Republicans and Democrats have little occasion to agree on anything in these toxic times. Nowhere are their differences more acute than on health-care policy.

The two of us disagree on whether the Affordable Care Act is improving the U.S. health system, whether it is good policy, and whether it should continue to exist. It's such a lightning rod that broad consensus on alterations to the law may never be reached.

Yet it is still possible to make progress on changes that will improve the health-care system. Disagreements about the future of Obamacare need not stop us from agreement in other areas. And it starts with emphasizing the role that states can and should play in slowing the increase in health-care costs.

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