Politically, handling the Affordable Care Act or not taking it on are both risky. While lots of citizens do not comprehend all that the federal health law does, some of its rules delight in broad assistance. That's particularly real of the defenses for individuals with medical issues under the present law, insurance providers are barred from rejecting them for protection or charging them more than individuals without such conditions.

Experts on both sides expect concerns about health costs and health law to play a large role once again in 2020. For Republicans, "the danger of doing nothing potentially leaves no port in a storm if the ACA is reversed legally," Rosen says. "However a more minimal variation, which is what most Republicans are for, is likely to be consulted with the very same concerns.

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