“It’s terrible, it’s painful to watch. We really do know him. Watching this is gut-wrenchingly painful.”

In Iowa, the disappointment in Obama and the health-care law’s rollout is deeper and more personally felt than in much of the rest of the country. That’s because, nearly six years ago, Iowans propelled Obama’s national career with his upset victory in the January 2008 presidential primary caucuses, setting the stage for beating Hillary Rodham Clinton for the Democratic nomination.

“It’s terrible, it’s painful to watch. We really do know him,” Dvorsky said. “Watching this is gut-wrenchingly painful.”

She said she thinks HealthCare.gov will be functioning well by the Nov. 30 deadline because that’s what the president said. “If I’m wrong, there’s going to be phenomenal pain.”

Across the country in Upper Dublin, Klein said that the trouble with the Affordable Care Act is “very unfortunate” but that she doesn’t think Democrats should worry.

“I think they chose the wrong IT company to figure this out, that’s all,” she said.

“We do need health care,” Klein added later. “But the people that really need it aren’t the outspoken ones standing up and making noise, they’re the ones that really can’t speak for themselves.”