Woodward has covered 9 presidents, but Trump is the first that Woodward explicitly described as "the wrong man for the job."

Watch the full Jonathan Swan interview with Bob Woodward

In the latest episode of "Axios on HBO," Jonathan Swan interviews Bob Woodward about his new book, "Rage," which was based on 19 interviews with President Trump.