Politically, handling the Affordable Care Act or not taking it on are both dangerous. While many citizens do not comprehend all that the federal health law does, a few of its guidelines delight in broad support. That's particularly true of the securities for people with medical issues under the present law, insurers are barred from rejecting them for coverage or charging them more than people without such conditions.

Experts on both sides expect concerns about health expenses and health law to play a big role once again in 2020. For Republicans, "the risk of not doing anything potentially leaves no port in a storm if the ACA is overturned legally," Rosen says. "But a more restricted version, which is what most Republicans are for, is most likely to be consulted with the exact same concerns.

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