Because this law is going to be with us, I think, forever. But certainly over the next three years of his presidency, we're going to have more people that need to be enrolled. You have got to implement this in a smart, effective way, and regains people's trust that this is the right thing to do.
RADDATZ: So, Jonathan Karl, if heads aren't rolling, what will they do now?
KARL: Well, the big thing right now, of course, is getting that website fixed. And Martha, also working with insurance companies. I mean, the president has clashed with insurance companies, but he brought the CEOs in and they have the same goal right now, the exact same goal, which is getting as many people as they possibly can to enroll in these health exchanges. And he does have an ally there with those CEOs.
RADDATZ: So, Rebecca Jarvis, let's turn to you, give us a reality check. What are American people thinking? What impact is on them?
REBECCA JARVIS, ABC NEWS CORRESPONDENT: Well, the issue here, Martha, is who is signing up through the public exchanges and who is not. Right now, the numbers are skewing much older than the insurers and the government had anticipated. The average age with the number of insurers I'm talking to, 50 years old, when we were expecting people of the age of 40 to start signing up through these exchanges.
Those who are younger are opting out, and that's a problem for the future years, because ultimately, in order for this to work, and you heard it from John, the insurers need a pool of people that is both young and healthy as well as the sick and the old. And ultimately if next year you don't see young people signing up for the exchanges, and right now it doesn't look like they will be. Then in 2015, that's when premiums start to go up because the insurers will say, we spent all of this money in 2014 to insure people and we need to actually now have to pass those costs along to the other people in the next year.
RADDATZ: So this gets right back to the competence question, David and Matthew, what do you see as far as Obama regaining the trust of the American people?
DOWD: Well, to me, this is very problematic for his presidency at this point in time. If you take a look at history when presidents in their second term drop this level on credibility, trust and approval, they never come back from that. It's very hard, absence of major crisis or major situation in this.
I think the president is in a difficult spot on all of his legislative initiatives going forward in the next three years. He has time, but...
RADDATZ: Is it a political Katrina?
DOWD: Well, I don't -- first of all, there's a qualitative difference. I know the comparisons we've made into politics and people dying in New Orleans and people trying to get health care and not able to get health care.
But it is from a political standpoint it's eerily similar to President Bush in the fall of 2005, eerily similar.
RADDATZ: David Plouffe.
PLOUFFE: I disagree. I think Iraq was going on, which was getting more and more unpopular, the economy was (inaudible). It's hard in these feeding frenzies in Washington to have perspective. But where could we be in four or five months? Hopefully the website is working fine and people are enrolling for health care. Hopefully, we won't have another bout of Washington dysfunction, which is one of the reasons I think people are upset it's not just health care. And we pass a budget and we move forward. The economy continues to strengthen.