U.S. opinion on the ACA April 2010-March 2023

As of March 2023, 62 percent of the respondents had a favorable opinion on the health reform, the Affordable Care Act (ACA) otherwise know as Obamacare, highest share in the provided time interval.

Opinions about the ACA

Favorability for the health reform law in the United States has fluctuated since 2010 till 2017. In April 2010, 46 percent of U.S. adults had a favorable opinion regarding the ACA, while 45 percent said the same six years later in October 2016. As expected, Republicans tended to consider the ACA as unfavorable while Democrats were more likely to favor the bill. However, after 2017 the share of U.S. who favor the ACA has steadily increased and is steadily above those who view it unfavorably.

The ACA had a major goal, to expand health care coverage. This bill prevents health plans from limiting or denying coverage to children with pre-existing conditions, arbitrarily withdrawing insurance coverage, and implementing lifetime limits on coverage. The ACA is expected to reduce the number of uninsured individuals by 25 million people by 2023. Those who view the ACA favorably usually reason that the bill will increase health care and insurance access, while the opposition often mentions that the health costs may increase and that the law is too expensive.

Percentage of public with favorable or unfavorable opinion of the Affordable Care Act (ACA) from April 2010 to March 2023

table column chart
Month of survey conductedFavorableUnfavorableDon't know/Refused
March 202362 % 36 % 2 %
March 202255 % 42 % 2 %
October 202158 % 41 % 2 %
May 202153 % 35 % 13 %
February 202154 % 39 % 7 %
December 202053 % 34 % 13 %
October 202055 % 39 % 6 %
September 202049 % 42 % 9 %
July 202051 % 36 % 13 %
May 202051 % 41 % 8 %
April 202050 % 39 % 12 %
February 202055 % 37 % 9 %
January 202053 % 37 % 10 %
November 201952 % 41 % 7 %
September 201953 % 41 % 6 %
June 201946 % 40 % 12 %
March 201950 % 39 % 11 %
January 201951 % 40 % 9 %
October 201849 % 42 % 9 %
August 201850 % 40 % 10 %
June 201850 % 41 % 9 %
March 201850 % 43 % 7 %
January 201850 % 42 % 8 %
October 201751 % 40 % 9 %
July 201750 % 44 % 6 %
May 201749 % 42 % 9 %
March 201749 % 44 % 7 %
December 201643 % 46 % 11 %
October 201645 % 45 % 10 %
August 201640 % 42 % 17 %
June 201642 % 44 % 14 %
April 201638 % 49 % 13 %
December 201540 % 46 % 14 %
August 201544 % 41 % 14 %
May 201539 % 42 % 19 %
March 201541 % 43 % 16 %
January 201540 % 46 % 15 %
December 201441 % 46 % 14 %
July 201437 % 53 % 10 %
November 201333 % 49 % 18 %
October 201338 % 44 % 18 %
November 201243 % 39 % 19 %
October 201238 % 43 % 19 %
September 201245 % 40 % 14 %
August 201238 % 43 % 19 %
July 201238 % 44 % 17 %
June 201241 % 41 % 18 %
May 201237 % 44 % 19 %
April 201242 % 43 % 15 %
March 201241 % 40 % 19 %
February 201242 % 43 % 15 %
January 201237 % 44 % 19 %
December 201141 % 43 % 17 %
November 201137 % 44 % 19 %
October 201134 % 51 % 15 %
September 201141 % 43 % 16 %
August 201139 % 44 % 17 %
July 201142 % 43 % 15 %
June 201142 % 46 % 12 %
May 201142 % 44 % 14 %
April 201141 % 41 % 18 %
March 201142 % 46 % 13 %
February 201143 % 48 % 8 %
January 201141 % 50 % 9 %
December 201042 % 41 % 18 %
November 201042 % 40 % 18 %
October 201042 % 44 % 15 %
September 201049 % 40 % 11 %
August 201043 % 45 % 12 %
July 201050 % 35 % 14 %
June 201048 % 41 % 10 %
May 201041 % 44 % 14 %
April 201046 % 40 % 14 %
× Zoomable Statistic: Select the range in the chart you want to zoom in on. Loading statistic. Show source Download for free Source Show detailed source information? Register for free Already a member? Log in Release date More information Survey time period

April 2010 to March 2023

Number of respondents

around 1,200 respondents

18 years and older

Method of interview

Computer-assisted telephone interviews (CATI)

Supplementary notes

Original question: “As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it?”
Figures may not add to 100 due to rounding.
The number of respondents is not the same for every survey.

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