After 18 months of courtship and court cases, two massive deals that would have reshaped the U.S. health insurance industry have both been declared dead, blocked by judges who said they’d do unacceptable harm to competition in the industry.

Now, the companies are right back where they started. Anthem's $48 billion deal to buy Cigna was blocked by a federal judge late Wednesday, weeks after another judge halted Aetna’s bid for Humana. Anthem said it will appeal, and Aetna and Humana have said they’re still deciding where to appeal.

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