(Bloomberg) -- If Democrats keep the White House come November, millions of Americans could gain health-care coverage. If Republicans take it back, millions could become uninsured. A new study ran the numbers under the proposals of both U.S. presidential candidates.

Donald Trump’s pledge to repeal the Affordable Care Act, President Barack Obama’s signature health-care law, would result in 19.7 million more people without insurance and widen the federal deficit by $33.1 billion in 2018, according to an analysis conducted by research group Rand Corp. and funded by the Commonwealth Fund, a nonprofit foundation.

The Republican nominee’s proposed tax credits would largely benefit higher-income people, the study also found.

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