Politically, handling the Affordable Care Act or not taking it on are both dangerous. While numerous voters don't understand all that the federal health law does, a few of its guidelines delight in broad assistance. That's especially real of the securities for people with medical issues under the existing law, insurers are barred from declining them for protection or charging them more than individuals without such conditions.

Experts on both sides anticipate concerns about health costs and health law to play a large role once again in 2020. For Republicans, "the threat of doing nothing possibly leaves no port in a storm if the ACA is reversed legally," Rosen says. "But a more restricted variation, which is what most Republicans are for, is likely to be met the same concerns.

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