Here’s the thing about Virginia gubernatorial contests: Moreso than even midterm elections, they have abysmally low turnout. From 2008 to 2009, for example, more than 46 percent of voters left the electorate, and overwhelmingly, those voters were African Americans, Latinos, and young people.

Just this evening, the Senate voted to confirm Marilyn Tavenner as head of the Centers for Medicare and Medicaid Services. Of the many appointed positions in the federal government, this one doesn’t sound exciting. And it isn’t. But it is important. As head of CMS, Tavenner will be responsible for overseeing both programs and implementing large parts of the Affordable Care Act, President Obama’s health care reform law.