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Health Law Seen as Obama's Biggest Achievement, Failure

Health Law Seen as Obama's Biggest Achievement, Failure

PRINCETON, NJ -- Americans see the 2010 Affordable Care Act as President Barack Obama's greatest achievement to date as well as his biggest failure, underscoring the controversial nature of the law that is likely to define his legacy. On balance, more Americans name the healthcare law as his biggest failure (36%) than as his greatest achievement (22%).

First, what would you say has been President Obama’s greatest achievement so far in his administration? December 2013 resultsWhat would you say has been President Obama’s biggest failure so far in his administration?

History's verdict on Obama's presidency will not be rendered for years or decades, if even then, given the continuing revision of a president's legacy that inevitably takes place after his term ends. But after he has spent almost five years in office, Americans are certainly in a position to think about Obama's greatest achievements and biggest failures so far, and that is what Gallup asked them to do as part of its Dec. 5-8 survey.

The Affordable Care Act, or Obamacare -- the bill Obama spearheaded and helped push into law in 2010 -- is the dominant policy or action that Americans volunteer in response to both questions. That significant proportions of Americans apparently can view the healthcare law as either a positive or a negative underscores its controversial status in recent domestic policy. This is not necessarily unusual. President George W. Bush's supporters clearly saw U.S. involvement in the Iraq war as a positive, while his detractors saw it as a negative. Similarly, some saw President Lyndon B. Johnson's Great Society programs as a great achievement, and others saw them as a major mistake.

The two achievements that Americans mention most frequently other than Obamacare focus on Obama's ending the war in Iraq and bringing troops home, and capturing Osama bin Laden. Smaller percentages mention his stabilizing the economy and that he is the first black president. Twenty-three percent of Americans say "nothing" when asked about his greatest achievement, while another 10% don't give an answer.

On the negative side of the ledger, in addition to Obamacare, Americans mention the president's inability to get along with Republicans and with Congress, his lack of communication, and his lack of leadership. Smaller percentages mention his failure to pass immigration legislation, his inability to bring all troops home from overseas, jobs issues, and the economy. Eight percent of Americans say Obama hasn't had a "biggest failure," while 7% don't give an answer.

Republicans and Democrats See Record Vastly Differently

Not surprisingly, Americans who identify with or lean toward the Democratic Party are highly likely to cite Obamacare as the president's greatest achievement, while those who identify with or lean toward the GOP infrequently mention it, or anything else, as an achievement.

  • In addition to Obamacare, Democrats praise Obama for bring the troops home, fighting terrorism/capturing bin Laden, and stabilizing the economy.
  • Almost half of Republicans say "nothing" or can't name anything they consider Obama's greatest achievement so far. Republicans who do mention an achievement cite anti-terrorism efforts and capturing bin Laden, and bringing troops home. Five percent of Republicans mention Obamacare as his greatest achievement.

What would you say has been President Obama's greatest achievement so far in his administration? December 2013 results by party

On the other hand, Republicans and Democrats alike are most likely to mention Obamacare as the president's biggest failure, although Republicans are twice as likely to do so. This suggests that even Democrats recognize the negative issues associated with the new healthcare law and its implementation. Republicans also cite Obama's lack of communication and lack of leadership as a failure, while Democrats mention his inability to get along with Congress and Republicans, his lack of communication, lack of immigration reform, lack of leadership, and his inability to bring all troops home.

What would you say has been President Obama's biggest failure so far in his administration? December 2013 results by party


To this point in time, Americans' views of Obama's greatest achievement and biggest failure tend to revolve around the signature healthcare legislation that informally bears his name. This suggests that as Obama's term in office continues through its final three years and beyond, Americans' -- and most likely history's -- assessment of his presidency could turn on the ultimate verdict of how well his healthcare law achieved its goal of making healthcare affordable and accessible to all Americans.

Survey Methods

Results for this Gallup poll are based on telephone interviews conducted Dec. 5-8, 2013, on the Gallup Daily tracking survey, with a random sample of 1,031 adults, aged 18 and older, living in all 50 U.S. states and the District of Columbia.

For results based on the total sample of national adults, the margin of sampling error is ±4 percentage points at the 95% confidence level.

Interviews are conducted with respondents on landline telephones and cellular phones, with interviews conducted in Spanish for respondents who are primarily Spanish-speaking. Each sample of national adults includes a minimum quota of 50% cellphone respondents and 50% landline respondents, with additional minimum quotas by region. Landline and cell telephone numbers are selected using random-digit-dial methods. Landline respondents are chosen at random within each household on the basis of which member had the most recent birthday.

Samples are weighted to correct for unequal selection probability, nonresponse, and double coverage of landline and cell users in the two sampling frames. They are also weighted to match the national demographics of gender, age, race, Hispanic ethnicity, education, region, population density, and phone status (cellphone only/landline only/both, and cellphone mostly). Demographic weighting targets are based on the March 2012 Current Population Survey figures for the aged 18 and older U.S. population. Phone status targets are based on the July-December 2011 National Health Interview Survey. Population density targets are based on the 2010 census. All reported margins of sampling error include the computed design effects for weighting.

In addition to sampling error, question wording and practical difficulties in conducting surveys can introduce error or bias into the findings of public opinion polls.

View methodology, full question results, and trend data.

For more details on Gallup's polling methodology, visit

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