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Most Americans want changes to Affordable Care Act

Staff Writer | November 29, 2016
Americans' assessments of the Affordable Care Act (ACA) remain relatively unchanged after the November 8 election, with more continuing to disapprove (53%) than approve (42%) of the law.
Affordable Care Act
Cost of health   To change the ACA significantly
Going forward, the vast majority of Americans want to see the law changed. This includes the 37% who want it repealed and replaced, along with a total of 43% of Americans who want the law kept, but with major changes.

In its annual November Healthcare update, conducted November 9-13, Gallup asked Americans who approve of the ACA if they would like it kept in place as is, or kept but with significant changes.

Similarly, Americans who disapprove of the ACA were asked if they wanted to keep it but with significant changes, or repeal and replace it.

Putting the responses to these two questions together, an overall total of 43% of Americans - a group that includes some who approved of it initially (28%) and some who disapproved (15%) - want to change the ACA significantly without repealing it.

That is a slightly larger percentage than the 37% who disapprove and wish to see it repealed and replaced. Fourteen percent of Americans approve of the ACA and wish to keep it as is.

Since Gallup began regularly tracking Americans' overall evaluations of the ACA four years ago, approval has exceeded disapproval only once, in November 2012, shortly after President Barack Obama's re-election.

Since then, disapproval has averaged 52%, while approval has averaged 42%.