TIME: I thought I’d talk to you a little bit about the whole degree to which this is really a test of leadership. The fact is that no President has been able to pull off anything on this order of magnitude in 44 years [since Congress passed Medicare and Medicaid].President Obama: Well, as you point out, the last time we did something of this magnitude was 1965. And the circumstances in some cases were similar in some cases were profoundly different.