第一个目标是在2014年之前建立一个医保交易所，正如国家医改方案所要求的那样。
The first goal is to create a health exchange by 2014, as required by the national health reform.
这个民意调查是在奥巴马在国会发表演讲的五天前进行的，而那次演讲反应了奥巴马排除万难，通过医改方案的决心。
The poll was taken over five days just before Obama's speech to Congress. That speech reflected Obama's determination to push ahead despite growing obstacles.
“是只有我这样认为，还是奥巴马在医改通过后有些不同？”
“Is it just me, or does Barack Obama seem different since health care passed?
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