Politically, handling 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 enjoy broad support. That's especially true of the defenses for individuals with medical issues under the existing law, insurers are barred from declining them for coverage or charging them more than people without such conditions.

Analysts on both sides expect issues about health costs and health law to play a large function once again in 2020. For Republicans, "the danger of not doing anything potentially leaves no port in a storm if the ACA is overturned legally," Rosen says. "However a more minimal version, which is what most Republicans are for, is most likely to be satisfied with the exact same concerns.

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