From Politico

The county Obamacare forgot

With Aetna's exit, residents of Pinal County, Ariz., may be unable to get subsidized health coverage at all next year.
Aetna’s announcement that it would exit most of the states where it offers Obamacare plans leaves residents of Pinal County, Arizona, without any options to get subsidized health coverage next year, unless regulators scramble to find a carrier to fill the void between now and early October.

Nearly 1 in 5 potential Obamacare customers may have just one insurer selling plans in their communities — up from just 2 percent of customers who had one option this year, according to the McKinsey Center for U.S. Health System Reform.

Here's the solution their working with:

“What we’re having to do now to keep companies in our state to cover all of the counties is to grant some pretty heavy rate increases,” (state Insurance Commissioner Mike) Chaney said in a recent interview.

Median household income is just over $50K according to the census.

Yet there are higher rates of adult obesity, physical inactivity and teen births in Pinal County compared with statewide figures, according to data from the Robert Wood Johnson Foundation. A shortage of health providers is also acute, with only one primary care doctor for every 6,700 people.

Public option, anyone?