Updated

By Bill O'Reilly

Under intense pressure, because Obamacare is so controversial: the President of the United States is on his way to South Africa to pay tribute to the late Nelson Mandela. The President left earlier this morning. He will be back Wednesday and that's quite a journey 34 hours round trip.

After the President comes back from South Africa, it'll be just a few days until he is off on his Christmas vacation to Hawaii, or for you folks in San Francisco his holiday vacation.

All this traveling might actually be good for Mr. Obama because the pressures are growing on his administration and he needs some diversions. He got one last night as the Kennedy Center Program honored entertainers Billy Joel, the opera singer Martina Arroyo, Herbie Hancock, Carlos Santana and Shirley MacLaine.

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OBAMA: When you first become president one of the questions some people ask you is what's really going on at Area 51? When I wanted to know -- I called Shirley MacLaine.

I think I just became the first president to ever publicly mention Area 51.

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O'REILLY: It was a good night and your humble correspondent was on the scene. That's because the Kennedy Center asked me to introduce Herbie Hancock and I was happy to do it. Herbie is a good guy and a brilliant artist.

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O'REILLY: Look at him now, sitting up there with the President of the United States, the First Lady, all those brilliant artists, and he is the only one not nervous about what I'm going to say. He doesn't care.

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O'REILLY: That program will air on CBS Sunday night December 29th.

Amidst all the swirl I did have a few moments to speak with the President. It's not a big schmoozer but he was very gracious everybody who attended the event. Michelle Obama as always extremely personable. But it is the President who was under the most pressure.

A report in the "Washington Examiner" today says that 70 percent -- 70 percent of California doctors will opt out of Obamacare. The California Medical Association disputes that report but there is no question many American doctors are not going to get involved with the Affordable Healthcare Act.

As "Talking Points" has said from the beginning of this controversy, it will be the doctors who will make or break Obamacare. No doubt most working Americans will pay more for their health insurance but if the care was elevated that might be acceptable to some. However if doctors are not available the whole thing will collapse.

And you know what? There's nothing President Obama can do about that. He can't force doctors into the Obamacare program. Until America's leaders -- leader is in a tight spot. He knows it, you know it. Right now his only solace may be up in the air.

And that's "The Memo."