“Your friends come and you say ‘oh Obama’s changed. I used to be so excited. I still have a poster.’ You know sometimes I get frustrated,” Mr. Obama said, “There are times where I am just so burdened by the fact that there are still so many folks out there that we haven’t gotten the help they need. And so I understand how you guys feel. But we knew this wouldn’t be easy.”…

By way of example the president said that some like to comment how health care could have gotten past quicker. Someone in the audience yelled “single-payer.”

“See there: case and point, I knew open up this can of worms. This is a big complicated messy democracy. Change is not simple.”