On Election Day, 2008 — less than a year ago — Obama got 52% of the vote. Now, he is six to seven points below that level in his job approval — one Obama voter in eight is now disillusioned and turning on him.

How long will Obama cling to the wreckage of his healthcare proposals? Does he plan on going down with the ship all the way to the mid-30s in job approval as Bush did with Iraq? Will he take his party down with him? Will the party let itself be taken down?

These are the relevant questions as Obama returns from his vacation. The massive paid media effort for healthcare changes has not worked and Obama has some decisions to make.