I don't think it means as much as some state. Afterall, Mass has elected several Republican governors over the years. However, it is an embarrassment for the President since he put his political prestige on the line. But I do think that there are alot of Dems who are not listening to the people. As a result of this upset, the Dems have lost their filbuster proof majority, but they still can generate 59 votes in the Senate and have a huge majority in the House. I think the President needs to concede some health care reform changes requested byt he Reps and concentrate on the economy.