Politically, handling the Affordable Care Act or not taking it on are both risky. While numerous citizens do not comprehend all that the federal health law does, a few of its guidelines delight in broad support. That's particularly true of the securities 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 costs and health law to play a large function again in 2020. For Republicans, "the threat of not doing anything potentially leaves no port in a storm if the ACA is overturned legally," Rosen states. "But a more restricted version, which is what most Republicans are for, is most likely to be consulted with the same concerns.

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