Politically, taking on the Affordable Care Act or not taking it on are both dangerous. While lots of citizens do not comprehend all that the federal health law does, some of its rules take pleasure in broad support. That's especially real of the defenses for people with medical problems under the present law, insurance companies are barred from rejecting them for protection or charging them more than people without such conditions.

Experts on both sides expect concerns about health costs and health law to play a big function again in 2020. For Republicans, "the danger of not doing anything possibly leaves no port in a storm if the ACA is reversed legally," Rosen says. "But a more limited variation, which is what most Republicans are for, is likely to be consulted with the very same concerns.

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