If you live in Iowa, and you buy insurance on the Obamacare exchange for individual plans, you might want to make sure you're near an emergency room when you check the rates for 2018. Because you might well have a stroke.

Iowa is scheduled for the largest premium increases in the land next year, a whopping 69 percent according to health care consultancy Avalere. The average premium on the benchmark "silver" plans will rise to $1,000 a month.

What is going on in the state of Iowa? A rash of tragic combine accidents? Are Iowans getting lung diseases from all that corn pollen blowing about on the wind?

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