Politically, handling the Affordable Care Act or not taking it on are both risky. While numerous citizens don't understand all that the federal health law does, a few of its guidelines take pleasure in broad support. That's particularly true of the defenses for people with medical issues under the current law, insurance providers are barred from declining them for protection or charging them more than individuals without such conditions.

Experts on both sides expect issues about health costs and health law to play a large role once again in 2020. For Republicans, "the danger of doing nothing potentially leaves no port in a storm if the ACA is reversed legally," Rosen states. "But a more limited version, which is what most Republicans are for, is most likely to be met the same issues.

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