What's More Unpopular Than Health Care Reform? A new Pew Research Center / USA Today poll indicates that Americans still haven't embraced the Affordable Care Act, President Obama's signature domestic policy measure. Fifty-three percent disapprove of the law, while 42 percent approve. That's a decline in the level of support since last July, when, in the wake of the Supreme Court decision upholding the law, 43 percent disapproved and 47 percent approved. The big caveat here is that most Americans still don't understand what the law does. Only 25 percent say they understand the law's impact very well, 39 percent understand it somewhat, and a third have little or no understanding of how the law will affect them. The other caveat is that, although a majority disapproves of the Affordable Care Act, few Americans support Republican attempts to mess it up. According to Pew, about half of disapprovers, or 27 percent of the public overall, say elected officials who oppose the law "should do what they can to make the law work as well as possible," while 23 percent of the public holds the nihilistic view that they "should do what they can to make the law fail." In other words, health care reform isn't popular, but sabotage is less popular. Sabotage isn't even particularly fashionable within the Republican Party. Only 43 percent of Republicans and Republican leaners want lawmakers to strive for failure. As per usual, however, the outlook's different from the darker corners of the right wing. Sixty-four percent of Tea Party Republicans are in the forced-failure camp.