When Obama signed the law more than three years ago, supporters predicted Americans would embrace it as some of the most popular provisions went into effect, including measures that have helped seniors pay prescription costs, protected children who have serious medical conditions and enabled young adults to stay on their parents' insurance plans until age 26.
But that turnaround in public opinion hasn't happened.
As the health care exchanges at the heart of the law open for enrollment in two weeks, the public's views of it are as negative as they have ever been, and disapproval of the president's handling of health care has hit a new high. Confusion and misinformation about the law haven't significantly abated, especially among the law's main targets.
Among the 19% polled who are uninsured, nearly four in 10 don't realize the law requires them to get health insurance next year.
Among young people, whose participation is seen as crucial for the exchanges to work, just 56% realize there's a mandate to be insured or face a fine.
In the states that have refused to participate in the insurance marketplaces — defaulting instead to the federal exchange — knowledge about the Affordable Care Act and support for it are notably lower than in states that are setting up their own exchanges.
53% disapprove of the health care law, the highest level since it was signed; 42% approve.
By an even wider margin, intensity favors the opposition; 41% of those surveyed strongly disapprove while just 26% strongly approve.
Fifty-three percent disapprove of Obama's handling of health care policy, an historic high.
Democrats have lost their traditional advantage on the issue. For the first time in polling that stretches back more than two decades, Americans narrowly prefer Republicans in dealing with health care policy, 40%-39%.
Most haven't seen much impact from the law, but they are inclined to expect bad news down the road.
Forty-one percent predict in coming years the effect on themselves and their families will be negative; just 25% think it will be positive.
Even more, 47%, say the law will have a negative impact on the country as a whole.
http://www.usatoday.com/story/news/politics/2013/09/16/usa-today-pew-poll-health-care-law-opposition/2817169/