Most Americans do not believe the Affordable Care Act has positively impacted the country.

Obamacare website
Obamacare website (Dan Alexander, Townsquare Media NJ)
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In fact, 43 percent believe Obamacare has had a mostly negative impact, according to a new report by Bankrate.com. Only 28 percent say the Affordable Care Act has had a mostly positive impact.

"Seven out of 10 Americans are questioning whether the law has been worth it," said Doug Whiteman, insurance analyst at Bankrate.com. "We found that people at the lowest income levels, making under $30,000 a year, were most likely to say that the law's impact has been positive. I think that suggests that more of the poor may be recognizing that the law is helping them."

Respondents were also asked about a recent report from S&P Capital IQ which predicted that by 2020, nine in 10 workers who currently receive health insurance through their employers will instead manage their own health plans on Obamacare-style government exchanges.

According to Bankrate.com, 30 percent of Americans believe this would have a negative impact, while only 14 percent say it would help.

"I found it surprising that consumers didn't seem horrified by the prospect of this, even though there has certainly been a lot of negative publicity about the Obamacare exchanges," Whiteman said. "I think what it shows is that people overall might be ambivalent about the exchanges. Maybe they haven't heard enough to form strong opinions about them."

Negative sentiment about Obamacare increased with income. According to the report, 1 in 4 Americans with employer-sponsored health insurance are more likely to retire early or otherwise leave their jobs due to the Affordable Care Act. That is almost three times as many as the 8 percent who are less likely to move on. People with incomes between $50,000 and $75,000 are the most likely to quit.

The percentage of Americans without health insurance has fallen to 11 percent. For more information, click here.

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