Well, we'll see. I like Obama, and I like what he says he stands for, wants, etc.. but there are more than just him running the gov. It is not a dictatorship. He can't just command this or that. So, I'll believe when I see.. and hope for the best.
What Obama can do is clear out a lot of "less than adequate" appointees from "previous administations". Those people can then take care of those taking 3 hour lunch breaks, and perhaps improve staffing to the point where proper yes or no decision are made and actions taken. So peoples' lands and identities are not stolen, nor are fakes allowed to function. (I can see why the CNO has its view on these issues, but their situation is not true for all.)
The other item is criminal prosecution under Depatrtment of Justice of some of the Plastic Shamans, in particular those whose activities violate federal statutes. Obama can put the people in place to do that.
While there has been some progress, Obama has had a lot of issues coming at him fast, particularly the Taliban and the economy, and there is a lot of damage from the last 8 years that he has to deal with.
I think that at least diabetics on the reservations are getting their insulin now, something which McCain seemed oblivious to, from what I heard.