Elizabeth Anne Ford (née Bloomer; formerly Warren; April 8, 1918 – July 8, 2011) was First Lady of the United States from 1974 to 1977, as the wife of President Gerald Ford. As first lady, she was active in social policy, and set a precedent as a politically active presidential spouse. She was also Second Lady of the United States from 1973 to 1974, when her husband was vice president. Throughout her husband's time in the office of the presidency, she maintained high approval ratings, and was considered to be an influential first lady. Ford was noted for raising breast cancer awareness following her 1974 mastectomy. In addition, she was a passionate supporter of the Equal Rights Amendment (ERA). As a supporter of abortion rights, and a leader in the women's rights movement, she gained fame as one of the most candid first ladies in history, commenting on the hot-button issues of the time, such as feminism, equal pay, the Equal Rights Amendment, sex, drugs, and abortion. Decennial surveys conducted by Siena College Research Institute of historians' assessments of American first ladies have consistently placed Ford in the top nine, with historians giving her especially high marks for her courage. Following her years in the White House, Ford continued to lobby for the ERA, and remained active in the feminist movement. Soon after leaving office, she raised awareness of addiction when she sought help for, and publicly disclosed, her long-running struggle with alcoholism and substance abuse. After recovering, she founded and served as the first board chair of the Betty Ford Center, which provides treatment services for people with substance use disorders. Ford also became involved in causes related to HIV/AIDS. For years after leaving the White House, Ford continued to enjoy great influence and popularity, continuing to rank in the top ten of Gallup's annual most admired woman poll every year through 1991. Ford was awarded the Presidential Medal of Freedom by George H. W. Bush in 1991. She was also awarded the Congressional Gold Medal as a co-recipient with President Ford in 1998.