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Just one in 10 Americans (11 percent) of the uninsured and 9 percent of the overall population say the Patient Protection and Affordable Care Act has improved their health insurance situation over the past year, according to a new Bankrate.com survey.

In fact, 38 percent of the uninsured said they feel worse about PPACA than they did a year ago (versus 25 percent, who feel more positive). And 36 percent of Americans said their health care costs have increased over the past year. Only 5 percent say they have decreased.

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