The one thing that was clear from the survey is that most Americans have not yet heard about how the law already is helping them. Many of the respondents also appear to have short-term memory problems. They seem to have forgotten that premiums and deductibles have been going up, often by double digits, every year for at least a couple of decades. The reality is that the rate of premium increases since Obama signed the Affordable Care Act has been lower than in many previous years.