The vast majority of Americans have not benefited from Obamacare, according to a poll released by National Public Radio, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health Monday.

56 percent of Americans polled said they don’t believe the Affordable Care Act has directly impacted them. Of those surveyed who said it did have a direct impact, more said health care reform has been overall detrimental rather than positive — coming in at 25 percent and 15 percent respectively.