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

Analysts on both sides anticipate concerns about health costs and health law to play a large role once again in 2020. For Republicans, "the danger of doing absolutely nothing possibly leaves no port in a storm if the ACA is reversed lawfully," Rosen states. "However a more minimal version, which is what most Republicans are for, is most likely to be met the very same concerns.

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