Politically, handling the Affordable Care Act or not taking it on are both dangerous. While many voters don't understand all that the federal health law does, a few of its guidelines delight in broad assistance. That's particularly real of the securities for individuals with medical problems under the current law, insurance companies are disallowed from rejecting them for coverage 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 once again in 2020. For Republicans, "the danger of doing absolutely nothing potentially leaves no port in a storm if the ACA is overturned legally," Rosen says. "But a more restricted version, which is what most Republicans are for, is most likely to be satisfied with the very same concerns.

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