It's hard to argue that the Affordable Care Act of 2010 did not have a profound impact on the two most recent midterm elections. The legislation helped spawn the tea-party movement and give the Republican Party momentum, enabling the GOP to win majorities in the House in 2010 and in the Senate last year. Now, with the U.S. Supreme Court scheduled to rule on the constitutionality of a key provision of the law sometime during the next two months, a look at current attitudes toward the ACA, and how the trajectory of public opinion on the law might be affected by the Court's decision, seems in order. But the history of public attitudes toward the ACA is one of ups and downs—with far more downs than ups. The high-water mark was July 2010, four months after the law's passage, when 50 percent of those surveyed had a favorable view of the legislation and 35 percent had an unfavorable one. Then things got a lot worse. The ACA's lowest moments were in October 2011, when the law garnered a net favorability

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