Politically, taking on the Affordable Care Act or not taking it on are both dangerous. While lots of voters don't understand all that the federal health law does, some of its guidelines enjoy broad assistance. That's especially real of the securities for individuals with medical issues under the present law, insurance companies are disallowed from declining them for coverage or charging them more than people without such conditions.

Experts on both sides anticipate issues about health expenses and health law to play a big role once again in 2020. For Republicans, "the threat of not doing anything potentially leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "But a more limited variation, which is what most Republicans are for, is most likely to be met the very same issues.

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