With the Patient Protection and Affordable Care Act here to stay, most Americans remain pessimistic about health care, according to new research from WG Consulting. Three out of four anticipate that the cost and quality of care, access to medications and doctors, availability of treatment innovations and insurance costs and coverage all will stay the same or get worse. 

Those who voted for Mitt Romney are more likely than supporters of President Obama to believe they will see the overall quality of health care decline when the PPACA is more fully implemented in 2014.

The uninsured are most optimistic about the PPACA, with one in three expecting an improvement in the quality of care, compared to just one in five insured voters. More than twice as many uninsured voters as insured voters also think they will be better off in terms of insurance coverage and costs, as a result of the PPACA.