Politically, taking on the Affordable Care Act or not taking it on are both risky. While numerous citizens don't comprehend all that the federal health law does, some of its guidelines enjoy broad support. That's especially true of the securities for individuals with medical problems under the present law, insurance companies are disallowed from declining 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 big function once again in 2020. For Republicans, "the risk of not doing anything possibly leaves no port in a storm if the ACA is reversed lawfully," Rosen says. "But a more minimal variation, which is what most Republicans are for, is most likely to be met with the exact same concerns.

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