Politically, handling the Affordable Care Act or not taking it on are both dangerous. While numerous citizens do not understand all that the federal health law does, a few of its rules enjoy broad assistance. That's particularly true of the securities for individuals with medical problems under the existing law, insurance providers are barred from rejecting them for coverage 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 role again in 2020. For Republicans, "the threat of doing absolutely nothing possibly leaves no port in a storm if the ACA is overturned legally," Rosen says. "However a more restricted variation, which is what most Republicans are for, is most likely to be met the very same issues.

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