Politically, taking on the Affordable Care Act or not taking it on are both risky. While numerous voters do not comprehend all that the federal health law does, some of its guidelines take pleasure in broad support. That's particularly true of the protections for individuals with medical issues under the existing law, insurance companies are barred from declining them for protection or charging them more than people without such conditions.

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

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