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Politically, handling the Affordable Care Act or not taking it on are both dangerous. While numerous voters don't understand all that the federal health law does, some of its rules take pleasure in broad support. That's especially real of the defenses for individuals with medical problems under the existing law, insurance companies are disallowed from declining them for coverage or charging them more than individuals without such conditions.

Experts on both sides expect concerns about health expenses and health law to play a big function once again in 2020. For Republicans, "the threat of not doing anything possibly leaves no port in a storm if the ACA is overturned lawfully," Rosen says. "However a more minimal variation, which is what most Republicans are for, is most likely to be satisfied with the same concerns.