The Affordable Care Act continues to remain extremely unpopular. A new NBC/Wall Street Journal found only a small percentage of Americans think it is a good idea. From NBC:

Forty-four percent of respondents call the health-care law a bad idea, while 31 percent believe it’s a good idea — virtually unchanged from July’s NBC/WSJ survey.

By a 45 percent to 23 percent margin, Americans say it will have a negative impact on the country’s health-care system rather than a positive one.

With the law finally set to start having a real impact, this poll will serve as an interesting baseline to see how the actual implementation moves the public.

It is possible once the law is in effect it will become more popular but there is also a good chance implementation will go almost unnoticed by most Americans. The law only significantly impacts a small share of the population and even many of those impacted might not realize it.

Probably the best and largest provision is the Medicaid expansion, but individuals qualifying for the Medicaid expansion are not going to get something labeled “Obamacare Medicaid.” It will just be “Medicaid” with no easy way to quickly know if someone qualified because of the new law or not.