Politically, handling the Affordable Care Act or not taking it on are both dangerous. While numerous voters do not understand all that the federal health law does, a few of its guidelines take pleasure in broad assistance. That's particularly real of the securities for people with medical problems under the present law, insurers are disallowed from rejecting them for coverage or charging them more than people without such conditions.

Analysts on both sides anticipate issues about health costs and health law to play a large role again in 2020. For Republicans, "the danger of not doing anything possibly leaves no port in a storm if the ACA is overturned legally," Rosen says. "But a more restricted version, which is what most Republicans are for, is most likely to be consulted with the very same issues.

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