The Affordable Care Act (ACA) is a tax hike, American voters say 55 – 36 percent, but in a mixed message, voters agree 48 – 45 percent with the U.S. Supreme Court decision upholding the law, while they say 49 – 43 percent that the U.S. Congress should repeal it, according to a Quinnipiac University national poll released today.

A total of 55 percent of American voters say a presidential candidate’s position on health care is “extremely important” or “very important” to their vote in November, the independent Quinnipiac (KWIN-uh-pe-ack) University poll finds. While 59 percent say the Supreme Court decision will not affect their vote, 27 percent say it will make them less likely to vote for President Barack Obama, while 12 percent say more likely. Independent voters say less likely 27 – 9 percent.

American voters split 48 – 47 percent on whether people should be required to have health insurance. Opposed are Republicans 76 – 19 percent and independent voters 51 – 43 percent, while Democrats support the mandate 79 – 16 percent. Men oppose the mandate 50 – 45 percent, while women support it 50 – 45 percent.