所有这一切都说明，即使11月的投票会决定医改的命运，但是医保本身对中期选举并不具有决定性影响。
All this suggests that health care itself may not prove decisive at November's elections, even as that vote itself may end up determining the fate of health reform.
已经过去了很长时间，但是今晚，由于我们今天在这场选举所采取的行动，在这个决定性的时候，变革来到了美国。
It's been a long time coming, but tonight, because of what we did on this date in this election at this defining moment change has come to America.
在这次选举中，纽约州真正是起了到决定性的作用。
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