When Sen. John McCain, R-Ariz., voted against Republicans’ last repeal and replace vehicle, Graham-Cassidy, he said he did so in favor of a bipartisan process to fix the Affordable Care Act’s flaws and move towards a permanent, workable replacement.

The irony is that any bipartisan deal with hope of attracting Republican support will have to start with the core of Graham-Cassidy: sending more regulatory flexibility back to the states, along with a predictable block grant of federal funding for covering uninsured and low-income Americans.