Politically, handling the Affordable Care Act or not taking it on are both dangerous. While many citizens don't comprehend all that the federal health law does, a few of its guidelines delight in broad support. That's especially real of the defenses for individuals with medical issues under the current law, insurance companies are barred from rejecting them for coverage or charging them more than people without such conditions.

Analysts on both sides anticipate issues about health expenses and health law to play a large function once again in 2020. For Republicans, "the risk of doing nothing potentially leaves no port in a storm if the ACA is overturned legally," Rosen says. "However a more minimal variation, which is what most Republicans are for, is most likely to be met the exact same concerns.

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