Politically, handling the Affordable Care Act or not taking it on are both risky. While many citizens do not understand all that the federal health law does, a few of its guidelines enjoy broad assistance. That's particularly true of the securities for people with medical problems under the current law, insurers are disallowed from rejecting them for protection or charging them more than people without such conditions.

Experts on both sides expect issues about health costs and health law to play a big role once again in 2020. For Republicans, "the danger of doing absolutely nothing potentially leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "However a more limited version, which is what most Republicans are for, is most likely to be met with the very same concerns.

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