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President Barack Obama’s signature health care reform law remains unpopular with the American public just months before it fully goes into effect, according to the new NBC News/Wall Street Journal poll.

The poll shows 49 percent of Americans say they believe the Affordable Care Act is a bad idea. That’s the highest number recorded on this question since the poll began measuring it in 2009. Just 37 percent say the plan is a good idea.

As the political battle over implementation of the law heats up in Washington, the numbers mark an increase in unpopularity since July 2012, right after the U.S. Supreme Court upheld Obama’s overhaul. Back then, 44 percent of NBC/WSJ poll respondents called it a bad idea, vs. 40 percent who called it a good one.

GOP leaders have been unrelenting in their calls to reverse the law. “For the sake of my constituents in Kentucky and for the sake of Americans across the country, I urge my friends on the other side to join with Republicans and stop this ‘train wreck’ before things get even worse,” Senate Minority Leader Mitch McConnell, R-Ky., said on the Senate floor in April.

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