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Robin Dake recalls a time when health insurance was financially out of reach for her and her two daughters 鈥嬧�� with the prospect of premiums of about $900 a month.

聽鈥淚 couldn't afford it. I simply had no insurance for a while. And that's pretty terrifying as a mom,鈥澛爏he says.

The arrival of the Affordable Care Act (ACA) changed things in a big way. Even though one of her 聽daughters has what鈥檚 known in insurance jargon as a 鈥減reexisting condition鈥澛犫�� in her case a seizure disorder 鈥� Ms. Dake has been able to 聽afford insurance as a self-employed single parent in rural Georgia.

Now, her daughter, Tory, who is studying to be a doctor, dreams about opening up a clinic one day where people 鈥渄on鈥檛 have to worry about insurance.鈥� Currently, just one of her own medicines can cost up to $600 a month or more without insurance. When there's a glitch with her insurance, her pharmacist makes sure to get her at a least one dose.

鈥淚t's been a battle with the insurance companies and the policies in general,鈥� she says. 鈥淎nd it's just so frustrating.鈥澛�

Now the ACA's protection against sky-high insurance rates faces a new threat. Twenty conservative states are seeking to overturn the ACA in court. They argue it is no longer constitutional now that a core provision, the threat of a tax penalty for people who don鈥檛 get insurance, has been repealed.

And this month, the Trump administration鈥檚 Justice Department sided partly with those states, saying it would not defend the provisions aimed at safeguarding people with preexisting conditions.

The administration鈥檚 shift not only adds to legal uncertainty over the law, it also has stirred a political uproar, injecting an issue into congressional election campaigns that many Republicans didn鈥檛 want or expect. In turn, the result may actually be to galvanize already-strong public support for this aspect of the law known as Obamacare.

鈥淭he strategy behind this is rather bizarre. It's hard to really understand the political reasoning for why the administration put forward the position that they did,鈥� says Sabrina Corlette, a professor at Georgetown University's Center on Health Insurance Reforms in Washington. 鈥淚t certainly seemed to take a number of members of Congress by surprise.鈥�

Lawsuit prompts sketicism

This week a number of Republican lawmakers have voiced their strong support for protecting insurance rates for people like Tory Dake, possibly signaling that the court case itself won鈥檛 ultimately determine the nation鈥檚 law on this issue.

The Justice Department鈥檚 position 鈥渋s unbelievable,鈥� says Ed Dolan, an economist at the Niskanen Center, a free-market oriented think tank based in Washington. 鈥淭he preexisting condition provision is the single most popular part of Obamacare.鈥�

To Tory, politicians who don't support the provision seem to lack a complete understanding of what it means to 鈥渂udget when you鈥檙e tight on money鈥� or have a preexisting condition, blaming the individuals who have them instead of looking for ways to help. Being exposed to people with both those challenges can lead people, of all political backgrounds, to cultivate more empathy, she says.

In fact, the provision is perhaps unique as a part of the law that 鈥渉as strong majority support from both Republicans and Democrats,鈥� adds Mr. Dolan, who has developed a for ensuring universal health-insurance coverage for Americans.

According to a from a year ago, 7 in 10 Americans wants the federal government to continue to bar insurance companies from charging more for people with preexisting health conditions. That includes 59 percent of Republicans, 68 percent of independents, and 84 percent of Democrats. A last year found even stronger support than that, including 8 in 10 Republicans.

The may be a legal longshot. That鈥檚 the case whether the goal is to toss out the whole law (as Texas and other states have urged) or part of it (), some experts say.

鈥淚 would be surprised鈥� if the legal challenge succeeds, says Chris Pope, a health policy expert at the conservative-leaning Manhattan Institute in New York. He notes the chorus of GOP lawmakers including Sens. Lamar Alexander of Tennessee, and Bill Cassidy of Louisiana, who have said such an outcome is not what they intended when legislating.

On June 14 a group of legal experts, some of whom in the past have stood in opposing camps over the constitutionality of Obamacare, joined in filing arguing that the states lack legal grounds for their case.

The issue of legislative intent could be key. The states' lawsuit points to initial visions of the ACA as a unified whole, which some argued would fall apart if any key piece is removed. The amicus brief says actions by Congress under President Trump show聽an intent for much of the law to remain in place, even as Congress was removing the law's threat of tax penalties for not buying insurance.

Still, it remains to be seen how federal judges will rule in the initial case (to be reviewed a conservative judge in Texas) or on appeal.

Americans wonder: What's next?

For now, many Americans are concerned about the risk to their insurance. And it鈥檚 not just people diagnosed with preexisting conditions, it鈥檚 also those who worry they could fall into that category in the future.

鈥淚 think people are starting to realize that just because they don't have something wrong with them today something could be wrong with them tomorrow,鈥� says Ryanne Rizzo, a Detroit-area independent contractor. 鈥淚t doesn't seem fair that people can be bankrupted or completely have their lives in shambles because they鈥檙e sick.鈥�

Her own family was shaken when her teenage daughter was seriously injured in a car accident. During her daughter鈥檚 lengthy recuperation, Ms. Rizzo lost a job and started going through a divorce (which included moving off her husband鈥檚 health-insurance plan).

She was able to enroll for ACA coverage right away.

Her daughter, now 16, has recovered but still has preexisting conditions related to the accident.

鈥淚 wish it wasn鈥檛 a political issue,鈥� Rizzo says. It 鈥渄efinitely affects the way I vote. It鈥檚 the number one concern I have 鈥� You can't work. You can't go to school. You can鈥檛 lead a meaningful life at all if your health is not there, and your child's health is not taken care of.鈥澛�

Health-care a voter priority

Her view hints at a wider reality: Health care is one of the highest-priority issues for US voters, as the nation approaches mid-term elections in which control of Congress is at stake.

The rift within GOP ranks is surprising. President Trump himself has supported protecting people with preexisting conditions in the past. And the administration acknowledges that it鈥檚 unusual for the Justice Department to withdraw support for an existing federal law. Health and Human Services Secretary Alex Azar said June 12 that the new legal stance is not a "policy position" but a constitutional and legal one.聽

Some Republicans in Congress support the legal arguments used in challenging the ACA, and say a successful lawsuit could help Americans. 鈥淐onsumers will have more choices, more competition, more options, more individual freedom and lower premiums,鈥� predicted Sen. Ted Cruz of Texas, in an interview with .

Obamacare has been controversial from its inception, with critics saying the law has pushed up health care costs, limited choice of doctors, and steered consumers young and old toward one-size-fits-all plans. Even supporters see room for the law to be improved, while defending its basic approach for trying to make strong coverage affordable to all.

While personal health challenges vary in severity,聽 of Americans have a preexisting condition, using a definition similar to the underwriting criteria used by insurers prior to the ACA. According to one narrower definition the figure is 23 percent.

But for Robin and Tory Dake in Toccoa, Ga., the issue goes beyond statistics, even ones as large as that.

鈥淚 have a pretty deep spiritual life and to me these issues are spiritual issues,鈥� says Robin. 鈥淭hey are about how we take care of each other, how we take care of our neighbors. I don't think it's right to just want to take care of my family. I think that I need to be part of taking care of the human family.鈥�

Although neither mom nor daughter defines themselves as very political, their travails over health insurance have bonded them in a certain amount of activism. Sometimes they talk to conservative neighbors or, for Tory, campus friends about the ACA.

鈥淢y mom is really my major motivator. Being able to see the struggles she has gone through for me and my sister has been the biggest motivation,鈥� Tory says. 鈥淲e've been on a few marches. From my point of view I tend to have a broader view of equal rights for everybody and not just particularly in health care.鈥�

And that makes her passionate about the issue now at stake nationally.

鈥淭o put people in that situation where they can't heal, they can't have a normal life because they can't afford it, I don't agree with that at all,鈥� says Tory, 鈥淚 think that rises above the struggles of government.鈥�