Obama's ability to rise to the challenge will not only determine the fate of the health care system, but whether he will join the ranks of a handful of presidents who increased the security of the American people.
Republicans will argue that when times are tough you don't increase your spending, you tighten your belt and live within your means. That may be a good idea for an individual. It's a terrible idea for a country.
William H. Taft suffered from a condition probably most relevant to modern Americans - hyper-obesity. He weighed in at over 400 lbs. This condition caused hypersomnolence - he'd fall asleep mid-conversation, sometimes with foreign heads of state.