The Quinnipiac poll is not full of sunshine for President Obama this morning:

Despite passage of his signature health reform bill, President Barack Obama still gets a split 45 – 46 percent approval from American voters in a Quinnipiac University national poll conducted Monday and Tuesday, compared to a negative 46 – 49 percent approval in a survey concluded Sunday before the House of Representatives voted on the health care bill. These are President Obama’s worst grades so far, tying his 45 – 46 percent approval February 11.
American voters mostly disapprove of the health care reform 49 – 40 percent, compared to 54 – 36 percent before the vote . . .
By a 38 – 25 percent margin, voters are less likely to vote for House members who voted for the health care bill, with 34 percent who say the health care vote won’t affect their decision.
By a 33 – 27 percent margin, voters are more likely to vote for House members who voted against the health care bill, with 35 percent who say the health care vote won’t affect their decision.
“The first read from the voters is that they are more inclined to punish those lawmakers who voted for the health care overhaul than reward them,” Brown said. “This is a key question. Whether and how these numbers change in the next seven months will tell us whether, in fact, this will be the kind of November Republicans are hungering for and Democrats are dreading.”

Could these numbers change? Sure. But my guess is, people will have to feel and experience tangible improvements in the way they get health care between now and November.