By Sarah Dutton, Jennifer De Pinto, Anthony Salvanto and Fred Backus
As President Obama's job approval rating plunges to the lowest of his presidency and Americans' sour on his handling of health care, also taking a hit is confidence in his management of the government as well as a number of personal qualities.
Most notably, weeks after the fumbled opening of the health care exchanges, just 32 percent approve of how Mr. Obama is handling the issue of health care, down eight points from September, and the lowest since CBS News began asking the question in 2009.
A rocky beginning to the opening of the new health insurance exchanges has also taken its toll on how Americans perceive the Affordable Care Act. Now, approval of the law has dropped to 31 percent - the lowest number yet recorded in CBS News Polls, and a drop of 12 points since last month. Sixty-one percent disapprove (a high for this poll), including 46 percent who say they disapprove strongly.
Republicans are nearly unanimous in their disapproval of the law, and now more than two-thirds of independents agree. Almost six in 10 Democrats continue to support the law, but their support has dropped 16 points from last month - from 74 percent in October to 58 percent today. Support has dropped 11 points among independents and five points among Republicans.
Most Americans don't have much confidence in the ability of the Obama administration to implement the Affordable Care Act. Forty-five percent of Americans are confident, while more than half say they are either not very (22 percent) or not at all (31 percent) confident.
The Rollout of the Health Care Exchanges
Just a third of Americans are confident that the federal government's healthcare website - Healthcare.gov - will be fixed by the December 1st deadline set by the Obama administration.
Thirty-four percent are at least somewhat confident, while almost two thirds are either not very or not at all confident. Fifty-five percent of Democrats are at least somewhat confident.
But fixing a broken website may not be enough to mend the loss of confidence in the Affordable Care Act. While 31 percent think the issues with the website are simply isolated problems, 63 percent think they are signs of more widespread problems to come.
More than a month after the exchanges opened, just one in 10 Americans think the sign-up for the exchanges has been going well. Instead, more than two-thirds think it's not going well - including seven in 10 of those who have looked up information on the exchanges themselves.
Forty-seven percent think the initial rollout of the new health care exchanges is going worse than they had expected.
"If You Like It, You Can Keep It"
Americans agree about what should happen to those who had coverage that was cancelled because of the implementation of the Affordable Care Act. Sixty-nine percent think these Americans should be able to keep their plans as long as they want, even if they don't meet the requirements set up by the 2010 health care law. Twenty-five percent think they should be allowed to keep their plans for just a year, the solution currently being proposed by the Obama administration. Just four percent think they should have to give up their plans now.
President Obama has taken personal fire for repeatedly claiming that if Americans liked the health insurance plans they were enrolled in, they would be allowed to keep those plans - a claim that proved not to be true for millions of Americans. Forty-six percent of Americans think the President was deliberately hiding something when he made these claims, while 48 percent do not.
A 57 percent majority think President Obama is making things sound better than they really are when he talks about how the health care system will be once the law is fully implemented.
The Future of the Affordable Care Act
Just seven percent of Americans think the Affordable Care Act is working well and should be kept in place as it is. Instead, 48 percent think there are some good things in the law, but changes are needed to make it work better, and another 43 percent think the law needs to be repealed entirely.
There is widespread skepticism about President Obama's assertion that the new health care law will improve the overall health care system in the United States. Thirty percent of Americans think the 2010 health care law will make the health care system better than it was before. More - 44 percent - think it will make the health care system worse, while 22 percent don't think it will make a difference.
Many Americans continue to express concern over what effect the Affordable Care Act will have on them personally. Thirty-nine percent think the law will hurt them, while 43 percent think it will have no effect, and just 15 percent think it will help them.
But many Americans also say they don't understand just how the 2010 health care law will affect them. Forty-eight percent say they do, while 48 percent say it is confusing to them.
Americans routinely say the government is generally doing too much, but the rocky rollout of HealthCare.gov may have raised added doubts about what government can accomplish. Today, 63 percent say government is doing too many things better left to individuals and private businesses - an increase from the 58 percent who said so in February.
Eleven percent of Americans in this poll say they have looked up information about the new exchanges on the HealthCare.gov website, and another seven percent say they looked up information on the state-run exchanges. Among those who did look up information from either source or who called, 37 percent said they were able to get the information they needed.