While pundits wrestle with just what impact the Patient Protection and Affordable Care Act is having, or willhave, on the country, a survey reveals a number of consumers areexpecting the worst.

Respondents to a Robert Morris University poll said they expecttheir out-of-pocket costs (for co-pays and deductibles) to increase(43%) rather than decrease (9.3%) as a result of PPACA.

Some indicated they expect no impact on their out-of-pocketcosts or were unsure — 28.1% and 19.6% respectively.

A third said they have had to or expect to have to shop aroundfor less expensive health care because of the new law.

The impact doesn't stop there.

Nearly half of the 1,000 people polled said they expect tobecome “much more involved” in their own health insurance becauseof the new law. And others said they expect to lose doctors andhealth plans.

Additionally, the survey found that 39% of respondents have orknew someone who has experienced reduced working hours so employerscould avoid paying health insurance as mandated for employers withmore than 50 employees.

Given these findings, not surprisingly, 58% of those polled hadan unfavorable opinion of PPACA, while 36 percent had a favorableopinion. (Another 14% were unsure.)

The last two months especially haven't helped public opinion onthe Patient Protection and Affordable Care Act. Recent Gallupnumbers showed a big dip in PPACA support.

Gallup's numbers suggested that the exchange's glitch-filledrollout — and subsequent problems — as well as news of insuranceplan cancellations are at least partly the cause.