On healthcare we are the prisoner of our past. The way we got to develop any kind of medical insurance program was during World War II when companies facing shortages of workers began to offer healthcare benefits as an inducement for employment. So from the early 1940s healthcare was seen as a privilege connected to employment. And after the war when soldiers came back and went back into the market there was a lot of competition, because the economy was so heated up.

When Colin Powell showed up as Secretary of State in 2001, most State Department employees still didn't even have computers on their desks. When I got there they were not mostly permitted to have handheld devices. I mean, so you're thinking how do we operate in this new environment dominated by technology, globalizing forces? We have to change, and I can't expect people to change if I don't try to model it and lead it.

I want to get the economy going again. It's not just enough about what we're against, as important as that is. I have a plan to create new jobs, manufacturing, infrastructure, clean energy jobs that will make us the 21st century clean energy super power. I also want to make sure small businesses can start and grow again.

You can't just give a speech and expect people to fall down and agree with you.

We cannot let those who would try to destabilize the world to interfere with American interests and security.

I have a different experience. My father was a small-businessman. He worked really hard. He printed drapery fabrics on long tables, where he pulled out those fabrics and he went down with a silkscreen and dumped the paint in and took the squeegee and kept going.

I think wherever we can cooperate with Russia, that's fine. And I did as secretary of state. That's how we got a treaty reducing nuclear weapons. It's how we got the sanctions on Iran that put a lid on the Iranian nuclear program without firing a single shot.