A new Gallup poll finds that over twice as many Americans say Obamacare has hurt them or their families as those who say it has helped them.

Nearly one in four people (23%) said Obamacare has already hurt them or their families, versus just one in ten (10%) who said it has helped them or their families.

“The 23% who feel the law has hurt them is the highest percentage for the question since Gallup began asking Americans about it in 2012, and is up from 19% in previous polling,” reports Gallup.

Gallup also surveyed whether Americans believe Obamacare will help them and their families over the long run. A full 40% of Americans say Obamacare will make their families’ healthcare situation “worse,” versus just 21% who said it will make it “better.”

Finally, Gallup asked whether Americans “generally approve or disapprove” of Obamacare. Among those surveyed, 55% disapproved of Obamacare. Only 40% now support Obamacare.