Politically, taking on the Affordable Care Act or not taking it on are both dangerous. While numerous citizens don't understand all that the federal health law does, a few of its rules delight in broad support. That's especially real of the protections for individuals with medical problems under the current law, insurers are barred from rejecting them for protection or charging them more than individuals without such conditions.

Analysts on both sides anticipate issues about health costs and health law to play a large function once again in 2020. For Republicans, "the danger of doing nothing potentially leaves no port in a storm if the ACA is overturned legally," Rosen states. "But a more restricted variation, which is what most Republicans are for, is most likely to be satisfied with the exact same issues.

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