President Obama's job approval ratings have fallen more steeply than any other newly elected president, and the White House is well aware that drop could impact the president's ability to advance his agenda.
As he faces a skeptical public and pushback from the GOP on his health care reform efforts, the president will address a joint session of Congress during primetime on Sept. 9 to try and regain momentum and convince Americans that his health care prescription is the right one. The president was invited by House Speaker Nancy Pelosi, D-Calif., and Senate Majority Leader Harry Reid, D-Nev., to address the joint session on health insurance reform.
Senior adviser David Axelrod told ABC News the president will try to regain control over the discussion, move aggressively to pass legislation through Congress, and make direct personal appeals to members of Congress.
"We're at a point in this debate where we've been talking for months and months, all the ideas are on the table," Axelrod said. "Now we have to pull those strands together and deliver an overall vision of where to go."
In coming days, Axelrod added, the president will use his "megaphone" to convince Americans on the details of reforms needed and is even considering an address to the nation from the Oval Office.
The health care reform debate is entering a new phase, a White House official said, "driven in part by the actions of some in the GOP, including Sens. Chuck Grassley and Mike Enzi, which indicates that they are essentially walking away from the negotiating table." It seems likely that the White House will give up on any hopes that the bipartisan "Gang of Six" senators working in the Senate Finance Committee will produce legislation that will advance the process.
In recent days, both Republican senators have assailed the president's health care reform efforts. Wyoming Sen. Enzi tore apart the Democrats' health care proposal in this weekend's GOP radio address, saying it would "raid Medicare," will interfere in Americans' medical care and "will actually make our nation's finances sicker without saving you money."
Grassley, R-Iowa, at the center of bipartisan discussions in the Senate as the ranking minority member of the Senate Finance Committee, recently sent out a fundraising letter in which he asked for voters' "immediate support in helping me defeat Obama-care."
"Those were unfortunate comments. They didn't – they weren't encouraging," Axelrod said.
Obama's job approval in the daily Gallup poll currently sits at 50 percent. If it dips any lower before November, it would be the second-fastest drop of an elected president to below majority approval since World War II, behind only President Bill Clinton.
The president's popularity at the start of his term was high, at 68 percent, but he was faced with numerous challenges coming into office, including a recession and unpopular wars abroad.
"You have to remember that President Obama started from significantly higher rate," said presidential historian Mark K. Updegrove. "He was bound to slip."
"There was this great good will we saw with President Obama. It was bound to decline, given the enormous burdens he faced as president shortly into his term," Updegrove added.