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I didn't have time to gather all the facts so forgive me for being so brief but here it goes:“Within his first week, he signed an Executive Order ordering an audit of government contracts, and combating waste and abuse. http://1.usa.gov/dUvbu5Created the post of Chief Performance Officer, whose job it is to make operations more efficient to save the federal government money. http://n.pr/hcgBn1On his first full day, he froze White House salaries for the duration of the Great Recession.http://on.msnbc.com/ewJUIxHe appointed the first Federal Chief Information Officer to oversee federal IT spending and efficiency. http://www.cio.govHe committed to phasing out unnecessary and outdated weapons systems and signed the Weapons Systems Acquisition Reform Act, in an attempt to limit waste, fraud and abuse in the defense procurement and contracting systems. http://bit.ly/hOw1t1http://bit.ly/fz8GAdHe created the National Commission on Fiscal Responsibility and Reform. http://bit.ly/hwKhKaSigned an Executive Order instructing federal agencies to review all federal regulations and remove any unnecessary and/or burdensome regulations from the books.http://1.usa.gov/Lpo5bdDismantled the Minerals Management Service, thereby cutting ties between energy companies and the government. http://nyti.ms/bw1MLuBanned gifts from lobbyists to anyone in the Executive Branch. http://bit.ly/fsBACNBanned anyone from working in an agency they had lobbied in previous years and placed strict limits on lobbyists’ access to the White House. http://nyti.ms/gOrznVHeld the first-ever first online town hall from the White House, and took questions from the public. http://bit.ly/gVNSgXBecame the first president to stream every White House event, live.http://1.usa.gov/kAgOP5Established a central portal for Americans to find service opportunities.http://www.serve.govRestored the 30-day time frame for former presidents to review records and eliminated the right for the vice president or family members of former presidents to do the reviews, giving the public greater access to historic White House documents, and curtails the use of executive privilege to shield them. http://1.usa.gov/gUetLbImproved the Freedom of Information Act and issued new guidelines to make FOIA more open and transparent when processing FOIA requests. http://1.usa.gov/gjrnp2Streamline the Department of Education’s procurement policies and made them more transparent. http://bit.ly/1r9oQvhProvided the first voluntary disclosure of the White House Visitors Log in history. http://1.usa.gov/hQ7Signed a law to completely reform NSA Data Collection program and keep phone records in the hands of the phone company. http://bit.ly/1dG34vDStaved Off a Bush Depression, Improved the EconomyPushed through and signed the American Recovery and Reinvestment Act, also known as “the stimulus package.” He also launched http://recovery.gov, a website that allows taxpayers to track spending from the Act. http://1.usa.gov/ibiFSshttp://1.usa.gov/e3BJMkBy the end of his first year, the economy created and sustained 2.1 million jobs and stimulated the economy by 3.5%. http://reut.rs/i46CEEHe created the massive TARP financial and banking rescue plan and forced banks and other entities to pay back virtually all of the bailout money.http://1.usa.gov/eA5jVShttp://bit.ly/eCNrD6He created the Making Home Affordable home refinancing plan. http://1.usa.gov/goy6zlIn 2010, more jobs were created than had been created during Bush’s eight years.http://bit.ly/hrrnjYHe pushed through and implemented an auto industry rescue plan that saved as many as 1 million jobs and possibly the entire auto industry.http://bit.ly/ibhpxrhttp://bit.ly/gj7mt5Through his investment in GM, returned to the company to its place as the premiere car company in the world. http://lat.ms/zIJuQxIn February 2016, GM was in such good financial shape, they gave a share of the profit to each worker, with checks up to $11,000. http://detne.ws/1mk7JryDoubled funding for the Manufacturing Extension Partnership, to improve manufacturing efficiency. http://bit.ly/eYD4nfIncreased infrastructure spending after years of neglect. http://bit.ly/f77aOwSigned the Helping Families Save Their Homes Act, which helped millions of Americans avoid preventable foreclosures and provided $2.2 billion to combat homelessness and stabilize the housing market. http://bit.ly/eEpLFnSigned an Executive Order creating jobs immediately by instructing them to reduce the time needed for review and permitting of infrastructure projects. http://1.usa.gov/GHxaYtThrough the Worker, Homeownership, and Business Assistance Act of 2009, he and Congressional Democrats provided tax credits to first-time home buyers, which helped the U.S. housing market recovery. http://bit.ly/dZgXXw http://bit.ly/gORYfLPlayed a lead role in getting the G-20 Summit to commit to a $1.1 trillion deal to combat the global financial crisis. http://nyti.ms/gHlgp5Through the American Recovery and Reinvestment Act, saved at least 300,000 education jobs, such as teachers, principals, librarians, and counselors that would have otherwise been lost. http://1.usa.gov/ez30DWith Congressional Democrats, provided funding to states and the Department of Homeland Security to save thousands of police and firefighter jobs from being cut during the recession. http://bit.ly/g0IKWRChina’s largest manufacturer, Foxconn, is building a large plant in Pennsylvaniahttp://cnnmon.ie/1k7LT4SWorked with Apple Computer to get them to build more product here, and thecompany is building two large plants to manufacture products here; one in Texashttp://zd.net/1nkpt2O and one in Arizona http://bit.ly/1mXY5VgCreated an institute to invest in more manufacturing jobs in the technology fields of the future. http://nyti.ms/1egyXrVOrdered all federal contractors to pay a minimum wage of $10.10 per hour, leading the way to a national increase. http://wapo.st/1iaU5kdOrdered the completion of the International Trade Data System, a digital trade record book, by 2016. This move will streamline and simplify the process through which small- and medium-sized businesses set up the export of US goods. http://bit.ly/1nwSRF4Specific Examples of Economic ImprovementAs of January 2016, a record 64 consecutive months of overall job growth.http://on.msnbc.com/1TKFCPQAs of January 2016, Unemployment drops below 5% for the first time in eight years and without a significant bubble. 4.9% http://on.msnbc.com/1TKFCPQAs of January 2016, there have been 71 consecutive months of private sector job growth. http://on.msnbc.com/1TKFCPQSince February 2010, when job numbers hit their lowest point, 13.7 non-farm jobs have been created. http://data.bls.gov/timeseries/C... (Republican budget cuts reduced public employment by about 700,000)Oversaw a reduction in the federal budget deficit by two-thirds since taking office.http://bit.ly/1xKMmjYReduced the federal budget deficit from 9.8% of GDP in Fiscal Year 2009 under Bush, to 2.9% of GDP in FY 2014. http://www.cbo.gov/publication/4...Scolds Congress and gets passed a $305 billion highways bill, which will have the added benefit of created hundreds of thousands of new jobs and creating incentives for green cars. http://bit.ly/1NsL2ZqAddressed Wrongdoing in the Financial SectorSigned the Fraud Enforcement and Recovery Act giving the federal government more tools to investigate and prosecute fraud in every corner of the financial system, and create a bipartisan Financial Crisis Inquiry Commission to investigate the financial fraud that led to the economic meltdown. http://abcn.ws/g18Fe7Ordered 65 executives who took bailout money to cut their own pay until they paid back all bailout money. http://huff.to/eAi9QqAlong with Congressional Democrats, pushed through and got passed Dodd-Frank, one of the largest and most comprehensive Wall Street reforms since the Great Depression.http://bit.ly/hWCPg0http://bit.ly/geHpcDCreated and implemented rules to reduce the influence of speculators in the oil market.http://bit.ly/MDnA1tCreated and implemented rules so banks can no longer use depositors’ money to invest in high-risk financial instruments that work against depositors’ interests. http://bit.ly/fnTayjSupported the concept of allowing stockholders to vote on executive compensation.http://bit.ly/fnTayjEndorsed and supported the Foreign Account Tax Compliance Act of 2009 that would close offshore tax avoidance loopholes. http://bit.ly/esOdfB http://bit.ly/eG4DPMNegotiated a deal with Swiss banks permitting the US government to gain access to bank records of criminals and tax evaders. http://bit.ly/htfDgwSigned the American Jobs and Closing Tax Loopholes Act, closing many of the loopholes that allowed companies to send jobs overseas, and avoid paying US taxes by moving money offshore. http://1.usa.gov/bd1RTqThanks to the Patient Protection and Affordable Care Act, inflation in the healthcare sector dropped to its lowest point in 50 years. http://on.wsj.com/1E6cYjFImproved Conditions for Consumers and Small BusinessesSigned the Credit Card Accountability, Responsibility and Disclosure (CARD) Act, to protect consumers from unfair and deceptive credit card practices.http://1.usa.gov/gIaNcSGuided the housing market all the way back from total collapse, which led to a rally for housing starts. http://reut.rs/1NTAOVU http://reut.rs/1NTAOVUBrought airline industry back to their highest profitability since before the recession. http://lat.ms/1O8H1iEBlocked a monopolistic merger of Staples and Office Depot, to preserve at least some competition. http://bit.ly/1kcY2KvStock market has reached record highs, restoring most of the economic losses felt during the Bush Recession. http://bit.ly/1z4FAtLCreated and Implemented the Consumer Financial Protection Bureau http://1.usa.gov/j5onG http://bit.ly/fnTayjConsumer confidence continues to inch up to its highest level more than a decade.http://bit.ly/1PZLRcKInitiated a $15 billion plan designed to encourage increased lending to small businesses. http://1.usa.gov/eu0u0bCreated BusinessUSA, to allow online collaboration between small businesses and experts re managing a business. (The program has since merged with U.S. Small Business Administration.) http://www.business.govTook steps to improve minority access to capital. http://bit.ly/f9xVE7Used recovered TARP money to fund programs at local housing finance agencies in California, Florida, Nevada, Arizona and Michigan. http://on.msnbc.com/i1i8eVCrafted and signed an executive order establishing the President’s Advisory Council on Financial Capability to assist in financial education for all Americans. http://bit.ly/eyqsNEOversaw the most sweeping food safety legislation since the Great Depression.http://thedc.com/gxkCtPThrough the Fraud Enforcement and Recovery Act, extended the False Claims Act to combat fraud by companies and individuals using money from TARP and Stimulus programs. http://bit.ly/SLTcSaSet up rules for banks in handling legal marijuana money. http://nyti.ms/1b80o2KAdded greater protections to consumer financial transactions to reduce identity theft.http://1.usa.gov/1pjfUFqTook steps to prevent pirate fishing and protect fish populations, and ordered stricter labeling requirements on labeling of seafood products in stores. http://1.usa.gov/1BYhTUnSigned the RAISE Act, which should encourage more people to open small businesses and help improve the economy. http://bit.ly/1QhTqkFSigned a bill that allows low-volume vehicle manufacturers that will increase entrepreneurship among small car manufacturers, who often build replicas of classics but who often build green vehicles. http://bit.ly/1QhTqkFStrengthened the Middle Class and Fought PovertyWorked to provide affordable, high-quality child care to working families.http://bit.ly/fNfidSThrough the American Recovery and Reinvestment Act, cut taxes for 95% of America’s working families. http://bit.ly/eSEI4FTax rates for average working families are the lowest since 1950. http://bit.ly/f74pD8Extended and fully funded the patch for the Alternative Minimum Tax for 10 years.http://bit.ly/eFeSdPExtended discounted health coverage under the COBRA health insurance law for the unemployed from 9 months to 15 months, and he’s also extended unemployment benefits more than a few times. http://aol.it/evtVxDhttp://nyti.ms/emrqKJhttp://bit.ly/hOtIpg http://bit.ly/fTT7kzProvided a $20 billion increase for the Supplemental Nutrition Assistance Program (Food Stamps). http://nyti.ms/gfLqyMSigned an Executive Order that established the White House Office of Urban Affairs.http://wapo.st/eWECA8Included the Buffet Rule in his 2014 budget proposal, in order to fulfill a campaign promise to make sure tax rates are fair between the rich and the middle class. http://1.usa.gov/19PkdQoUsed the fiscal cliff negotiations to extend for five additional years the American Opportunity Tax Credit, which provides tax credits to families for college-related expenses, thus saving those families up to $10,000. http://onforb.es/17zYg3uIncreased protections for the unemployed who are seeking a government job.http://1.usa.gov/1jgXATuUpdated and modernized overtime regulations under the Fair Labor Standards Act (FLSA) http://1.usa.gov/1iGDO8eSigned and implemented the Healthy Hunger-Free Kids Act, to improve nutrition in schools and make children healthier. http://1.usa.gov/GAXkSkTo make college more affordable and accountable, will begin rating colleges with regard to affordability and value. http://bit.ly/14Dn7ULInitiated a reform of federal job training programs, to make them more relevant to the current economy and the job market. http://1.usa.gov/1kZLQHGUnder Obama, the bottom 95% of taxpayers pay lower federal income taxes than at any time in the last 50 years, including under Reagan, or either Bush. http://bit.ly/1w1W8NsSigned a presidential memorandum authorizing six weeks paid leave for all federal employees with a new baby and encouraged Congress to do the same for all workers. http://bit.ly/18613XA2014 marked the first time since 1984 that unemployment dropped in all 50 states and the District of Columbia. 1.usa.gov/1E25u0CTook steps to improve workplace safety by creating an Advisory Board to study workers’ exposure to toxic substances. http://1.usa.gov/1M4s8IGChanged overtime rules to make it far more difficult for employers to avoid paying overtime to workers. http://politi.co/1KHfiBeChanged rules for federal contractors, guaranteeing that all workers earn paid leave; this should affect about 300,000 workers. http://1.usa.gov/1LcHZWlNegotiated a law to finally replace “No Child Left Behind” and remove much of the onerous government “oversight” that caused children to stagnate, not improve, academically. http://bit.ly/1Up9pMlAddressed Civil Rights and EqualityFormed a commission to examine and make recommendations for fixing the broken voting system. http://wapo.st/16K0DAt a press conference August 9, 2013, gave up a small measure of executive power, promising to create adversarial process in FISA regarding NSA surveillance.http://1.usa.gov/1dQmnyQProposed rules to enhance Fair Housing Laws, to give HUD and other enforcement agencies more enforcement power. http://bit.ly/1qkz4uQOrdered a review of capital punishment policies after several botched executions.http://nyti.ms/RDJp58Appointed Kareem Dale as the first ever Special Assistant to the President for Disability Policy. http://1.usa.gov/fi5IY0Concentrated immigration enforcement on those who commit crimes, and vowed to stop breaking up families. http://1.usa.gov/1uTZ8gVStreamlined the visa process, to make it more responsive and humane for those who want to be here legally. http://1.usa.gov/1tgDRtiTook steps to tighten the reins when it comes to providing local law enforcement agencies with military-style equipment and exercising more control over the equipment they receive. http://1.usa.gov/1ATWV3KChanged fair housing rules to make more affordable housing available to more people. http://cnn.it/1JcR3qBHelped Democrats in Congress pass and signed the Civil Rights History Act.http://bit.ly/th0JC8Established the White House Council of Native American Affairs, to improve government-to-government relations with Native American nations. http://1.usa.gov/1cIEeEvLimited local police acquisitions of military-style equipment, to reduce the likelihood of overkill. http://n.pr/1NGkBjTSigned Blue Alert Law, which provides police officers with more information when they are threatened. http://bit.ly/1NGksgaImproved Workers’ RightsHe issued final rules that require all employers to prominently post employees’ rights where all employees or prospective employees can see it, including all websites and intranets.http://1.usa.gov/qu2EhQObama’s Equal Employment Opportunity Commission clarified and strengthened rules prohibiting discrimination against pregnant workers. http://alj.am/1mo0kjVRequired companies who bid on federal contracts larger than $500,000 to publicly disclose all previous violations of labor law, including unpaid claims for back wages. http://1.usa.gov/V54qY3Made it illegal for federal contractors with more than $1 million in contracts to force employees into arbitration in workplace discrimination accusations. http://1.usa.gov/V54qY3Vetoed Republican bill that would have blocked new NLRB rules that were designed to speed up the time it takes workers to unionize. http://reut.rs/1agujMO He also added a Memorandum of Disagreement to make his reasons for the veto clear and made a major statement in support of unions. http://1.usa.gov/1NG7RuACracked down on companies that were previously denying sick pay, vacation and health insurance, and Social Security and Medicare tax payments through abuse of the employee classification of independent contractor. http://nyti.ms/fOGLcjProtected the Rights of Gay PeopleSigned and implemented the Matthew Shepard and James Byrd, Jr. Hate Crimes Prevention Act, which made it a federal crime to assault anyone based on his or her sexual orientation or gender identity. http://bit.ly/gsMSJ7Oversaw and implemented the repeal of the reprehensible “Don’t Ask Don’t Tell” policy.http://bit.ly/fdahuHhttp://bit.ly/mZV4PzExtended benefits to same-sex partners of federal employees. http://1.usa.gov/g2RLCjAppointed more openly gay officials than anyone in history. http://bit.ly/g1lA7DAppointed first openly transgender Cabinet Official in History. http://bit.ly/58zUp7Advocated that United Nations adopt a policy supporting gay rights worldwide.http://lat.ms/pQe1RSAs soon as the Supreme Court invalidated the Defense of Marriage Act, he moved to extend federal benefits to same-sex couples. http://wapo.st/1avDjueIssued an order requiring hospitals to allow visitation by same-sex couples.http://reut.rs/llNJekChanged HUD rules to prohibit gender and sexual orientation-based discrimination in housing bit.ly/9RxEnPChanged his mind and publicly expressed support for same-sex marriage.http://bit.ly/JsiFKpIssued a Presidential Memorandum reaffirming the rights of gay couples to make medical decisions for each other. http://1.usa.gov/aUueGTAppointed several prominent gay athletes and others, and plans to show US government’s commitment to gay rights to anti-gay Russia. http://on.cpsj.com/1fckN9hDepartment of Agriculture propagated new rules to better enforce non-discrimination when it comes to USDA investigations and to extend non-discrimination to gender identity. http://bit.ly/1yChJhiBanned all federal contractors from discriminating against gay workers. http://1.usa.gov/1ok1gfHPersevered with his campaign to turn “gay marriage” into “marriage” and won in the Supreme Court. http://cbsloc.al/1M4qLKbImproved Conditions for WomenEstablishing the White House Council on Women and Girls to ensure that all Cabinet and Cabinet-level agencies consider the effect of their policies and programs on women and families. http://bit.ly/e1puTk http://1.usa.gov/rFfqMMImplemented the Lilly Ledbetter Fair Pay Act, which restored basic protections against pay discrimination for women and other workers. http://bit.ly/fT3CxgEliminated federal funding for abstinence-only education, and rescinded the global gag rule. http://bit.ly/eCFAI1 http://bit.ly/f92drFImproved the Paycheck Fairness Act, making it possible for employees to talk about their salaries without retaliation, and ordering salary data collection, so as to make it harder for employers to pay women less. http://huff.to/1nwVOWfSigned an Executive Order pledging support for efforts to end the global problem of violence against women and girls. http://1.usa.gov/MHTRVUShattered another glass ceiling by naming Janet Yellen chair of the Federal Reserve beginning Feb. 1, 2014. http://usat.ly/1gqMBfkExpanded funding for the Violence Against Women Act. http://1.usa.gov/dSbI0xOrdered companies with 100 employees or more to disclose pay data based on race and gender, to address the pay gap. http://theatln.tc/1Q04XPLAddressed Criminal Justice Failings and the Gun CultureMade significant reductions in drug sentencing guidelines for current prisoners. http://n.pr/1mWBLkMOversaw the first drop in the federal prison population in 32 years. http://bit.ly/1B5h8rWIncreased his use of clemency to release thousands of non-violent drug offenders from prison. http://nyti.ms/1KE8DJGOrdered a ban on solitary confinement for juvenile offenders in federal prisons.http://bit.ly/20ObRzATook executive action to promote smart gun technology, to make them safer.http://1.usa.gov/1RhK1tUAfter a failure by Congress to act, proposed executive orders to create more background checks and to fully staff the background check system. http://cnn.it/1JXmUg6Relaxed HIPAA rules enough to allow for more information to be available to the background check system. http://on.wsj.com/SX9xaZOrdered the tracing of guns as part of criminal investigations to provide data to researchers. http://on.wsj.com/SX9xaZOrder the Justice Department to look at the categories of mental health problems prohibited from owning guns to make sure people aren’t falling through the cracks, getting guns. http://onforb.es/1nUAGw3Expanded the definitions of gun dealers and expanded the information available and required in background checks for firearm purchases. http://bit.ly/1K5aXeeSet up a task force to figure out what other measures can be taken to limit gun violence in the wake of Congressional inaction. http://1.usa.gov/1QjYMGJImproved Treatment of Soldiers and VeteransProvided active combat troops with better body armor. http://bit.ly/hzSv2hCreated a Joint Virtual Lifetime Electronic Record program for military personnel, in order http://abcn.ws/1ghLrEshttp://abcn.ws/1ghLrEs to improve the quality of their medical care. http://1.usa.gov/f4yaxWPut an end to the Bush-era stop-loss policy that kept soldiers in Iraq/Afghanistan beyond their enlistment date. http://nyti.ms/e2YQ7QSigned and implemented Veterans Health Care Budget Reform and Transparency Act, making more money available to enable better medical care for veterans.http://1.usa.gov/fN4ur1With Congressional Democrats, oversaw largest spending increase in 30 years for Department of Veterans Affairs, for improved medical and extended care facilities for veterans. http://1.usa.gov/gY8O3xImplemented the Green Vet Initiative, which provides special funding to provide veterans with training in green jobs. http://bit.ly/epwUQYInitiated and signed a recruitment and employment plan to get more veterans into government jobs. http://bit.ly/b48coiOversaw a $4.6 billion expansion of the Veterans Administration budget to pay for more mental health professionals. http://bit.ly/gjzTxXSigned the Military Spouses Residency Relief Act, which ensures that spouses of military personnel who are forced to move because their spouse is posted for military duty can avoid state taxes in their temporary residence. http://bit.ly/1Gh0NXOrdered improvements to access to mental health care for veterans, military personnel and their families. http://1.usa.gov/TP7PVZGot Syria to dismantle its chemical weapons without military firing a single shot or dropping a single bomb. http://nyti.ms/1lVEkU7Along with Congressional Democrats, not only reauthorized families of fallen soldiers to be able to visit when the body arrives at Dover AFB, but also provided funding for it. Ended the media blackout on coverage of the return of fallen soldiers. Pentagon Will Help Families Travel to Dover http://bbc.in/gWSSkAFunded Department of Veterans Affairs (VA) with an extra $1.4 billion to improve veterans’ services. http://1.usa.gov/huhqfoSigned into law a bill that provides support, counseling, and breastfeeding supplies to military moms who are covered under TRICARE, the health insurance provided to veterans. http://bit.ly/1yNxL8OSigned into law a bill that makes it easier for military dogs to retire at home with their handlers. http://bit.ly/1J78Y2UImproved America’s Reputation Around the WorldVisited more countries and met with more world leaders than any previous president during his first six months in office. http://bit.ly/hZycdaAs he promised, he gave a speech at a major Islamic forum in Cairo early in his administration. http://nyti.ms/dKvY4gMade a speech at a US mosque to demonstrate his commitment to religious rights and send a message to Muslims around the world. http://cnn.it/1PGU1uIRestored America’s reputation around the world as a global leader.http://bit.ly/h743y7http://bit.ly/ho4TCrRe-established and reinforced our partnership with NATO and other allies on strategic international issues. http://1.usa.gov/e7QuDjClosed a number of secret detention facilities. http://nyti.ms/rpUc9lImproved relations with Middle East countries by appointing special envoys.http://1.usa.gov/tiGAGePushed forward the first realistic Middle East peace strategy in more than a decade, without abandoning the two-state solution. http://wapo.st/1avystePushed for military to emphasize greater development of foreign language skills. http://bit.ly/AxUCLVOffered $400 million to the people living in Gaza, while calling on both Israel and the Palestinians to stop inciting violence. http://bit.ly/9axfWhRefused to give Israel the green light to attack Iran over their possible nuclear program.http://bit.ly/xVmSZKOrdered the closure of the prison at Guantanamo Bay, although blocked by Congress.http://bit.ly/eW6CVFOrdered a review of our detention and interrogation policy and prohibited the use of “enhanced interrogation.” http://bit.ly/g6MTuCOrdered all secret detention facilities in Eastern Europe and elsewhere to be closed.http://bbc.in/h6N9axReleased the Bush torture memos. http://bit.ly/hWJ5z0On his second day in office, banned torture, reversed all Bush torture policies and put the US in full compliance with the Geneva Convention.http://1.usa.gov/dL6Zvehttp://nyti.ms/hzWWysIn response to the emerging “Arab Spring,” he created a Rapid Response fund, to assist emerging democracies with foreign aid, debt relief, technical assistance and investment packages in order to show that the United States stands with them. http://bit.ly/zfmGv9Ended the F-22 program, saving $4 billion. Though the 187 aircraft cost $358 million each to build, it had never flown a combat mission. http://slate.me/PYzmzTPassed the Iran Sanctions Act, to prevent war and encourage the Iranian government to give up their nuclear program. http://1.usa.gov/wLtNjbEnded the Iraq War. http://tgr.ph/ru0tySWorked to keep our withdrawal from Afghanistan on track, despite GOP opposition.http://reut.rs/1cIOsF1 Reiterated that commitment in 2014.http://nyti.ms/1exnmRFConducted a secret mission by SEAL Team Six to rescue two hostages held by Somali pirates. http://bit.ly/y8c9FzThrough United Nations Ambassador Susan Rice, helped negotiate a peaceful split of Sudan into two countries, creating an independent South Sudan. http://reut.rs/qzE0TjHelped make donations to Haiti tax deductible in 2009. http://huff.to/6YkAVYEstablished a new U.S.-China Strategic and Economic Dialogue. http://1.usa.gov/eX28DPIssued Executive Order blocking interference and helping to stabilize Somalia.http://1.usa.gov/hxdf8UEstablished new, more reasonable policies in our relations with Cuba, such as allowing Cuban-Americans to visit their families and send money to support them.http://n.pr/hY3Kwa http://nyti.ms/emQBdeThe new policies in Cuba led to thawed relations and the first US Embassy in Cuba in more than 55 years. http://abcn.ws/1ghLrEsNegotiated a deal with Iran that will prevent them from getting a nuclear weapon anytime soon, without firing a shot or invading the country. http://cnn.it/1M3HpvvAs a result of the Iran agreement, Iran shipped pretty much all of it nuclear material to Russia. http://nyti.ms/1PrzLtyBecame the first US President to visit Jamaica in more than 30 years, worked to restore relations with the country and signed a natural gas distribution agreement with the country. http://bit.ly/1JtpFqiChanged US Approach to “Defense” and National SecurityCreated a comprehensive new strategy for dealing with the international nuclear threat.http://1.usa.gov/gDX1nEAuthorized a $1.4 billion reduction in Star Wars program in 2010. http://1.usa.gov/gLFZl2Restarted nuclear nonproliferation talks and built up the nuclear inspection infrastructure/protocols to where they had been before Bush. http://lat.ms/gkcl3iSigned and got ratification of a new SALT Treaty. http://bit.ly/f3JVtwNegotiated and signed a new START Treaty that will stay in force until at least 2021.http://1.usa.gov/cI1bC4Committed the US to no permanent military bases in Iraq. http://bit.ly/hk73OJDeveloped a comprehensive strategy with regard to Afghanistan and Pakistan designed to facilitate the defeat of al Qaeda, the withdrawal of most troops and the rebuilding of Afghanistan. http://wapo.st/ee4XcsRe-focused on Afghanistan, stabilized the country, and began the process of withdrawing troops from the country. http://bit.ly/lNXUnaNegotiated a deal with Afghan government, to withdraw troops and military support, while assisting in rebuilding and modernizing of the country. http://bit.ly/K362anTook steps to severely weaken al Qaeda and limited their ability to terrorize the world.http://yhoo.it/n5lXs6Negotiated and signed a nuclear nonproliferation treaty with India.http://1.usa.gov/aHp0CnWorked with NATO to limit the slaughter of innocents in Libya, so that Libyans could topple the despotic Khadaffy government and determine their own fate.http://aje.me/qAh4SjGot Egyptian President/dictator Mubarak to leave the Egyptian government to the people, to determine their own fate. http://f24.my/efvgNZIn 2011, reoriented American focus from the Middle East to the Asian-Pacific region by simultaneously engaging China and crafting new alliances with Asian countries uncomfortable with Chinese behavior. http://bit.ly/RGlMDiRestored federal agencies such as FEMA to the point that they have been able to manage a huge number of natural disasters successfully. http://bit.ly/h8Xj7zIncreased border security http://bit.ly/1JQDGz9Ordered and oversaw the Navy SEALS operation that killed Osama bin Laden.http://bit.ly/jChpgwEstablished the Homeland Security Partnership Council, to enhance the nation’s ability to “address homeland security priorities, from responding to natural disasters to preventing terrorism, by utilizing diverse perspectives, skills, tools, and resources.”http://1.usa.gov/VJjLXOSigned agreement with Afghanistan to end war, turn security over to Afghans.http://nyti.ms/1xSjgBdBreaking with recent presidential tradition, instead of just attacking Syria in the wake of chemical weapons attacks on Syrians, Obama ordered a full report on the decision-making process. http://cbsn.ws/184RFguInstead of holding hearings and creating a political football, he quietly captured a suspect who actually committed the Benghazi terrorist attack. http://wapo.st/1jFlmzv He is also getting a lot of useful information from the suspect. http://nyti.ms/UfE2KaInstituted rules to order sanctions against individuals and groups that threaten national cybersecurity. http://1.usa.gov/1HWcGMGImproved Education and Educational OpportunitiesThrough the American Recovery and Reinvestment Act, invested heavily in elementary, secondary and post-secondary education. http://1.usa.gov/gGRIArCreated the Race to the Top program, which encouraged states to come up with effective school reforms and rewards the best of them. http://bit.ly/NHtZ7LOversaw major expansion of broadband availability in K-12 schools nationwide.http://bit.ly/fNDcj3Oversaw major expansion in school construction. http://bit.ly/fYwNrVThrough the American Recovery and Reinvestment Act, put $5 billion into early education, including Head Start. http://1.usa.gov/tzT2RrSigned the Democratic-sponsored Post-9/11 GI Bill, also known as GI Bill 2.0, to improve veterans’ access to education. http://bit.ly/hPhG7JOversaw expansion of the Pell Grants program, to expand opportunity for low and middle income students to go to college. http://bit.ly/hI6tXzSigned and implemented the Individuals with Disabilities Education Act, which provided an extra $12.2 billion in funds. http://1.usa.gov/dQvtUeTook major new steps to protect students from ineffective for-profit colleges through “gainful employment” measures, whereby schools have to demonstrate that its students actually find work to get federal aid. http://1.usa.gov/jkzQe2Repeatedly increased funding for student financial aid, and at the same time cut the banks completely out of the process, thus us creating greater accountability.http://bit.ly/gYWd30 http://bit.ly/e9c7Dr http://bit.ly/eEzTNqReformed student loan program, to make it possible for students to refinance at a lower rate. http://nyti.ms/dMvHOtCreated a rating system for colleges, so that those applying for student financial aid know better what they’re paying for. http://bit.ly/14Dn7ULRestored the Adult View on Science and TechnologyCreated a Presidential Memorandum to restore scientific integrity in government decision-making. http://1.usa.gov/g2SDuwOpened up the process for fast-tracking patent approval for green energy projects.http://bit.ly/j0KV2UThrough the American Recovery and Reinvestment Act, committed more federal funding, about $18 billion, to support non-defense science and research labs. http://nyti.ms/fTs9t7Obama EPA reversed research ethics standards which allowed humans to be used as “guinea pigs” in tests of the effects of chemicals, to comply with numerous codes of medical ethics. http://bit.ly/bKgqdSConducted a cyberspace policy review. http://1.usa.gov/gmbdvCProvided financial support for private sector space programs. http://bit.ly/fn8ucrOversaw enhanced earth mapping, to provide valuable data for agricultural, educational, scientific, and government use. http://bit.ly/dNTRyPThrough American Recovery and Reinvestment Act, provided $500 million for Health Professions Training Programs. http://bit.ly/ecQSgAIncreased funding for community-based prevention programs. http://bit.ly/frMPG3Expanded space exploration and discovery options to include more players.http://1.usa.gov/13qmZpmThrough the Connect America Fund, pushed through and received FCC approval for a move of $8 billion in subsidies away from telephone landlines to assist lower-income rural families in accessing broadband. http://lat.ms/vhRUEs http://bit.ly/129V3SYIn the wake of the West Fertilizer tragedy, formed the Chemical Safety and Security Working Group, to work on measures to prevent another such events.http://1.usa.gov/18kHSlAEstablished a Cyber Threat Intelligence Integration Center, a recommendation made by the 9/11 Commission, to coordinate efforts to fight cyber-crime and terrorism. http://1.usa.gov/1A0aEoSThe Obama FCC, with his leadership, adopted strong net neutrality rules, to keep the Internet open and equal for everyone. http://fcc.us/1MhTlIAOrdered rules to speed up deployment of a more comprehensive broadband infrastructure.http://1.usa.gov/M7rVpeSet up a National Strategic Computing Initiative, to “maximize benefits of high-performance computing (HPC) research, development, and deployment.” http://1.usa.gov/1IN3FZaOrdered a federal level change in national earthquake standards.http://1.usa.gov/1T5wGoRImproved Our HealthEliminated Bush-era restrictions on embryonic stem cell research, and provided increased federal support for biomedical and stem cell research. http://bit.ly/h36SSOhttp://ti.me/edezgeSigned Democratic-sponsored Christopher and Dana Reeve Paralysis Act, the first comprehensive attempt to improve the lives of Americans living with paralysis.http://bit.ly/fOi2rbExpanded the Nurse-Family Partnership program, which provides home visits by trained registered nurses to low-income expectant mothers and their families, to cover more first-time mothers. http://bit.ly/jRRRJc\Along with Democrats in Congress, ushered through and signed a bill authorizing FDA to regulate tobacco and order tobacco companies to disclose their ingredients and to ban cigarettes falsely labeled as “light.” http://on.msnbc.com/fiKViBHas overseen a 50% decrease in cost of prescription drugs for seniors.http://bit.ly/e5b1iq http://1.usa.gov/fVNkt9Eliminated the Bush-era practice of forbidding Medicare from negotiating with drug companies on price. http://bit.ly/fOkG5bTwo weeks after taking office, signed Democratic-sponsored Children’s Health Insurance Reauthorization Act, which increased the number of children covered by health insurance by 4 million. http://bit.ly/fDEzGvUrged Congress to investigate Anthem Blue Cross for raising premiums 39% without explanation. http://yhoo.it/e8Tj9CPushed through and signed Affordable Care Act, which expanded health insurance coverage greatly and ended many detrimental insurance company practices. He also established Get 2016 health coverage. Health Insurance Marketplace . http://www.healthcare.gov/Through ACA, allowed children to be covered under their parents’ policy until they turned 26. http://nyti.ms/fNB26VThrough the ACA, provided tax breaks to allow 3.5 million small businesses to provide health insurance to their employees. http://nyti.ms/fNB26VThrough the ACA, millions of people receive help in paying their health insurance company premiums. http://nyti.ms/fNB26VThrough the ACA, expanded Medicaid to those making up to 133% of the federal poverty level. http://nyti.ms/ekMWpo (Note: except for those states whose Republicans refused to take the extra money.)By 2014, the Affordable Care Act dropped the number of uninsured Americans by 22.3%, which amounts to more than 10.3 million people with insurance who didn’t have it before. Only 13.9% of Americans are uninsured, a drop from 18.9% in 2013. http://on.msnbc.com/1r4kjGnThe Affordable Care Act has increased the life expectancy of Medicare greatly.http://on.wsj.com/1yuNco6Through the ACA, health insurance companies now have to disclose how much of your premium actually goes to pay for patient care. http://nyti.ms/fNB26VMedicare costs actually declined slightly, for the first time in decades in 2011, according to the Congressional Budget Office. http://1.usa.gov/oMxpThSince passage of the ACA, health care inflation is at its lowest level since 1960.http://1.usa.gov/1vXR0LdCreated the HIV Care Continuum Initiative, to strengthen the government’s ability to respond to the continuing domestic HIV epidemic, after years of Republicans weakening the government’s ability to deal with the crisis. http://1.usa.gov/1iLED0tSigned bill that will provide health insurance premium support to workers who lose their health insurance due to foreign competition. http://bit.ly/1evvVDFIn response to the confusion triggered by the asinine Hobby Lobby decision, which essentially declared that corporations could have “religious rights” and lord them over employees, created new rules to give all women with insurance the right to free birth control. http://on.wsj.com/1O44a1tImplemented the National HIV/AIDS Strategy for 2015-2020, which is a follow-up to the first such strategy in US history, which he implemented in 2010. http://1.usa.gov/1IXknHmSigned and will implement new child safety standards for e-cigarettes.http://bit.ly/1XaFCISSet up a White House Cancer Moonshot Task Force, in order to implement ways to develop a cure for cancer. http://1.usa.gov/20AeKY4Addressed the Environment While Dealing with Energy NeedsDoubled federal spending on clean energy research. http://bit.ly/iN0sCEPushed through a tax credit to help people buy plug-in hybrid cars. http://bit.ly/j8UP5YCreated a program to develop renewable energy projects on the waters of our Outer Continental Shelf that will produce electricity from wind, wave, and ocean currents.http://1.usa.gov/fgfRWqReengaged in the climate change and greenhouse gas emissions agreements talks, and proposed one himself. He also addressed the U.N. Climate Change Conference, officially reversing the Bush era stance that climate change was a “hoax.” http://bit.ly/dX6Vj3 http://bit.ly/fE2PxK http://nyti.ms/hfeqvvFully supported the initial phase of the creation of a legally-binding treaty to reduce mercury emissions worldwide. http://bit.ly/eJ6QOORequired states to provide incentives to utilities to reduce their energy consumption. http://bit.ly/lBhk7PUnder Obama, our dependence on foreign oil has dropped to its lowest rate since 1985, and continues to drop. http://1.usa.gov/1p6kTUyMeanwhile, oil consumption is way down because of reduced driving and higher mileage standards. http://ti.me/1z4HFG8Improved siting, review and permitting stations for power plants, in an attempt to seriously improve the nation’s electric grid. http://1.usa.gov/1l8zNqnReengaged in a number of treaties and agreements designed to protect the Antarctic.http://bit.ly/fzQUFOCreated tax write-offs for purchases of hybrid and electric vehicles. http://bit.ly/glCukVEstablished a quadrennial review of our energy infrastructure, to encourage a modernization of the grid, and to encourage the transition away from fossil fuel use. http://1.usa.gov/1nx2oMoMandated that federal government fleet purchases be for fuel-efficient American vehicles, and encouraged that federal agencies support experimental, fuel-efficient vehicles.http://1.usa.gov/hmUSbk http://1.usa.gov/fLWq5chttp://bit.ly/h5KZqyEncouraged BP to pay $20 billion to establish Oil Spill Liability Trust Fund, to reduce the need for taxpayer funds to be used for compensation and clean up.http://wapo.st/ds2BxT (Note: it took 20 years to get $1.3 billion for the Exxon Valdez spill. )Oversaw and pushed through an amendment to the Oil Pollution Act of 1990 authorizing advances from Oil Spill Liability Trust Fund for the Deepwater Horizon oil spill.http://1.usa.gov/yTRYVoActively tried to amend the Oil Pollution Act of 1990 to eliminate the liability limits for those companies responsible for large oil spills. http://nyti.ms/bxjDi3Became the first President to simply say “Climate Change is a fact,” and set up the first federal government protocols for dealing with the impacts of climate change. http://1.usa.gov/1b7V67BInitiated Criminal and Civil inquiries into the Deepwater Horizon oil spill.http://nyti.ms/bVuB7aAsserted federal legal supremacy to bar Texas from authorizing new refinery permits on its own.http://bit.ly/ww8eMdSet up new, stricter standards limiting power plant emissions. http://1.usa.gov/1mML2M3Strengthened the Endangered Species Act. http://bit.ly/hscjsHStrengthened protection for wildlife, and expanded enforcement of laws against wildlife trafficking. http://1.usa.gov/1fce1AiObama EPA improved boiler safety standards to improve air quality, and save 6500 lives per year. http://bit.ly/jYH7ntThrough the EPA, attemped to take steps to severely limit the use of antibiotics in livestock feed, to increase their efficacy in humans. http://bit.ly/fBuWd2Through new EPA regulations, he created a pretext for closing the dirtiest power plants in the country, by limiting emissions of mercury and other toxic gasses. http://bit.ly/rQCIgAIncreased funding for National Parks and Forests by 10% http://bit.ly/fbJPjYAnnounced greatly improved commercial fuel efficiency standards.http://1.usa.gov/oQiC1KAnnounced a huge increase in average fuel economy standards from 27.5mpg in 2010 to 35.5mpg starting in 2016 and 54.5 starting in 2025 http://1.usa.gov/qtghsWFacilitated investment in industrial energy efficiency to create jobs and strengthen US manufacturing while saving businesses $100 billion over a decade.http://1.usa.gov/WsIgbxSet up the Gulf Coast Ecosystem Restoration Council to oversee Gulf Coast restoration efforts after the 2010 BP oil spill. The money to fund the restoration efforts comes from fines against BP. http://1.usa.gov/Rxjb29Engaged in the most comprehensive plan to combat climate change in a generation.http://bit.ly/13lXhETOrdered energy plants to prepare to produce at least 15% of all energy through renewable resources like wind and solar, by 2021. http://reut.rs/fV155pOversaw the creation of an initiative that converts old factories and manufacturing centers into new clean technology centers. http://bit.ly/mjnq2RGuided a 418% increase in solar power capacity between 2010 and 2014. http://bit.ly/1rHkWJCAs of May 2015, 74% of new electrical capacity was provided by solar and wind power. http://bit.ly/1T5r0LCBypassed Congress and ordered EPA to begin regulating and measuring carbon emissions.http://bit.ly/froaP5Oversaw a tripling in the use of wind power to generate electricity. The US now leads the world in increased wind power capacity. http://www.worldwatch.org/node/5448Ordered the federal government to incorporate climate resilience and climate science into all international development in which the United States engages. http://1.usa.gov/YV1EpWFast-tracked regulations to allow states to enact fuel efficiency standards that exceeded federal standards. http://nyti.ms/e8e94xFast-tracked increased fuel economy standards for vehicles beginning with the 2011 model year. It was the first time such standards had been increased in more than a decade.http://politi.co/hiaPKMOversaw establishment of an Energy Partnership for the Americas, to create more markets for American-made biofuels and green energy technologies. http://bit.ly/lZp73yObama EPA reversed a Bush-era decision to allow the largest mountaintop removal project in US history. http://bit.ly/lP3yELOrdered the Department of Energy to implement more aggressive efficiency standards for common household appliances. http://1.usa.gov/g3MTbuObama EPA ruled that excess CO2 is a pollutant. http://bit.ly/iQTSNNClosed a deal with China to limit carbon emissions to slow down climate change. http://nyti.ms/1xzyS8KBlocked all oil and gas drilling in Bristol Bay, Alaska, one of the most pristine environments in North America http://lat.ms/13xUVFDSigned an Executive Order to improve environmental efforts in the Arctic region and to combat climate change by better coordinating the efforts of the 23 federal agencies operating in the area. http://usat.ly/ZEzLzEVetoed a bill to fast track construction of the parallel Keystone XL pipeline.http://nbcnews.to/1DVDFo7Expanded clean water regulations to more stringently protect all of the nation’s waterways, even when states fail in their duty. http://bit.ly/1RdQpTcSigned an Executive Order committing the federal government to lead the way in building a sustainable economy. It’s his fifth doing just that. http://1.usa.gov/1EzO2neBanned the use of antibiotics in food served in US Government-run cafeterias and ordered agencies to only use antibiotic-free meat. http://bit.ly/1G1vUxi http://bit.ly/1KHkl4NDeveloped new rules to address climate change and to create a significant boost to clean energy. http://bit.ly/1UnQcuRNegotiated and signed a virtually Republican-Proof global agreement on climate change, with 190 countries signing on. http://bit.ly/1RkjVG8Became one of 196 countries that signed onto a UN Framework on Climate Change.http://unfccc.int/2860.phpOrdered a moratorium on new coal leasing on federal land, and they will examine the whole leasing process. http://wapo.st/23Q6en8There’s a Lot More!Nominated Sonia Sotomayor and Elena Kagan to the Supreme Court. Sotomayor is the first Hispanic Justice in the court’s history, and the women represent only the third and fourth women to serve on the court, out of a total of 112 justices.http://huff.to/eOChg6http://bit.ly/i02wgPAppointed the most diverse Cabinet in history, including more women than any other incoming president. http://bit.ly/dX6vNBLoosened the rules and allowed the 14 states that legalized medical marijuana to regulate themselves without federal interference. http://huff.to/eQfa7jSigned national service legislation, increasing funding for national service groups, including triple the size of the Americorps program. http://bit.ly/idgQH5Signed a bill that provided $4.3 billion in additional assistance to 9/11 first responders.http://bit.ly/o7cWYSSigned the Claims Resolution Act, which provided $4.6 billion in funding for a legal settlement with black and Native American farmers who had been cheated out of government loans and natural resource royalties in the past. http://1.usa.gov/dGppUaTo help those communities devastated by Hurricane Sandy, issued an executive order setting up the Hurricane Sandy Rebuilding Task Force, and asked Congress to approve $60 billion in supplemental assistance to aid in storm recovery. http://1.usa.gov/134L7hlProduced 23 Executive actions designed to make it easier for law enforcement to identify those who shouldn’t have guns, thus helping them enforce the law.http://on.wsj.com/SX9xaZExpanded trade agreements to include stricter labor and environmental agreements in trade pacts like NAFTA. http://bit.ly/etznpYOversaw funding of the design of a new Smithsonian National Museum of African American History, which is scheduled to open on the National Mall in 2015. He protected the funding during budget negotiations.http://on.fb.me/fD0EVO http://bit.ly/ff5LuvOversaw and passed increased funding for the National Endowment for the Arts.http://bit.ly/dFb8qF”And Did You Know?Despite the characterizations of some, Obama’s success rate in winning congressional votes on issues was an unprecedented 96.7% for his first year in office. Though he is often cited as superior to Obama, President Lyndon Johnson’s success rate in 1965 was only 93%.http://n.pr/i3d7cYAnd of course…Despite the odds, became the first black president, and then was reelected by a wide margin of the population.

A friend of mine put together an awesome handwritten sign outlining why she's voting for President Obama this year, I think it says almost everything you need to know:Many Americans take it for granted that President Obama has been one of the most effective Presidents since FDR. It's important to remember just how bad things were when he took office and how much he's accomplished since he's been in office.We were hemorrhaging jobs when this President took office and now we've gone from 10% unemployment down to around 8.5%. If the recovery continues on this path, we'll be back to around 5% unemployment by 2016.It's not just about jobs though, President Obama has also worked to restore America's image around the world. When President Bush was in office we were invading countries for no reason, now we've left Iraq and are in the process of leaving Afghanistan.In case you needed a few other examples of what President Obama has accomplished I put together a list below:Extended child tax credits and marriage-penalty fixesCreated an Advanced Manufacturing Fund to invest in peer-reviewed manufacturing processesRequired economic justification for tax changesImplemented "Women Owned Business" contracting programChanged standards for determining broadband accessEstablished a credit card bill of rightsExpanded loan programs for small businessesExtended the Bush tax cuts for lower incomesExtended the 2007 Alternative MinimumTax patchClosed the "doughnut hole" in Medicare prescription drug planExpanded the Senior Corps volunteer programRequired insurance companies to cover pre-existing conditionsGave tax credits to those who need help to pay health premiumsRequired large employers to contribute to a national health planRequired children to have health insurance coverageExpanded eligibility for MedicaidExpanded eligibility for State Children's Health Insurance Fund (SCHIP)Required health plans to disclose how much of the premium goes to patient careEstablished an independent health institute to provide accurate and objective informationIn non-competitive markets, forced insurers to pay out a reasonable share of their premiums for patient careEliminated the higher subsidies to Medicare Advantage plansExpanded funding to train primary care providers and public health practitionersIncreased funding to expand community based prevention programsReinstated executive order to hire an additional 100,000 federal employees with disabilities within five years.Increased the Veterans Administration budget to recruit and retain more mental health professionalsExpanded the Veterans Administration's number of "centers of excellence" in specialty careAppointed a special adviser to the president on violence against womenFully funded the Violence Against Women ActDirected military leaders to end war in IraqBegan removing combat brigades from IraqCreated a military families advisory boardEnded the abuse of supplemental budgets for warMade U.S. military aid to Pakistan conditional on anti-terror effortsOpened "America Houses" in Islamic cities around the globeAllocated Homeland Security funding according to riskCreated a real National Infrastructure Protection PlanIncreased funding for local emergency planningExtended monitoring and verification provisions of the START I TreatyAppointed a White House Coordinator for Nuclear SecurityInitiated a grant and training program for law enforcement to deter cyber crimeImproved relations with Turkey, and its relations with Iraqi KurdsLaunched an international Add Value to Agriculture Initiative (AVTA)Created a rapid response fund for emerging democraciesGranted Americans unrestricted rights to visit family and send money to CubaRestored funding for the Byrne Justice Assistance Grant (Byrne/JAG) programEstablished an Energy Partnership for the AmericasExpanded the Nurse-Family Partnership to all low-income, first-time mothersRequired new hires to sign a form affirming their hiring was not due to political affiliation or contributions.Provided affordable, high-quality child careRecruited math and science degree graduates to the teaching professionReduced subsidies to private student lenders and protect student borrowersEncouraged water-conservation efforts in the WestIncreased funding for national parks and forestsIncreased funding for the Land and Water Conservation FundEncouraged farmers to use more renewable energy and be more energy efficientExpanded Pell grants for low-income studentsPursued a wildfire management planRemoved more brush, small trees and vegetation that fuel wildfiresExpanded access to places to hunt and fishPushed for enactment of Matthew Shepard Act, which expands hate crime law to include sexual orientation and other factorsRepealed "Don't Ask, Don't Tell" policyRestored funding to the EEOC and the U.S. Department of Labor's Office of Federal Contract Compliance ProgramsReformed mandatory minimum sentencesCreated a White House Office on Urban PolicyFully funded the Community Development Block Grant (CDBG)Established program to convert manufacturing centers into clean technology leadersEstablished 'Promise Neighborhoods' for areas of concentrated povertyWorked toward deploying a global climate change research and monitoring systemFunded a major expansion of AmeriCorpsCreated a Social Investment Fund NetworkBolstered the military's ability to speak differentlanguagesAppointed the nation's first Chief Technology OfficerProvided grants to early-career researchersWorked to overturn Ledbetter vs. GoodyearCreated a national declassification centerAppointed an American Indian policy adviserCreated new financial regulationsIncreased funding for land-grant collegesBanned lobbyist gifts to executive employeesSigned a "universal" health care billCreated new criminal penalties for mortgage fraudRequired 10 percent renewable energy by 2012Released oil from Strategic Petroleum ReserveRaised fuel economy standardsInvested in all types of alternative energyEnacted tax credit for consumers for plug-in hybrid carsAsked people and businesses to conserve electricityRequired more energy-efficient appliancesCreated a 'Green Vet Initiative' to promote environmental jobs for veteransCreated job training programs for clean technologiesRequired states to provide incentives for utilities to reduce energy consumptionSupported high-speed railSupported airline service in small townsInvested in public transportationEqualized tax breaks for driving and public transitConsidered "smart growth" in transportation fundingShared environmental technology with other countriesDoubled federal spending for research on clean fuelsProvided grants to encourage energy-efficient building codesIncreased funding for the Environmental Protection AgencyRaised the small business investment expensing limit to $250,000 through the end of 2009Extended unemployment insurance benefits andtemporarily suspend taxes on these benefitsSupported network neutrality on the InternetReversed restrictions on stem cell researchKilled Osama bin LadenDoubled funding for the Manufacturing Extension Partnership, a program that encourages manufacturing efficiencyIncluded environmental and labor standards in trade agreementsCreated an international tax haven watch listMade permanent the Research & Development tax creditRequired automatic enrollment in 401(k) plansRequired automatic enrollment in IRA plansCreated a consumer-friendly credit card rating systemCreated a $60 billion bank to fund roads and bridgesRequired full disclosure of company pension investments to employeesProvided easy-to-understand comparisons of the Medicare prescription drug plansInvested in electronic health information systemsPhased in requirements for health information technologyRequired that health plans utilize disease management programsRequired providers to report measures of health care costs and qualityHeld hospitals and health plans accountable for disparities in careImplemented and funded proven health intervention programsPrevented drug companies from blocking generic drugsAllowed Medicare to negotiate for cheaper drug pricesWorked with schools to create more healthful environments for childrenImproved recruitment of public health workersMandated insurance coverage of autism treatmentFully funded the Combating Autism Act and Federal Autism Research InitiativesDoubled federal funding for cancer researchIncreased participation in cancer-related clinical trialsFully funded the Individuals with Disabilities Education Act (IDEA)Set a national goal to provide re-screening for all 2-year-olds for developmental disordersCommissioned a study on students with disabilities and their transition to jobs or higher educationSet goals and timetables for implementing Section 503 of the Rehabilitation ActCreated a best practices list for private businesses in accommodating workers with disabilitiesLaunched educational initiative for employers on tax benefits of hiring employees with disabilitiesReduced the threshhold for the Family and Medical Leave Act from companies with 50 employees to companies with 25 employeesProvided a $1.5 billion fund to help states launch programs for paid family and medical leaveRequired employers to provide seven paid sick days per yearStreamlined the Social Security disability approval processExpanded Veterans Centers in rural areasEstablished standards of care for traumatic brain injury treatmentMade the Veterans Administration a national leader in health reformReduced the Veterans Benefits Administration claims backlogInstituted electronic record-keeping for the Veterans Benefits AdministrationExpanded housing vouchers program for homeless veteransLaunched a supportive services-housing program for veterans to prevent homelessnessExpanded the Family Medical Leave Act to include leave for domestic violence or sexual assaultFully funded debt cancellation for heavily indebted poor countriesCreated a fund for international small and medium enterprises (SME)Launched robust diplomatic effort with Iraq and its neighborsProvided $30 billion over 10 years to IsraelLimited Guard and Reserve deployments to one year for every six yearsEnded the "Stop-Loss" program of forcing troops to stay in service beyond their expected commitmentsFully and properly equipped troopsCreated a Civilian Assistance Corps that would organize private sector professionals to help in times of needIncluded humanitarian international missions in long-term budgetingReviewed weapons programsModernized ships and invested more in small vesselsSet standards for when the government should hire defense contractorsRestored the government's ability to manage contracts by rebuilding our contract officer corpsCreated a system of incentives and penalties for defense contractsEstablish a Global Education FundStrengthened the Proliferation Security Initiative (PSI) aimed at stopping spread of weapons of mass destructionOrganized successful Nonproliferation Treaty (NPT) Review Conference in 2010Expanded federal bioforensics program for tracking biological weaponsDeveloped a comprehensive cyber security and response strategyMandated standards for securing personal dataRequired companies to disclose personal information data breachesWorked to persuade the European Union to end credit guarantees to IranSeek to negotiate a political agreement on CyprusRestructured and streamlined USAIDIncreased the size of the foreign serviceUrged China to stop manipulation of its currency valuePressed China to end its support for regimes in Sudan, Burma, Iran and ZimbabweCreated a public "Contracts and Influence" databaseRequired Cabinet officials to host Internet town hall meetingsConducted regulatory agency business in publicPromoted more pre-school educationExpanded Early Head Start and Head StartReformed No Child Left BehindDoubled funding for Federal Charter School Program and require more accountabilityAddressed the dropout crisis by giving schools incentives for more dropout preventionCreated Teacher Residency Programs that will send teachers to high-need schoolsExpanded teacher mentoring programs and provide incentives for more planning timePromoted innovative ways to reward good teachersSimplified the application process for financial aidIncreased the number of high school students taking college-level coursesCreated incentives for tree planting and promote carbon sequestrationImproved water qualityRegulated pollution from major livestock operationsStrengthened federal environmental justice programsIncreased funding for organic and sustainable agriculturePartnered with landowners to conserve private landsCreated a community college partnership programIncreased funding for progams that conserve lands and habitat for select species such as the Osceola turkeySupported wetlands protectionPromoted economic development in MexicoSupported repeal of the Defense of Marriage Act (DOMA)Vigorously pursued hate crimes and civil rights abusesSigned the Deceptive Practices and Voter Intimidation Prevention Act into lawSupported regional innovation clustersHelped low-income areas get phone and Internet serviceCreated a Homeowner Obligation Made Explicit (HOME) score for mortgage comparisonsIncreased the supply of affordable housing throughout metropolitan regionsInvested in transitional jobs and career pathway programsFully funded the COPS programImproved emergency response plansCapped interest rates on payday loans and improve disclosureExpanded public/private partnerships between schools and arts organizationsImproved climate change data recordsSupported improved weather prediction programOffered prizes for advances in consumer technologyEncouraged contests and programs to interest students in scienceIncreased research opportunities for college studentsStrengthened the levees in New OrleansDirected revenues from offshore oil and gas drilling to increased coastal hurricane protectionShook loose federal money for rebuilding the Gulf Coast

To be honest, I'm not sure they would.This is hard to admit, because I'm tremendously excited that a big company like Apple is trying to enter the healthcare arena. That said, its spear is a bit...well, dull.As their new ResearchKit page states repeatedly, the obvious pro that Apple offers is statistical power. Assuming you can come up with a research proposal, push it through your local IRB, recruit a programmer or three, develop an app, conduct small-scale comparison studies to validate your app's measurements against the current medicolegal standard (if any exists), publicize the app so people download it, and then convince people to use the app on a regular basis, Apple is basically dangling thousands, if not millions, of data points as the proverbial carrot on a stick.Those kinds of numbers are the stuff of researchers' dreams; in the ever-fiercer academic competition to publish or perish, if your study shows statistically significant results powered by 100,000 people, you're in the right ballpark to shoot for the most prestigious tier of medical research journals (e.g. New England Journal of Medicine)....but...as nice as it sounds...is ResearchKit really going to be so great?Issue #1: UniformityLet's talk for a minute about research protocols. They are, almost without exception, the driest part of any research paper, but they are also the most critical because by describing in detail how a study is conducted, you allow for replication and verification of its results.Now, let us imagine then, that you develop a research app targeted at the relationship between high blood pressure and exercise tolerance. Given that iPhones will be used in a variety of locales, standardizing the protocol will literally be impossible.Even in something as simple as blood pressure measurement, you have hundreds of different commercial/professional machines, all with varying degrees of accuracy. How do you account for different arm sizes requiring different size cuffs--what if the participant uses the wrong one? How do you account for falsely elevated readings from unreported activity or recent stress prior to measurement? How do you account for the inherent inaccuracy in wrist monitors?An in-person study can solve all of this simply by having the same trained professional use the same equipment on everyone, but in the uncontrolled setting of ResearchKit, you can't.Furthermore, how exactly are you going to measure exercise tolerance? Sure, you can ask everyone to walk/run as far as they can for X number of minutes, but you're still introducing a ton of variables. If overweight Betsy lives on a hill and records measurements walking downhill to the local grocery store in the morning while her neighbor Andy records measurements walking up the hill after a long day at work as a construction foreman, neither of their datapoints will be representative of their actual physical fitness.By contrast, an in-person study can ensure everyone uses the same treadmill model on the same settings every single time, eliminating as many variables as possible.So the reality is that any large-scale study using ResearchKit's sensors will likely suffer from the Achilles' heel of meta-analysis: data heterogeneity. That's a tough nut to crack, because uniformity and quality control are what drive a lot of research, but ResearchKit inherently doesn't allow for that. Instead, it's banking on being able to attract enough numbers to a study to power through the smaller variances, but whether it actually can remains to be seen.Issue #2: Value PropositionWhy should anyone spend time inputing data into yet ANOTHER app?What exactly can a research app offer to effectively outcompete the dozens of diabetes, high blood pressure, and fitness apps that already exist and have significant traction in the quantified self community? Will they offer a better social experience? Might HIPAA get in the way? Will they offer better feedback? How can a research app's feedback be better than what's currently available...when the whole point of conducting this research is that we don't yet know what's better than what's currently available?In other words, what's the incentive here? Why contribute time and effort for questionable immediate gain in a research app when equal or greater rewards are offered by other existing services?Issue #3: IdentificationThe beauty of a "traditional" medical research study is that someone verifies in person the participant's identity. Someone physically handles a driver's license, passport, birth certificate, or other acceptable form of ID to be sure that the demographic data is accurate....with an app, I can sign up as MightyAvenger McThorThor, a 7'2" 500lb Norwegian born in the North Pole on May 5, 1902. Or Brad Pitt, a 5'11" 160lb American born in Shawnee, Oklahoma on December 18, 1963.An app inherently introduces the ability to fudge the truth.How do you work around this? Do you ask everyone to submit photographs of their driver's license? Do you request verification from Apple regarding the owner of the device? But Tim Cook announced today that Apple does not see your data on these apps...Issue #4: Data-sharingThat brings me to my next point: I'm tremendously displeased that Apple shied away from offering a central research repository for users' health data.Right now, all the raw data in any given study stays at the participating organizations. What little gets published is already analyzed into nice graphs and figures that illustrate only what the authors intended. If a researcher at a different university wants to play with the same raw data to do a sub-section study, tough luck, gotta go gather your own.Just for a moment, imagine how powerful a central, open-access raw data repository could have been; data heterogeneity aside, researchers from any recognized research institution could sign up to access a pre-IRB-approved, pre-anonymized wealth of data to mine for potential insights. Ooh-la-la...Back to reality.Now, I'm sure that in many ways not setting this up was internally considered a brilliant move by Apple. Don't keep health data on Apple servers, and Apple can't be held liable if something goes wrong. The overhead of making a datacenter HIPAA-compliant falls to a third party. Also, Apple probably doesn't want to be perceived as "evil" by asking for too much, that's bad for business, right?[sarcasm] It's totally ok for Apple to have someone's name, birthday, address, and credit card, but heaven forbid Apple store whether someone has diabetes, because if that information got out, the world would totally end.[/sarcasm]Let me be blunt: I've worked in world-class university labs and I would much rather trust my health data in the hands of Apple than the sorry haphazard mess that is 99% of research facilities' poorly-funded IT departments. Seriously: even in the age of Dropbox, you have no idea how many research groups at top institutions would be hosed if they lost a single physical hard drive.Anyway, rant aside, I'm very disappointed that these ResearchKit apps do absolutely nothing to address the fragmented state of healthcare data that we have today. For all the talk of "big data", we have no advancement from the stone age of data still being locked up at individual institutions. It's nice that Stanford now has an app on cardiovascular health, but what if someone from Dartmouth wants to study cardiovascular health as well? Do they have to make another app? How many apps do we have to make to collect the same fucking data?Issue #5: SocioeconomicsThere have been numerous studies on the socioeconomics of healthcare, and they uniformly agree that socioeconomic status correlates quite well with outcomes. The lower a patient is on the financial totem pole, the worse their outcomes tend to be.My concern is that by and large, the people who can afford the temporal expenditure of participating in a research study in addition to the monetary expenditure of an iPhone are not the people at greatest risk from severe disease or the people who would benefit most from these studies.From a social advocacy standpoint, I can't help but think this "advance" primarily benefits those who already have significant health resources at their disposal, and that feeling doesn't sit well with me.Issue #6: Lack of aimThere's currently way too much hope that if you just gather tons of data, it's eventually going to be useful. That's...not always the case. And we've known that for quite some time.When you gather data for medical research, the point is that you first measure a baseline, then apply an intervention, and then measure the outcome of said intervention.For example: in a population of elderly patients who receive hip surgery, you could strive to demonstrate that early physical therapy results in shorter post-operative hospital stays, conserving money and healthcare resources....so how do you intervene with ResearchKit? Because right now, most of the focus seems to be on gathering data without a specific goal in mind. None of the five debut apps make it clear what their "goals" are, if any. I think this quote from Apple's ResearchKit page illustrates that uncertainty quite nicely (emphasis mine):We can’t continue to treat people with a one‑size‑fits‑all approach. The kind of data that ResearchKit will provide may be very useful in helping us understand serious diseases and what individuals can do to hasten recovery.~Dr. Patricia A. Ganz, UCLA Fielding School of Public HealthThat's correct: may. I feel these words were chosen carefully, and I don't know about you, but I don't find "may" particularly inspiring. I'm not sure about this quote either:Numbers are everything. The more people who contribute their data, the bigger the numbers, the truer the representation of a population, and the more powerful the results. A research platform that allows large amounts of data to be collected and shared — that can only be a positive thing for medical research.~Dr. Eduardo Sanchez, American Heart AssociationIt can only be a positive thing...how? I mean, yes, this is a great soundbite for a quote, but...how? What are we hoping to achieve with all this data we collect (which, as mentioned above, is likely only ever going to be seen/analyzed by researchers from, at most, one or a few institutions)?*sigh*In all seriousness, I am genuinely hopeful that all of the concerns I have will be blown away by the sheer brilliance of the research we see come out of ResearchKit. I want to trust that this new open-source tool represents a new era in big data in healthcare....but at this point, I'm not yet ready to wave ResearchKit's flag and rally people to its banner. I might change my mind later, but for now...I'm going to sip tea and wait.