Charlie Neibergall / AP

Iowa residents buying health insurance in the individual market may face zero options on and off the Affordable Care Act exchange next year, the Des Moines Register reports. Health insurers Aetna and Wellmark already confirmed they are withdrawing for 2018. Now Medica, which sells plans in almost every county, said it will likely leave "without swift action by the state or Congress to provide stability." The smaller Gundersen Health Plan hasn't made a decision yet.

Why this matters: Roughly 70,000 Iowans would be left out in the cold, putting immense pressure on Congress and the federal government to act. The easiest way to keep insurers around is to commit funding of the ACA's cost-sharing subsidies for low-income people. This "empty shelf" scenario happened last year in Arizona, but was averted after the feds coaxed a Blues plan to stay in.

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Dion Rabouin, author of Markets
1 hour ago - Economy & Business

Investors are betting the future is priced in euros

Illustration: Aïda Amer/Axios

It's the euro's time now — at least that's how investors have been positioning recently.

What's happening: Speculators have raised their bets to the highest in nine years that the dollar will fall and increased bullish bets that the euro will rise to the highest level on record, Reuters reported citing data from the CFTC.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Annelise Capossela/Axios

  1. Global: Total confirmed cases as of 7 a.m. ET: 20,317,087 — Total deaths: 742,035— Total recoveries: 12,602,544Map.
  2. U.S.: Total confirmed cases as of 7 a.m. ET: 5,141,879 — Total deaths: 164,545 — Total recoveries: 1,714,960 — Total tests: 63,252,257Map.
  3. States: Georgia reports 137 coronavirus deaths, setting new daily record Florida reports another daily record for deaths.
  4. Health care: Trump administration buys 100 million doses of Moderna's coronavirus vaccine.
  5. Business: Moderna reveals it may not hold patent rights for vaccine.
  6. Sports: Big Ten and Pac 12 scrap fall footballMLB salaries at 37%
  7. World: Lebanon reported record new cases as UN warned blast may drive spike — Fauci "seriously" doubts Russia's coronavirus vaccine is safe
Mike Allen, author of AM
2 hours ago - Politics & Policy

3 keys to Joe Biden picking Kamala Harris

Photo: Jeff Kowalsky/AFP via Getty Images

Three quick points about Joe Biden's historic selection of Sen. Kamala (pronounced COMMA-luh) Harris of California as his running mate — and clues they give us to how Biden would govern:

  1. She was always at the top of his list. As I look back through my text threads with top Dems over the past five months, she was always assumed to be the most likely pick.