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<strong>State seems at a loss to keep companies from closing plans, which drives up premiums</strong></h3>
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Nicholas Peppler, Fort Wayne, was healthy and only 23 years old, but he appeared to be in the beginning of a death spiral.<br />
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A health insurance death spiral, that is.<br />
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The Anthem Blue Cross and Blue Shield policy he had purchased was being closed to new enrollees in 2009, a common practice that critics say drives up costs and forces people into the ranks of the uninsured.<br />
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