Politically, handling the Affordable Care Act or not taking it on are both risky. While lots of voters do not comprehend all that the federal health law does, a few of its guidelines delight in broad support. That's especially real of the securities for individuals with medical issues under the existing law, insurance providers are disallowed from declining them for coverage or charging them more than individuals without such conditions.

Experts on both sides anticipate concerns about health expenses and health law to play a big role again in 2020. For Republicans, "the risk of doing nothing possibly leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "However a more limited variation, which is what most Republicans are for, is likely to be consulted with the same concerns.

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