On Sunday, White House Press Secretary Robert Gibbs took to the airwaves with a clear, decisive message: Health care reform will be done.

“We’ll have the votes when the House votes, I think, within the next week,” Gibbs said on “Fox News Sunday.”

Gibbs added that those on next week’s Sunday talk shows “will be talking about healthcare not as a presidential proposal but I think as the law of the land.”

President Barack Obama will look to campaign on the new healthcare law in midterm elections, Gibbs said.

The emphasis on that last sentence is mine, but the significance warrants some sort of super-bold text with flashing sirens. Thus far this year, the looming congressional elections have been dominated by one issue — to pass, or not to pass the first meaningful health care reform bill in generations.

We’re about to enter a new phase.

Should this current bill become law, the question is no longer “to be, or not to be,” but rather whether the bill has helped millions of Americans. The answer to that will, quite simply, be yes. And with the transition of this debate from the realm of the fear-mongering hypothetical to what we kindly describe as the “real world,” the political dynamic fueling the discourse in this country will just as fundamentally change.

Will we have instant results in terms of insuring Americans when President Obama puts his presidential pen to paper? No.

But what we will have is an instant game-changer that could immediately turn the current predictions for November upside-down.