American politics is ugly these days, and many people wish things were different. For example, Barack Obama recently lamented the fact that “politics has become so bitter and partisan” — which it certainly has.
But he then went on to say that partisanship is why “we can't tackle the big problems that demand solutions. And that's what we have to change first.” Um, no. If history is any guide, what we need are political leaders willing to tackle the big problems despite bitter partisan opposition. If all goes well, we'll eventually have a new era of bipartisanship — but that will be the end of the story, not the beginning.
In essence, he is criticizing Obama for trying to find consensus, and supports, instead, ignoring the other side and forcing your views through. Essentially, act like Bush and company, but from the left.
My only comment is this. By all means Paul, go for it. Push for state run, postal service-type health care insurance, and don't give an inch until you get it. And when you don't get it after the first ten years because of all the partisan (and popular) opposition, keep on trying.