President Biden leaves 2021 with 43 percent approval from American voters per the RealClearPolitics (RCP) average of major polls, with 53 percent disapproving.

The numbers are upside-down from inauguration day 2021, when the president in the same RCP average stood at 57 approval and just 37 percent disapproval.

Add it all up, and Biden has shifted negatively by more than 30 points. No president since World War II – not even Donald Trump – has seen such a massive slide.

So how did the 46th president, who received more votes than any candidate in U.S. history, get here? Let’s break down his performance issue by issue.

The economy: When Biden entered office, the economy was already roaring back from an unprecedented pandemic and shutdown of the U.S. economy. Unemployment was back down to 6.3 percent, a sharp drop from 14.4 percent in April 2020 when businesses were forced to close across the country.

Unemployment has continued to fall back to 2019 levels, while the stock market is at all-time highs. But despite that good news for Biden, inflation dominated economic headlines throughout 2021.

The administration continually insisted over the summer that inflation was “transitory” and may actually be a good thing for the U.S. economy. White House chief of staff and prolific tweeter Ron Klain even attempted to portray inflation and the supply-chain crisis as a rich man’s problem.
This was, of course, a patently tone deaf (and inaccurate) argument to make considering inflation affects poor people the most because they have a harder time than the rich absorbing skyrocketing prices on food, gas and home heating. And as 2021 becomes 2022, it’s clear inflation is not transitory, while the supply-chain crisis may extend well into this year, according to Transportation Secretary Pete Buttigieg.

Overall, inflation – which is at a 40-year high – is a major issue that likely will be around well past the 2022 midterms in November, according to three-quarters of economists in a recent survey by the National Association for Business Economics. Year-end consumer prices also rose at their fastest rate since 1982. No spin can change what voters feel on line at the store, or at the pump or when paying their bills.

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President Biden leaves 2021 with 43 percent approval from American voters per the RealClearPolitics (RCP) average of major polls, with 53 percent disapproving.

The numbers are upside-down from inauguration day 2021, when the president in the same RCP average stood at 57 approval and just 37 percent disapproval.

Add it all up, and Biden has shifted negatively by more than 30 points. No president since World War II – not even Donald Trump – has seen such a massive slide.

So how did the 46th president, who received more votes than any candidate in U.S. history, get here? Let’s break down his performance issue by issue.

The economy: When Biden entered office, the economy was already roaring back from an unprecedented pandemic and shutdown of the U.S. economy. Unemployment was back down to 6.3 percent, a sharp drop from 14.4 percent in April 2020 when businesses were forced to close across the country.

Unemployment has continued to fall back to 2019 levels, while the stock market is at all-time highs. But despite that good news for Biden, inflation dominated economic headlines throughout 2021.

The administration continually insisted over the summer that inflation was “transitory” and may actually be a good thing for the U.S. economy. White House chief of staff and prolific tweeter Ron Klain even attempted to portray inflation and the supply-chain crisis as a rich man’s problem.

This was, of course, a patently tone deaf (and inaccurate) argument to make considering inflation affects poor people the most because they have a harder time than the rich absorbing skyrocketing prices on food, gas and home heating. And as 2021 becomes 2022, it’s clear inflation is not transitory, while the supply-chain crisis may extend well into this year, according to Transportation Secretary Pete Buttigieg.

Overall, inflation – which is at a 40-year high – is a major issue that likely will be around well past the 2022 midterms in November, according to three-quarters of economists in a recent survey by the National Association for Business Economics. Year-end consumer prices also rose at their fastest rate since 1982. No spin can change what voters feel on line at the store, or at the pump or when paying their bills.

2021 grade on the economy/inflation: D

Crime: Sixteen cities reported record-high homicide rates in 2021. What’s the one thing those cities have in common? All are run by Democratic mayors. Some have called for defunding the police or “reallocation” of police funds. Thankfully, voters rejected such measures in beleaguered cities, including Minneapolis and Portland, while moderate Eric Adams – a former NYPD officer – was elected mayor of New York City.

As for the Biden administration’s performance on the issue, there’s not much performance or even rhetoric to point to. President Biden and Vice President Harris (a former California attorney general) almost never speak about the crisis, as if they’re hoping it will simply go away. White House Press Secretary Jen Psaki even blamed Republicans for wanting to defund the Police, which earned her Four Pinnochios by the Washington Post’s fact-checker.

Medicare Advantage plans contract with the federal government to provide extra benefits and services to seniors, such as disease management and nurse help hotlines with some also offering vision, dental care and wellness programs.

The Biden administration released new figures last month that showed more than 27 million Americans were enrolled in a Medicare Advantage plan as of October 2021. That’s more than 40% of the total Medicare enrollment of 63,964,675.

Startups and smaller health plans are also gaining traction from investors helping them expand in new markets for Medicare Advantage. These startups see a substantial market to work with to convert to a private plan from traditional Medicare.

Take Zing Health, a Chicago-based Medicare Advantage insurer, which its chief executive officer Dr. Eric Whitaker says is focused on creating “superior health outcomes for seniors across underserved communities.”

Increasingly, health insurers are working to address social determinants of health and Zing sees a niche in markets not historically served by Medicare Advantage.

Zing Health last month landed a $25 million investment from Town Hall Ventures and Leavitt Equity Partners, two investment firms focused on healthcare growth companies. “This new infusion of capital will enable Zing to broaden its reach and continue to provide the best quality healthcare to underserved populations,” Zing said in a statement.

As president, Biden has made stopping and controlling the pandemic and the multi-trillion-dollar Build Back Better spending bills the primary focus of the few speeches he’s given. He rarely if ever mentions what he plans to do to combat the violent crime epidemic.

The public easily spots the lack of focus, the lack of a plan. ABC News finds that just 36 percent of Americans approve of Biden’s handling of crime. And according to a Rasmussen poll, 89 percent of likely voters say crime will only get worse. That’s a direct indictment of the president and his strategy on the crisis.

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