Now that the open enrollment period on the exchanges is over and the American people have gotten a chance to experience the Affordable Care Act the verdict is not good news for Democrats. While support is up slightly since the terrible rollout of Healthcare.gov, Gallup found a majority still disapprove of the law.

Approval of the U.S. Healthcare Law

The poll found 44 percent of Americans think the ACA will make our health care system worse, 37 percent think it will make it better and 16 percent think it will not make a real difference. Like with the overall approve question, these numbers haven’t changed much over the past year.

If millions of people buying insurance on the exchanges didn’t have a noticeable impact on opinions about the law, it is unlikely approval of it will change significantly anytime in the near future.

Politically, it should be noted that this is a poll of American adults. The electorate in the midterm tends to be older, whiter and more conservative than the population as a whole. That means approval of the law among likely 2014 voters is probably several points worse.