For the first time in a decade, most Americans say it isn't the federal government's responsibility to make sure all Americans have health care coverage.

A new Gallup survey shows an all-time low percentage of Americans support a government health care guarantee, just as President Obama's Patient and Protection and Affordable Care Act make that more of reality.

More than half, 54 percent, say health care access isn't the government's responsibility, and 44 percent say it is the government's responsibility.

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