Health insurer Humana Inc. plans to exit all Obamacare marketplaces for 2018, another blow to the government health law that’s already facing the threat of repeal or significant alteration by Republicans and President Donald Trump.

Trump chimed in on Twitter after Humana announced its plan Tuesday afternoon. “Obamacare continues to fail. Humana to pull out in 2018. Will repeal, replace & save healthcare for ALL,” Trump said in a tweet.

Humana’s announcement came as the insurer laid out a new strategic plan following the dissolution earlier in the day of its $37 billion takeover by Aetna Inc. Humana sees losing $45 million on Affordable Care Act plans, Chief Executive Officer Bruce Broussard said on a conference call with investors and analysts.

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