It’s possible she was just handed an insurance cancellation letter, but I don’t think so:

In case you were wondering who in the world could be among the 38 percent who still think he’s done a wonderful job, there you go.
Obama just returned to D.C. from his third vacation of the year. Wait, isn’t it only March 10th? You’ve gotta love “shared sacrifice.”
Then there’s this:
In annual Economic Report to Congress, Pres Obama says the US "better-positioned for the 21st century than any other nation on Earth."
— Mark Knoller (@markknoller) March 10, 2014
Substitute “21st century” with “getting every man, woman and child dependent on government” and it’s actually accurate.