It was on page one and was the grounds of them pulling out. Obviously, no i can't demonstrate that as it defeats the whole purpose of insurance. An insurance company makes profit by the amount paid to them by healthy people who don't use the insurance offsetting the cost of covering the unhealthy. Obviously markets/counties that are poor and obese aren't going to be profitable. That is literally the cost of doing business. If you're advocating that insurance companies should be able to selectively choose who they insure based on profitability, then you don't understand the point of the ACA I understand cost of acquisition and policy are different. But what you are saying is a kin to a company winning a major customer by promising they can make a product for x price even though they know its at a loss, if they are guaranteed to get get a, b, and c products which will greatly increase their profits. And then after winning that companies business, they say that x is too expensive to make and cancel production of it. Its completely unreasonable and this falls under the cost of doing business.