Politically, taking on the Affordable Care Act or not taking it on are both risky. While many citizens don't comprehend all that the federal health law does, a few of its guidelines enjoy broad support. That's particularly true of the defenses for individuals with medical problems under the current law, insurance providers are disallowed from declining them for coverage or charging them more than individuals without such conditions.

Analysts on both sides expect concerns about health expenses and health law to play a large function again in 2020. For Republicans, "the threat of doing absolutely nothing possibly leaves no port in a storm if the ACA is reversed legally," Rosen states. "However a more restricted version, which is what most Republicans are for, is likely to be met the exact same concerns.

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