Obama's most significant legacy is generally considered to be the Patient Protection and Affordable Care Act (PPACA), provisions of which went into effect from 2010 to 2020. Many attempts by Senate Republicans to repeal the PPACA, including a "skinny repeal," have thus far failed. Together with the Health Care and Education Reconciliation Act amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965.
Early in his presidency, Obama moved to bolster U.S. troop strength in Afghanistan. He announced an increase in U.S. troop levels to 17,000 military personnel in February 2009 to "stabilize a deteriorating situation in Afghanistan," an area he said had not received the "strategic attention, direction and resources it urgently requires." He replaced the military commander in Afghanistan, General David D. McKiernan, with former Special Forces commander Lt. Gen. Stanley A. McChrystal in May 2009, indicating that McChrystal's Special Forces experience would facilitate the use of counterinsurgency tactics in the war. On December 1, 2009, Obama announced the deployment of an additional 30,000 military personnel to Afghanistan and proposed to begin troop withdrawals 18 months from that date; this took place in July 2011. David Petraeus replaced McChrystal in June 2010, after McChrystal's staff criticized White House personnel in a magazine article. In February 2013, Obama said the U.S. military would reduce the troop level in Afghanistan from 68,000 to 34,000 U.S. troops by February 2014.
More InfoAccording to the Gallup Organization, Obama began his presidency with a 68% approval rating before gradually declining for the rest of the year, and eventually bottoming out at 41% in August 2010, a trend similar to Ronald Reagan's and Bill Clinton's first years in office. He experienced a small poll bounce shortly after the death of Osama bin Laden on May 2, 2011. This bounce lasted until around June 2011, when his approval numbers dropped back to where they were previously. His approval ratings rebounded around the same time as his reelection in 2012, with polls showing an average job approval of 52% shortly after his second inauguration. Despite approval ratings dropping to 39% in late-2013 due to the ACA roll-out, they climbed to 50% in January 2015 according to Gallup.
More InfoOn March 2, 2017, the John F. Kennedy Presidential Library and Museum awarded the annual Profile in Courage Award to Obama "for his enduring commitment to democratic ideals and elevating the standard of political courage." In his first public appearance out of office, Obama appeared at a seminar at the University of Chicago on April 24. The seminar was aimed at the engagement with a new generation as well as an appeal for their participation in politics. On May 4, three days ahead of the French presidential election, Obama publicly endorsed centrist Emmanuel Macron over right-wing populist Marine Le Pen: "He appeals to people's hopes and not their fears, and I enjoyed speaking to Emmanuel recently to hear about his independent movement and his vision for the future of France." Macron went on to win the election.
More InfoObama went on an international trip from November 28 to December 2, 2017, and visited China, India and France. In China, he delivered remarks at the Global Alliance of SMEs Summit in Shanghai and met with Chinese President Xi Jinping in Beijing. He then went to India, where he spoke at the Hindustan Times Leadership Summit before meeting with Indian Prime Minister Narendra Modi over lunch. In addition, he held a town hall for young leaders, organized by the Obama Foundation. He also met with the Dalai Lama while in New Delhi. He ended his five-day trip in France where he met with French President Emmanuel Macron, former President Francois Hollande and Paris Mayor Anne Hidalgo and then spoke at an invitation-only event, touching on climate issues.
More InfoIn February 2011, protests in Libya began against long-time dictator Muammar Gaddafi as part of the Arab Spring. They soon turned violent. In March, as forces loyal to Gaddafi advanced on rebels across Libya, calls for a no-fly zone came from around the world, including Europe, the Arab League, and a resolution passed unanimously by the U.S. Senate. In response to the unanimous passage of United Nations Security Council Resolution 1973 on March 17, Gaddafi—who had previously vowed to "show no mercy" to the rebels of Benghazi—announced an immediate cessation of military activities, yet reports came in that his forces continued shelling Misrata. The next day, on Obama's orders, the U.S. military took part in air strikes to destroy the Libyan government's air defense capabilities to protect civilians and enforce a no-fly-zone, including the use of Tomahawk missiles, B-2 Spirits, and fighter jets. Six days later, on March 25, by unanimous vote of all its 28 members, NATO took over leadership of the effort, dubbed Operation Unified Protector. Some Representatives questioned whether Obama had the constitutional authority to order military action in addition to questioning its cost, structure and aftermath.
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