Speaking of elected officials in Washington, 48% of Americans tend to trust them less than they did a year ago. It appears that this distrust is echoed in people's opinion of a government-run public healthcare option. 39.6% say it would ruin the healthcare system (v. 28.7% who say it would improve it). 35.1% say it would raise costs (v. 26.4% who say the opposite). When asked what they would be willing to do to support a public healthcare option, 69.7% say nothing.

What would you be willing to do to support a public healthcare option?

Adults 18+
Pay higher taxes 14.6%
Pay higher insurance premiums 5.1%
Give up choices in providers 11.3%
Take a reduction in level of service 4.4%
None of the above 69.7%

Americans also appear leery of Cap-and-Trade legislation:

37.6% say it would hurt the economy (v. 17% who say it would help)
35% say it would cost jobs (v. 18.4% who say it would create jobs)
28.6% say it would increase global pollution by moving production to unregulated countries (v. 14.5% who say it would lower the earth's temperature).
In addition, 47.7% say the Government has not done all it could to make the H1N1 vaccine available to Americans.

So, 24 hours after the votes have been counted and as the chattering classes fall silent, what does it all mean? Here are 10 thoughts to take away:

1. Barack Obama needs to be very afraid. If he doesn't start to notch up concrete achievements, the Democrats could take a pasting in next year's mid-terms, setting the stage for his being a one-term president.

2. Sarah Palin roared and had a considerable impact in New York's 23rd District, which the Democrat narrowly won. Trouble is for her that the result showed the limits of her appeal. There was no exit polling and so there is much supposition but it seems that her intervention energised conservatives but alienated centrists. Perhaps the national Republican who came out best was Mitt Romney, who decided not to get involved.

3. The 2008 presidential election was probably an aberration rather than a seismic shift in the political landscape. Obama's winning formula of massive turnout from the young and the black plus support from independents seems to be a thing of history.

4. Bob McDonnell's thumping 18-point win in Virginia shows how Republicans can win again. He and Chris Christie, the New Jersey victor, did not take up Palin's offer to campaign for them and played down their social conservatism so this could be bad news for Palinites.

5. The national Republican party is in disarray. If they don't get their act together then Obama will win a second term by default if nothing else.

6. The media narrative about NY23 that it was about an intolerant Right purging a noble moderate is rubbish. What happened was a very liberal Republican and awful candidate was chosen in error/arrogance and the people rejected her. She then showed her true colours by sabotaging the GOP. There's a lot of Democratic gloating but you can bet the farm on a Republican being elected there in a year's time.

7. This is likely to make health-care reform more difficult to achieve because conservative Democrats in the House will be fearful of signing their own death warrant by backing Nancy Pelosi and Obama.

8. Calling your opponent fat is not a winning strategy. Even if he is.

9. After the result in Maine, the battle over gay marriage is far from over.

10. It's the economy stupid and despite all the White House spin, it seems they get that.