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More consumers say the Patient Protection and Affordable Care Act is hurting their families rather than helping them, according to a new poll. And the majority believe the law will have a negative impact on the country in the long run.

Gallup found that 27 percent said PPACA has been harmful, up from 19 percent who said so at the beginning of the year, when some of PPACA’s major provisions went into effect. Meanwhile, 16 percent said it has helped, and 54 percent said the law has had no effect on them, down from around 70 percent the last two years.

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