Politically, handling the Affordable Care Act or not taking it on are both dangerous. While numerous citizens don't understand all that the federal health law does, some of its rules take pleasure in broad assistance. That's especially true of the protections for people with medical issues under the existing law, insurers are barred from rejecting them for coverage or charging them more than individuals without such conditions.

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

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