As Obama prepares to stand before the nation, majorities say they disapprove of his handling of their top two priorities — the economy and health care — and 63 percent of Americans say they do not have confidence in his ability to make the right decisions for the country. His approval ratings are nearly identical to those of President George W. Bush at the same point in his presidency.

That is a problem, but it is not his biggest problem.

Obama’s biggest problem is that his lie of the year in 2013 — “if you like your health plan, you can keep your health plan” — hangs over his speech and will continue to haunt him in 2014.

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