'This Week' Transcript: Former Obama National Security Adviser Tom Donilon

But, you know, here's the problem. And you've got to deal with the system that you have. And there was so much fear, resistance, anxiety around moving to what I think would be the real problem, a real solution that people just -- we ended up with a tiebreak.

(CROSSTALK)

NOONAN: Éfor a bunch of voodoo from business guys.

COLE: I think Keith is actually where the Democratic Party is going, which is single-payer health insurance. As I talk to Democrats in CongressÉ

ELLISON: It's a good idea.

COLE: Éthey mostly say, this thing hadn't worked. And they're not moving to the right, they're moving further to the left. I think that's a mistake for them, because Medicare is going bankrupt as it isÉ

ELLISON: Like every other industrialized nationÉ

NOONAN: I think Democrats would clean it up and allow it to becomeÉ

(CROSSTALK)

NOONAN: Éwaste and fraud and abuse. Show that regard for these systems and then broaden them.

PLOUFFE: This program was designed to be implemented by the states. And in most of the states (inaudible) is going quite well. You talked about Medicaid expansion. I think it's just a fact, and it may take until 2017 when this president leaves office, you're going to see almost every state in this country running their own exchanges eventually and expanding Medicaid. And I think it'll work really well, then.

STEPHANOPOULOS: That's 2017. And it's also a fact right now, David Plouffe, that the public seems to have lost confidence in President Obama, both his confidence, and for the first time in -- whether he's honest and trustworthy.

How does the president turn it around right now? If you were back in the White House right now you'd be planning that State of the Union coming around in January. What are the keys to rebuilding his profile and his agenda?

PLOUFFE: Well, this has been tough patch. And it's not just health care. You know, the shutdown affected everybody's confidence in government. But I think -- let's fastforward to the State of the Union and the months ahead.

Health care working better, a lot of people signing up, the economy continuing to strengthen, hopefully no Washington shutdowns. I think the president's numbers will recover. I think people's confidence will recover.

And then we need to push congress to do immigration, to do smart things to help the economy. That's -- the American people are sitting at home and saying we're talking about all these issues except what's most important to me, which is my job and which is my income.

And that's what Washington needs to focus on. The American people are screaming out, focus on us, what's important to us.

NOONAN: David, I think the president has a problem. This is what it is, it's simple. He said if you like your health insurance policy, you can keep it. Period. If you like your doctor, you can keep him. Period. If you like the hospital you go to, you keep it. Period. That has all turned out in the past two months as Americans have interfaced with this program to be untrue. And the American people look at the president and they think, he's no dummy, he's a really smart guy, and because he's a smart guy, they think, well, that means he deliberately misled us to get his program through. People don't like that. That's another reputation changer, and I think that's problematic for the president going forward in the next few months and years.

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