Last week I watched a video clip from President Obama's Town Hall meeting in which Velma Hart, a former Obama supporter living in Maryland, told the President about her disappointment with the lack of change since he took office. She told the President she had voted for change and things haven't changed. He responded by telling her about some aspects of the Healthcare Bill and Credit Card reform that have changed. The contrast between voter Macro expectation and Leader Micro response was fascinating.
People around the Country are today unhappy with the 18% real unemployment rate, the spiraling deficit, and many feel they voted for change that they aren't getting.
Obama for his part has a problem that confronts every organization implementing change - even the largest policy initiatives have only incremental impacts and the benefits only accrue over extended periods of time.
But you can't sell that to voters or corporate executives. No one buys incremental progress (even if that's far better than the incremental deficiencies we all are used to living with).
Every organization involved in Governance faces this dilemma - either build a business case for rapid improvement and explain incremental progress later, or train your organization to understand, measure, and report incremental progress and be happy with it.
The latter is quite hard to do, completely impossible without technology that constantly reports the problems you are trying to fix and how your program is solving them.