Politically, handling the Affordable Care Act or not taking it on are both dangerous. While many voters do not understand all that the federal health law does, some of its rules enjoy broad assistance. That's especially true of the defenses for individuals with medical issues under the present law, insurance providers are barred from rejecting them for protection or charging them more than individuals without such conditions.

Experts on both sides expect issues about health costs and health law to play a large function once again in 2020. For Republicans, "the danger of not doing anything potentially leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "However a more restricted variation, which is what most Republicans are for, is most likely to be fulfilled with the exact same concerns.

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