Politically, handling the Affordable Care Act or not taking it on are both dangerous. While lots of citizens do not understand all that the federal health law does, a few of its rules enjoy broad assistance. That's particularly real of the securities for people with medical problems under the present law, insurance providers are barred from rejecting them for coverage or charging them more than individuals without such conditions.

Experts on both sides expect concerns about health expenses and health law to play a large 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 legally," Rosen says. "But a more limited version, which is what most Republicans are for, is likely to be met the same concerns.

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