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Health and Human Services Department estimates that 1 million more people will sign up for health insurance on the Obamacare exchanges for 2017 compared with 2016, a department official told reporters on Wednesday. President Barack Obama's Affordable Care Act, often called Obamacare, created online exchanges where consumers can shop for individual health insurance and receive income-based subsidies. The exchanges opened in 2014 with insurance for ชุด ที่นอน ซาติน sale by major companies including Aetna Inc and Anthem Inc. But enrollment has been about half of what was initially expected and some large insurers this year have said they were losing too much money on the exchanges because of that and the fact that enrollees are older and sicker than expected. Aetna and UnitedHealth Group have largely pulled out of the exchanges for 2017. "This is essentially a status quo projection, with expected growth in enrollment matching what happened this year. That strikes me as reasonable, not too pessimistic, not too optimistic," Kaiser Family Foundation healthcare researcher Larry Levitt said. There is upheaval now as exchanges head into enrollment, he said, referring to bigger premium increases than in previous years and insurers exiting the market. Any enrollment growth would be a good signal to insurers, Levitt added.