question... when has the federal government ever taken on something of this magnitude and been successful?
Social Security, Medicare, Interstate Highway System, Our Military, The FBI, The IRS, Army Corp of Engineers.
I can go on and on but these are a nice start, to answer your question.
bonus question... how efficient is the federal government at doing anything?
Social Security's solvency is projected to at least 2030. That's 100 years of success. The only real safety net for our seniors. Medicare has been very successful and will remain solvent through at least 2020 but is in need of reform as is our entire HC system.
Our Interstate Highway System is the lifeblood of commerce in America. Interstate commerce would be impaired greatly without it. That highway system is credited with the economic explosion of America. That's how efficient it's been.
While our income tax in it's current form is very regressive, the IRS and the Income Tax have been very successful at funding our government. Our roads, streets, schools, military, infrastructure etc all rely on funding raised by the income tax. In essence the IT built America into what it is today.
Our government manages and has built our nations infrastructure. Highway, rail, seaway, electric grid, gas pipelines. Thats quite alot to manage and build.
double bonus question... how many new drugs will be created if congress and obama create a climate that is unfavorable to pharmaceutical companies efforts to recoup the astronomical costs associated with bringing new drugs to market? (hint: very, very few)
http://www.sweden.se/eng/Home/Business/Facts/Biotechnology-and-Pharmaceuticals-in-Sweden/Sweden is the gold standard of what big pharma should be in America.