There's no question that the nation's health care system is in a state of change and unrest – and it looks like a good number of health insurance brokers are sick and tired of it.

Nearly half of America's brokers (45%) say they're considering exiting the health insurance business altogether, with the majority (51%) saying they are only slightly or not at all confident about the future of their firm and their industry, according to a new Aflac WorkForces survey.

Wide-ranging changes in health care — notably the Patient Protection and Affordable Care Act — and economic unrest are causing brokers' self-doubt, Aflac reported, just as employers and employees say they need brokers most.

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