The title was used as early as 1849 when Dolley Madison was eulogized as "America's First Lady", but did not gain wider recognition until 1877 when newspaper journalist Mary Clemmer Ames used it while reporting on the inauguration of Rutherford B. Hayes.
The First Lady is not an elected position, carries no official duties, and brings no salary. Nonetheless, she attends many official ceremonies and functions of state either along with or in place of the President. Furthermore, many have taken an active role in campaigning for the President they are associated with. Hillary Rodham Clinton took the role one step further when she was, for a time, given a formal job in the Clinton administration to develop reforms to the health care system.
The wife of the president is referred to by her married name--the couple is formally referred to as, for example, "The President and Mrs. Washington."
The term is also used to describe the wife of other government officials, or for a woman who has acted as a leading symbol for some activity (as in "First Lady of California" or "First Lady of Jazz" respectively).
The wife of the Vice President of the United States has been referred to by the colloquial term, the Second Lady of the United States.
The following women have been recognized by The National First Ladies' Library as "First Lady":
First Ladies of the United States
The following women are known to have acted as hostess on behalf of the First Lady when she was otherwise unable or unwilling:
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