GIVEN the continuing partisan rancor over the health care reform act signed in March, how can responsible policymakers in the White House and in state capitols move forward to expand access to health insurance and reduce health care costs, goals that both parties share? The answer is simple: health insurance exchanges, which have long had bipartisan support. These exchanges, which the health care act requires states to establish, allow individuals and groups to purchase coverage, under some form of risk pooling, from a network of insurers. The next step is for the White House to help state governments put these exchanges in place.

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