A potent issue dominated the midterms this fall: health care. It was a top concern for voters, and it ultimately shaped the outcome of races across the country. Jonathan Gruber, an economics professor at MIT and an architect of the Affordable Care Act, and Sarah Kliff, senior policy correspondent at Vox and host of the podcast The Impact, weigh in on the future of health care. With a divided Congress, Kliff and Gruber suggest that state governments and possibly the  private sector will be the places to watch for reform in the short-term.