Politically, handling the Affordable Care Act or not taking it on are both dangerous. While lots of voters do not comprehend all that the federal health law does, some of its guidelines enjoy broad support. That's particularly true of the defenses for individuals with medical issues under the existing law, insurers are barred from rejecting them for protection or charging them more than individuals without such conditions.

Analysts on both sides anticipate concerns about health costs and health law to play a big function again in 2020. For Republicans, "the risk of not doing anything potentially leaves no port in a storm if the ACA is reversed lawfully," Rosen states. "However a more limited version, which is what most Republicans are for, is most likely to be met the exact same concerns.

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