The bad news is that the economic troubles in this country will prevent him from doing a lot of things he wants to accomplish (universal healthcare).
As I have often pointed out,
the solution to the economic troubles is spending - huge, costly new redistributionist government programs. As Keynes taught us, and as history has proven, nothing else will work.
So the economic troubles will not prevent him from doing a lot of things that he wants to accomplish, they will require that he accomplish them, and enable him to do so.
Remember that the only time America has ever been able to break the stranglehold of the owners and accomplish reform is during periods of severe crisis, most notably the Great Depression.