Opposition to President Obama's healthcare law is close to its all-time high as the reform reaches its fourth birthday.
A new survey by the Pew Research Center found that 53 percent disapprove of ObamaCare, compared with 41 percent who approve.
But the consistency of public opposition to healthcare reform is creating challenges for the White House and Democrats as they seek to keep the Senate in November.
The survey offers insight into the public's opinion of ObamaCare, just as Republicans are ramping up campaign attacks over the law.
Notably, there is a strong sense within the public, including among a majority of ObamaCare's opponents, that elected officials should try to make the law work.
Slightly more Republican detractors, however, want lawmakers to make it fail more than to make it work. This view is boosted by those affiliated with the Tea Party, 60 percent of whom want elected officials to encourage ObamaCare's failure.
In broad strokes, older, less-educated whites tend to oppose the law, along with people who are more affluent. Blacks strongly support ObamaCare, while Hispanics are evenly split.
The survey was conducted Feb. 27 to March 16 among 3,335 adults. It has a total margin of error of 2 percent.