A federal program designed to aid federally created health plans such as the Louisiana Health Cooperative Inc. instead became the final nail in the ailing nonprofit’s coffin.

Louisiana Health — taken over by state regulators on Sept. 1 — was one of 23 plans created nationally under the Affordable Care Act to ensure there would be competition among health insurers. Altogether the co-ops received more than $2.4 billion in low-interest federal loans to get started. Only two have proven to be profitable amid restrictions that experts say have hampered the co-ops’ development.

Mergers are sweeping health care, as insurers, hospitals and doctors seek economic shelter from Washington by linking up and getting big.

These merger trends were underway prior to Obamacare. But there’s little question that the law purposely hastened these developments.

Five years after passage of the Affordable Care Act (ACA), progressives are now releasing plans to expand on the legislation. The most recent plan has a lot in common with the ACA, including substantially increasing the costs for both taxpayers and consumers once again.

It suffices to say that Donald Trump has been all over the place on health care reform. Last month, at the first Republican presidential debate, Trump argued that socialized medicine in Scotland “works incredibly well.” At the same time, Trump has said that Obamacare has “gotta go” and that he would “repeal and replace [it] something terrific.” But Trump has been light on details. Last night, on 60 Minutes, Trump elaborated on what his plan would look like.

Just a few weeks before the third Obamacare enrollment season begins, researchers are pointing out that millions of people are still uninsured, despite the law, and that there are real hurdles to convincing people to sign up.

The first two enrollment seasons made a sizable dent in the U.S. uninsured population, as about 17 million Americans have gained coverage through the Affordable Care Act’s various provisions, the Department of Health and Human Services estimated this week.

Just when it looked like Obamacare couldn’t get worse, new statistical evidence shows that it can, and has. Health care insurance is getting more expensive for most workers because of an increase in deductions.